Podcast
Questions and Answers
A nurse is teaching a patient about medications. Which statement from the patient indicates
teaching is effective?
A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective?
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?
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?
A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?
A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?
A patient has been prescribed to receive 0.3 mL of U-500 insulin. Which syringe will the nurse use to administer the medication?
A patient has been prescribed to receive 0.3 mL of U-500 insulin. Which syringe will the nurse use to administer the medication?
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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?
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?
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The patient is to receive phenytoin at 0900. When will be the ideal time for the nurse to
schedule a trough level?
The patient is to receive phenytoin at 0900. When will be the ideal time for the nurse to schedule a trough level?
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A patient is receiving vancomycin. Which physiological function is the priority for the nurses to assess?
A patient is receiving vancomycin. Which physiological function is the priority for the nurses to assess?
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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?
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?
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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?
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?
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When the nurse administers an intramuscular (IM) corticosteroid injection, the nurse aspirates. What is the rationale for the nurse aspirating?
When the nurse administers an intramuscular (IM) corticosteroid injection, the nurse aspirates. What is the rationale for the nurse aspirating?
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The nurse is giving an intramuscular (IM) injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?
The nurse is giving an intramuscular (IM) injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?
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The nurse is planning to administer a tuberculin test with a 27-gauge, -inch needle. At which angle will the nurse insert the needle?
The nurse is planning to administer a tuberculin test with a 27-gauge, -inch needle. At which angle will the nurse insert the needle?
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The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse’s action?
The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse’s action?
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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?
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?
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A patient is to receive a proton pump inhibitor through a nasogastric (NG) feeding tube. Which nursing action is vital to ensuring effective absorption?
A patient is to receive a proton pump inhibitor through a nasogastric (NG) feeding tube. Which nursing action is vital to ensuring effective absorption?
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A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate?
A health care provider prescribes aspirin 650 mg every 4 hours PO when febrile. For which patient will this order be appropriate?
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A patient is in need of immediate pain relief for a severe headache. Which medication will the nurse administer to be absorbed the quickest?
A patient is in need of immediate pain relief for a severe headache. Which medication will the nurse administer to be absorbed the quickest?
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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?
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?
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The nurse administers a central nervous system stimulant to a patient. Which assessment finding indicates to the nurse that an idiosyncratic event is occurring?
The nurse administers a central nervous system stimulant to a patient. Which assessment finding indicates to the nurse that an idiosyncratic event is occurring?
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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?
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?
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A patient needs assistance in eliminating an anesthetic gaseous medication (nitrous oxide). Which action will the nurse take?
A patient needs assistance in eliminating an anesthetic gaseous medication (nitrous oxide). Which action will the nurse take?
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A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?
A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?
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A nurse teaches the patient about the prescribed buccal medication. Which statement by the patient indicates teaching by the nurse is successful?
A nurse teaches the patient about the prescribed buccal medication. Which statement by the patient indicates teaching by the nurse is successful?
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What is the nurse’s priority action to protect a patient from medication error?
What is the nurse’s priority action to protect a patient from medication error?
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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?
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?
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A patient is at risk for aspiration. Which nursing action is most appropriate?
A patient is at risk for aspiration. Which nursing action is most appropriate?
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A patient refuses medication. Which is the nurse’s first action?
A patient refuses medication. Which is the nurse’s first action?
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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?
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?
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The supervising nurse is watching nurses prepare medications. Which action by one of the nurses will result in the supervising nurse to intervene immediately?
The supervising nurse is watching nurses prepare medications. Which action by one of the nurses will result in the supervising nurse to intervene immediately?
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Which patient does the nurse most closely monitor for an unintended synergistic effect?
Which patient does the nurse most closely monitor for an unintended synergistic effect?
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Which patient using an inhaler would benefit most from using a spacer?
Which patient using an inhaler would benefit most from using a spacer?
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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?
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?
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The supervising nurse is observing several different nurses. Which action will cause the supervising nurse to intervene?
The supervising nurse is observing several different nurses. Which action will cause the supervising nurse to intervene?
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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?
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?
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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?
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?
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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?
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?
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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?
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?
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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.
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.
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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?
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?
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An older-adult patient needs an intramuscular (IM) injection of antibiotic. Which site is best for the nurse to use?
