Ch 29- Medications
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?
5 min
Which instruction by the nurse could assist the client in estimating the amount of medication in the canister?
Look on the canister and see how many puffs the canister contains
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?
Record "T.O." at the end of the order.
Which statement by a client indicates to the nurse that teaching was effective regarding the different parts of a syringe?
"The plunger is the part of the syringe that moves back and forth to withdraw and instill medication."
A client has been prescribed 300 mg of an oral antibiotic. It is available in 200 mg tablets. How many tablets will the nurse administer? Record your answer using one decimal place.
1.5
A pediatric client has a fever for which the provider has prescribed ibuprofen 200 mg orally every 6 hours. The instructions on the bottle indicate there is 100 mg/5ml. How many milliliters should the nurse give? Record your answer using a whole number.
10
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?
30 mL
The hospital nurse is using barcode medication administration software when preparing to administer medication to a client. When the scanning system cannot identify the client's identity, what is the appropriate nursing action?
Contact the pharmacy and information technology department for assistance.
A nurse is explaining to a client the correct method of using a metered-dose inhaler when self-administering a prescribed dose of medication. What is a feature of a metered-dose inhaler?
It is a canister that contains pressurized medication.
The nurse is caring for a client who has had a stroke. Prior to administering oral medications, what is the appropriate nursing action?
Request that the provider obtain a speech therapist's evaluation.
A nurse brings a client the prescribed dose of medication and finds that the client is not in the unit. What should the nurse do in this case?
Return the medication to the medication cart or medication room.
Regarding medication administration, what must occur at the change of shifts?
The opioids for the division are counted.
What is the term used for the concentration of drug in the blood serum that produces the desired effect without causing toxicity?
Therapeutic range
The client states "I think my IV dressing needs to be changed." In which instance should the nurse change the dressing?
When the dressing is loose, bloody or wet.
A nurse needs to administer a subcutaneous heparin injection to a client. Which injection site is most suitable for heparin?
abdomen
Which physiologic change should the nurse take into consideration when administering topical application to older adults?
decreased subcutaneous fat
A nurse is using the Z-track technique to administer an injection to a client. Which injection route utilizes the Z-track technique?
intramuscular
The client cannot swallow and just had an enteral tube placed for feeding and medications. Medications will have to be in liquid form or crushed for administration. The client has the following medications prescribed. Which medication will the nurse withhold and consult with the health care provider?
oxycodone extended release tablet
The nurse transcribes an order that reads: Colace 100 mg PO daily. This is an example of which type of order?
standing order
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
The primary reason for the Controlled Substances Act is:
to prevent drug use and dependence.
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