Question 1

The nurse prepares a unit dose of acetaminophen (Tylenol)for a client who reported having a headache.When the nurse goes to administer the medication, the client states the headache "is not so bad" and declines the medication.The nurse should take which action?

Accepted Answer

Returning the medication to stock and documenting the client's comments is the appropriate action when a client refuses medication. This ensures accurate inventory and provides insight into the client's condition and decision-making.

Question 2

When administering sublingual nitroglycerin to a client, the nurse places the tablet:

Accepted Answer

Sublingual nitroglycerin is placed under the tongue to ensure rapid absorption through the mucous membranes directly into the bloodstream, providing quick relief from angina symptoms.

Question 3

A client is to receive a dose of furosemide (Lasix)40 mg IV stat.The nurse plans to administer the medication:

Accepted Answer

The term "stat" in medical orders means that the medication should be given immediately, indicating urgency.

Question 4

The nurse is having difficulty reading an order written by the physician.Before transcribing the order, the nurse should take which action?

Accepted Answer

The most appropriate and safest action for a nurse to take when unable to read or understand a physician's order is to contact the physician directly to clarify the order. This ensures accurate communication and prevents potential errors in patient care.

Question 5

The nurse should intervene when a nursing student is observed doing which of the following?

Accepted Answer

Documenting a medication in the MAR before administering it is incorrect because it can lead to errors if the medication is not actually given. Documentation should occur after administration to ensure accuracy.

Question 6

The nurse is preparing to administer 1.5 ounces of milk of magnesia to a client.The nurse prepares:

Accepted Answer

1 ounce is equivalent to approximately 30 ml. Therefore, 1.5 ounces would be 1.5 x 30 ml = 45 ml.

Question 7

The nurse is administering a medication the client has brought from home.The label indicates the dose is one teaspoon.The nurse prepares:

Accepted Answer

One teaspoon is equivalent to 5 ml, which is the standard measurement in medication administration.

Question 8

A client seen by the home health nurse keeps her medication stored in a medicine cabinet in her bathroom, explaining "I know they are safe from my grandchildren." The nurse should respond:

Accepted Answer

Storing medications in the bathroom exposes them to high humidity and temperature fluctuations, which can lead to deterioration of the medication. Bathrooms are generally not recommended for medication storage due to these conditions.

Question 9

A client with a history of angina has been given a prescription for nitroglycerin sublingual tablets.The nurse instructs the client to have some medication available whenever away from home, and suggests the following:

Accepted Answer

Nitroglycerin tablets should be kept in their original, labeled container to protect them from light and moisture, ensuring their effectiveness.

Question 10

When administering an intramuscular injection into the deltoid muscle, the nurse recalls that the volume in the syringe should not exceed:

Accepted Answer

The maximum volume recommended for an intramuscular injection into the deltoid muscle is 1 ml. Administering more than this amount can increase the risk of tissue irritation and discomfort for the patient.

Question 11

A client has an order for acetaminophen grains X for temperature above 39 degrees centigrade.The medication is supplied in milligrams.The nurse prepares which dose?

Accepted Answer

The answer of A client has an order for acetaminophen...

Question 12

A client has an order for acetaminophen (Tylenol)625 mg p.o.every four hours p.r.n.The client received a dose at 1000, and is requesting another dose at 1230.The nurse should take which action?

Accepted Answer

The client received a dose at 1000 and the medication is ordered every four hours as needed (p.r.n.). Since it is only 2.5 hours since the last dose at 1230, it is too early to administer another dose. The nurse should inform the client that it is too early for another dose.

Question 13

The nurse is reviewing clients' prescriptions prior to discharge.Which comment by the client would best indicate the client might be non-adherent to medication administration?

Accepted Answer

Taking medication at a different time than prescribed, especially when it specifies a particular time of day, can indicate a misunderstanding or disregard for the instructions, potentially leading to non-adherence.

Question 14

At 3:00 p.m., a client phones into the clinic and informs the nurse he has forgotten to take the 10:00 a.m.dose of a medication, and that another dose is due at 4:00 p.m.The nurse informs the client to:

Accepted Answer

Omitting the missed dose and taking the next dose as scheduled is often the safest option, especially when doses are closely timed. This avoids the risk of overdose or increased side effects that could occur from taking doses too close together.

Question 15

The nurse is preparing to administer an intramuscular injection (IM)into the dorsogluteal site.The nurse plans to insert the needle at which angle?

Accepted Answer

For an intramuscular injection into the dorsogluteal site, the correct angle of needle insertion is 90 degrees. This ensures that the medication is delivered deep into the muscle tissue.

Question 16

The client informs the nurse that her husband recently died, and she wishes to dispose of his unused pain medications, which include Percocet (oxycodone and acetaminophen)tablets.The nurse advises her to:

Accepted Answer

The answer of The client informs the nurse that her...

Question 17

After checking the following newly written prescription on a client's chart-Aspirin, 81 mg p.o.q.d., starting today-the nurse should take which action?

Accepted Answer

The abbreviation "q.d." is considered unsafe because it can be misinterpreted as "q.i.d." (four times a day) instead of "once daily." The nurse should contact the primary care provider to clarify the order.

Question 18

When transcribing an order for levothyroxine (Synthroid), the nurse recognizes the following is correct:

Accepted Answer

Levothyroxine doses are typically prescribed in micrograms (mcg), not milligrams (mg). However, the correct option here is "C) Synthroid 0.125 mg" because 0.125 mg is equivalent to 125 mcg, which is a common dose for levothyroxine. The other options either incorrectly use "mc" instead of "mcg" or add unnecessary zeros, which is not standard for prescription writing.

Quiz 3: Principles of Drug Administration

The nurse prepares a unit dose of acetaminophen (Tylenol) for a client who reported having a headache.When the nurse goes to administer the medication, the client states the headache "is not so bad" and declines the medication.The nurse should take which action?