EAQ Quiz 3 Medication Administration

A client is being admitted for a total hip replacement. When is it necessary for the nurse to ensure that a medication reconciliation is completed? - After reporting severe pain - On admission to the hospital - Upon entering the operating room - Before transfer to a rehabilitation facility - At time of scheduling for the surgical procedure

B,D

What are common negligent acts of nurses found in the hospital setting? - Failure to notify the healthcare provider of problems - Failure to follow the six rights of medication administration - Failure to ensure the safety of a client with disequilibrium problems - Failure to notify a family member about the client's current status - Failure to administer medication during an emergency without consulting with the nursing manager

A,B,C

In what ways can a nurse prevent medication errors? - Avoid using abbreviations and acronyms - Minimize the use of verbal and telephone orders - Try to guess what the client is saying if the language is not understood - Document each dose of the drug using trailing zeros when recording the dose - Check three times before giving a drug by comparing the drug order and medication profile

A,B,E

A nurse is taking care of a client who has chronic back pain. What nursing considerations should be made when determining the client's plan of care? - Ask the client about the acceptable level of pain. - Eliminate all activities that precipitate the pain. - Administer the pain medications regularly around the clock. - Use a different pain scale each time to promote patient education. - Assess the client's pain every 15 minutes.

A,C

The nurse is preparing to administer ear drops to a client who has impacted cerumen. Before administering the drops, the nurse will assess the client for which contraindications? - Allergy to the medication - Itching in the ear canal - Drainage from the ear canal - Tympanic membrane rupture - Partial hearing loss in the affected ear

A,C,D

An older client asks, "How do I know that all the medications that I take are safe?" What information should the nurse include in response to this client's question? - "Ask your healthcare provider how and when you should be taking your medications." - "Stop taking a prescribed medication if you are not feeling better in a few days." - "Discard medications into the toilet that have exceeded the expiration date on the bottle." - "Check the name, dose, and instructions about administration of drugs each time before leaving the pharmacy." - "Inform your healthcare provider of the over-the-counter drugs, recreational drugs, and amount of alcohol you ingest."

A,D,E

A 15-year-old adolescent is admitted with partial- and full-thickness burns of the arms and upper torso. What are the purposes of administering pain medication by way of the intravenous route rather than the intramuscular route? - Adolescents are afraid of injections. - It decreases the risk of tissue irritation. - Severe pain is reduced more effectively. - Impaired peripheral circulation is bypassed. - It provides for more prolonged relief of pain.

B,C,D

The nurse is preparing discharge instructions for a client who has begun to demonstrate signs of early Alzheimer dementia. The client lives alone. The client's adult children live nearby. According to the prescribed medication regimen, the client is to take medications six times throughout the day. What is the priority nursing intervention to assist the client with taking the medication? - Contact the client's children and ask them to hire a private duty aide who will provide round-the-clock care. - Develop a chart for the client, listing the times the medication should be taken. - Contact the primary healthcare provider and discuss the possibility of simplifying the medication regimen. - Instruct the client and client's children to put medications in a weekly pill organizer.

Contact the primary healthcare provider and discuss the possibility of simplifying the medication regimen.

The nurse is caring for a client with deep partial-thickness burns who is receiving an opioid for pain management. What is the preferred mode of medication administration for this client? - Oral - Rectal - Intravenous - Intramuscular

Intravenous

After 3 months of supplemental oral iron therapy, there is no significant increase in an adolescent's hemoglobin level. Iron dextran is prescribed. What is the best way for the nurse to administer this medication? - With a transdermal needle - By massaging the injection site - With the use of the Z-track method - By administering a local anesthetic first

With the use of the Z-track method

A nurse is administering an intradermal skin test injection to a client. What is the next action the nurse needs to do after the medication has been injected? - Withdraw the needle and place a piece of gauze over the injection site. - Withdraw the needle and scrub the site with Betadine solution. - Withdraw the needle and vigorously wipe the area with an alcohol wipe. - Withdraw the needle and circle the area with a skin pen.

Withdraw the needle and place a piece of gauze over the injection site.

A nurse is reviewing a newly admitted client's medication administration record (MAR). Which element, if missing, makes the record incomplete? - Height - Allergies - Vital signs - Body weight

allergies

What is the most important nursing action involved in caring for a client using medications to manage disease? - Administering the medications - Teaching about the medications - Ensuring adherence to the medication regimen - Evaluating the client's ability to self-administer medications

Administering the medications

The registered nurse is teaching a nursing student about the process of medication reconciliation for a client who was admitted in a healthcare setting. Which statement made by the nursing student indicates a need for further education? - "I should check the new medication order against the current list of medicines." - "I should avoid asking about the over-the counter medications." - "I should obtain a comprehensive and current list of the client's medications." - "I should avoid distractions and go slowly when reconciling the client's medications."

"I should avoid asking about the over-the counter medications."

For a client with difficulty swallowing, the nurse should crush which medication? - Metoprolol extended release - Felodipine sustained release - Acetaminophen extra strength - Potassium chloride extended release

Acetaminophen extra strength

A client requests information about the prescribed medication regimen. What is the best response by the nurse? - Give a computer printout about the medication to the client. - Ask the client to state what is already known about the medication. - Advise talking to the primary healthcare provider to seek information about the medication. - Delegate the task of sharing information about the medication to the licensed practical nurse.

