Ch 29 Medications
deltoid
A nurse is administering an adult client's ordered antipsychotic drug intramuscularly. What would be the most appropriate site for administration?
"Reconstitution is the process of adding liquid, known as diluent, to a powdered substance."
The nurse just completed a refresher course on parenteral drug administration. Which statement by the nurse indicates that teaching was effective?
0.7 mL
A client is to take Demerol 35 mg IM. You have Demerol 50 mg per ml. How many ml will you administer?
intraosseous access
A 2-year-old child has been injured in a motor vehicle accident and is in immediate need of a blood transfusion for profuse bleeding. Which access site might the nurse expect to use for the infusion?
drugs bonded to an adhesive and applied to the skin
A client at a health care facility has been prescribed scopolamine, to be administered transdermally. Which statement describes transdermal application?
review the client's medication, allergy, and medical history
A client has been prescribed nasal medication. What care should the nurse take to avoid potential complications due to the administration of this medication?
"Medication stays in the chamber so you can continue to inhale it."
A client who has been prescribed an inhaler points to the spacer and asks, "What is this for?" What is the appropriate nursing response?
to prevent blood clot formation
A client with an infection is receiving intravenous antibiotic therapy. The client has an intermittent infusion device in place. The nurse flushes the device with normal saline solution before administering the antibiotic based on which rationale?
tactfully request the provider to input the order into the computerized provider order system
A health care provider who just arrived on the unit gives a verbal order to the nurse regarding a nonemergent client situation. What is the nurse's appropriate response?
ask the client to maintain the position for some time
A nurse at the health care facility needs to administer an otic application for a client with an earache. What should the nurse do after instilling the prescribed eardrops in the client's ear?
deltoid
A nurse is administering a hepatitis B shot intramuscularly. What would be the appropriate site for administration?
30 mL
A nurse is taking care of a 56-year-old man with end-stage liver disease. The nurse has a prescription to give 20 g of lactulose every 6 hours to treat the client's hepatic encephalopathy. On hand, the nurse has containers of lactulose that have 30 g in 45 ml. How many milliliters is the nurse going to administer every 6 hours to the client?
the nurse will have the client rate pain on the pain scale of 1 to 10 and proceed accordingly
A postoperative client's medication administration record (MAR) provides for PRN administration of a number of analgesics by various routes. Which action should the nurse take to assess the client's pain to determine the appropriate analgesic to administer?
self-contained packets that hold one tablet or capsule for individual clients
An acute care facility follows the unit dose supply method to supply medication to the clients. What is meant by the unit dose supply method?
IV infusion
An emergency room nurse is ordered to administer nitroglycerin to a client being treated for acute pulmonary hypertension. Which means of drug administration would the nurse use to achieve rapid results in this emergency situation?
20
The health care provider prescribes ciprofloxacin 500 mg PO q12h for a pediatric client with bronchial pneumonia. The nurse has liquid ciprofloxacin 250 mg/10 mL on hand. How many milliliters would the nurse dispense? Record your answer using a whole number.
set the antihypertensive dose aside pending assessment
The nurse administers the client's scheduled morning medications. The previous dose of antihypertensive was held due to a blood pressure that was too low according the health care provider's parameters. What does the nurse do with this scheduled unit-dose packaged antihypertensive medication?
2.5
The nurse has a prescription to administer 25 mg of furosemide IV to a client. The drug is supplied in a vial 40 mg/4 ml. How many milliliters will the nurse administer of the medication? Record your answer using one decimal place.
stay with the client while medications are taken
The nurse has confirmed the client's identity and provided a client with oral medications to take. What is the next appropriate nursing intervention?
provide education on taking all antibiotics for effective treatment
The nurse is assessing a client who was seen 7 days ago with strep throat. The client states, "I felt better after 2 days of the antibiotic the provider prescribed, so I quit taking it." What would the nurse do to address this situation?
miconazole
The nurse is caring for a client with a yeast infection. Which medication does the nurse anticipate will be prescribed?
administer the medication as prescribed
The nurse is preparing a medication from a vial and contaminates the plunger after the medication is drawn into the syringe. What should the nurse do next?
15 degree angle
The nurse is preparing to administer a tuberculin test. At which angle is the nurse expected to instill the drug?
intradermal
The nurse is preparing to administer a tuberculin test. Which route will the nurse select to administer this injection?
supine
The nurse is preparing to administer nasal medication via a dropper to a client with severe congestion. Into which position will the nurse place the client?
antineoplastic drugs can be absorbed through the skin
The nurse is teaching a nursing student regarding safety of chemotherapeutic medication. Which statement by the nurse is correct?
do not administer the medication with blood pressure 88/50 mmHg
The nurse prepares to administer an antihypertensive medication at 0900 for a client who has problems swallowing and has a blood pressure of 88/50 mm Hg. Which action should the nurse perform when administering the medication?
checking for documented allergies to food or drugs
Which assessment should be conducted by the nurse before the nurse administers tuberculin intradermal injection?
therapeutic range
What is the term used for the concentration of drug in the blood serum that produces the desired effect without causing toxicity?
placing a medication underneath the upper lip or in the side of the mouth
Which action describes buccal medication administration?