An older-adult patient needs an intramuscular (IM) injection of antibiotic. Which site is best for the nurse to use?
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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.
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.
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A nurse is administering oral medications to patients. Which action will the nurse take?
A nurse is administering oral medications to patients. Which action will the nurse take?
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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?
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?
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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?
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?
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The nurse is administering medications to several patients. Which action should the nurse take?
The nurse is administering medications to several patients. Which action should the nurse take?
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A nurse is following safety principles to reduce the risk of needlestick injury. Which actions will the nurse take? (Select all that apply.)
A nurse is following safety principles to reduce the risk of needlestick injury. Which actions will the nurse take? (Select all that apply.)
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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.)
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.)
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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
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
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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
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
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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
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
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Study Notes
Medication Teaching and Administration
- Patient understanding of medications is indicated by correct verbalization of usage and side effects.
- Z-track method is indicated for medications that can irritate subcutaneous tissue.
- For a 2-year-old, the nurse should pull the ear back and down for eardrop administration.
- U-500 insulin is administered with a 1 mL syringe due to the high concentration.
Dosage Calculations
- To administer 12.5 mg of hydrochlorothiazide from a 25 mg tablet, half a tablet is required.
- Trough level for phenytoin should be scheduled just before the next dose at 0900.
- Lorazepam 1 mg orally requires 2 tablets of 0.5 mg each for each dose.
- Appropriate needle size for a 160 lb adult's deltoid IM injection is typically 1-1.5 inches, 22-25 gauge.
Injection Techniques and Assessment
- Aspiration during IM injection helps assess for blood return, indicating placement in a blood vessel.
- If blood returns upon aspiration, the nurse should withdraw and reinsert the needle in a different location.
- Tuberculin test injections are given at a 15-degree angle with a 27-gauge needle.
Patient Monitoring and Medication Errors
- Older adults are monitored closely for signs of medication toxicity due to decreased physiological function.
- Responsibility for incorrect medication interpretation ultimately lies with the nurse who administered it.
Special Administration Instructions
- For NG tube administration of proton pump inhibitors, ensure medication is not mixed with feed for effective absorption.
- Aspirin dosage is appropriate for febrile patients if fever is present.
- The quickest medication absorption for headache relief is through intravenous administration.
Pharmacokinetics and Nursing Actions
- Acidic medications are typically absorbed in the stomach.
- Idiosyncratic reactions may manifest as unexpected increases in heart rate after CNS stimulant administration.
- If phenytoin is incorrectly prescribed for pain, the nurse should verify with the provider and clarify the prescription.
Medication Disposal and Errors Prevention
- For wasting narcotics, follow facility policies, including a witness signature.
- Successful teaching on buccal medications is indicated when patients can explain the method of administration.
Medication Administration Protocols
- To ensure medication safety, always verify patient identity before administration.
- For a patient at risk of aspiration, the nurse should position them properly and supervise swallowing.
- If a patient refuses medication, the nurse should first assess the reasons for refusal to address concerns.
Inhaler Instructions and Scheduling
- Advise patients to refill inhalers containing 200 puffs every 100 days if taking 2 puffs twice daily.
- The nurse prioritizes the right patient identification when administering to patients with the same last name.
Patient Education and Practice
- When administering from a vial, the correct order includes cleaning the top, injecting air, inverting the vial, filling the syringe, and removing air bubbles.
- When a child refuses oral medication, the best practice is to involve the parent in reassuring the child.
IV Infusion Steps
- For IV piggyback infusion preparation, initial steps start with comparing labels with the patient’s medication records.
- Oral medication administration requires the nurse to follow optimal protocols and perform accuracy checks accordingly.
Safety Practices
- To reduce needlestick injuries, nurses should employ safety needles and dispose of sharps immediately.
- When administering incompatible IV medications, use a secondary IV line or flush between medications as applicable.
Calculating Daily Dosages
- Acetaminophen dosage can be calculated based on patient’s total intake from multiple medications for safety monitoring.
- Administer 250 mg of medication elixir at the calculated volume based on the concentration provided.
- For amoxicillin dosing, calculate mL based on the concentration to ensure proper administration without errors.
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Description
Test your understanding of effective patient education regarding medications. This quiz assesses knowledge of nursing communication and patient response to medication information. Answer questions based on real-life nursing scenarios.
