Ch 2 Admin of Drugs

The nurse is preparing to administer a prescribed drug parenterally using the Z-track method. The nurse would correctly administer the drug by which route?

intramuscular

To safely administer medications to clients, a nurse's responsibilities include what intervention?

interpreting the prescriber's prescriptions accurately

An infant's current weight indicates that the maximum safe dose of acetaminophen is 30 mg by mouth. The health care provider orders 65 mg to be given, and the nurse administers acetaminophen 65 mg. Who is legally responsible in the event that the infant has a toxic reaction to the medication?

the nurse

The home care nurse is teaching a family member about transdermal medication administration. Which statement by the family member indicates a need for further instruction?

"I will throw the old patch away in the trash container in the kitchen."

The nurse should use which needle when administering a nonviscous solution by the intramuscular (IM) route for an adult?

1.5 inches (3.8 cm), 22 gauge

When administering a subcutaneous injection to a client weighing 165 lb (74.8 kg) and who is is 5 ft 2 in (1.5 m 5 cm) tall, the nurse should insert the needle at which degree angle?

45

The nurse receives instruction for medication administration on what system that operates using a computer touch screen?

Automated medication management system

The nurse realizes that errors in drug calculations are caused by which factors? Select all that apply.

Human error Poor lighting Interruptions Taxing workload

The nurse is required to administer 4 mL of an intramuscular (IM) injection to the client. Which action would be most appropriate?

Divide the drug and give it as two separate injections.

The nurse is required to inject a drug into the ventrogluteal muscles of the client. How should the nurse position the client?

prone position with toes pointing inward

What is the maximum amount of drug a nurse can give a client using the intramuscular method? Fill in the blank with a number.

3

There is a limit to the amount of medication that can safely be administered intramuscularly to an adult. What is that amount?

3

The nurse is performing ear irrigation on a client with impacted cerumen. This is an example of what type of medication administration?

Topical

The nurse is in the hall outside Room 433 preparing medications when a member of the client's family in the adjacent room 432 approaches the nurse and asks a question. What is the nurse's best action in this situation?

Explain to the family member that the nurse is unable to discuss the situation at this time but will return later.

A student nurse is administering medications at a long-term care facility. Which of the following liquid medications is for topical administration?

Eye drops

One route of medication administration requires special precautions to avoid complications. What route is this?

GI tube

The nurse is preparing to discharge a client who has begun to use subcutaneous insulin. What would be the best choice of container for the client to use for disposal of used needles and syringes?

Gallon plastic milk container with a screw-on lid

Which should be administered intradermally? (Choose one)

PPD skin test

The health care provider has ordered a troche to be administered to a client. What instructions should be given to the client for correct administration of the medication?

Place the troche between your cheek and lower gums and allow it to dissolve.

A nurse, who is required to administer a drug twice a day to a client, forgets to administer the first dose. What would be most appropriate for the nurse to do? Select all that apply.

Report the drug error immediately. Complete an unusual occurrence report regarding the error. Notify the primary care provider immediately.

A nurse is preparing to administer a prescribed medication by subcutaneous injection. When determining the amount to give, the nurse would keep in mind the maximum volume that should be given in a subcutaneous injection as how much?

1

A nurse should use how many methods to identify the client before administering the medication?

2

A nurse should use how many methods to identify the client before administering the medication? (Choose one)

2

The nurse is required to administer 2 mL of a subcutaneous (SC) injection to the client.The injection should be given in _____ sites, with separate needles and syringes.

2

A nurse is preparing to administer an intramuscular injection of an older adult's seasonal influenza vaccination. What size needle should the nurse use to administer the injection?

20 gauge

A nurse is to give an intermittent infusion. Approximately how long will it take for the infusion to be given?

30 to 60 minutes

A nurse is preparing to give a subcutaneous injection. Which of the following angles could the nurse use to deliver the injection? Select all that apply.

45 90

A nurse is preparing to give a client an intermittent infusion. How much fluid would the nurse know that the infusion will be diluted with?

50 to 100 mL

The nurse has received this medication order: Amoxicillin 250 mg every 8 hours. What should the nurse do?

