Medication 50 question quiz

An oral medication has been ordered for a patient who has a nasogastric tube in place. Which nursing activity would increase the safety of medication administration?

check the tube placement before administration

The primary care provider prescribes digoxin 0.15 mg by mouth daily, for a child. The pharmacy supplies the digoxin in liquid form at a concentration of 0.05 mg/mL. How much of the medication should the nurse administer at each dose? Record your answer using a whole number.

3 0.15 mg/x = 0.05 mg/1 mL. 0.05x = 0.15 mL. x = (0.15/0.05) mL. x = 3 mL. Thus, the correct dosage will be contained in 3 mL of the drug in solution.

Which of the following medication dosages is properly written?

0.25 mg

A client with severe pain is prescribed hydromorphone 10 mg by mouth every 4 hours as needed for pain. The client rates the pain as eight on a one-to-ten scale, so the nurse prepares to administer a dose. The oral liquid contained in the unit's opioid stock contains 5 mg/5 ml. How many milliliters of solution should the nurse give to the client? Record your answer using a whole number.

10 This formula is used to calculate drug dosages: dose on hand/quantity on hand = dose desired/X. In this example, the equation is as follows: 5 mg/5 ml = 10 mg/X. Therefore, X = 10 ml.

A physician orders Cipro 500 mg, PO q12h for a patient with bronchial pneumonia. The nurse has Cipro 250 mg on hand. How many tablets would the nurse dispense?

2 tablets 500/250

The physician writes an order for intravenous fluids to infuse at 150 mL per hour. If the drop factor of the tubing is 10, at how many drops per minute should the fluid infuse?

25 150 x 10/60

The nurse is instructing the client on insulin administration. The client is performing a return demonstration for preparing the insulin. The client's morning dose of insulin is 10 units of regular and 22 units of NPH. The nurse checks the dose accuracy with the client. The nurse determines that the client has prepared the correct dose when the syringe reads how many units? Record your answer using a whole number.

32 10 + 22= 32

A physician prescribes 150 mg of ibuprofen for a toddler whose temperature did not decrease after receiving acetaminophen. The oral suspension available contains 100 mg per 5 mL. How many milliliters of suspension should the nurse administer? Record your answer using one decimal place.

7.5 To perform this calculation, set up the following equation: 150 mg/X = 100 mg/5 mL Solving for X reveals that the nurse should administer 7.5 mL.

A client admitted with Hodgkin disease has a handwritten prescription for vinblastine 3.7 mg intravenously (IV) weekly. The nurse interprets the prescription as vincristine 3.7 mg and administers the wrong medication. The client becomes neurovascularly compromised and has a fatal reaction to the medication. The client's family begins a litigious suit against the facility and the nurse's license is suspended by the board of nursing. In preparation for the lawsuit, the nurse meets with the nurse attorney to review the events. Which appropriate statement, if given by the nurse, indicates he has an understanding of the lawsuit?

?I had a duty and it was my responsibility to get clarification before administering the medication, which I did not.?

Which of the following best exemplifies the role of the nurse as teacher?

A nurse discussing side effects of a medication with a client

A nurse gives a client 0.25 mg of digoxin instead of the prescribed dose of 0.125 mg. What should the nurse do next?

Assess the client and notify the client physician

A school-age client with type 1 diabetes is sick with the flu. What is the most important information for the nurse to convey regarding diabetes management during illness?

Blood glucose needs to be checked more frequently during illness.

A nurse is administering an anti-hypertensive drug to a hospitalized patient. What action should the nurse take to identify the patient prior to administration?

Check the patient's ID bracelet

A nurse is caring for a client with typhoid at a health care facility. The nurse checks the medication order in the client's chart for the drugs prescribed to the client. Which of the following is a required component of the medication order?

Client's name

You are caring for a patient who has a newly written order for "fluoxetine (Prozac) 20 mg by mouth daily for treatment of depression." You are unfamiliar with this medication. Which of the following actions is most appropriate?

Consult a professional medication reference before preparing to administer the medication.

You are reviewing a patient's newly written medication order and are unable to read the prescriber's handwriting. Which of the following actions by is most appropriate?

Contact the prescriber to clarify the order

A nurse is conducting an interview with a patient to collect a medication history. Which of the following questions would be used to ensure safe medication administration?

Do you have any allergies to medications

An adolescent with type 1 diabetes checks a blood glucose level at 9:00 p.m. (2100), 4 hours after dinner and regular insulin dose. The current blood glucose level is 60 mg/dl (3.3 mmol/L). The client reports shakiness. What should the nurse suggest?

Eat graham crackers with peanut butter and 8-oz (240 mL) of milk.

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 suitable for allergy testing?

Intradermal

Which of the following clients is likely to have altered metabolism of medications?

