MEDICATION ADMINISTRATION

a. "call me when you are ready, and I will return with the medication"

A nurse is administering medication to a client who asks the nurse to leave the medication at the bedside to be taken at a later time. Which of the following responses should the nurse make? a. "call me when you are ready, and I will return with the medication" b. "since you were taking this medication at home, I will leave it for you to take" c. "I will come back in 30 minutes to check that you took the medication so I can chart the time" d. "if you refuse to take the medication now, I can't give it again until your next scheduled time"

b. the meaning of disease can vary widely across cultures

A nurse is developing a plan of care for a client. Which of the following pieced of information should the nurse consider when planning care that is culturally congruent? a. illness is not influenced by culture b. the meaning of disease can vary widely across cultures c. assigning clients to specific cultural categories facilitates communication d. predetermined criteria should generate client care activities

a. STAT prescription

A nurse is preparing to administer a medication to a client. Which of the following administration schedules should the nurse identify as a prescription to administer the medication one and as soon as possible? a. STAT prescription b. PRN prescription c. standing prescription d. single prescription

a. hold the dropper 1 cm (0.5 in) above the ear canal during administration

A nurse is preparing to administer an otic antibiotic to an adult client who has otitis media. Which of the following actions should the nurse plan to take? a. hold the dropper 1 cm (0.5 in) above the ear canal during administration b. apply pressure to the nasolacrimal duct following administration c. place a cotton ball into the inner ear canal for 30 minutes following administration d. straighten the ear canal by pulling the auricle down and back prior to administration

c. apply pressure to the puncta after instilling the medication

A nurse is preparing to administer eye drops for a client who has glaucoma. When instilling the medication, which of the following actions should the nurse take? a. instruct the client to blink several time after instilling the medication b. ask the client to look straight ahead during the instillation of the medication c. apply pressure to the puncta after instilling the medication d. place each drop of the medication directly onto the client's cornea

a. measure the client's apical pulse

A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift in which the client received atenolol instead of allopurinol. Which of the following interventions is the nurse's priority? a. measure the client's apical pulse b. administer the allopurinol to the client c. inform the nurse manager d. complete an incident report

c. compare the medical record number and name on the MAR with the client's identification band

A nurse is preparing to administer medications to a client who is unconscious. The nurse should bring the medication administration record (MAR) to the client's bedside and perform which of the following verification procedures? a. check the client's name and medical record number on the MAR against the room and bed number b. call the client by name and check the name on her identification band against the MAR c. compare the medical record number and name on the MAR with the client's identification band d. ask the client's visitor to identify the client by name and to state the client's birth date

d. check the medication dose and the client's identification

A nurse is preparing to administer oral phenytoin to a client who has a seizure disorder. Before administering the medication, which of the following actions should the nurse take? a. document the administration of the medication b. count the amount of available medication on hand and sign for it c. measure the client's respiratory rate d. check the medication dose and the client's identification

bolded uppercase letters to draw attention to dissimilarities in look-alike drug name

ISMP Tall Man List

g. all of the above

What needs to be documented in the medical record? a. name of the med b. dosage c. route and time of administration d. name of person administering e. site used for injection f. refused drug or medication g. all of the above h. none of the above

d. all of the above

When should a nurse check the medication administration? a. when the nurse reaches for the container or unit dose package b. after retreival from the drawer and compared with the CMAR before pouring c. before giving the dose to the patient d. all of the above

d. the wasting nurse and another nurse

if a controlled substance is wasted who needs to witness it? a. the patient and the nurse b. the patient's family and the nurse c. the doctor and the nurse d. the wasting nurse and another nurse

e. confirm the client's medication allergies, that the medication is appropriate for the client's condition, and any drug-drug or drug-food interactions that may need to be addressed. check lab work or vital signs, per the medication

right assessment data a. check the client's medications to determine if a untoward interaction may occur. monitor the client's response to the medication b. document the time the medication was administered and any other pertinent information c. the client has the right to refuse the medication d. provide education to the client addressing the name of the medication, the expected benefits, and the potential adverse effects e. confirm the client's medication allergies, that the medication is appropriate for the client's condition, and any drug-drug or drug-food interactions that may need to be addressed. check lab work or vital signs, per the medication f. confirm the time medication is to be given and the last time the medication was administered g. confirm the route of medication per the provider's order in the client's medical record h. check the medication and dosage against the order in the client medical record i. verify the client using two identifiers j. confirm the name and form of the medication is correct

b. document the time the medication was administered and any other pertinent information

right documentation a. check the client's medications to determine if a untoward interaction may occur. monitor the client's response to the medication b. document the time the medication was administered and any other pertinent information c. the client has the right to refuse the medication d. provide education to the client addressing the name of the medication, the expected benefits, and the potential adverse effects e. confirm the client's medication allergies, that the medication is appropriate for the client's condition, and any drug-drug or drug-food interactions that may need to be addressed. check lab work or vital signs, per the medication f. confirm the time medication is to be given and the last time the medication was administered g. confirm the route of medication per the provider's order in the client's medical record h. check the medication and dosage against the order in the client medical record i. verify the client using two identifiers j. confirm the name and form of the medication is correct

h. check the medication and dosage against the order in the client medical record

right dosage a. check the client's medications to determine if a untoward interaction may occur. monitor the client's response to the medication b. document the time the medication was administered and any other pertinent information c. the client has the right to refuse the medication d. provide education to the client addressing the name of the medication, the expected benefits, and the potential adverse effects e. confirm the client's medication allergies, that the medication is appropriate for the client's condition, and any drug-drug or drug-food interactions that may need to be addressed. check lab work or vital signs, per the medication f. confirm the time medication is to be given and the last time the medication was administered g. confirm the route of medication per the provider's order in the client's medical record h. check the medication and dosage against the order in the client medical record i. verify the client using two identifiers j. confirm the name and form of the medication is correct

