Med Admin 2

A nurse is conducting an interview for a health history. The nurse asks the patient about prescribed medications, vitamins, pain medications, and herbal supplements that are taken on a regular or as needed basis. Which step in the nursing process is this? A. Assessment B. Analysis C. Planning D. Implementation E. Evaluation

A

The nurse is preparing to administer a powder medication to a patient's lower leg. Which is most essential for the nurse to do when applying the medicated powder? A. Apply a thin layer in the direction of hair growth. B. Protect the patient's face with a small towel. C. Apply dry sterile dressing to the area after applying the medication. D. Ensure the skin surface is dry.

A

The nurse is preparing to administer a vaginal suppository. What is the nurse's best plan of action? A. Use a disinfectant wipe to clean the perineal area from front to back. B. Have the patient void prior to insertion of the suppository. C. Encourage the patient to take a deep breath and inhale through her mouth during insertion of the suppository. D. Use petroleum-based lubricant because it is less irritating to the vaginal mucosa.

B

What would a nurse instruct a patient to do after administration of a sublingual medication? A. Take a big drink of water and swallow the pill. B. Try not to swallow while the pill dissolves. C. Swallow frequently to get the best benefit. D. Chew the pill so it will dissolve faster.

B

The nurse is preparing to administer a transdermal patch. Place the following steps in order in which they should be implemented when administering this medication. A. Remove the previous patch. B. Contain and dispose of the used patch. C. Wear clean gloves throughout the procedure D. Write the date, time, & your initials on the patch. E. Apply a new patch to a different section of the skin. F. Wash and dry the skin after removal of the used patch.

C, A, B, F, D, E

The nurse is administering medications to a patient. Which nursing action is part of the assessment phase of the nursing process? Select All That Apply A. Instruct the patient to rinse their mouth following administration of a corticosteroid inhaler. B. Assess the patient's pain level after administration of a narcotic. C. Check the heart rate and BP prior to administering metoprolol. D. Review lab results (platelet & serum K+) prior to administration of heparin SubQ & furosemide. E. Assess for adverse effects after the first dose of a medication. F. Teach the patient how to use an inhaler with a spacer. G. Assess serum potassium level after an additional dose of potassium chloride was administered. H. Assess BP 30 minutes after administration of metoprolol.

C, D

THE NURSE CHECKING NEWLY PRESCRIBED MEDICACTIONS. WHICH MEDICATIONS REQUIRE THE NURSE TO CONTACT THE HCP TO CLARIFY WHAT HAS BEEN DESCRIBED? THAT APPLY A. ASPIRIN 325MG ORALLY QD B. MS 4MG IV Q1H PRN C. FUROSEMIDE 40MG IV NOW D. D5W WITH 20MEQ KCL IV AT 125ML/HR E. HEPARIN 5000 U SUBCUTANEOUSLY BID

CORRECT ANSWER - A,B, E THE NURSE SHOULD CLARIFY ASPIRIN WITH THE HCP BECAUSE THE ABBREVIATION 'QD IS DISALLOWED BY THE JOINT COMMISION. THE QD CAN BE MISTAKEN FOR EVERY OTHER DAY RATHER THAN DAILY. THE NURSE SHOULD CLARIFY 'MS WITH THE HCP. THE USE OF MS IS DISALLOWED BY THE JOINT COMMISION BECAUSE IT CAN BE MISTAKEN FOR MAGNESIUM SULFATE RATHER THAN MORPHINE SULFATE. THE NURSE SHOULD CLARIFY HEPARIN WITH THE HCP BECAUSE THE ABBREVIATION U IS DISALLOWED BY THE JOINT COMMISION. THE U CAN BE MISTAKEN FOR 0, 4, OR CC

WHICH EFFECT ON THE BODY DOES THE NURSE UNDERSTAND IS THE REASON FOR THE NEED TO DISCONTINUE A MEDICATION THE PATIENTS LIVER FUNCTION TESTS BECOME ELEVATED AS A RESULT OF THE MEDICATION? A. SIDE EFFECT B. TOXIC EFFECT C. ADVERSE EFFECT D. SYNERGISTIC EFFECT

CORRECT ANSWER - B LIVER IMPAIRMENT IS AN EXAMPLE OF A TOXIC EFFECT THAT REQUIRES DISCONTINUATION OF A MEDICATION.

