Deck 33: Medications

Question 1

While administering an intramuscular injection,the nurse notes blood return in the syringe barrel after aspirating.What action should the nurse take?

A)Pull the needle out 0.5 cm and inject the medication
B)Inject the medication as ordered
C)Notify the physician immediately
D)Discard the medication and start over

Answer 1

Discard the medication and start over

Question 2

The physician has ordered that a client can have a total of 0.6 mg of nitroglycerin for chest pain before giving ordered morphine sulphate.The nitroglycerin is available as 0.2 mg sublingual tablet.How many nitro can the nurse give before administering the morphine sulphate?

A)3 tabs,one at a time,5 minutes apart
B)2 tabs,one at a time,5 minutes apart
C)1.5 tabs,one at a time,5 minutes apart
D)4 tabs,one at a time,5 minutes apart

Answer 2

3 tabs,one at a time,5 minutes apart

Question 3

Mrs.Prior has an order for a nitroglycerin patch.What priority nursing actions should the nurse take regarding the application of the medication?

A)Inquire about episodes of recent chest pain
B)Remove previous patch
C)Apply heat directly over the application site
D)Document time and date on patch

Answer 3

Remove previous patch

Question 4

The nurse who is to administer 2.5 mL of intramuscular pain medication to an adult client notes that the previous injection was administered in the right ventrogluteal site.In which site should the nurse plan to administer this injection?

A)Right ventrogluteal
B)Deltoid
C)Left ventrogluteal
D)Rectus femoris

Question 5

The nurse is to administer four oral medications to the client via a nasogastric tube.One of the medications is a tablet that has been crushed,one is a capsule that has been opened and the powder removed,and two are supplied in liquid form.How should the nurse administer these medications?

A)Flush the tube,mix the crushed tablet and the capsule powder into the two liquids for administration,and follow by flushing the tube.
B)Mix the crushed tablet and capsule powder in warm water and administer.Flush the tube and administer the mixed liquids.
C)Flush the tube with the mixed liquids first,then administer the crushed tablet and capsule powder mixed in cold water.
D)Mix the crushed tablet and capsule powder individually in warm water.Administer each medication separately,flushing the tube before and after each administration.

Question 6

Mr.Barker is on a heparin infusion following a myocardial infarction.His orders contain specific recommendations for when blood work needs to be drawn,and for the rate of the heparin.What type of order would this be considered?

A)STAT
B)Single order
C)Collective prescription
D)Standing order

Question 7

The nurse has just injected insulin subcutaneously into the client's abdomen.What action should the nurse take at this point?

A)Massage the site to encourage absorption
B)Leave the needle in the client's skin for 10 seconds after administration
C)Assess for signs of hypoglycemia
D)Cover the injection site with a bandage until the bleb disappears

Question 8

Hospital regulations now require that the nurse write out the name of the drug morphine sulfate instead of using the abbreviation MS.What is the best rationale for this requirement?

A)The hospital has placed MS on its list of do not use abbreviations.
B)Canadian Nurse Association (CNA)requires that the abbreviation MS not be used.
C)Using the abbreviation MS puts the client at risk of medication error.
D)Computerized charting systems will not accept the abbreviation MS.

Question 9

The nurse is preparing to administer an IV medication that the agency designates as "high alert." What action should the nurse take?

A)Ask another registered nurse to verify the medication
B)Call the pharmacist to check the ordered dosage of the medication
C)Decline to administer the medication unless there is a physician present
D)Request that the nursing supervisor administer the medication

Question 10

Calculate the following drug dosage:
Dose ordered 240 mg.Dose available 300mg in 5 mL.

Question 11

The physician has ordered 75 mg per kg per day of cefazolin to be given in three equal doses to an infant who weighs 7.6 kg.It is available in a suspension of 100 mg/mL.Calculate how much the nurse would give per dose in mL.

Question 12

The nurse is adding medication to an existing intravenous setup.Which nursing action is indicated?

A)Close the infusion clamp
B)Ensure that the IV bag is full prior to adding medication
C)Do not remove the IV bag from the standard
D)Briskly shake the IV bag after injecting the medication

Question 13

Before administering an ordered medication,the nurse checks the name band for the client's name against the MAR.What should be the nurse's next action?

A)Administer the medication as ordered
B)Initial the MAR that the medication will be given
C)Double check the client's identification using a second method
D)Educate the client regarding the medication to be given

Question 14

Which of the following groups of people has ethnopharmacology research determined has a decreased response to angiotensin converting enzyme inhibitors (ACEI)?

A)Jews
B)Blacks
C)Latin Americans
D)Aboriginals

Question 15

What considerations should the nurse take before administering an ordered medication to a 6-year-old?

