Question 1

The nurse is providing medications to a client who is currently receiving continuous tube feeding via gastrostomy tube.The client has a dose of phenytoin (Dilantin)due.Which is the nurse's best course of action?

Accepted Answer

Stopping the tube feeding for at least 1 hour before administering phenytoin is important because tube feedings can significantly decrease the absorption of phenytoin, potentially leading to subtherapeutic levels of the medication.

Question 2

A client tells the nurse, "I have been using a decongestant nasal spray for 3 months, but I still have terrible nasal congestion." Which response by the nurse is appropriate?

Accepted Answer

Nasal decongestant sprays can cause rebound congestion if used for longer than recommended, typically not more than 3-5 days. This is known as rhinitis medicamentosa.

Question 3

If a nurse commits a medication error, which actions should be taken? Select all that apply.

Accepted Answer

B,C,D,E

Question 4

The nurse educator is teaching the student how to apply a transdermal patch.Which actions taken by the student would indicate teaching has been effective? Select all that apply.

Accepted Answer

The answer of The nurse educator is teaching the student...

Question 5

The nurse is providing care to a client with colorectal cancer who typically takes sustained-release morphine (MS Contin), furosemide (Lasix), and metoprolol (Lopressor).The client's wife reports that because the client has bad mouth sores and has a hard time swallowing pills, she has crushed the pills and given him his medications in ice cream.Which statement by the nurse reflects the nursing priority?

Accepted Answer

Crushing sustained-release morphine tablets can lead to a rapid release of the medication, potentially causing overdose and serious harm. This is a critical safety concern.

Question 6

A client is using two types of inhalers-a bronchodilator and a steroid.Which statements made by the nurse accurately describe how to take these medications? Select all that apply.

Accepted Answer

The correct sequence for using inhalers is to use the bronchodilator first (E) to open up the airways, making it easier for the steroid to reach deep into the lungs. Waiting 5 minutes between taking the inhalers (B) allows the bronchodilator to take effect. Rinsing out the mouth after using the steroid inhaler (C) is important to prevent oral thrush, a common side effect of inhaled steroids.

Question 7

A nurse is preparing to administer an elixir to the client.Under which circumstances should the nurse withhold the medication and notify the prescribing health-care provider? Select all that apply.

Accepted Answer

D) A history of alcoholism is relevant because many elixirs contain alcohol, which could be harmful or trigger relapse in individuals recovering from alcoholism. E) Disulfiram is used in the treatment of alcoholism and can cause severe reactions if alcohol is consumed, including alcohol present in medications like elixirs.

Question 8

When preparing to administer medication through a feeding route, the nurse takes which appropriate action?

Accepted Answer

Dissolving and administering each medication separately helps to ensure that the medications do not interact negatively with each other and that the correct dosage of each medication is administered. Mixing medications together or failing to administer them separately can lead to medication errors or reduced effectiveness.

Question 9

The nurse is preparing to provide a dose of liquid oral antibiotic to a 2-year-old whose mother reports, "She doesn't like the taste of that and won't take it without a fight." To successfully provide the medication, the nurse could appropriately do which of the following? Select all that apply.

Accepted Answer

The answer of The nurse is preparing to provide a...

Question 10

A nurse correctly recognizes that administration of medication via the rectal route is appropriate for which client?

Accepted Answer

The answer of A nurse correctly recognizes that administration of...

Question 11

The nurse is caring for a client who crushes medications and administers them via a gastrostomy tube.Which medication could safely be included in the client's plan of care?

Accepted Answer

Chewable antacids can be crushed and administered via a gastrostomy tube because they are designed to dissolve in the stomach.

Question 12

The nurse is administering medication to a client that may stain the teeth.Which explanations made by the nurse to the client are accurate regarding administration of the medication? Select all that apply.

Accepted Answer

- Drinking medication through a straw can help minimize contact with the teeth, thereby reducing the risk of staining. Drinking a full glass of water after taking the medication can help rinse any residue from the mouth and teeth, further reducing the risk of staining.

Question 13

Which of the following locations is an appropriate place to store a metered-dose inhaler (MDI)? Select all that apply.

Accepted Answer

A metered-dose inhaler should be stored at room temperature and in a place that is easily accessible when needed. A purse or bag that is always carried, a drawer in the kitchen, or a drawer in the bedroom are suitable options. Storing it in a refrigerator or a car is not recommended due to potential temperature extremes.

Question 14

The LPN/LVN is providing medication administration instructions to the parents of a 4-year-old girl with an ear infection under the supervision of an RN.Which statement made by the parents indicates teaching has been successful? Select all that apply.

Accepted Answer

The answer of The LPN/LVN is providing medication administration instructions...

Question 15

Under the supervision of a registered nurse (RN), an LVN/LPN is providing parents with instructions for administering eye drops to their young child, who has been diagnosed with pink eye.The nurse correctly tells the parents:

Accepted Answer

The correct technique for administering eye drops involves pulling down the lower lid to create a pocket and placing the drop in the middle of this space. This method ensures the medication is properly administered without causing discomfort or injury.

Question 16

The nurse correctly notes to which clients that exhaling when their medication is administered is okay? Select all that apply.

Accepted Answer

The answer of The nurse correctly notes to which clients...

Question 17

The nurse is providing meperidine (Demerol)to a client who reports postsurgical pain 8 of 10.The order is for 50 mg to be orally administered to the client in tablet form every 4 hours, but each tablet contains 100 mg.Which is the best action for the nurse to take?

Accepted Answer

Administering half the tablet and properly disposing of the other half in a chemical waste container with a witness is the correct procedure for managing controlled substances like meperidine. This ensures accurate documentation and prevents misuse.

Question 18

The nurse is preparing to administer a medication by the sublingual route.Which should the nurse determine prior to administering the medication? Select all that apply.

Accepted Answer

The sublingual route of administration involves placing the medication under the tongue, where it is absorbed directly into the bloodstream through the mucous membranes. It is important to assess the client's mouth for lesions or gum disease, as these conditions can interfere with the absorption of the medication.

Question 19

A nurse correctly recognizes that a liquid medication with undissolved particles is a(n):

Accepted Answer

Suspensions are liquid preparations that contain solid particles dispersed throughout the liquid phase. These particles can settle over time, so suspensions should be well shaken before use to ensure uniform distribution of the medication throughout the dose.

Question 20

A client refuses to take a medication for depression.Which action should the nurse take next?

Accepted Answer

The nurse should first explain the desired effect of the medication to help the client understand its importance and potentially address any concerns or misconceptions.

Quiz 36: Administering Oral, Topical, and Mucosal Medications

The nurse is providing medications to a client who is currently receiving continuous tube feeding via gastrostomy tube.The client has a dose of phenytoin (Dilantin) due.Which is the nurse's best course of action?