Question 1

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure.
-Second

Accepted Answer

The nurse should first explain the planned procedure to the client to ensure understanding and consent before proceeding with medication administration.

Question 2

The nurse provides teaching for the mother of a 10-year-old patient who will begin taking Adderall XR. Which statement would the nurse include in the teaching?

Accepted Answer

Adderall XR is an extended-release medication and is designed to be released slowly and consistently throughout the day. Taking the medication at even intervals throughout the day ensures that the child receives the full benefit of the medication. Crushing the medication or adding it to pudding could lead to incorrect dosing or uneven release of the medication. While Adderall XR has been found to be helpful for some children with bed-wetting, this is not the primary indication for the medication, and it is not a guarantee that it will be helpful for every child with this issue.

Question 3

The nurse notes "Antifungal troches to buccal mucosa tid" as a new client order. The nurse explains to the client that this medication will be delivered:

Accepted Answer

Antifungal troches are lozenges that are dissolved in the mouth and held against the buccal mucosa (inner cheek) to treat fungal infections in the mouth. They are not capsules, liquids, or pills to be swallowed.

Question 4

The nurse is preparing liquid acetaminophen (Tylenol) solution. The recommended dose is 30 mL, which will be provided via the client's gastrostomy tube. A tube feeding is currently infusing through the gastrotomy tube. Which of the following actions by the nurse is best?

Accepted Answer

The best practice for administering medication via a gastrostomy tube involves several steps to ensure safety and effectiveness. Measuring the medication accurately in a medicine cup to the meniscus at the 30 mL mark ensures an accurate dose. Disconnecting the tube feeding and aspirating stomach contents helps to check for residual and potential feeding intolerance. Flushing with water before and after medication administration helps to clear the tube and ensure the medication is delivered into the stomach, and not left in the tube. Finally, reconnecting the tube feeding continues the prescribed nutritional support. This comprehensive approach minimizes the risk of tube clogging, ensures medication efficacy, and maintains nutritional support.

Question 5

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure.
-Fourth

Accepted Answer

The answer of The nurse is preparing to give half...

Question 6

All of the following medications have been ordered for a patient who has suffered a stroke. The patient can swallow pills if they are crushed and placed in applesauce. Which should the nurse recognize as appropriate to administer in this manner? (Select all that apply.)

Accepted Answer

Acetaminophen (Tylenol) tablet can be crushed and mixed with applesauce for easier administration. It is important not to crush enteric-coated medications, as this can alter their absorption rate and effectiveness. Robitussin cough syrup and Adderall XR capsule are liquid and capsule formulations, respectively, and do not need to be crushed. Extended-release morphine should not be crushed, as this can result in a potentially fatal overdose due to rapid release of the medication into the bloodstream.

Question 7

A student nurse asks a friend in the program, "What does it mean when a medication is buffered?" Which response by the friend is best?

Accepted Answer

Buffered medications have added antacids which can help reduce stomach upset. The antacids neutralize stomach acid, which can sometimes cause irritation or discomfort when taking certain medications.

Question 8

Which of the following medications should not be used for a client with diabetes? (Select all that apply.)

Accepted Answer

Elixirs and syrups often contain sugar, which can affect blood glucose levels and should be used cautiously or avoided in clients with diabetes.

Question 9

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure.
-First

Accepted Answer

The first step is to obtain the medication, medication cup, water, and the client chart.

Question 10

The nursing instructor is supervising medication administration for a client prescribed prednisone (Deltasone). The instructor would intervene if which of the following were observed?

Accepted Answer

Prednisone should be taken with food to prevent stomach irritation. Therefore, the nurse should not administer it with a glass of water when the patient has not eaten. This could result in gastric irritation and potential gastrointestinal bleeding. All other options are appropriate nursing interventions during medication administration.

Question 11

At home, a nurse finds a bottle of cough medicine elixir opened on the bathroom sink and realizes it was left there in the middle of the night when the nurse's spouse was taking the medication. Which of the following actions is most appropriate?

Accepted Answer

The answer of At home, a nurse finds a bottle...

Question 12

The nurse must shake which of the following prior to preparation and administration?

Accepted Answer

A suspension is a mixture of solid particles in a liquid, and they can settle over time. Shaking the suspension before administration helps to ensure that the medication is evenly distributed throughout the liquid. Emulsions, elixirs, and solutions do not necessarily require shaking before administration.

Question 13

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure.
-Fifth

Accepted Answer

The answer of The nurse is preparing to give half...

Question 14

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure.
-Third

Accepted Answer

The third step is to place the scored medication in a scoring device and cut smoothly.

Quiz 9: Enteral Medications and Administration

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure. -Second

The nurse provides teaching for the mother of a 10-year-old patient who will begin taking Adderall XR. Which statement would the nurse include in the teaching?

The nurse notes "Antifungal troches to buccal mucosa tid" as a new client order. The nurse explains to the client that this medication will be delivered:

The nurse is preparing liquid acetaminophen (Tylenol) solution. The recommended dose is 30 mL, which will be provided via the client's gastrostomy tube. A tube feeding is currently infusing through the gastrotomy tube. Which of the following actions by the nurse is best?

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure. -Fourth

All of the following medications have been ordered for a patient who has suffered a stroke. The patient can swallow pills if they are crushed and placed in applesauce. Which should the nurse recognize as appropriate to administer in this manner? (Select all that apply.)

A student nurse asks a friend in the program, "What does it mean when a medication is buffered?" Which response by the friend is best?

Which of the following medications should not be used for a client with diabetes? (Select all that apply.)

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure. -First

The nursing instructor is supervising medication administration for a client prescribed prednisone (Deltasone) . The instructor would intervene if which of the following were observed?

At home, a nurse finds a bottle of cough medicine elixir opened on the bathroom sink and realizes it was left there in the middle of the night when the nurse's spouse was taking the medication. Which of the following actions is most appropriate?

The nurse must shake which of the following prior to preparation and administration?

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure. -Fifth

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure. -Third