Week Five- Med Administration

The client is prescribed ear drops to be given in both ears. After administering the ear drops in one ear, how long would the nurse wait before administering the ear drops in the other ear? A. 5 minutes B. 10 minutes C. 15 minutes D. 20 minutes

A. 5 minutes

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

A. Deltoid

The nurse plans discharge teaching for a client leaving the medical center with new medication prescriptions. Which action(s) does the nurse include in the discharge teaching? Select all that apply. A. Explain the benefit in placing medications in a place that links to normal events in the client's life such as brushing teeth or going to bed B. Provide client with a list of medications and directions for taking them C. Confirm that the client understands the reason for the medications D. Teach client and caregivers how to fill a pill box using the medicine list as a guide E. Tell client to always choose brand name over-the-counter medications to ensure consistency in color, shape, and size of pills

A. Explain the benefit in placing medications in a place that links to normal events in the client's life such as brushing teeth or going to bed B. Provide client with a list of medications and directions for taking them C. Confirm that the client understands the reason for the medications D. Teach client and caregivers how to fill a pill box using the medicine list as a guide

The nurse is preparing to administer an allergy test via an intradermal injection. Which injection site would be most appropriate in this situation? A. Inner surface of the forearm B. Shoulder C. Abdomen D. Anterior aspect of the thigh

A. Inner surface of the forearm

The nurse is administering morphine 5 mg oral solution, which is located in a locked drawer in the medication room. The medication is provided in a unit-dose container that is labeled 10 mg/5 ml. What action(s) are required for the nurse to perform? A. Provide written documentation for the removal of the medication dose. B. Obtain another nurse to witness the waste of the unused medication. C. Count the number of the morphine unit-dose containers prior to removal. D. Keep the unused portion of the medication in the client's medication drawer for the next dose. E. Document each shift by two nurses that an opioid count was performed.

A. Provide written documentation for the removal of the medication dose. B. Obtain another nurse to witness the waste of the unused medication. C. Count the number of the morphine unit-dose containers prior to removal. E. Document each shift by two nurses that an opioid count was performed.

The nurse is preparing to administer a transdermal medication. How should this be accomplished? A. The nurse should apply the medication directly to the skin. B. The nurse should inject the medication just below the dermis of the skin. C. The nurse should ask the client to swallow the medication. D. The nurse should inject the medication into a body cavity.

A. The nurse should apply the medication directly to the skin.

A physician at a health care facility suggests the use of a metered-dose inhaler for an asthmatic client. Which describes the mechanism of a metered-dose inhaler? A. a canister containing medication that is released when the container is compressed B. a propeller-driven device that spins and suspends a finely powdered medication C. a device that forces liquid drug through a narrow channel using pressurized air D. a device that forces medication through a narrow channel with the help of inert gas

A. a canister containing medication that is released when the container is compressed

A nurse needs to administer an intradermal injection to a client. What is the most common site for administering an intradermal injection? A. forearm B. back C. stomach D. chest

A. forearm

A client has an order for an intermittent infusion of 250 mL of 0.9 normal saline. The nurse understands that this type of infusion is used for which situation? A. medications that need to be infused over 20 to 60 minutes B. medications that are given over 1 minute for rapid therapeutic effect C. medications that can be given through a capped intravenous port D. medications that are toxic if given over short periods

A. medications that need to be infused over 20 to 60 minutes

After inserting an intravenous catheter into a client's vein, the nurse does not obtain blood return. What is the appropriate nursing action? A. Gently insert the IV catheter further into the vein. B. Change the catheter insertion site. C. Obtain a larger bore catheter. D. Begin infusion of IV fluids and document the procedure.

B. Change the catheter insertion site.

Which parenteral route of administration has the longest absorption time? A. Intravenous B. Intradermal C. Subcutaneous D. Intramuscular

B. Intradermal

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

B. Move the decimal point 3 places to the right.

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

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

The nurse administers the client's scheduled morning medications. The previous dose of antihypertensive was held due to a blood pressure that was too low according the health care provider's parameters. What does the nurse do with this upcoming dose of scheduled unit-dose packaged antihypertensive medication? A. Place the dose in the medication cup with other medications. B. Set the antihypertensive dose aside pending assessment. C. Ask the client to report any dizziness and lightheadedness. D. Teach the client to use the call bell whenever getting out of bed.

B. Set the antihypertensive dose aside pending assessment.

The nurse is administering the first dose of an intravenous infusion of an antibiotic. What action would the nurse take next? A. Document the total volume infused. B. Stay with the client during the first 15 minutes of infusion. C. Assess the client after completion of infusion. D. Instruct the client to report any difficulty breathing.

B. Stay with the client during the first 15 minutes of infusion.

A nurse is administering enoxaparin sodium (anticoagulant) to a client with deep vein thrombosis, via the subcutaneous route. What is a recommended guideline when administering a subcutaneous injection? A. Sites commonly used for a subcutaneous injection are the inner surface of the forearm and the upper back, under the scapula. B. Subcutaneous injections are administered into the adipose tissue layer just below the epidermis and dermis. C. Subcutaneous injections are administered at a 30- to 45-degree angle based on the amount of subcutaneous tissue present. D. Pinching is advised for obese clients to lift the adipose tissue away from underlying muscle and tissue.

