Question 1

A client is prescribed a medication to be administered through the parenteral route.The nurse would expect that this medication will be provided through which method?
(Select all that apply)

Accepted Answer

The parenteral route refers to any route of medication administration that bypasses the gastrointestinal tract. This includes subcutaneous injections (A), intramuscular injections (B), intradermal injections (D), and intravenous infusions (E). The oral route (C) is not a parenteral route as it involves the gastrointestinal tract.

Question 2

Before administering a medication to a client,the nurse checks the client's pulse,blood pressure,and laboratory values.The nurse is performing which "right" of medication administration?

Accepted Answer

The nurse is performing the "right" of assessment before administering medication to ensure that the medication is safe and appropriate for the client based on their current health status. Checking the client's pulse, blood pressure, and laboratory values is a part of this assessment. The other options (medication, route, dose) are also important "rights" of medication administration, but they are not being specifically addressed in this scenario.

Question 3

While hospitalized,a client was receiving 15 ml of an oral medication three times a day.When providing discharge instructions,the nurse should teach the client to take how much of this medication at home?

Accepted Answer

The answer of While hospitalized,a client was receiving 15 ml...

Question 4

A client is prescribed an oral medication.When reviewing this medication,the nurse realizes it might not be the route of choice for this client because the client is experiencing
(Select all that apply)

Accepted Answer

Oral medications may not be suitable if the client is experiencing nausea, vomiting, or irritated gastric mucosa, as these conditions can interfere with the absorption or retention of the medication.

Question 5

The nurse is planning to administer medications to a new client.What is the nurse's greatest priority in administering these medications?

Accepted Answer

Before administering any medication, the nurse should have a clear understanding of the intended effects and potential side effects for the specific client. This ensures safe and effective medication administration. The other options may also be important, but not the nurse's greatest priority.

Question 6

While reviewing a medication order,the nurse determines that it is written using the metric system.What did the nurse observe to come to this conclusion about the medication order?
(Select all that apply)

Accepted Answer

The nurse observed the number of milligrams of the medication and the number of milliliters of the solution, both of which are units of measure in the metric system. A) Number of ounces and B) Number of drams are units of measure in the imperial system, and D) Number of grains is a unit of measure in both systems.

Question 7

A client is diagnosed with liver disease.The nurse realizes that which element of pharmacokinetics will be affected in this client?

Accepted Answer

Biotransformation, also known as metabolism, occurs in the liver. In a client with liver disease, the function of the liver may be impaired, which can affect the metabolism of drugs. This can alter the drug's effectiveness, safety, and half-life. Absorption, distribution, and excretion are not directly related to liver function.

Question 8

The nurse is reviewing a new medication order for a client,and determines that the order is incomplete when which element is missing?
(Select all that apply)

Accepted Answer

The name of the medication, dosage, and route of administration are essential elements of a medication order. They provide critical information to ensure that the correct medication, in the correct dose and route, is administered to the client. The client's address and dispensing instructions for the pharmacist are not typically included in a medication order.

Question 9

The nurse is preparing medications for a client.What should the nurse do to ensure that the correct medication is provided to the client?
(Select all that apply)

Accepted Answer

The nurse should ensure that the correct medication is provided to the client by verifying the right client, right medication, right dose, and right route. Checking the medication for the right diagnosis is not necessary for ensuring that the correct medication is provided to the client.

Question 10

A client who has been prescribed a narcotic for chronic back pain is demonstrating signs of withdrawal.The nurse identifies these symptoms as being

Accepted Answer

Symptoms of withdrawal are typically seen in individuals who have developed physical dependence on a drug, particularly narcotics. This means that the body has adapted to the presence of the drug and when it is abruptly stopped or the dose is decreased, withdrawal symptoms occur. Psychological dependence refers to a craving for the drug rather than physical symptoms, plateau refers to a leveling off of drug effects, and drug allergy refers to an allergic reaction to the drug.

Question 11

The nurse is concerned that an older client is experiencing an adverse effect from a prescribed medication.What did the nurse assess to make this clinical decision?

Accepted Answer

Altered organ responsiveness could indicate that the medication is not being processed properly by the body and may be causing adverse effects. Changes in memory, manual dexterity, or visual acuity may not necessarily be related to medication side effects. However, it is important for the nurse to conduct a thorough assessment and gather additional data before making a definitive clinical decision.

Question 12

The nurse is administering a medication to a client as prescribed in order to maintain a specific amount of the medication in the client's bloodstream at all times.The nurse is ensuring that which action is being maintained for this client?

