medications Chapter 29

The nurse has received a telephone order for a client from a health care provider. How will the nurse indicate in the documentation that the order was received via telephone? No extra documentation is necessary. Have another nurse cosign the order input. Tell the provider to sign the order as soon as possible. Record "T.O." at the end of the order.

Record "T.O." at the end of the order.

The nurse is administering the first dose of an intravenous infusion of an antibiotic. Which statement made by the client is cause for concern? "I feel hungry." "I feel like I need to urinate." "I feel like my back and arms are itching." "I feel very tired."

"I feel like my back and arms are itching."

A client is taking numerous eye drops to prepare for cataract surgery. Which teaching about ophthalmic application will the nurse provide? "Rest the eye dropper on the inner canthus to make it easier to instill the drops." "Wait 5 minutes between instillation of different types of eye drops." "If you cannot instill these drops from the bottle, you will be unable to have surgery." "Dispose of these medications every 7 days due to possible bacterial contamination."

"Wait 5 minutes between instillation of different types of eye drops."

A nurse is administering an injection of insulin to a 5-year-old who has type I diabetes. Which statement by the nurse would take into consideration this child's developmental level? "Don't worry, this won't hurt a bit." "If you are brave and don't cry, I will give you a sticker." "Try not to move, or this will hurt more." "You will just feel a little pinch."

"You will just feel a little pinch."

The nurse is teaching a client about metformin SA. When the client asks, "What does the SA mean?" what is the appropriate nursing response? "sustained release" "continuous release" "extended release" "sustained action"

"sustained action"

The nurse is preparing to administer an allergy test intradermally. At what angle will the nurse plan to insert the needle into the client? 10 to 15 degrees 20 to 30 degrees 45 degrees 90 degrees

10 to 15 degrees

During a teaching session, the client asks the nurse to explain the features of inhalers. Which statements by the nurse describe an inhaler? Select all that apply. "Inhalers allow the client to continue to inhale the medication held in the reservoir." "Inhalers are handheld devices for delivering medications into the respiratory passage." "Inhalers consist of a container of medication and a holder with a mouthpiece." "Inhalers provide a reservoir for aerosol medications." "Drugs for inhalation may be administered by a hand atomizer or a nebulizer."

-Inhalers are handheld devices for delivering medications into the respiratory passage." -"Inhalers consist of a container of medication and a holder with a mouthpiece." "Drugs for inhalation may be administered by a hand atomizer or a nebulizer."

The nurse is preparing to administer a tuberculin test. At which angle is the nurse expected to instill the drug? 15-degree angle 45-degree angle 90-degree angle 120-degree angle

15-degree angle

A nurse is taking care of a 56-year-old man with end-stage liver disease. The nurse has a prescription to give 20 g of lactulose every 6 hours to treat the client's hepatic encephalopathy. On hand, the nurse has containers of lactulose that have 30 g in 45 mL. How many milliliters is the nurse going to administer every 6 hours to the client? 15 mL 22.5 mL 67.5 mL 30 mL

30 mL

The nurse is reviewing the plan of care for several clients who have prescriptions for intravenous medications. The nurse understands that which client is at the highest risk for greater effect of the IV medication? 73-year-old client diagnosed with liver disease 16-year-old client diagnosed with left radial fracture 35-year-old client diagnosed with migraines 45-year-old client diagnosed with lung cancer

73-year-old client diagnosed with liver disease

When the client demonstrates a rash 30 minutes after taking a dose of penicillin, the nurse recognizes that the client is likely demonstrating which type of drug reaction? Allergy Anaphylaxis Antagonistic Idiosyncratic

Allergy

A nurse at the health care facility needs to administer an otic application for a client with an earache. What should the nurse do after instilling the prescribed eardrops in the client's ear? Place a cotton ball in the ear to absorb excess medication. Instill the medication in the opposite ear if prescribed. Ask the client to maintain the position for some time. Briefly postpone the application in the second ear.

Ask the client to maintain the position for some time.

A nurse is caring for a client who is being tube fed. What care should the nurse take when administering medications through an enteral tube? Add medications to the formula. Mix all the medications together in 15 mL of water. Use cold water when mixing powdered medications. Avoid crushing sustained-release pellets.

Avoid crushing sustained-release pellets.