B. Subcutaneous injections are administered into the adipose tissue layer just below the epidermis and dermis.

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? A. The site is in close proximity to the sciatic nerve. B. The area is free of major blood vessels and fat. C. There is a high possibility of injecting into subcutaneous fat. D. The site lies close to the radial nerve.

B. The area is free of major blood vessels and fat.

The nurse is creating a professional development presentation about medication orders. Which teaching will the nurse include? Select all that apply. A. Use abbreviations as much as possible. B. The health care providers must sign all orders. C. Be extra cautious with look-alike and sound-alike drugs. D. U and IU are acceptable abbreviations to use. E. The prescribing provider is the only person accountable for drug orders.

B. The health care providers must sign all orders. C. Be extra cautious with look-alike and sound-alike drugs.

A client requests more medication for pain at the surgical site rated 8 out of 10. There is a PRN prescription for 10 mg PO of oxycodone for pain greater than 6 out of 10 on the pain scale. Which action should the nurse take first? A. Administer the prescribed amount of oxycodone. B. Verify clients name and date of birth C. Determine if the prescription is appropriate. D. Review file for adverse effects

B. Verify clients name and date of birth

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

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

The nurse is preparing to administer nasal medication via a dropper to a client with severe congestion. Into which position will the nurse place the client? A. prone B. supine C. oblique D. lithotomy

B. supine

The nurse is preparing to administer an enteric-coated aspirin to a client. The client states, "I cannot swallow that so you will have to crush it and put it in applesauce for me as the other nurse does." Which is an appropriate reply from the nurse? A. "The nurse should not have crushed this medication. It could have caused an allergic reaction." B. "I can crush the medication but will not be able to mix it in the applesauce, because it will limit the effectiveness." C. "Crushing the medication may cause the medication to irritate the stomach, so it must be swallowed whole." D. "I will ask the health care provider to cancel the prescription for aspirin since you are unable to take it."

C. "Crushing the medication may cause the medication to irritate the stomach, so it must be swallowed whole."

The nurse is to start providing care for an older adult client who sees several different health care providers and specialists. Which question should the nurse prioritize on assessment? A. "Why do you see so many different providers?" B. "Which provider seems to take the best care of you?" C. "Do you get all of your medications filled at the same pharmacy?" D. "How long have you been seeing a variety of providers?"

C. "Do you get all of your medications filled at the same pharmacy?"

The nurse is teaching a client with heart failure about taking digoxin safely. Which statement by the client indicates teaching was effective? A. "I will decrease the amount of potassium in my diet." B. "If my pulse is higher than 100 beats/min, I will hold the dose." C. "I will call the health care provider if I develop dizziness, blurred vision, or nausea." D. "I will store this medication in the refrigerator."

C. "I will call the health care provider if I develop dizziness, blurred vision, or nausea."

The nurse has just completed a teaching session with clients on safety precautions to take when applying a transdermal patch. Which statement made by the client indicates that the teaching was effective? A. "I will change the patch every 30 days." B. "I will shave my chest before applying the patch." C. "I will dispose of the patch with adhesive sides sticking together." D. "I will keep the patch off twice as much as how often I keep it on."

C. "I will dispose of the patch with adhesive sides sticking together."

Which statements made by the nurse indicate how insulin pens simplify self-administered insulin for clients? Select all that apply. A. "The plastic cylinders of insulin pens are softer." B. "Insulin pens are less expensive than insulin vials." C. "The cylinder of the insulin pen contains a prefilled reservoir of insulin." D. "The dose of insulin in an insulin pen is displayed in a window of the syringe." E. "The insulin pen automatically resets the dose window to zero, following the injection."

C. "The cylinder of the insulin pen contains a prefilled reservoir of insulin." D. "The dose of insulin in an insulin pen is displayed in a window of the syringe." E. "The insulin pen automatically resets the dose window to zero, following the injection."

A nurse is administering a subcutaneous injection to a client. What is the common maximum volume of a subcutaneous injection? A. 3 mL B. 0.01 mL C. 1 mL D. 0.05 mL

C. 1 mL

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? A. Clean the external ear of drainage with cotton balls moistened with water or normal saline solution. B. Straighten the auditory canal by pulling the cartilaginous portion of the pinna up and back. C. Ask the client to remain lying down for at least 5 minutes. D. Immediately repeat the application in the second ear if prescribed.

C. Ask the client to remain lying down for at least 5 minutes.

Which is a recommended guideline for the nurse who is administering a piggyback intermittent intravenous infusion of medication? A. Ask the health care provider to specify the correct infusion rate. B. Using clean technique, remove the tubing spike cap and the cap on the port of the medication container. C. Attach infusion tubing to the minibag by inserting the tubing spike into the port with a firm push and twisting motion. D. Place the minibag lower than the primary solution container.