Elderly

A nurse is administering evening medications and notices that a medication was omitted during the day shift. Which of the following statements demonstrates the principle of accountability?

Filling out an occurrence report and notifying the health care provider

Which of the following medications is categorized as a loop diuretic?

Furosemide (Lasix)

The nurse is caring for a client who is administering insulin for diabetes mellitus for the first time. The nurse is instructing the client on mixing Humulin N insulin and Humulin R insulin in one syringe. Arrange the instructions in order. All options must be used.

Gently roll both insulins between your hands. Wipe with alcohol and inject air (equal to units ordered) into the Humulin N insulin. Wipe with alcohol and inject air (equal to units ordered) into the Humulin R insulin. Withdraw the Humulin R. Withdraw Humulin N insulin. Double check the total number of units in syringe.

A nurse is caring for a client with severe lower back pain. The doctor orders administration of an analgesic as a stat dose. When should the nurse administer the medication?

Immediately

A client with newly diagnosed diabetes requests information about how to give an injection. The nurse will use which communication technique for this client?

Informing about the proper injection technique

A nurse is ordered to administer epinephrine to a child who was stung by a bee and is allergic to insect bites. Which means of drug administration would the nurse use to achieve rapid absorption and quicker results in this emergency situation?

Injection

A nursing student reports to the instructor that a medication due at 9 a.m. was omitted. Which of the following principles is the student demonstrating?

Integrity

You are caring for a patient who just returned from the postanesthesia care unit (PACU) and rates current pain as "9 out of 10." Which of the following prescribed medications will provide the fastest relief from pain?

Intravenous morphine sulfate

A nurse is preparing a prescribed dosage of an inhalant medication for a client with asthma. Which of the following explains why inhalation is a good route for medication administration?

It allows the lung to quickly absorb the medication

A nurse is caring for a client with scabies. The client has been prescribed a drug that has a topical route of administration. Which of the following should the nurse tell the client regarding the administration of the drug?

It has to be applied on the skin

A client has been prescribed a drug that will be administered by buccal application. What should the nurse tell the client regarding buccal application of the drug?

It is placed against the mucous membrane of the inner cheek

The nurse is caring for a client who has been prescribed an enteric-coated drug. Which of the following should the nurse inform the client regarding the administration of this drug?

It should not be chewed or crushed

When administering heparin subcutaneously, the nurse should

Never aspirate

A client newly diagnosed with congestive heart failure has a prescription for digoxin (Lanoxin). The nurse counts the heart rate before administration of the medication and obtains a heart rate of 51 beats per minute. Which action by the nurse demonstrates adherence to the standards of nursing care?

Nurse withheld the medication and notified the health care practitioner

Which of the following techniques is best for the nurse to use in evaluating the parents' ability to administer eardrops correctly?

Observe the parents instilling the drops in the child's ear

Which of the following routes of medication administration is most commonly prescribed?

Oral

The process by which a drug moves through the body and is eventually eliminated is

Pharmacokinetics

A school-age client with diabetes is placed on an intermediate-acting insulin and regular insulin before breakfast and before dinner. She will receive a snack of milk and cereal at bedtime. What does the nurse tell the client the snack is intended to do?

Prevent late night hypoglycemia.

A physician writes an order for ampicillin 1 gram every 6 hours for Mr. Jameson Owens. What is missing in this order?

Route

A hospitalized patient asks the nurse for "some aspirin for my headache." There is no order for aspirin for this patient. What will the nurse do?

State that an order from the doctor is legally required and check with the doctor

A nurse is caring for a client at a health care facility who is undergoing nicotine withdrawal therapy and has been prescribed a nicotine patch. Which of the following is true with regard to the application of a transdermal patch?

The patch is applied to a skin area with adequate circulation.

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 nurse is teaching the patient to instill eye drops. Which of the following statements is correct?

Wash your hands before and after instilling eye drops and do not touch the tip of the bottle.

The nurse is preparing to administer digoxin to a client with heart failure. The nurse obtains an apical pulse rate for 1 minute and determines a rate of 52 beats/minute. What is the first action by the nurse?

Withhold the medication and notify the physician of the heart rate

A client has just received a dose of theophylline I.V. for asthma. What assessment finding should the nurse expect?

decreased pulmonary wheezing

A nurse is preparing to administer a medication by intravenous piggyback. Where will the piggyback container be placed?

higher than the primary solution container

A child's physician orders a drug for home use. Before the child is discharged, the nurse should:

provide the family with the drug's name, dosage, route, and frequency of administration.

A nurse in a long-term care facility consistently administers clients' medications 60 to 90 minutes after the scheduled administration time. The nurse also leaves scheduled treatment procedures for nurses to complete on the next shift. Which of the following would be an appropriate strategy for this nurse to pursue?

seek input and direction on time management and priority setting