Chapter 28 - Medications

A nurse is teaching an older adult at home about taking newly prescribed medications. Which information would be included? a. "You can identify your medications by their color" b. "I have written the names of your drugs with times to take them" c. "You won't forget a medication if you count them every day" d. "Don't worry if the label comes off; just look at the shapes"

"I have written the names of your drugs with times to take them"

What would a nurse instruct a client to do after administration of a sublingual medication? a. "Take a big drink of water and swallow the pill" b. "Try not to swallow while the pill dissolves" c. "Swallow frequently to the best benefit" d. "Chew the pill so it will dissolve faster"

"Try not to swallow while the pill dissolves"

A nurse is converting the dosage of a medication to a different unit in the metric system. The medication label specifies the drug as being 0.5g per tablet. The oder is for 500mg. How many tablets will the nurse give? a. 1 b. 2 c. 5 d. 10

1

A nurse needs to administer an intradermal tuberculin skin test injection to a client. Which of the following is the most suitable angle when administering an intradermal injection? a. 180 degree angle b. 90 degree angle c. 45 degree angle d. 10 degree angle

10 degree angle

A physician has ordered peak and trough levels of a medication. When would the nurse schedule the trough level specimen? a. Before administering the first dose b. Immediately after the first dose c. 30 minutes before the next dose d. 24 hours after the last dose

30 minutes before the next dose

Which of the following clients receives a drug that requires parenteral route? a. A woman who has been ordered intravenous antibiotics b. A woman who takes a diuretic pill each morning c. A man with emphysema who uses nebulized bronchodilators d. A man who has an antifungal ointment applied to his skin rash daily

A woman who has been ordered intravenous antibiotics

A client who is taking an oral narcotic for pain relief tells the nurse he is constipated. What is this common response to narcotics called? a. Therapeutic effect b. Adverse effect c. Toxic effect d. Idiosyncratic effect

Adverse effect

A client diagnosed with anemia is receiving a blood transfusion. The client develops urticaria accompanied by wheezing and dyspnea not long after the transfusion starts. The nurse interprets this as indicative of which of the following? a. Allergic reaction b. Side effect c. Toxicity d. Antagonism

Allergic reaction

A nurse should read the instruction stated on a vial container before reconstituting it and administering it to a client. Which of the following instructions are stated on the label of a vial container? a. Type of needle to be used for withdrawal b. Directions for administering the drug c. Best site for administering the drug d. Amount of diluent to be added

Amount of diluent to be added

A nurse is caring for a client in the nursing unit when the physician, during the rounds, prescribes a medication for the client. What appropriate action should the nurse take to ensure the accuracy of the verbal medication order? a. Ask the physician to repeat the dosage b. Ask the physician to spell out the medication name c. Ask a second nurse to listen for accuracy d. Ask the physician to write out the order

Ask the physician to write out the order

Medications administered that are renal toxic should have frequent assessments of the blood values? a. AST and ALT b. BUN and creatinine c. WBC and platelets d. RBC and differential

BUN and creatinine

A nurse is administering a liquid medication to an infant. Where will the nurse place the medication to prevent aspiration? a. Between the gums and the cheek b. In front of the teeth and gums c. On the front of the tongue d. Under the tongue

Between the gum and the cheek

A nurse at a health car facility administers a prescribed drug to a client and does not record doing so in the medical administration record. The nurse who comes during the next shift, assuming that the medication that has not been administered, administers the same drug to the client again. The nurse on the previous shift calls to inform the health care facility that the administration of the drug to this client in the earlier shift was not recorded. What should the nurse on duty do immediately upon detection of the medication error? a. Report the incident to the physician b. Report the incident to the supervising nurse c. Check the client's condition d. Fill in the accident report sheet

Check the client's condition

What does the nurse do to verify an order for a medication listen on a medication administration record (MAR)? a. Compare it with the original physician's order b. Ask another nurse what the drug is c. Look up the drug in a textbook d. Call the pharmacist for verification

Compare it with the original physician's order

A student nurse is administering medications through a nasogastric tube connected to continuous suction. How will the student do this accurately? a. Briefly disconnect tubing from the suction to administer medications, then reconnect b. Realize this can't be done, and document the information c. Disconnect tubing from the suction before giving drugs, and clamp tubing for 20-30 minutes d. Leave the suction alone and give medications orally or rectally

Disconnect tubing from the suction before giving drugs, and clamp tubing for 20-30 minutes

A nurse has administered an intramuscular injection. What will the nurse do with the syringe and needle? a. Recap the needle; place it in a puncture-resistant container b. Do not recap the needle; place it in a puncture-resistant container c. Break off the needle, place it in the barrel, and throw it in the trash d. Take off the needle and throw the syringe in the client's trash can

Do not recap the needle; place it in a puncture-resistant container

A nurse at the health care facility is preparing the medication dosage for a client. Why should the nurse read and compare the label on the medication with the MAR at least three times (before, during, and after) while preparing the medication for administration? a. Ensures that the right medication is given at the right time by the right route b. Complies with the medical order and ensures that the right dose is given c. Ensures that the medication has been administered to the right client d. Demonstrates timely administration and compliance with the medical order