C. Attach infusion tubing to the minibag by inserting the tubing spike into the port with a firm push and twisting motion.

The nurse has given a client an injection. How will the nurse prevent an accidental needle stick? A. Immediately activate the safety needle and hold it close to the body until disposing it into the Sharps container. B. Immediately activate the safety needle and have a colleague hold the Sharps container within reach for disposing of the syringe and needle. C. Immediately activate the safety needle and place the syringe and needle into a Sharps container. D. Immediately activate the safety needle and remove the needle from the syringe. Place the needle in the Sharps container and the syringe in the trash.

C. Immediately activate the safety needle and place the syringe and needle into a Sharps container.

The nurse is assessing a client who was seen 7 days ago with strep throat. The client states, "I felt better after 2 days of the antibiotic the provider prescribed, so I quit taking it." What would the nurse do to address this situation? A. Instruct the client to return to taking the current prescribed medication until it is all gone B. Offer to speak to the provider for different treatment options C. Provide education on taking all antibiotics for effective treatment D. Instruct the client to take both the current antibiotic along with a new prescribed antibiotic to avoid antibiotic resistance

C. Provide education on taking all antibiotics for effective treatment

Which parts of the syringe and needle must be kept sterile when preparing and administering an injection? Select all that apply. A. The outside of the cap B. The outside of the barrel C. The needle hub D. The needle E. Inside the barrel

C. The needle hub D. The needle E. Inside the barrel

The nurse enters a client's room to administer preoperative antibiotics. Which rights of medication administration must the nurse follow? A. Heart rate B. Blood type C. Time D. Room

C. Time

A client requests more medication for pain at the surgical site rated 8 out of 10. There is a PRN prescription for 10 mg PO of oxycodone for pain greater than 6 out of 10 on the pain scale. Which action should the nurse take first? A. Determine if the prescription is appropriate. B. Administer the prescribed amount of oxycodone. C. Verify clients name and date of birth D. Review file for adverse effects

C. Verify clients name and date of birth

The nurse is providing teaching to an older adult with arthritis and an implanted catheter. What living arrangement does the nurse anticipate in the discharge plan of care? A. assisted living arrangement B. long-term care facility admission C. home nursing visits D. continued inpatient admission

C. home nursing visits

The nurse is administering a rectal suppository. How far will the nurse insert the suppository? A. just past the opening of the anus B. far enough to still visualize the end of the suppository C. past the internal sphincter D. until the client reports feelings of discomfort

C. past the internal sphincter

A client with an infection is receiving intravenous antibiotic therapy. The client has an intermittent infusion device in place. The nurse flushes the device with normal saline solution before administering the antibiotic based on which rationale? A. to minimize the danger of fluid overload B. to allow increased mobility for the client C. to prevent blood clot formation D. to facilitate cannulation of the central vein

C. to prevent blood clot formation

During a teaching session on self-administration of insulin, the client asks the nurse why it is necessary to bunch the skin before inserting the needle. What is the nurse's best response? A. "Bunching your skin controls bleeding." B. "Bunching your skin steadies the syringe." C. "Bunching your skin ensures complete delivery of the insulin." D. "Bunching your skin facilitates the placement of the needle in the subcutaneous tissue."

D. "Bunching your skin facilitates the placement of the needle in the subcutaneous tissue."

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

D. "sustained action"

A young woman has an IV infusing for magnesium sulfate to treat preterm labor. The woman develops a fever. What is the first assessment the nurse should make? A. Assess the client's blood pressure. B. Assess the vaginal mucosa. C. Monitor the IV infusion rate. D. Assess the IV site for redness.

D. Assess the IV site for redness.

Which situation accurately describes a recommended guideline when administering oral medications to clients? A. Assume that the client is the authority on whether or not the medication was swallowed. B. If a pill is dropped, it should be briefly immersed in saline to remove any dirt or germs. C. If a client vomits immediately after receiving oral medications, readminister the medication. D. If a child refuses to take medication, crush the medication, if allowable, and add to a small amount of food.

D. If a child refuses to take medication, crush the medication, if allowable, and add to a small amount of food.

Which technique should the nurse employ when instilling otic medication in an adult ear? A. Tilt the client's head toward the ear in which the medication is being instilled. B. Tilt the client's head back with face upward. C. Pull the client's ear down and back. D. Pull the client's ear up and back.

D. Pull the client's ear up and back.

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? A. No extra documentation is necessary. B. Have another nurse cosign the order input. C. Tell the provider to sign the order as soon as possible. D. Record "T.O." at the end of the order.

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

When administering heparin subcutaneously, the nurse should: A. aspirate after the injection. B. aspirate before the injection. C. vigorously massage the site. D. never aspirate.

D. never aspirate.

The nurse is preparing to withdraw liquid medication from an ampule for injection into an IV. What is the appropriate action for the nurse to take when withdrawing the medication? A. use a needleless IV injector B. withdraw the medication and then squirt some of the medication out before injecting C. choose a smaller needle for injection so no particles will enter the syringe D. use a filter needle to withdraw the medication

D. use a filter needle to withdraw the medication