Accepted Answer

The nurse is maintaining the client's medication at a specific level in their bloodstream at all times, which is known as a plateau. The other options are not relevant to the specific action being taken by the nurse. The peak plasma level refers to the highest concentration of a medication in the bloodstream after administration, drug half-life refers to the time it takes for half of the medication to be eliminated from the body, and onset of action refers to the time it takes for a medication to begin producing an effect.

Question 13

The client who regularly uses a metered-dose inhaler four times a day tells the nurse that it is difficult to tell when the canister is empty.What instruction should the nurse give this client?

Accepted Answer

Dividing the number of puffs listed on the label by four will give the client an estimate of how long the canister will last if used four times a day. This will help them to keep track of when the canister needs to be replaced. Other options such as placing the canister in water or smelling the medication may not be reliable indicators of when the canister is empty. Feeling like the medication is no longer effective may also indicate other issues such as worsening of the condition or poor inhaler technique, rather than the canister being empty.

Question 14

A client has a new order for a medication that does not have a termination date.The nurse would place this medication order under which classification on the client's medication administration record?

Accepted Answer

A standing medication order is one that does not have a termination date and is meant to be given on an ongoing basis. This is in contrast to a PRN order (as needed), a STAT order (to be given immediately), or a single order (meant for a one-time dose). Therefore, the best choice for a medication order without a termination date would be to place it under the standing classification on the client's medication administration record.

Question 15

The nurse is providing medications to a client.After identifying the client,the nurse should take which action?

Accepted Answer

Informing the client about the intended action of the medication is an essential step after identifying the client and before administering the drug. This ensures the client is informed and can provide informed consent.

Question 16

A client diagnosed with diabetes asks the nurse about reusing insulin syringes.Assessment reveals that the client has poor personal hygiene and difficulty with fine motor skills.The nurse also knows the client has financial difficulties.What instruction should the nurse give this client?

Accepted Answer

The nurse should advise the client to always use a new syringe for each injection to prevent the risk of infection and other complications. Reusing syringes can cause contamination, infection, and improper dosing, which could be detrimental to the client's health. Financial difficulties may be addressed by providing the client with information on available programs that offer assistance for obtaining insulin and/or syringes. The nurse should also assess and address any issues related to personal hygiene and fine motor skills, which may affect the client's ability to administer insulin injections properly.

Question 17

A client's status is deteriorating,and the physician prescribes a medication to be administered immediately one time.The nurse would contact the pharmacy and identify this medication order as being of which type?

Accepted Answer

"STAT" means that the medication is to be administered immediately, and is typically given in emergent or urgent situations. Standing orders are orders that are implemented until they are changed or discontinued, and are not typically used in emergent situations. PRN orders are as-needed orders, and would not be appropriate in an urgent or emergent situation. Single orders refer to a medication that will be given only once, but do not necessarily indicate urgency.

Question 18

A client tells the nurse that the pharmacy will not fill a prescription that was written by the physician.Upon closer examination,what should the nurse determine is missing from the prescription?
(Select all that apply)

Accepted Answer

The prescription must include the Rx symbol, dispensing instructions for the pharmacist, and the number of refills. The client's diagnosis and Social Security number are not typically required on a prescription.

Question 19

The nurse is providing discharge teaching for a client who is being dismissed with prescriptions for a bronchodilator inhaler and a corticosteroid inhaler.What information should the nurse provide regarding the dosage schedule for these two medications?

Accepted Answer

The bronchodilator inhaler should be used first to open up the airways, followed by the corticosteroid inhaler to reduce inflammation. It is important to use them in this order for optimal effectiveness.

Question 20

The nurse determines that the effectiveness of a medication is not as great when provided to female clients as it is with male clients.The nurse suspects that this difference in effectiveness is because of which factor?
(Select all that apply)

Accepted Answer

The answer of The nurse determines that the effectiveness of...

Quiz 35: Medications

A client is prescribed a medication to be administered through the parenteral route.The nurse would expect that this medication will be provided through which method? (Select all that apply)

Before administering a medication to a client,the nurse checks the client's pulse,blood pressure,and laboratory values.The nurse is performing which "right" of medication administration?

While hospitalized,a client was receiving 15 ml of an oral medication three times a day.When providing discharge instructions,the nurse should teach the client to take how much of this medication at home?

A client is prescribed an oral medication.When reviewing this medication,the nurse realizes it might not be the route of choice for this client because the client is experiencing (Select all that apply)

The nurse is planning to administer medications to a new client.What is the nurse's greatest priority in administering these medications?

While reviewing a medication order,the nurse determines that it is written using the metric system.What did the nurse observe to come to this conclusion about the medication order? (Select all that apply)