Deck 10: Preparing and Administering Medications

Question 1

An elderly patient is scheduled to take six medications each morning.The nurse administering these medications knows to do which of the following?

A) Allow extra time to administer all of the medications.
B) Allow the patient to take only the medications she can swallow.
C) Crush all of the medications before giving them.
D) Leave the medication at the bedside so the patient can take them slowly.

Answer 1

Allow extra time to administer all of the medications.

Question 2

Which of the following is done after giving medication through a nasogastric tube that is connected to suction?

A) The tube is reconnected to the suction.
B) The tube is clamped for 10 minutes then reconnected to suction.
C) The tube is clamped for 30 minutes then reconnected to suction.
D) The suction is left off for 4 hours then reconnected to suction.

Answer 2

The tube is clamped for 30 minutes then reconnected to suction.

Question 3

In which of the following ways can a nurse prevent injury from a needlestick?

A) Recap the needle before disposal.
B) Remove the needle from the syringe.
C) Immediately discard the needle and syringe in a puncture-proof container.
D) Stick it into the patient's mattress until it can be disposed of.

Answer 3

Immediately discard the needle and syringe in a puncture-proof container.

Question 4

Standard precautions to prevent transmission of HIV and other blood-borne pathogens should be used when the nurse is likely to come into contact with blood,semen,vaginal secretions,and possibly breast milk.Only these four fluids have been shown to transmit HIV.Although the risk is unknown,universal precautions for prevention of HIV have also been suggested for which of the following bodily fluids?

A) Tears
B) Sweat
C) Pleural fluid
D) Nasal secretions

Question 5

Injectable iron should be administered by which of the following injection methods?

A) Subcutaneous
B) Intradermal
C) Z-track intramuscular injection
D) IV piggyback

Question 6

When applying a topical nitroglycerin ointment,the nurse will do which of the following?

A) Massage it thoroughly into the skin.
B) Squeeze it onto the applicator paper and place it on the skin.
C) Apply it to the medial aspect of the thigh.
D) Shave the skin prior to application.

Question 7

Examples of medications that are given by enteral routes include which of the following? (Select all that apply. )

A) Total parenteral nutrition (TPN)solutions
B) Oral tablets
C) Oral capsules
D) Rectal suppositories
E) Liquid medications

Question 8

Which of the following is the correct needle for an intramuscular (IM)injection?

A) 18 G,1-inch
B) 20 G,1/2-inch
C) 25 G,2-inch
D) 21 G,1 1/2-inch

Question 9

List the following nursing actions in the correct sequence for a patient with an infiltrated IV.

A)Contact the physician.
B)Inspect for signs of injury.
C)Apply warm,moist compresses.
D)Discontinue the infusion.

Question 10

The nurse instructs a clinic patient on using an inhaler for his asthma attacks.Which of the following is correct about the use of an inhaler?

A) The medication must go into the back of the nose.
B) The medication must go directly into the throat.
C) The medication must get to the ears.
D) The medication must go into the lungs.

Question 11

When a patient is experiencing a life-threatening emergency,the nurse may be given an order to administer medication via which of the following routes?

A) IV
B) IM
C) Subcutaneous
D) Rectal

Question 12

Which of the following principles of medication administration will be taught to a patient who will be administering his own subcutaneous (SC)injections?

A) Use a 22 G,5/8-inch needle.
B) Rotate sites among the upper arm,abdomen,and anterior thigh.
C) Avoid injecting within 3 inches of a previous injection site.
D) Insert the needle at a 30-degree angle to the skin.

Question 13

A nurse discovers that an infusion is failing to infuse properly.Which of the following items should be checked? (Select all that apply. )

A) IV pole height
B) IV site for infiltration
C) Whether tubing is bent
D) Position of needle
E) None of above

Question 14

When giving a medicine through a nasogastric (NG)tube,the nurse will first do which of the following?

A) Flush the tube with 30 mL of water.
B) Check placement of the tube.
C) Take the vital signs.
D) Ask the patient if the tube is painful.

Question 15

When giving an IM injection to an HIV-positive patient,the nurse recognizes that the HIV infection is spread in which of the following body fluids? (Select all that apply. )

A) Sputum
B) Vaginal fluid
C) Breast milk
D) Blood

Question 16

Which of the following represents the proper way for a nurse to administer an oral capsule?

A) Tell the patient to swallow it whole.
B) Pierce it with a needle and squeeze into the mouth.
C) Crush and dilute it in warm water.
D) Tell the patient to chew it completely.

Question 17

Metered-dose inhalers are used to deliver specific amounts of medication.The nurse gives the patient which of the following instructions?

A) Never shake the inhaler medication before use.
B) Exhale while squeezing the canister to deliver the medication.
C) Sit upright,exhale,then activate the inhaler as the next inhalation begins.
D) Hold the head back while inhaling the medication.

Question 18

As part of an antismoking program,nicotine can be administered by which of the following delivery systems?

A) Intravenously
B) Enterally
C) Sublingually
D) Transdermally

Question 19

When using the mucous membrane for percutaneous medication administration,the nurse should use an oily base for medication absorption when which of the following is true?

A) The mucous membrane is too dry,and skin will flake off.
B) The patient is allergic to oil-based preparations.
C) The medication needs a slow absorption.
D) The medication needs a rapid absorption.

Question 20

If an IV has become infiltrated,the nurse will observe which of the following assessment findings?

A) Pallor,pain
B) Erythema,warmth
C) Erythema,swelling
D) Warmth,swelling