Chapter 2: Administration of Drugs - PrepU

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

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

The nurse is caring for a client who receives intramuscular (IM) injections. What needle gauge is commonly used for an IM injection?

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

Nurses are responsible for which part of the drug distribution process?

Administration

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

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

Automated Medication Management System

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 Always use a leading zero when writing decimals (i.e., 0.2 mg not .2 mg) and leave off the trailing zero (i.e., 2 mg not 2.0 mg). Always write out units, international units, and daily do not use U, IU, or QD.

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

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

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.

Medication orders are written with very specific criteria and coincide with the rights of medication administration. What critical piece of information is missing from the following medication order? Cephalexin 250 mg every 8 hours.

Route

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 client an intermittent infusion. How much fluid would the nurse know that the infusion will be diluted with?

50 to 100 mL

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

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 Explanation: The nurse should have a health care provider's prescription before administering any medication. A nurse should not administer drugs on the primary care provider's verbal prescription unless there is an emergency. The drug prescription and medical history of the client provide information about the dosage schedule and the client's history, but these documentations alone do not allow the nurse to administer a medication.

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.

A nurse is caring for a client whose physician has just written a new medication order. While reviewing the order, the nurse has difficulty reading the prescribed dosage because the physician's handwriting is illegible. What should the nurse do?

Call the physician and request clarification.

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.

When administering oral medications to a client, what is most important for the nurse to have available at the bedside?

Cup of Water

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

Documenting the medication after administration.

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

Health Care Provider's Prescription

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

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

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

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

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

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

Topical