Dewit's chapter 34 medication administration

The nurse receives an order to give vitamin D 10 mcg bid. The nurse recognizes that the abbreviation mcg refers to a measurement in:

micrograms.

When administering several medications via feeding tube, the nurse should:

mix each medication individually.

When the nurse sees the order for Milk of Magnesia 2 tablespoons, qod, hs, the nurse translates to mean he should give:

1 ounce of Milk of Magnesia every other day at bedtime.

The nurse explains that the patient with a respiratory disorder can open small airways to ease respiration effort with the use of:

albuterol (Proventil).

Before the nurse administers a dose of digoxin (Lanoxin) to a patient, the nurse should assess:

apical heart rate.

To reduce the systemic absorption of eye drops, the nurse should:

apply slight finger pressure over the lacrimal duct.

The nurse administering nitroglycerin ointment to a patient will:

apply with gloves or tongue blade.

Before the nurse administers a liquid medication to an 83-year-old male patient, the nurse should:

assess the swallowing reflex by offering a sip of water.

There is an order to give a patient 45 mL of Maalox. The nurse should administer ____ oz.

1.5

The physician writes a medication order on the order sheet of the patient. The order that includes all the necessary information is:

1/5/13 @ 0900: Warfarin (Coumadin) 1 mg p.o. qd A. Physician.

When administering medications to a patient with a feeding tube, the nurse should dissolve each crushed medication in at least _____ mL of water.

20 to 30

The nurse is aware that medications that should not be crushed and administered through a feeding tube include: (Select all that apply.) a. enteric-coated. b. liquid. c. sublingual. d. buccal. e. sustained-release. f. antineoplastics.

A, C, D, E, F

When applying ophthalmic ointments, the nurse should: (Select all that apply.) a. fill only the center of the conjunctival sac. b. ask the patient to roll the eye around and from side to side. c. remove excess ointment from the lid with a cotton ball. d. ask the patient to close the eyelids tightly to distribute ointment. e. remove gloves and perform hand hygiene.

B, C, E

A patient on the long-term care unit receives the wrong medication. The charge nurse should instruct which staff member to complete the incident report?

The nurse who discovered the error

A patient of the Cambodian culture reports that a new medication is not adequate for treatment because it is:

a smaller size than the older medication.

A nurse is providing instructions to a patient about how to use a metered-dose inhaler. The nurse should instruct the patient to:

breathe out through the mouth before positioning the canister.

The nurse checking the MAR finds that an order for an antibiotic is now 8 days old. The nurse should:

contact the physician for a new order.

A patient is attempting to put pills in his mouth from a medicine cup and drops one pill on the bed sheet. The nurse should:

discard the pill and get another from the dose pack.

The nurse is to administer a dissolved medication via feeding tube. After donning gloves and attaching the irrigation syringe to the tube, the nurse should next:

flush the tubing with 15 to 30 mL of tap water and add the medication just as the water is about to finish.

The nurse administering a nasal medication via an atomizer bottle should:

have the patient squeeze the bottle while inhaling.

For easier insertion of a rectal suppository, the nurse should position the patient in the __________ position.

left Sims

Data pertaining to a patients medication therapy that the nurse should document in the nurses notes, in addition to charting in the medication administration record (MAR), is:

medication side effects experienced.

A nurse is administering oral medications to a patient who is having intake and output (I&O) measured. When giving medications, it is most important to:

record the fluid taken on the intake record.

In the event of a discrepancy in the count of the narcotics between the day shift and the evening shift, the day nurse is required to:

remain on duty until the miscount is resolved.

An elderly patient is having difficulty swallowing an enteric-coated tablet for which there is no liquid form available. To help the patient swallow the dose more easily, the nurse should:

request the patient to tilt the chin down slightly to swallow.

A patient has an order for a nitroglycerin transdermal patch. The best way to ensure proper administration of this medication is to:

rotate sites to avoid skin irritation.

The nurse is aware that a medication error event that causes a patient death or causes serious injury to a patient is classified as a(n) _______ event.

sentinel

. A patient complains about the taste of the sublingual nitroglycerin and admits that he swallows it rather than holding it under his tongue. The nurse explains that sublingual medications:

should not be swallowed because it alters the absorption potential.

For an adult patient who has an order to receive an otic medication, the nurse should plan to administer it by pulling the pinna:

up and back.

The licensed nurse who is responsible for doing the narcotic count for the shift should count the drugs:

with a nurse coming on duty for the next shift.