Podcast
Questions and Answers
Which of the following are correct administration guidelines for the nurse to implement when administering a bisacodyl (Dulcolax) 10 mg suppository? (Select all that apply)
Which of the following are correct administration guidelines for the nurse to implement when administering a bisacodyl (Dulcolax) 10 mg suppository? (Select all that apply)
- Insert suppository just beyond internal sphincter (correct)
- Administer without lubrication
- Lubricate index finger (correct)
- Use excessive force while inserting
What should a client take with a liquid oral iron supplement to enhance absorption?
What should a client take with a liquid oral iron supplement to enhance absorption?
orange juice
Which of the following are appropriate references for the nurse to use to ensure safe medication administration? (Select all that apply)
Which of the following are appropriate references for the nurse to use to ensure safe medication administration? (Select all that apply)
- Published journals (correct)
- Physicians' Desk Reference (correct)
- Personal opinions
- Pharmacists (correct)
What increases the chance of phenytoin toxicity?
What increases the chance of phenytoin toxicity?
How often should a client take montelukast (Singulair) to treat asthma?
How often should a client take montelukast (Singulair) to treat asthma?
What is the best therapeutic client response after receiving morphine sulfate?
What is the best therapeutic client response after receiving morphine sulfate?
What client finding should cause the nurse to consult the provider before administering ipratropium bromide?
What client finding should cause the nurse to consult the provider before administering ipratropium bromide?
Why should a nurse withhold senna from a client with a small bowel obstruction?
Why should a nurse withhold senna from a client with a small bowel obstruction?
What is the most common side effect of diphenhydramine (Benadryl)?
What is the most common side effect of diphenhydramine (Benadryl)?
What should a client do to avoid complications when using inhaled beclomethasone?
What should a client do to avoid complications when using inhaled beclomethasone?
When should a client take ibuprofen to minimize gastric mucosal irritation?
When should a client take ibuprofen to minimize gastric mucosal irritation?
Which of the following findings are associated with phlebitis and should be reported? (Select all that apply)
Which of the following findings are associated with phlebitis and should be reported? (Select all that apply)
What should older adults avoid when taking their medications due to high frequency of food-drug interactions?
What should older adults avoid when taking their medications due to high frequency of food-drug interactions?
How does albuterol help with breathing? (Select all that apply)
How does albuterol help with breathing? (Select all that apply)
What indicates effective teaching regarding the use of nystatin for oral candidiasis?
What indicates effective teaching regarding the use of nystatin for oral candidiasis?
What action should a nurse take when converting 0.8 grams to milligrams?
What action should a nurse take when converting 0.8 grams to milligrams?
Which of the following should be included in controlled substance guidelines? (Select all that apply)
Which of the following should be included in controlled substance guidelines? (Select all that apply)
What comment requires further discussion from a nurse about naproxen use?
What comment requires further discussion from a nurse about naproxen use?
What is an appropriate response to minimize daytime sedation for a client taking diphenhydramine?
What is an appropriate response to minimize daytime sedation for a client taking diphenhydramine?
What is the volume of hydrocodone/acetaminophen (Lortab) 5 mg to administer if it's available in 7.5 mg/500 mg/15 mL elixir?
What is the volume of hydrocodone/acetaminophen (Lortab) 5 mg to administer if it's available in 7.5 mg/500 mg/15 mL elixir?
What position should a client be instructed to lie in while administering a rectal suppository?
What position should a client be instructed to lie in while administering a rectal suppository?
What is the nurse's response to a client who asks if aspirin can be crushed?
What is the nurse's response to a client who asks if aspirin can be crushed?
When is dimenhydrinate (Dramamine) considered effective?
When is dimenhydrinate (Dramamine) considered effective?
What should a nurse be concerned about regarding a client taking acetaminophen if they also take Vicodin ES tablets?
What should a nurse be concerned about regarding a client taking acetaminophen if they also take Vicodin ES tablets?
How should a nurse know a client understands how to use an albuterol inhaler?
How should a nurse know a client understands how to use an albuterol inhaler?
What develops if a client has been taking morphine sulfate for pain relief and reports that the usual dose is no longer effective?
What develops if a client has been taking morphine sulfate for pain relief and reports that the usual dose is no longer effective?
What is the action of an expectorant in treating coughs?
What is the action of an expectorant in treating coughs?
What indicates a need for further instruction by a parent administering oral medication to an infant?
What indicates a need for further instruction by a parent administering oral medication to an infant?
What adverse effect might result from theophylline (Theo-24) treatment?
What adverse effect might result from theophylline (Theo-24) treatment?
What should a client taking allopurinol (Zyloprim) understand regarding hydration?
What should a client taking allopurinol (Zyloprim) understand regarding hydration?
Which herbal supplement should a client with hypothyroidism avoid?
Which herbal supplement should a client with hypothyroidism avoid?
What is the priority action for a nurse caring for a child in status asthmaticus?
What is the priority action for a nurse caring for a child in status asthmaticus?
Which medications put an older adult client at risk for orthostatic hypotension? (Select all that apply)
Which medications put an older adult client at risk for orthostatic hypotension? (Select all that apply)
What result should the nurse expect if the dose of levothyroxine (Synthroid) has been adequate?
What result should the nurse expect if the dose of levothyroxine (Synthroid) has been adequate?
What medication should be given pre-transfusion to prevent urticaria?