Ask the client to state what is already known about the medication.

To prevent excessive bruising when administering subcutaneous heparin, what technique will the nurse employ? - Administer the injection via the Z-track technique - Avoid massaging the injection site after the injection - Use 2 mL of sterile normal saline to dilute the heparin - Inject the drug into the vastus lateralis muscle in the thigh

Avoid massaging the injection site after the injection

A nurse is caring for a client who has developed dysphagia and is unable to swallow. The client is receiving around-the-clock opioid pain medications for cancer pain, and hospice has recently begun caring for the client. What is the best nursing intervention in preparing for the client's discharge? - Contact the client's healthcare provider to ask to substitute a liquid form of medications for the pill form. - Teach the client and family members to crush the pills and administer them with applesauce. - Contact the client's healthcare provider to discuss use of transdermal medications for pain control. - Teach the client and family members about addiction that may occur as a result of regular opioid use.

Contact the client's healthcare provider to discuss use of transdermal medications for pain control.

To ensure the safety of a client who is receiving a continuous intravenous normal saline infusion, the nurse should change the administration set how often? - Every 4 to 8 hours - Every 12 to 24 hours - Every 24 to 48 hours - Every 72 to 96 hours

Every 72 to 96 hours

The nurse is caring for a client who got discharged from the hospital. The nurse finds that the client is having difficulty in determining which medications to take. What would be the best nursing intervention in this situation? - The nurse fills and labels the medication bottles. - The nurse advises the caregiver to support the client in taking medication. - The nurse recommends the client's pharmacy to re-label the medication in large letters. - The nurse shows the client examples of pill organizers that will help the client to sort the medication.

The nurse recommends the client's pharmacy to re-label the medication in large letters.

A nurse is teaching an older client about proper medication use. Which statement made by the client indicates the need for further education? - "I will ask the pharmacist to give generic medications." - "I will use over-the-counter medicines along with prescribed drugs." - "I will continue my treatment by consulting a single healthcare provider." - "I will know the names and times of administration of the medications I am taking."

"I will use over-the-counter medicines along with prescribed drugs."

A nurse is teaching about near-miss events to a group of nursing students. What is appropriate for the nurse to include in the education? - They do not cause actual harm to the patient. - They may cause moderate harm to the patient. - They are caused by a variation in standard care. - They are caused by impaired immune functioning. - Their cause can be analyzed by failure mode effective analysis

A,C,E

The registered nurse is teaching a nursing student about the safety guidelines for nursing skills. Which statement by the student nurse indicates the need for further education? - "I should set up and prepare medications in distraction-free areas." - "I should advise the certified medical assistant to administer intravenous medication." - "I should be vigilant during the entire process of medication administration." - "I should identify each client using at least two identifiers before administrating medications."

"I should advise the certified medical assistant to administer intravenous medication."

A nurse is preparing to administer an ophthalmic medication to a client. What techniques should the nurse use for this procedure? - Clean the eyelid and eyelashes. - Place the dropper against the eyelid. - Apply clean gloves before beginning the procedure. - Instill the solution directly onto the cornea. - Press on the nasolacrimal duct after instilling the solution.

A,C,E

Which nursing intervention helps to prevent medication errors in children? . - Encouraging the use of brand names - Promoting the use of abbreviations and acronyms - Minimizing the use of verbal and telephone orders - Carefully reading all labels for accuracy and checking expiration dates - Recording the client's weight before carrying out the medication order

C,D,E

When reviewing a drug to be administered, the nurse identifies that the package insert indicates that the Z-track injection technique should be used. Under what circumstance does the nurse expect that this technique will be necessary? - Volume of medication to be administered is large. - Medication is irritating to subcutaneous tissue and skin. - Injection site must be massaged after it is administered. - Procedure requires an air bubble to be drawn into the syringe.

Medication is irritating to subcutaneous tissue and skin.

A primary nurse receives prescriptions for a newly admitted client and has difficulty reading the healthcare provider's writing. Who should the nurse ask for clarification of this prescription? - Nurse practitioner - House healthcare provider who is on call - Healthcare provider who wrote the prescription - Nurse manager familiar with the healthcare provider's writing

Healthcare provider who wrote the prescription

While undergoing a soapsuds enema, the client reports abdominal cramping. What action should the nurse take? - Immediately stop the infusion. - Lower the height of the enema bag. - Advance the enema tubing 2 to 3 inches (5 to 7.5 cm). - Clamp the tube for 2 minutes and then restart the infusion.

Lower the height of the enema bag.

A client has an order for a sublingual nitroglycerin tablet. The nurse should teach the client to use what technique when self-administering this medication? - Place the pill inside the cheek and let it dissolve. - Place the pill under the tongue and let it dissolve. - Chew the pill thoroughly and then swallow it. - Swallow the pill with a full glass of water.

Place the pill under the tongue and let it dissolve.

A geriatric patient with hypertension and diabetes mellitus is taking propranolol (Inderal) and insulin (Humulin N) therapy. Which interventions by health care professionals help prevent patient medication errors according to the Leapfrog Group? - Scheduling regular follow-up visits - Prescribing low dosage of medication - Using computer physician order entry - Closely monitoring the patient for 24 hours

Using computer physician order entry