Question 1

Twenty minutes after receiving a dose of antibiotic, the client develops a red, itchy rash. What should the nurse do first?

Accepted Answer

The first priority is to contact the prescriber and report the development of the rash. This could be an allergic reaction to the antibiotic and the prescriber may need to change the medication or adjust the dosage. Documenting the rash and placing an allergy bracelet on the patient can be done after notifying the prescriber. Planning to watch for a rash after the next dose is not appropriate as an allergic reaction can be serious and requires immediate action.

Question 2

A nurse is observing a student nurse prepare to administer an intradermal medication. Which observation by the nurse indicates the student nurse understands the correct procedure to administer intradermal medications.

Accepted Answer

Intradermal injections are administered into the dermis, just below the epidermis. The correct technique involves choosing sites with less body hair to ensure the medication is properly absorbed and to reduce the risk of infection. Options A, C, and D are incorrect for intradermal injections: A) Intradermal injections typically involve very small volumes, usually less than 0.5 mL, not 1-2 mL. C) Common sites for intradermal injections include the inner surface of the forearm and the upper back, not the abdomen. D) Intradermal injections are administered into the dermis, not the epidermal layer of the skin.

Question 3

A nurse is caring for the following clients. The nurse should assess for nonadherence with prescribed medications in which clients? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A client complaining of side effects from medication and a client with a medication regimen that may be difficult to adhere to (taking medication multiple times a day) are both at risk for nonadherence. The other clients listed do not have indications for nonadherence based on the information given.

Question 4

A nurse is caring for a client who has been involved in a motor vehicle accident. The healthcare provider has written orders for a transdermal patch for pain. The nurse knows which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of A nurse is caring for a client...

Question 5

At the end of the shift, a client reports drinking 4 cups of water during the day. The client also has an IV running at 125 mL/hour for the 12 hours. How many mL's of total intake should the nurse document?

Accepted Answer

To calculate the total intake, we need to add up the intake from oral liquids (4 cups of water) and intravenous fluids (IV at a rate of 125 mL/hour for 12 hours).

4 cups of water = 4 x 240 mL (1 cup = 240 mL) = 960 mL

IV intake = 125 mL/hour x 12 hours = 1500 mL

Total intake = 960 mL + 1500 mL = 2460 mL

Therefore, the best choice is C, 2460 mL.

Question 6

A nurse has finished teaching a client's husband how to administer drugs and enteral feeding through a gastrostomy tube. The nurse knows the husband understands the teaching when he makes which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A) Gastrostomy tubes are indeed used for long-term feeding, which is correct understanding.B) Medications need to be in liquid form or crushed and mixed with water before being administered through a gastrostomy tube, showing proper understanding.C) Enteric-coated medications should not be crushed due to the risk of destroying the coating that controls the release of the medication, indicating correct knowledge.E) Flushing the tube is essential to prevent clogging, demonstrating an understanding of proper maintenance.

Question 7

A patient at a community health center has been prescribed oral medications and tells the nurse that medications were administered intravenously when they were in the hospital. The nurse discusses the advantages and disadvantages of oral medications, based on which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Tablets that are scored may be crushed to make it easier for patients to swallow. A major disadvantage of oral medications is that the patient has to be able to swallow and be conscious. A, C, and E are incorrect statements. The intradermal route is not considered the safest route, enteric-coated drugs are designed to dissolve in the small intestine, not the stomach, and enteric-coated drugs should not be crushed as it will hinder their efficacy.

Question 8

A client admitted to the hospital tells the nurse they are very nervous about getting all their medications while they are in the hospital because their healthcare provider has them on a very "strict" schedule. The nurse understands that which of the following describes the principles about how medication dosing schedules are determined? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of A client admitted to the hospital tells...

Question 9

A nurse is observing a student nurse administer an intramuscular injection in the deltoid muscle. The nurse should intervene if the student nurse does which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

- A) The greater trochanter is a landmark for the hip, not the deltoid muscle. The correct method involves locating the site by using anatomical landmarks on the shoulder.- C) The maximum volume recommended for an intramuscular injection in the deltoid muscle is usually up to 1 mL due to the small muscle mass. Administering 2 mL could cause discomfort and tissue damage.- E) For an intramuscular injection in the deltoid muscle, the needle should be inserted at a 90-degree angle to ensure the medication is delivered into the muscle tissue. A 45-degree angle is incorrect for this type of injection.

Question 10

A charge nurse is observing a nurse administer an intradermal injection. Which of the following demonstrates that the nurse is using the correct technique?

Accepted Answer

Selecting a 1-inch 23-gauge needle with a 3 mL syringe is appropriate for administering an intramuscular injection, but not for an intradermal injection. Inserting the needle with the bevel down at a 10- to 15-degree angle is correct, but option C is the most important indicator of the correct technique as slowly injecting the medication to form a small wheal or bleb is the goal of an intradermal injection. Withdrawing the needle and gently massaging the injection site is also unnecessary and can cause irritation or spread of the medication.

Quiz 3: Principles of Drug Administration