Mock- Ch.31: Medication Administration- Week 4

A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective?

"My parenteral medication must be taken with food."

"I will rotate the sites in my left leg when I give my insulin." (correct)

"Once I start feeling better, I will stop taking my antibiotic."

"If I am 30 minutes late taking my medication, I should skip that dose."

A nurse is preparing to administer an injection to a patient. Which statement made by the patient is an indication for the nurse to use the Z-track method?

"I am allergic to many medications."

"I’m really afraid that a big needle will hurt."

"The last shot really irritated my skin around the site." (correct)

"My legs are too obese for the needle to go through."

A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?

Pull the auricle down and back to straighten the ear canal. (correct)

Pull the auricle upward and outward to straighten the ear canal.

Sit the child up for 2 to 3 minutes after instilling drops in ear canal.

Sit the child up to insert the cotton ball into the innermost ear canal.

A patient has been prescribed to receive 0.3 mL of U-500 insulin. Which syringe will the nurse use to administer the medication?

Tuberculin syringe Signup and view all the answers

A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on hand a 25 mg tablet of hydrochlorothiazide. How many tablet(s) will the nurse administer?

1/2 tablet Signup and view all the answers

The patient is to receive phenytoin at 0900. When will be the ideal time for the nurse to schedule a trough level?

0830 Signup and view all the answers

A patient is receiving vancomycin. Which physiological function is the priority for the nurses to assess?

Hearing Signup and view all the answers

A health care provider orders lorazepam 1 mg orally 2 times a day. The dose available is 0.5 mg per tablet. How many tablet(s) will the nurse administer for each dose?

2 Signup and view all the answers

The nurse is preparing to administer an injection into the deltoid muscle of an adult patient weighing approximately 160 lb. Which needle size and length will the nurse choose?

25 gauge X 1 inch Signup and view all the answers

When the nurse administers an intramuscular (IM) corticosteroid injection, the nurse aspirates. What is the rationale for the nurse aspirating?

Ensure proper placement of the needle. Signup and view all the answers

The nurse is giving an intramuscular (IM) injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?

Withdraw the needle and prepare the injection again. Signup and view all the answers

The nurse is planning to administer a tuberculin test with a 27-gauge, -inch needle. At which angle will the nurse insert the needle?

15 degree Signup and view all the answers

The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse’s action?

Reduced kidney functioning Signup and view all the answers

A registered nurse interprets that a scribbled medication prescription reads 25 mg. The nurse administers 25 mg of the medication to a patient and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error?

Nurse Signup and view all the answers

A patient is to receive a proton pump inhibitor through a nasogastric (NG) feeding tube. Which nursing action is vital to ensuring effective absorption?

Hold feeding for at least 30 minutes after medication administration. Signup and view all the answers

A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate?

A 62 year old with a high fever from an infection Signup and view all the answers

A patient is in need of immediate pain relief for a severe headache. Which medication will the nurse administer to be absorbed the quickest?

Hydromorphone 4 mg IV Signup and view all the answers

While preparing medications, the nurse knows one of the drug is an acidic medication. In which area does the nurse anticipate the drug will be absorbed?

Stomach Signup and view all the answers

The nurse administers a central nervous system stimulant to a patient. Which assessment finding indicates to the nurse that an idiosyncratic event is occurring?

Falls asleep during daily activities. Signup and view all the answers

A prescription is written for phenytoin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the health care provider meant to write hydromorphone. What action should the nurse take?

Call the health care provider to clarify the order. Signup and view all the answers

A patient needs assistance in eliminating an anesthetic gaseous medication (nitrous oxide). Which action will the nurse take?

Encourage the patient to cough and deep-breathe. Signup and view all the answers

A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?

Have another nurse witness the wasted medication. Signup and view all the answers

A nurse teaches the patient about the prescribed buccal medication. Which statement by the patient indicates teaching by the nurse is successful?

"I should let the medication dissolve completely." Signup and view all the answers

What is the nurse’s priority action to protect a patient from medication error?

Reading medication labels at least 3 times before administering Signup and view all the answers

The nurse has prepared a pain injection for a patient but was called to check on another patient. When asked to give the medication what action by the new nurse is best?

Refuse to give the medication. Signup and view all the answers

A patient is at risk for aspiration. Which nursing action is most appropriate?

Have the patient self-administer the medication. Signup and view all the answers

A patient refuses medication. Which is the nurse’s first action?

Explore with the patient reasons for not wanting to take the medication. Signup and view all the answers

A patient who is being discharged today is going home with an inhaler. The patient is to administer 2 puffs of the inhaler twice daily. The inhaler contains 200 puffs. When should the nurse appropriately advise the patient to refill the medication?

6 weeks from the start of using the inhaler Signup and view all the answers

The supervising nurse is watching nurses prepare medications. Which action by one of the nurses will result in the supervising nurse to intervene immediately?