Ensures that the right medication is given at the right time by the right route

The nurse is preparing to administer a medication via a nasogastric tube. What guideline is appropriate for the nurse to follow when administering a drug via this route? a. Flush the tube with water between each drug administered b. Position the client supine prior to administering the drug c. administer the medication at a cold temperature d. if connected to suction, do not reconnect to suction for five minutes after drug administration

Flush the tube with water between each drug adminstered

A nurse is administering an intramuscular injection of a viscous medication using the appropriate-gauge needle. What does the nurse need to know about needle gauges? a. All needles for parenteral injection are the same gauge b. The gauge will depend on the length of the needle c. Ask the client what size needle is preferred d. Gauges range from 18-30, with 18 being the largest

Gauges range from 18-30, with 18 being the largest

A physician has ordered that a medication be given "stat" for a client who is having an anaphylactic drug reaction. At what time would the nurse administer the medication? a. At the next scheduled medication time b. Immediately after the order is noted c. Not until verifying it with the client d. Whenever the client asks for it

Immediately after the order is noted

A nurse needs to administer a prescribed dose of a narcotic medication to a client with acute neck pain. Which of the following precautions should the nurse take when storing narcotic medications? a. In a double-locked drawer b. In a single container c. In a self-contaminated packed d. In disguised drawers

In a double-locked drawer

A client with allergy has been advised to have an allergy test. The nurse needs to administer an injection to the client for allergy testing. Which of the following injection routes is most sustainable for allergy testing? a. Subcutaneous b. Intramuscular c. Intradermal d. Intravenous

Intradermal

A nurse at a health care facility has to instill ear drops in a client. The nurse knows that which of the following techniques varies for an adult and child client? a. Manipulation of the client's ear to straighten the auditory canal b. Dilution of the medication drops before instilling the client's ear c. Position in which the client remains until medication reaches the eardrum d. Amount of time before instilling medication in the client's opposite ear

Manipulation of the client's ear to straighten the auditory canal

The "Rights of Medication Administration" help to ensure accuracy when administering medications. Which of the following represent these five rights? a. Medication b. Client c. Prescribing physician d. Pharmacy e. Dosage f. Route

Medication, Client, Dosage, and Route

What is the name of the process by which a drug moves through the body and is eventually eliminated? a. Pharmacology b. Pharmacotherapeutics c. Pharmacokinetics d. Pharmacodynamics

Pharmacokinetics

A nurse is showing an older adult client the correct method of self-administering an insulin injection at home. Which of the following points should the nurse tell the client in order to avoid lipoatrophy and lipohypertrophy? a. Change the needle daily with each injection b. Rotate the site with each injection c. Apply local anesthetic to the injection site d. Massage the injection site for 10 minutes

Rotate the site with each injection

A physician writes an order for ampicillin 1 gram every 6 hours for a client. What is missing in this order? a. Time b. Amount c. Route d. Frequency

Route

A client with dry skin has been prescribed inunction. Which of the following should the nurse do to promote absorption of the ointment? a. Shaking the contents of the ointment b. Applying inunction with a cotton ball c. Rubbing the ointment into the skin d. Warming the inunction before application

Rubbing the ointment into the skin

Which medication system allows for client independence? a. Unit dose system b. Self-administered medication system c. Automated medication-dispensing system d. Bar Code medication administration

Self-administered medication system

A client taking insulin has his levels adjusted to ensure that the concentration of drug in the blood serum produces the desired effect without causing toxicity. What is the term for this desired effect? a. Peak level b. Trough level c. Half life d. Therapeutic range

Therapeutic range

A nurse is bunching the tissues of a client when administering a subcutaneous injection to that client. The nurse knows that which of the following is the reason for bunching when injecting subcutaneously? a. To prevent needle-stick injuries b. To ensure the accuracy of landmarking c. To facilitate blood circulation at injection site d. To avoid instilling medication within the muscle

To avoid instilling medication within the muscle

A nurse is administering a medication that is formulated as enteric-coated tablets. What is the rationale for not crushing or chewing enteric-coated tablets? a. To prevent absorption in the mouth b. To prevent absorption in the esophagus c. To facilitate absorption in the stomach d. To prevent gastric irritation

To prevent gastric irritation

A clinic nurse is preparing for a tuberculosis screening. Knowing the injections will be administered intradermally, what size needles and syringes will the nurse prepare? a. 10mL syring, 3in 18 gauge needle b. 5mL syring, 2in 20 gauge needle c. Insulin syringe, 1in 16 gauge needle d. Tuberculin syringe, 1/2in 26 gauge needle

Tuberculin syring, 1/2in 26 gauge needle

A nurse is conducting an interview for a health history. In addition to asking the client about medications taken, what else should be asked to assess the risk for drug interactions? a. The effects of prescribed medications b. Type and amount of foods eaten c. Daily amount of intake and output d. Use of herbal supplements

Use of herbal supplements

The medical chart of a newly admitted client notes a penicillin allergy, yet the physician has just written an order for an antibiotic in the same drug family after reviewing the client's wound culture and sensitivity. How should the nurse respond to this situation? a. Withhold the medication until the potential drug allergy has been addressed by the care team b. Administer the medication and increase the frequency of assessments in the hours that follow c. Substitute an antibiotic with similar action, but which is from a different drug family d. Discuss the severity, signs, and symptoms of the drug allergy with the client in order to ascertain the risks of administration

Withhold the medication until the potential drug allergy has been addressed by the care team