Med Admin Unit 5 Exam

mix each medication individually. Medications should be mixed separately to prevent clumping.

An important point for the nurse to remember when administering medication via feeding tube is to

leave the needle uncapped and dispose of it in the sharps container. Needles are not to be recapped and should be deposited in the sharps container.

A nurse has just administered a medication to a patient using a syringe that is not a safety syringe. To dispose of the needle and syringe safely, the nurse should

Lubricate the rounded end of the suppository with KY jelly. The pointed or rounded end (not the blunt or straight end) of the suppository should be lubricated with a water-soluble lubricant. Labial folds are opened with the non-dominant hand. The suppository should be insert one full finger length.

A nurse has an order to give a vaginal suppository to a patient. Which of the following is the best way to properly give this medication?

abdomen. The optimal site for heparin injection is the abdomen, because this area is not involved in muscular activity, as are the arms, buttocks, and legs.

A hospitalized patient has an order for subcutaneous heparin. The best location to administer this medication is the

Tell the child, in a simple explanation, why they are receiving the medication and how it will be given. The best approach is to confidently explain to the child what the drug is for and how it will be given using simple language and short sentences.

A hospitalized toddler is to receive an oral medication. Which approach is most beneficial to ensure that the child takes the dose?

Write the current date, time, and nurse's initials on the vial. Before replacing a newly opened multidose vial in the medication storage area, the nurse should write the date the vial was opened, the time it was prepared because out-of-date medication can chemically change. The nurse's initials should also be written on the vial.

A nurse has opened and used part of a new multidose vial of medication. Which action should be taken before replacing the vial in its storage area on the medication cart?

have another licensed nurse double-check the dose. The prudent nurse asks another nurse to check the prepared dose of drugs such as insulin, anticoagulants, and injectable digoxin.

A nurse is administering a dose of insulin to a patient. The nurse knows in order to practice safe and effective nursing, they should

check the patient's identification number on the wristband. The best method is to check both name and identification number on the wristband and compare it to the MAR.

A nurse is administering medications to a group of patients. Which of the following is the safest way to identify each patient?

record the fluid taken on the intake side of the record. When a patient is having I&O measured, the nurse must record all fluid that the patient drinks while taking medications in the oral intake column of the I&O sheet.

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

outside of the barrel. The needle, inside of the barrel, sides of the plunger, and tip of the syringe must be kept sterile.

A nurse is preparing to draw up medication to administer by injection. The nurse understands that the only part of the syringe that can be touched and not contaminated is the

breathe out through the mouth before positioning the canister. The patient should sit up or stand to take the medication, shake the canister to mix the medication with the propellant, breathe out through the mouth before positioning the canister, and hold the breath for at least 10 seconds before exhaling.

A nurse is providing instructions to a patient about how to use a metered-dose inhale (MDI). The nurse should instruct the patient to

For subcutaneous injection, it is best to use a 25-gauge, 1-inch needle.

A nurse is teaching a student nurse which size needle to use for a subcutaneous injection. The best choice is a

to avoid medication irritation. Z-track technique should be used with injection of this medication, because it creates a slanted needle track and avoids seepage of the medication back into subcutaneous or skin layers.

A patient has a medication order for iron dextran (Imferon) to be given using the Z-track technique. The rationale for using this method is

Under the tongue. Sublingual medications are placed under the tongue.

A patient has a sublingual medication ordered. The patient should put this medication

One-time (single) order A one-time (single) order is written for a drug to be given one time only. These orders are commonly written for medications to be given before surgery or diagnostic tests.

A patient has an order for "Valium 5 mg PO with a sip of water on call to OR." This is an example of which type of drug order?

rotate sites to avoid skin irritation. A nitroglycerin transdermal patch should be applied to an area with good circulation, such as the chest, shoulders, or upper arm, and should be placed over hairless areas, with the date and the nurse's initials written on the patch. Rotating sites prevents irritation.

A patient has an order for a nitroglycerin transdermal patch. Which of the following is the best way to ensure proper administration of this medication?

The nurse will squeeze the bottle while the patient inhales.. The proper procedure for using an atomizer bottle is to have the head hyperextended, holding one nostril closed and squeezing the bottle and inhaling at the same time.

A patient has an order to receive a nasal medication using a spray bottle. How would the nurse give this medication correctly?

determine if the two medications are compatible in the same syringe.

A patient has an order to receive two intramuscular medications at the same time. In order to mix the two drugs together in a syringe, the nurse should first

The nurse who discovers the error reports it and fills out the incident report.

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

call the pharmacy for a new bottle of the medication. The pharmacy should be called, because the medication is past the expiration date, and should not be given to the patient.

A patient is due for a 40-mg dose of furosemide (Lasix), at 9:00 AM on Sept. 28, 2015. The drug label reads "20 mg per tablet." The tablets in the bottle appear firm and unbroken. The expiration date on the bottle reads "June 2015." The best nursing action is to

assess the gag reflex. A factor to consider when giving anything orally is the condition of the patient (e.g., swallowing reflex).

A patient is receiving a liquid medication. Before the nurse administers the medication, the safest action is to

call the physician for an order to administer by the rectal or parenteral route. When a patient is experiencing nausea and vomiting, the nurse can consult with the physician to get an order for the drug to be changed to the rectal or parenteral route, as long as the drug is also supplied in that form.

A patient who is to receive a daily medication by the oral route has had nausea and vomiting for the last 24 hours. Which of the following is the best action to ensure that the patient receives the scheduled dose?

inner canthus to the outer canthus. To clean debris from eyes, wipe from the inner canthus to the outer canthus and clean lids with sterile normal saline and cotton balls.