Prepares NPH insulin to be given intravenously (IV). Signup and view all the answers

Which patient does the nurse most closely monitor for an unintended synergistic effect?

The 72-year-old who is seeing four different specialists. Signup and view all the answers

Which patient using an inhaler would benefit most from using a spacer?

A 25-year-old with limited coordination of the extremities Signup and view all the answers

The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day. The therapeutic range is 5 to 10 mg/kg/day. What is the nurse’s priority?

Notify the health care provider that the prescribed dose is below the therapeutic range. Signup and view all the answers

The supervising nurse is observing several different nurses. Which action will cause the supervising nurse to intervene?

A nurse draws up the NPH insulin first when mixing a short-acting and intermediate-acting insulin. Signup and view all the answers

A nurse is caring for a patient who is receiving pain medication through a saline lock. After flushing the patient’s peripheral IV and obtaining a good blood return, the patient reports pain. Upon assessment, the nurse notices a red streak that is warm and tender to the touch. What is the nurse’s initial action?

Do not administer the pain medication. Signup and view all the answers

The nurse is preparing to administer medications to two patients with the same last name. After the administration, the nurse realizes that did not check the identification of the patient before administering medication. Which action should the nurse complete first?

Return to the room to check and assess the patient. Signup and view all the answers

The nurse is caring for two patients with the same last name. In this situation which right of medication administration is the priority to reduce the chance of an error?

Right patient Signup and view all the answers

A patient prefers not to take the daily allergy pill this morning because it causes drowsiness throughout the day. Which response by the nurse is best?

"Let’s see if we can change the time you take your pill to 9 PM, so the drowsiness occurs when you would normally be sleeping." Signup and view all the answers

A nurse is preparing to administer a medication from a vial. In which order will the nurse perform the steps, starting with the first step?

Invert the vial.

Fill the syringe with medication.

Inject air into the airspace of the vial.

Clean with alcohol swab and allow to dry.

Pull back on the plunger the amount to be drawn up.

Tap the side of the syringe barrel to remove air bubbles.

4, 5, 3, 1, 2, 6 Signup and view all the answers

A nurse is attempting to administer an oral medication to a child, but the child refuses to take the medication. A parent is in the room. Which statement by the nurse to the parent is best?

"I will prepare the medication for you and observe if you would like to try to administer the medication." Signup and view all the answers

An older-adult patient needs an intramuscular (IM) injection of antibiotic. Which site is best for the nurse to use?

Ventrogluteal Signup and view all the answers

A nurse is preparing an intravenous (IV) piggyback infusion. In which order will the nurse perform the steps, starting with the first one?

Compare the label of the medication with the medication administration record at the patient’s bedside.

Connect the tubing of the piggyback infusion to the appropriate connector on the upper Y-port.

Hang the piggyback medication bag above the level of the primary fluid bag.

Clean the main IV-line port with an antiseptic swab.

Connect the infusion tubing to the medication bag.

Regulate flow.

1, 5, 3, 4, 2, 6 Signup and view all the answers

A nurse is administering oral medications to patients. Which action will the nurse take?

Place all of the patient’s medications in the same cup, except medications with assessments. Signup and view all the answers

A nurse is performing the three accuracy checks before administering an oral liquid medication to a patient. When will the nurse perform the second accuracy check?

Before going to the patient’s room Signup and view all the answers

A nurse is preparing to administer an antibiotic medication at 1000 to a patient but gets busy in another room. When should the nurse give the antibiotic medication?

By 1030 Signup and view all the answers

The nurse is administering medications to several patients. Which action should the nurse take?

Advise a patient to wait 2 minutes after a corticosteroid inhaler treatment to rinse mouth with water. Signup and view all the answers

A nurse is following safety principles to reduce the risk of needlestick injury. Which actions will the nurse take? (Select all that apply.)

Never force needles into the sharps disposal. Signup and view all the answers

Which methods will the nurse use to administer an intravenous (IV) medication that is incompatible with the patient’s IV fluid? (Select all that apply.)

Start another IV site. Signup and view all the answers

A patient is taking 1 tablet of hydrocodone bitartrate 5 mg and acetaminophen 500 mg every 4 hours. The patient is also taking 2 tablets of acetaminophen 325 mg every 12 hours. How many grams of acetaminophen is the patient taking daily? Record your answer using one decimal place. ___ g

3.3 Signup and view all the answers

The nurse is administering 250 mg of a medication elixir to the patient. The medication comes in a dose of 1000 mg/5 mL. How many milliliters should the nurse administer? Record your answer using two decimal places. ___ mL

1.25 Signup and view all the answers

The patient is to receive amoxicillin 500 mg q8h; the medication is dispensed at 250 mg/5 mL. How many milliliters will the nurse administer for one dose? Record your answer using a whole number. ___ mL

10 Signup and view all the answers