A medication order has ac written after the medication dosage. What does ac stand for? Before meals After meals Before After

Before meals

The nurse is preparing to give medications to a client with high blood pressure. The prescription indicates that the client is to have the combination drug dextroamphetamine saccharate-amphetamine aspartate monohydrate-dextroamphetamine sulfate-amphetamine sulfate 40 mg by mouth twice daily. What is the appropriate nursing action? Administer the drug as prescribed. Ask another nurse to verify the prescription. Assume that the provider meant to prescribe propranolol. Contact the health care provider for clarification of the prescription.

Contact the health care provider for clarification of the prescription.

A nurse is administering an adult client's ordered antipsychotic drug intramuscularly. What would be the most appropriate site for administration? Deltoid Vastus lateralis Biceps brachii Scapula

Deltoid

A nurse is administering a hepatitis B immunization injection to an adult clent. Which site would the nurse choose for this injection? Vastus lateralis site Deltoid muscle site Ventrogluteal site Dorsogluteal site

Deltoid muscle site

The nurse is assessing a client with diabetes who has poor vision. Which feature of the insulin pen makes it beneficial for this client? -The insulin pen is easily transported on the client. -It is easier to learn how to use an insulin pen than a syringe and vial. -Each unit of insulin is accompanied by a clicking sound in the pen. -With an insulin pen, a large variety of insulin types are available.

Each unit of insulin is accompanied by a clicking sound in the pen.

The nurse is assessing a client with diabetes who has poor vision. Which feature of the insulin pen makes it beneficial for this client? The insulin pen is easily transported on the client. It is easier to learn how to use an insulin pen than a syringe and vial. Each unit of insulin is accompanied by a clicking sound in the pen. With an insulin pen, a large variety of insulin types are available.

Each unit of insulin is accompanied by a clicking sound in the pen.

A nurse is preparing to administer a client's medication via a peripheral venous access device. Before administering the drug, which actions should the nurse take? Select all that apply. Flush the device with a small amount of normal saline. Assess the client's allergy status. Select an appropriate injection site. Identify the client according to institutional protocol. Administer 2- to 3-mL heparin to clear clots from the device.

Flush the device with a small amount of normal saline. Assess the client's allergy status. Identify the client according to institutional protocol.

An emergency room nurse is ordered to administer nitroglycerin to a client being treated for acute pulmonary hypertension. Which means of drug administration would the nurse use to achieve rapid results in this emergency situation? IV Infusion Oral powder Sublingual tablet Rectal suppository

IV Infusion

A nurse preparing medication for a client is called away to an emergency. What should the nurse do? Have another nurse guard the preparations. Put the medications back in the containers. Have another nurse finish preparing and administering the medications. Lock the medications in a cart and finish them upon return.

Lock the medications in a cart and finish them upon return.

To convert 0.8 grams to milligrams, the nurse should do which of the following? Move the decimal point 2 places to the right. Move the decimal point 3 places to the right. Move the decimal point 2 places to the left. Move the decimal point 3 places to the left.

Move the decimal point 3 places to the right.

When administering oral medications, which practices should the nurse follow? Select all that apply. Dispense multiple liquid medications into a single cup to reduce the number of containers the client must handle. Perform hand hygiene before and after medication administration. Stay at the bedside until the client has swallowed all the medications. Store the client's MAR at the bedside at all times to ensure safe identification. Verify the client's response to the medication 30 minutes after administration or as appropriate for the drug.

Perform hand hygiene before and after medication administration. Stay at the bedside until the client has swallowed all the medications. Verify the client's response to the medication 30 minutes after administration or as appropriate for the drug.

The chemotherapy client has been admitted for thrombocytopenia. Which blood product will the nurse anticipate administering? Platelets Fresh frozen plasma Whole blood Packed cells White blood cells

Platelets

A client who has been receiving a secondary infusion of a new antibiotic for several minutes reports itching and a sensation of throat tightness. What is the priority nursing intervention? Assess skin for rash. Open the airway. Activate the Rapid Response Team. Stop the infusion of the antibiotic.

Stop the infusion of the antibiotic.

A client is ordered to receive an intramuscular injection of medication. When preparing to administer the injection, the nurse selects the ventrogluteal site based on which reason? The site is in close proximity to the sciatic nerve. The area is free of major blood vessels and fat. There is a high possibility of injecting into subcutaneous fat. The site lies close to the radial nerve.

The area is free of major blood vessels and fat.