Call the health care provider for clarification

The nurse working the night shift administered 10 mg of an oral medication to a client instead of 5 mg. What is the nurse's next step after discovering the medication error? Select all that apply.

Call the health care provider. Complete an unusual occurrence report. Take the client's vital signs.

Which of the following are examples of changes being made to medication systems to reduce the possibility of errors? Select all that apply.

Computerized provider order entry Bar coding Medication reconciliation

A client asks the nurse why all medications cannot be given by the oral route. The nurse explains the disadvantages of the route of oral medications are which? Select all that apply.

Dosage is unknown because some drug is not absorbed and some is metabolized in the liver before reaching the bloodstream. Slow drug action Irritation of gastrointestinal mucosa by some drugs

Which of the following abbreviations would the nurse make sure to avoid using in care plans, nurses' notes, or medical orders at accredited health care organizations? Select all that apply.

IU QD 2.0 mg

The absorption rate of drugs varies according to the route of administration. Rank the order of absorption from most rapid to least rapid.

IV, IM, SC, PO

A client has an order to receive 10 units of Lantus insulin at bedtime via subcutaneous injection. Which sites would be ruled as inappropriate for the injection? Select all that apply.

Inner forearm Gluteus maximus

An LPN/LVN is preparing to administer medications and knows that which routes of drug administration may only delivered by the health care provider? Select all that apply.

Intra-arterial Intra-articular Intracardial

In response to a client's nausea, the nurse has mixed a dose of an antiemetic with 50 mL of sterile normal saline and will administer the dose by IV piggyback. What is the rationale for the use of IV piggyback?

The client is receiving continuous IV fluids in addition to IV medications.

The nurse is observing a client applying a transdermal patch and knows the client needs further instruction when which of the following occurs?

The client shaves the skin prior to applying the patch.

A nurse is using and electronic medication cart with a bar-coded, point-of-care medication system. What must the nurse scan with the bar coder prior to administering medication to a client? Select all that apply.

The client's identification band The medication The nurse's own badge

A nurse is preparing to give a subcutaneous injection. Which are the most likely sites for the injection? Select all that apply.

Upper arm Back Abdomen Thigh

The nurse receives a verbal order from a health care provider. To ensure safe medication administration, what steps are completed?

Write down the order exactly as the health care provider said it. Read the order back to the health care provider. Request verbal confirmation that the order is correct as written.

After teaching a group of nursing students about the Joint Commission and National Patient Safety Goals (NPSG), the instructor determines that the teaching was successful when the group identifies that the NPSG is updated at which frequency?

annually

Prior to administration of an oral medication to a client, what should the nurse assess for? Select all that apply.

assess for nausea capacity to swallow knowledge of medication

What actions should the nurse engage when providing appropriate, effective nursing care? Select all that apply.

assessing diagnosing planning implementation

The nurse is preparing to administer a prescribed drug and scans the client's hospital identification band, the drug unit dose package, and the identification badge. Which type of drug distribution system is the nurse using?

bar-coded point-of-care medication system

Medication reconciliation is a process designed to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions that can occur throughout a client's hospitalization. The list of medications developed from the medication history is:

compared to newly prescribed medications.

The nurse is preparing to administer medications and demonstrates knowledge of the 6th right by:

documenting the medication after administration.

A nurse has received an order to administer a TB skin test to a client. The nurse will inform the client that TB skin tests are most often given intradermally in what part of the body?

medial forearm

What is essential for the nurse to obtain before administering a medication to the client?

health care provider's prescription

Which drugs would a nurse identify as being most often associated with errors? Select all that apply.

insulin heparin

The nurse is preparing to administer allergy skin testing. Through which parenteral route should the nurse administer drugs to the client to optimize results?

intradermal

A nurse is preparing to administer a medication parentally. What are the routes of parenteral drug administration? Select all that apply.

intradermal intravenous intramuscular subcutaneous

A client who has ongoing pain issues has been prescribed meperidine (Demerol) IM. The nurse should best administer this medication into the client's:

thigh using a large-gauge needle.