HOW OFTEN SHOULD DOCUSATE SODIUM 100MG PO BID BE GIVEN? A. THREE TIMES A DAY B. TWO TIMES A DAY C. EVERY OTHER DAY D. AT BED TIME

CORRECT ANSWER - B THE ABBREVIATION BID REPRESENTS TWICE A DAY

WHICH INFORMATION ABOUT A PARENTEREAL MEDICATION INDICATES THAT THE NURSE SHOULD USE A FILTERED NEEDLE WHEN PREPARING THIS MEDICATION? A. IT HAS TO BE RECONSTITUTED B. IT IS SUPPLIED IN AN AMPULE C. APPEARS COUDY IN THE VIAL D. IT IS TO BE MIXED WITH ANOTHER MEDICATION

CORRECT ANSWER - B THE TOP OF THE AMPULE MUST BE SNAPPED OF AT ITS NECK TO ACCESS THE FLUID. A FILTERED NEEDLE PREVENTS GLASS PARTICLES FROM BEING DRAWN INTO THE SYRINGE

A NURSE INSTRUCTS A PATIENT TO CLOSE THEIR EYES AFTER THE ADMINISTRATION OF THE EYE DROPS. WHICH RATIONALE FOR THIS INSTRUCTION SHOULD THE NURSE EXPLAIN TO THE PATIENT? A. LIMITSCORNEALIRRITATION B. SQUEEZES EXCESS MEDICATION FROM THE EYES C. DISPERSES THE MEDICATION OVER THE EYEBALLS D. PREVENTS MEDICATION FROM ENTERING THE LACRIMAL DUCT

CORRECT ANSWER - C CLOSING THE EYES MOVES THE MEDICATION OVER THE CONJUNCTIVA AND EYEBALL AND HELPS ENSURE EVEN DISTRIBUTION OF MEDICATION

A PATIENT IS TAKING HYDROCHLOROTHIAZIDE (HCTZ) ONCE A DAY. WHICH FRUIT SHOULD THE NURSE ENCOURAGE THE PATIENT TO EAT BECAUSE IT CONTAINS THE HIGHEST AMOUNT OF POTASSIUM? A. PLUM B. ORANGE C. BANANA D. TANGERINE

CORRECT ANSWER - C ONE MEDIUM-SIZE BANANA CONTAINS APPROXIAMATELY 450MG POTASSIUM. HCTZ PROMOTES EXCRETION OF POTASSIUM.

THE NURSE IS ADMINISTERING AN ANTIHYPERTENSIVE MEDICATION TO A PATIENT. WHICH CLINICAL MANIFESTATION SHOULD THE NURSE IDENTIFY AS AN EXCESSIVE RESPONSE TO THE MEDICATION? A. RESPIRATIONS OF 24 BREATHS PER MINUTE B. HEART RATE OF 60 BEATS PER MINUTE C. BLOOD PRESSURE OF 80/60 MM HG D. ORAL TEMPERATURE OF 98 DEGREES F

CORRECT ANSWER - C THE ACCEPTABLE RANGE FOR THE SYSTOLIC PRESSURE IS 90- 120 MM HG. THE PATIENTS SYSTOLIC READING IS OUTSIDE EXPECTED RANGE, WHICH IS AN EXCESSIVE DECREASE WHEN RECEIVING AN ANTIHYPERTENSIVE MEDICATION.

A NURSE MUST ADMINISTER MEDICATOIN INTO THE EAR OF AN ADULT. WHICH SHOULD THE NURSE DO TO LIMIT PATIENT DISCOMFORT WHEN ADMINISTERING EAR DROPS? A. WARM THE SOLUTION TO BODY TEMPERATURE B. PLACE THE PATIENT INTO A COMFORTABLE POISTION C. PULL THE PINNA OF THE EARUPWARD AND BACKWARD D. IN SILL THE FLUID INTO THE CENTER OF THE AUDITORY CANAL

CORRECT ANSWER- A INSTILLILNG COLD MEDICATION INTO THE EAR CANAL IS UNCOMFORTABLE AND CAN CAUSE VERTIGO AND NAUSEA. HOLDING THE BOTTLE OF MEDICATION IN THE HAND FOR SEVERAL MINUTES WARMS THE SOLUTION TO BODY TEMPERATURE.