The nurse correlates the metric system as the most accurate method utilized to administer medications for which reason? The dosage prescriptions of medications most often use this system as it is measured in 10s and can be easily converted between measurements It uses a system based on household measurements which are easily understood and measured It prevents errors by never using leading zeros for doses less than one measurement unit It ensures accuracy by expressing quantities in fractions and Arabic numbers

The dosage prescriptions of medications most often use this system as it is measured in 10s and can be easily converted between measurements

Regarding medication administration, what must occur at the change of shifts? The client's medications must be drawn up. The medications for the division are counted. The narcotics for the division are counted. Only the LPNs on the division count medications.

The narcotics for the division are counted.

A postoperative client's medication administration record (MAR) provides for PRN administration of a number of analgesics by various routes. Which action should the nurse take to assess the client's pain to determine the appropriate analgesic to administer? The nurse will have the client rate pain on the pain scale of 1 to 10 and proceed accordingly. The nurse will call the health care provider to ask which medication should be used. The nurse will explain the options to the client and let the client decide. The nurse will consult with the charge nurse to make the decision.

The nurse will have the client rate pain on the pain scale of 1 to 10 and proceed accordingly.

Which statement best describes the nurse's rationale for selecting the ventrogluteal site when using the Z-track technique for administering an injection? The ventrogluteal site provides a location with the capacity for depositing and absorbing the drug. The ventrogluteal site determines whether or not the needle is in a blood vessel. The ventrogluteal site prevents tissue contact with the irritating drug. The ventrogluteal site reduces the transmission of microorganisms.

The ventrogluteal site provides a location with the capacity for depositing and absorbing the drug.

The nurse has provided a client with oral medications in a small plastic cup. What is the best nursing action to ensure the rights of safe medication administration are implemented? Wait with the client until the medications are taken. Allow the client to sign for the medication and keep the medications on a bedside table until ready to take them. Ask the client's family to confirm that the client has swallowed the medication. Have the unlicensed assistive personnel (UAP) to monitor the client until medication is taken.

Wait with the client until the medications are taken.

The nurse is administering an intramuscular injection to a client. Which action made by the nurse could assess whether the needle is in the client's blood vessel or not? aspirating for a blood return inserting the needle at a 90-degree angle withdrawing the needle and immediately releasing the taut skin waiting 10 seconds with the needle still in place and the skin held taut

aspirating for a blood return

A nurse needs to administer a prescribed medication to a client using IV push. In which way is the medication being administered to the client? continuous drip bolus administration gravity infusion electronic infusion device

bolus administration

A client with chronic obstructive pulmonary disease has been prescribed a bronchodilator to be administered by small-volume nebulizer. The nurse should ensure that the client: takes rapid, shallow breaths until the medication is complete. breathes through his or her mouth until all the medication has been inhaled. coughs intermittently while the medication is being administered. rinses his or her mouth with water before the medication is administered.

breathes through his or her mouth until all the medication has been inhaled.

Which component of a syringe's needle does the nurse recognize that refers to width? lumen shaft bevel gauge

gauge

The Z-track technique is utilized during drug administration by which route? intramuscular subcutaneous intradermal intravenous

intramuscular

A client has been prescribed nasal medication. What care should the nurse take to avoid potential complications due to the administration of this medication? -read and compare labels on the medication with the medical record -review the client's medication, allergy, and medical history -administer medication within 30 to 60 minutes of the scheduled time -allow sufficient time to prepare the medication with minimal distraction

review the client's medication, allergy, and medical history

When instructing a client regarding sublingual application, the nurse should inform the client that which action is contraindicated when administering the drug? swallowing the medication taking the medication on an empty stomach talking when taking the medication performing physical activities

swallowing the medication

What is the best explanation from the nurse as to why a client must return to the unit in 48 hours after having a tuberculin skin test intradermal? to determine the extent to which the client responded to the drugs to administer timely emergency treatment to implement measures to reduce the transmission of microorganisms to prevent interfering with test results

to determine the extent to which the client responded to the drugs

A nurse is caring for a client undergoing IV therapy. The nurse knows that intravenous administration of medication is appropriate in which situation? when the client has disorders that affect the absorption of medications when the drug needs to act on the client very slowly when the client wants to avoid the discomfort of an intradermal injection when the drug needs to be administered only once

when the client has disorders that affect the absorption of medications