d. provide education to the client addressing the name of the medication, the expected benefits, and the potential adverse effects

right education a. check the client's medications to determine if a untoward interaction may occur. monitor the client's response to the medication b. document the time the medication was administered and any other pertinent information c. the client has the right to refuse the medication d. provide education to the client addressing the name of the medication, the expected benefits, and the potential adverse effects e. confirm the client's medication allergies, that the medication is appropriate for the client's condition, and any drug-drug or drug-food interactions that may need to be addressed. check lab work or vital signs, per the medication f. confirm the time medication is to be given and the last time the medication was administered g. confirm the route of medication per the provider's order in the client's medical record h. check the medication and dosage against the order in the client medical record i. verify the client using two identifiers j. confirm the name and form of the medication is correct

j. confirm the name and form of the medication is correct

right medication a. check the client's medications to determine if a untoward interaction may occur. monitor the client's response to the medication b. document the time the medication was administered and any other pertinent information c. the client has the right to refuse the medication d. provide education to the client addressing the name of the medication, the expected benefits, and the potential adverse effects e. confirm the client's medication allergies, that the medication is appropriate for the client's condition, and any drug-drug or drug-food interactions that may need to be addressed. check lab work or vital signs, per the medication f. confirm the time medication is to be given and the last time the medication was administered g. confirm the route of medication per the provider's order in the client's medical record h. check the medication and dosage against the order in the client medical record i. verify the client using two identifiers j. confirm the name and form of the medication is correct

i. verify the client using two identifiers

right patient a. check the client's medications to determine if a untoward interaction may occur. monitor the client's response to the medication b. document the time the medication was administered and any other pertinent information c. the client has the right to refuse the medication d. provide education to the client addressing the name of the medication, the expected benefits, and the potential adverse effects e. confirm the client's medication allergies, that the medication is appropriate for the client's condition, and any drug-drug or drug-food interactions that may need to be addressed. check lab work or vital signs, per the medication f. confirm the time medication is to be given and the last time the medication was administered g. confirm the route of medication per the provider's order in the client's medical record h. check the medication and dosage against the order in the client medical record i. verify the client using two identifiers j. confirm the name and form of the medication is correct

a. check the client's medications to determine if a untoward interaction may occur. monitor the client's response to the medication

right response a. check the client's medications to determine if a untoward interaction may occur. monitor the client's response to the medication b. document the time the medication was administered and any other pertinent information c. the client has the right to refuse the medication d. provide education to the client addressing the name of the medication, the expected benefits, and the potential adverse effects e. confirm the client's medication allergies, that the medication is appropriate for the client's condition, and any drug-drug or drug-food interactions that may need to be addressed. check lab work or vital signs, per the medication f. confirm the time medication is to be given and the last time the medication was administered g. confirm the route of medication per the provider's order in the client's medical record h. check the medication and dosage against the order in the client medical record i. verify the client using two identifiers j. confirm the name and form of the medication is correct

g. confirm the route of medication per the provider's order in the client's medical record

right route a. check the client's medications to determine if a untoward interaction may occur. monitor the client's response to the medication b. document the time the medication was administered and any other pertinent information c. the client has the right to refuse the medication d. provide education to the client addressing the name of the medication, the expected benefits, and the potential adverse effects e. confirm the client's medication allergies, that the medication is appropriate for the client's condition, and any drug-drug or drug-food interactions that may need to be addressed. check lab work or vital signs, per the medication f. confirm the time medication is to be given and the last time the medication was administered g. confirm the route of medication per the provider's order in the client's medical record h. check the medication and dosage against the order in the client medical record i. verify the client using two identifiers j. confirm the name and form of the medication is correct

f. confirm the time medication is to be given and the last time the medication was administered

right time a. check the client's medications to determine if a untoward interaction may occur. monitor the client's response to the medication b. document the time the medication was administered and any other pertinent information c. the client has the right to refuse the medication d. provide education to the client addressing the name of the medication, the expected benefits, and the potential adverse effects e. confirm the client's medication allergies, that the medication is appropriate for the client's condition, and any drug-drug or drug-food interactions that may need to be addressed. check lab work or vital signs, per the medication f. confirm the time medication is to be given and the last time the medication was administered g. confirm the route of medication per the provider's order in the client's medical record h. check the medication and dosage against the order in the client medical record i. verify the client using two identifiers j. confirm the name and form of the medication is correct

c. the client has the right to refuse the medication

right to reuse a. check the client's medications to determine if a untoward interaction may occur. monitor the client's response to the medication b. document the time the medication was administered and any other pertinent information c. the client has the right to refuse the medication d. provide education to the client addressing the name of the medication, the expected benefits, and the potential adverse effects e. confirm the client's medication allergies, that the medication is appropriate for the client's condition, and any drug-drug or drug-food interactions that may need to be addressed. check lab work or vital signs, per the medication f. confirm the time medication is to be given and the last time the medication was administered g. confirm the route of medication per the provider's order in the client's medical record h. check the medication and dosage against the order in the client medical record i. verify the client using two identifiers j. confirm the name and form of the medication is correct

inject into the NPH vial the amount of air equal to the amount of NPH insulin

step 1 of mixing insulin

inject into the regular vial the amount of air equal to the amount of regular insulin

step 2 of mixing insulin

withdraw the correct amount of regular insulin "clear"

step 3 of mixing insulin

withdraw the correct amount of NPH insulin "cloudy"

step 4 of mixing insulin

b. intravenous

which is the best way to administer medication? a. orally b. intravenous c. rectal d. enteral