A NURSE IS PREPARING A CLIENT'S MEDICATIONS. WHICH OF THE FOLLOWING ACTIONS SHOULD THE NURSE TAKE IN FOLLOWING LEGAL PRACTICE GUIDELINES? SELECT ALL THAT APPLY A. MAINTAIN SKILL COMPETENCY B. DETERMINE THE DOSAGE C. MONITOR FOR ADVERSE SIDE EFFECTS D. SAFEGUARD MEDICATIONS E. IDENTIFY THE CLIENT'S DIAGNOSIS

CORRECT ANSWER- A,C,D B AND E - DETERMINING THE MEDICATION'S DOSAGE IS THE PROVIDERS RESPONSIBILITY/ A NURSE SHOULD KNOW ABOUT A CLIENTS DIAGNOSIS, BUT IDENTIFYING THE DIAGNOSIS IS THE PROVIDERS RESPONSIBILITY

AFTER ADMINISTERING A DRUG, THE NURSE MONITORS THE PATIENT FOR REACTIONS. WHICH REACTION HAS THE GREATEST POTENTIAL TO BE LIFE THREATENING? a. TOXICITY b. HABITUATION c. ANAPHYLAXIS d. IDIOSYNCRATIC

CORRECT ANSWER- C ANAPHYLAXIS, A SEVERE ALLERGIC REACTION, REQUIRES IMMEDIATE INTERVENTION BECAUSE IT CAN BE FATAL

A NURSE IS COMPLETING DISCHARGE TEACHING FOR A CLIENT WHO HAS A NEW PRESCRIPTION FOR A TRANSDERMAL PATCHES. WHICH OF THE FOLLOWING STATEMENTS SHOULD THE NURSE IDENTIFY AS AN INDICATION THAT THE CLIENT UNDERSTANDS THE INSTRUCTIONS? A. I WILL CLEAN THE SITE WITH AN ALCOHOL SWAB BEFORE I APPLY THE PATCH B. I WILL ROTATE THE APPLICATION SITES WEEKLY C. I WILL APPLY THE PATCH TO AN AREA OF SKIN WITH NO HAIR D. I WILL PLACE THE NEW PATCH ON THE SITE OF THE OLD PATCH

CORRECT ANSWER- C THE CLIENT SHOULD APPLY THE PATCH THE PATCH TO A HAIRLESS AREA OF SKIN TO PROMOTE ABSORPTION OF THE MEDICATION

A PROVIDER PRESCRIBES PHENOBARBITAL FOR A CLIENT WHO HAS A SEIZURE DISORDER. THE MEDICATION HAS A LONG HALF LIFE OF 4 DAYS. HOW MANY TIMES PER DAY SHOULD THE NURSE EXPECT TO ADMINISTER THIS MEDICATION? A. ONE B. TWO C. THREE D. FOUR

CORRECT ANSWER: A MEDICATIONS WITH LONG HALF-LIVES REMAIN AT THEIR THERAPUETIC LEVELS BETWEEN DOSES FOR LONG PERIODS OF TIME. THE NURSE SHOULD EXPECT TO ADMINISTER THIS MEDICATION ONCE A DAY.

A primary health care provider prescribes a medication that is known to cause nephrotoxicity. Which element of pharmacokinetics does the nurse understand is critical when assessing this patients response to this medication? A. EXCRETION B. ABSORPTION C. DISTRIBUTION D. BIOTRANSFORMATION

Correct Answer - A MEDICATION ELIMINATION OCCURS PRIMARILY VIA URINE PRODUCED BY THE NEPHRONS OF THE KIDNEYS (EXCRETION). IF A MEDICATION IS TOXIC TO THE NEPHRONS, DAMAGE TO THE NEPHRONS CAN RESULT. A DRUG THAT IS CAN CAUSE DAMAGE IS KNOWN AS NEPHROTOXIC. A NURSE MUST ASSESS THE PATIENT FOR A DECREASE IN URINE PRODUCTION AND IDENTIFY LABORATORY RESULTS THAT INDICATE IMPAIRMENT OF THE KIDNEYS, SUCH AS ELEVATED CREATININE AND BLOOD UREA NITROGEN LEVELS.

Patients with multiple health problems often go to a variety of medical specialists. Which response to medication occurs more frequently in patients who go to several medical specialists? A. INTERACTIONS B. HABITUATION C. TOLERANCE D. ALLERGIES

Correct Answer- A A drug interaction occurs when one drug affects the action of another drug. The effect of one or both drugs increases, decreases, or is negated. The risk for drug interactions increases when multiple drugs are prescribed by several primary health-care providers with inadequate communication among the providers.

A nurse is conducting an interview for a health history. In addition to asking the patient about prescribed medications, what else should the nurse ask to assess the risk for drug interactions? A. The effects of prescribed medications. B. Type and amount of foods eaten. C. Daily amount of intake and output. D. Use of vitamins and herbal supplements

D

During the admission nursing assessment, your patient states he is allergic to penicillin and aspirin. Which of the following should be determined next? A. If the patient really knows what he is allergic to. B. Whether the patient is telling the truth about their allergy history. C. If the patient needs to be desensitized to the medication in question. D. The type of allergic reaction the patient experienced when taking the medication.

D