What medication should be given pre-transfusion to prevent urticaria?
What indicates a client understands the information about taking docusate sodium (Colace)?
What indicates a client understands the information about taking docusate sodium (Colace)?
What is an appropriate technique when opening a glass ampule?
What is an appropriate technique when opening a glass ampule?
What should a nurse document if a client refuses medication?
What should a nurse document if a client refuses medication?
What should a client taking ginkgo biloba inform the nurse?
What should a client taking ginkgo biloba inform the nurse?
What is the priority assessment before administering subcutaneous morphine?
What is the priority assessment before administering subcutaneous morphine?
What can help decrease dry mouth associated with diphenhydramine?
What can help decrease dry mouth associated with diphenhydramine?
What adverse effect should a nurse teach an older adult client about aspirin therapy?
What adverse effect should a nurse teach an older adult client about aspirin therapy?
What manifestation suggests a client might have taken an overdose of levothyroxine?
What manifestation suggests a client might have taken an overdose of levothyroxine?
What should be recognized as a primary consideration when determining the schedule of medication administration?
What should be recognized as a primary consideration when determining the schedule of medication administration?
What indicates that a client requires more teaching about using cromolyn sodium and albuterol?
What indicates that a client requires more teaching about using cromolyn sodium and albuterol?
What finding should the nurse monitor for after administering nalbuphine?
What finding should the nurse monitor for after administering nalbuphine?
What should a nurse understand about acute pain?
What should a nurse understand about acute pain?
What should a nurse assess for if a client reports pain at the IV site during vancomycin infusion?
What should a nurse assess for if a client reports pain at the IV site during vancomycin infusion?
What should be the nurse's priority response to a client taking bisacodyl (Dulcolax) for bowel movement?
What should be the nurse's priority response to a client taking bisacodyl (Dulcolax) for bowel movement?
What is the contraindication for a female client taking aspirin?
What is the contraindication for a female client taking aspirin?
What should a nurse recommend to minimize adverse effects of calcium carbonate?
What should a nurse recommend to minimize adverse effects of calcium carbonate?
What medication might be contributing to an older adult client's falls?
What medication might be contributing to an older adult client's falls?
What is an appropriate action during the Z-track technique for medication administration?
What is an appropriate action during the Z-track technique for medication administration?
What is a priority action before administering a medication via intramuscular injection?
What is a priority action before administering a medication via intramuscular injection?
What should be done if the serum potassium level is 5.2 mEq/L before administering potassium chloride?
What should be done if the serum potassium level is 5.2 mEq/L before administering potassium chloride?
Study Notes
Medication Administration Guidelines
- Bisacodyl (Dulcolax) should be lubricated before inserting just beyond the internal sphincter.
- For phenytoin (Dilantin), inform clients that alcohol increases the chance of toxicity.
- Administer rectal suppositories in Sim's position.
Iron Supplementation
- Instruct clients with anemia to take liquid oral iron with orange juice to enhance absorption.
Safe Medication References
- Reliable references for safe medication administration include published journals, pharmacists, and the Physicians' Desk Reference.
Asthma Management
- Montelukast (Singulair) should be taken once daily in the evening for asthma.
- Albuterol (Proventil) prevents wheezing, opens airways, and decreases coughing.
- Cromolyn sodium (Intal) should be taken before albuterol, but not four times daily without consulting a provider.
Pain Management
- Monitor pain levels effectively; a 0 rating on the pain scale indicates therapeutic success after morphine sulfate administration.
- The usage of nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen should occur after meals to minimize gastric irritation.
Side Effects and Adverse Reactions
- Common side effects of diphenhydramine (Benadryl) include sedation; strategies to mitigate it involve dosing at bedtime.
- Monitor for signs of phlebitis: erythema, throbbing, warmth at the insertion site, and streak formation.
Medication Interactions
- Advise clients to avoid grapefruit juice due to high food-drug interaction risk.
- Laxatives are contraindicated for clients with small bowel obstructions.
- Aspirin use is contraindicated in clients with a history of gastric ulcers.
Patient Education
- Nystatin (Mycostatin) should be held in the mouth as long as possible for effectiveness in treating oral candidiasis.
- Hydration is vital while taking allopurinol (Zyloprim); aim for 3 quarts of water a day.
- Explain docusate sodium (Colace) is intended to produce 1-2 soft stools per day.
Monitoring and Assessments
- Assess respiratory rates before administering medications like morphine and meperidine (Demerol).
- Evaluate falling risks in older adults related to medications like alprazolam (Xanax).
Injection and Dosage Calculations
- Convert 0.8 grams to 800 mg by moving the decimal three places right.
- Calculate correct dosages; for hydrocodone/acetaminophen (Lortab), 10 mL is needed when 5 mg is prescribed from a 7.5 mg/500 mg/15 mL elixir.
Herbal Remedies Awareness
- Ginkgo biloba use should be verified with a healthcare provider before hospital admission.
Conclusion of Client Refusals
- Document any client refusals of medication to maintain accurate medical records.
Safe Administration Techniques
- Use the Z-track technique correctly by aspirating for 5-10 seconds before injection.
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Description
Test your knowledge on essential pharmacology concepts with these flashcards from the ATI Capstone Pharmacology Assessment 2. Each card offers critical guidelines and scenarios related to medication administration, particularly for bisacodyl and other medications for specific patient needs. Ideal for nursing students preparing for exams.