A patient who needs an ophthalmic medication should have the eyelids and eyelashes cleaned before the eyedrop is administered. The proper procedure is to wipe from the

3 mL The maximum number of milliliters that can be injected into the ventrogluteal site is 3 mL.

A postoperative patient experiencing pain has an order for analgesic medication to be given by the intramuscular route. The maximum number of milliliters that can be injected into the ventrogluteal site is

apply slight finger pressure over the lacrimal duct. Blocking the entrance to the lacrimal duct by placing a finger over it helps reduce systemic absorption of an eyedrop.

After administering eyedrops to a patient, in order to reduce the systemic absorption of the eyedrops, the nurse will

Medical history The medical history contains information about the medical problems a patient has, so the nurse can correlate the reason a drug is being administered.

Before administering a medication to a newly assigned patient, which of the following would the nurse check to determine why the patient is receiving the medication?

up and back. The pinna of the adult should be pulled up and back, whereas that of a child younger than 3 years of age is pulled slightly down and back.

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

Left Sims Placing the patient in left Sims' position provides for easier insertion of the suppository into the rectum.

In which position should a patient be placed who needs to receive a rectal suppository for constipation?

with a nurse coming on duty for the next shift. Controlled substances must be counted by one nurse going off duty and one coming on duty at the change of each shift.

The licensed nurse is responsible for doing the narcotic count for the shift. As part of policy and procedure, at the end of the shift, the nurse needs to count the narcotics

inject into the vial an amount of air that is equal to the dose. The vial should be wiped with an alcohol swab before use, the needle should be inserted at a slight lateral angle to avoid coring the rubber stopper, and an amount of air equal to the dose should be injected into the vial, while the needle is kept below the level of the solution to withdraw the dose.

The nurse has an order to administer an injection of a medication that comes in a vial. The proper technique when withdrawing medication from the vial is to

ask the physician to consider a liquid form Enteric-coated tablets should not be crushed for easier swallowing. If a liquid form of the drug is available, the nurse should ask the physician to change the order.

The nurse is administering an enteric-coated oral medication to a patient who is unable to swallow tablets. The best nurse action is to

inject slowly to form a bleb. An intradermal injection should be done using a 1-mL syringe with a 25-, 27-, or 29-gauge needle that is mc032-1.jpg-inch long. The needle is inserted at a 15-degree angle, and medication is injected slowly to form a bump or a bleb underneath the skin.

The nurse is administering an intradermal injection to a patient who needs a tuberculin test. Which action should the nurse do to ensure proper administration?

mixing it in applesauce or soft food like pudding. A drug that is crushed needs to be mixed in something else, such as applesauce.

The nurse is going to administer a medication that must be crushed for the patient to take it. This medication is best given to the patient by

check the medications with the MAR, and perform three medication checks.

The nurse is preparing to administer feeding tube medications in tablet form. Before giving these medications, the nurse must first

require a longer needle because of his weight. For the obese patient, the needle length should be longer than the needle length for a thin person because of excess fatty layers.

The nurse is teaching a patient who weighs 325 pounds how to administer a subcutaneous injection. The nurse knows that, when administering this type of injection, the patient will

flush the tubing with 30 mL of tap water and add the medication just as the water is about to finish. The nurse should flush the tubing with tap water and add the medication as the water is about to finish. Administration of medication into the feeding tube should be done by gravity instillation, and pressure should be applied gently only if needed to initiate flow.

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

45-90 degrees. The needle is inserted at a 45 or 90 degree angle depending on the needle length and the size of the patient.

The physician orders the nurse to administer a subcutaneous injection to a patient. The best angle to insert the needle before administration is at?

vastus lateralis. The vastus lateralis is the best choice for children younger than 5 years old, because the gluteal muscle is not well developed.

When administering an intramuscular injection for a 4-year-old child, which is the best site to use?

The greater trochanter, anterior iliac spine, posterior iliac crest The palm is placed over greater trochanter, index finger toward the anterior iliac spine, and middle finger toward the posterior iliac crest.

When administering an intramuscular injection to an adult patient using the ventrogluteal site, which landmarks should be used to locate the area for injection?

30 mL of warm water. Each medication should be dissolved in 30 mL of warm water, which does not include the water used to flush the tube before and after giving medications.

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

three times. Medications should be checked three times to prevent medication errors.

When preparing medications for delivery to an assigned patient, the nurse should check each medication for accuracy of drug and dose

use sterile water or normal saline. The label or the drug insert packaged with the vial provides instructions about the type and amount of diluent to used.

When preparing to reconstitute a drug from a powder form, the nurse should first

rotate injection sites systematically. The patient should rotate injection sites systematically to promote absorption and to decrease tissue irritation.

When reinforcing instructions to a patient who will self-administer insulin injections at home, it is important to remind the patient to

Withhold the dose and verify the drug order. If a patient questions the dose given, the nurse should stop and verify the order.

When the nurse is administering a medication to a patient, she states that the tablet looks different from the one usually taken. Which action should be taken next?

using bare hands to prepare the dose. The nurse should wear gloves to avoid exposure to nitroglycerin.

When the nurse is administering nitroglycerin ointment to a patient, it is important to avoid

Medication side effects experienced Side effects of drug therapy are charted in the nurses' notes.

Which data pertaining to a patient's medication therapy should the nurse document in the nurses' notes in addition to charting in the medication administration record (MAR)?

The patient does not like the taste of the medication.

Which is the least valid reason to administer a drug by the parenteral route?

Demerol 75 mg IM PRN pain PRN and STAT orders are recorded in both the MAR and nurses' notes along with the reason why the medication was given, the result, and the duration of effect of medication.

Which medication order should be documented in the MAR and in the nurses' notes after it is given?

The right dose, right time, right patient, right route, and right drug.

Which of the following are considered to be rights of medication administration?