A)Administer the exact dosage as ordered
B)Give the dosage supplied by the pharmacy
C)Verify that the dosage is within the safe range for this child
D)Administer no more than one-half of the safe adult dosage

Question 16

The nurse has discontinued suction to a nasogastric tube to administer medication.How long should the nurse leave this suction discontinued?

A)5 to 10 minutes
B)20 to 30 minutes
C)30 to 60 minutes
D)60 to 90 minutes

Question 17

During administration of an intradermal injection,the nurse notices that the outline of the needle bevel is visible under the client's skin.How should the nurse proceed?

A)Recognize that this is an expected finding
B)Withdraw the needle and prepare a new injection
C)Insert the needle further into the skin at a deeper angle
D)Turn the needle so that the bevel is down and inject the medication slowly

Question 18

Upon aspirating a saline lock prior to administering intravenous medication,the nurse notes that there is no blood return.What nursing action should be taken?

A)Discontinue this lock and restart another site for medication administration
B)Slowly infuse 1 mL of saline into the lock,assessing for infiltration
C)Reinsert the needle into the lock and aspirate using more pressure
D)Pull the intravenous catheter out 0.3 cm and attempt aspiration

Question 19

Ms.Pillon is checking the medication administration record (MAR)and notes a dose of 2 gm of Tylenol (acetaminophen)ordered for her client.She identifies that the dose is twice the amount generally administered.What action should Ms.Pillon take?

A)Administer the medication as it was ordered
B)Check to see if previous shift nurses gave the medication
C)Collaborate with the prescriber about the order
D)Administer only the standard dose of the medication

Question 20

The nurse is planning to administer a bitter-tasting oral medication to a 4-year-old.What strategy should this nurse plan?

A)Give the medication in orange juice or milk to mask the taste
B)Tell the child that the medication tastes good
C)Ask the parents how they give medications at home
D)Mix it with honey and tell the child it is a special treat

Question 21

The nurse is preparing 2.4 mL of liquid medication for oral administration.Which nursing action is essential?

A)Draw up the medication in a syringe with a large-gauge needle
B)Measure the medication at the top of the meniscus
C)Label the syringe with the medication name,amount,and route
D)Dilute the medication with water before measuring

Question 22

The nurse is planning to administer medications to a new client.What is the nurse's first responsibility regarding the administration of these medications?

A)Be certain the medications are given within 15 minutes of the time they are scheduled
B)Know what the intended effects are for this client
C)Assess the client's knowledge of the action of the medications
D)Document the administration accurately

Question 23

The nurse is providing discharge teaching for a client who is being dismissed with prescriptions for a bronchodilator inhaler and a corticosteroid inhaler to be used three times a day each.What health teaching should the nurse provide the client on how to take these inhalers?

A)Corticosteroid inhaler first then the bronchodilator
B)Bronchodilator first then the steroid inhaler
C)Take the inhalers together,either order
D)Stagger the timing of these inhalers so they are not given together

Question 24

The nurse is preparing to administer eardrops to a 2-year-old child.What nursing action is correct?

A)Pull the pinna down and back to straighten the ear canal
B)Insert the tip of the applicator into the ear canal
C)Put the eardrops in the cool water for 10 minutes prior to administration
D)Turn the child to the affected side for 5 minutes following the eardrops

Question 25

Mrs.Lindsay has been given her first dose of Lanoxin this morning at 10 am.At 12 pm when the nurse checks her vital signs,she notes that Mrs.Lindsay's apical heart rate is only 52.Which drug response is Mrs.Lindsay experiencing?

A)Potentiating effect
B)Adverse effect
C)Therapeutic effect
D)Cumulative effect

Question 26

While preparing to administer an eye ointment,the nurse inadvertently squeezes the tube,discarding the first bead of medication.What action should the nurse take at this point?

A)Administer the eye ointment as ordered
B)Request a new,unopened tube of ointment
C)Have a second nurse witness the waste
D)Continue to squeeze until a clear line of ointment has been discarded

Question 27

Which of the following physiological changes in people as they get older contributes to the need for dosage size reductions in ordered medications?

A)Reduced sensation to pain
B)Slower absorption of oral medications
C)Slower elimination of drugs
D)They can have decreased visual acuity

Question 28

While preparing to administer morphine sulphate to a client,the nurse realizes that the prescribed route is indicated as intramuscular (IM).The nurse is aware that morphine sulphate is usually given subcutaneously (SC).What action should the nurse take?

A)Administer the morphine SC
B)Administer only half the dose IM
C)Ask the pharmacist
D)Verify the order