Module 4: Oral and Topical Medications
The nurse is administer medication to a client wit ha gastric tube. After administering the last dose of medication, how much water should the nurse flush through the gastric tube? -30-60 mL -5-15 mL -65-75 mL -15-25 mL
30-60 mL
The nurse teaches the client about home use of transdermal medication patch for pain. The nurse evaluates the teaching as effective when the client makes which statement? -"I should place this patch over my back where the pain is the worst" -"I can't use my heating pad in the same area as the patch" -"The patch is replaced whenever I feel the medication effects diminishing" -"If the dose feels too high, I can cut the next patch in half to use"
"I should place this patch over my back where the pain is the worst"
The nurse caring for a client has just inserted a rectal suppository. What is the best instruction by the nurse at this time? -"Sit up and hold as long as you can" -"You can go home now" -"You may go to the bathroom as soon as you feel the urge" -"Remain in a horizontal position for 10-20 minutes"
"Remain in a horizontal position for 10-20 minutes"
The client is prescribed digoxin 0.125 mg PO every day. The nurse obtains the medication from unit stock and discovers that digoxin only comes in a 0.25-mg tablet. How many tablets of digoxin should the nurse administer to the client? -0.5 tablet -2 tablets -1.5 tablets -1 tablet
0.5 tablet
The nurse is preparing hydrochlorothiazide 50-mg tablet from unit stock. The health care provider orders 75 mg. How many tablets are needed? -0.5 tablet -2 tablets -1.5 tablets -1 tablet
1.5 tablets
The nurse is preparing a liquid medication for a client. The HCP prescribes cimetidine HCl 600 mg PO for GI bleeding. The pharmacy sends cimetidine HCl 300 mg / 5 mL. How many teaspoons should the nurse administer? -0.5 teaspoons -1.5 teaspoons -2 teaspoons -1 teaspoon
2 teaspoons
The client is to receive several medications via a gastric tube. how much water would the nurse flush the tube between medications? -15-20 mL -5-10 mL -25-30 mL -35-40 mL
5-10 mL
The client completes use of the dry powder inhaler. What action must the nurse perform after the use of this medication? -Obtain the client's blood glucose -Assist the client to rinse out the mouth -Assess the client's lung sounds -Instruct the client about use of medication
Assist the client to rinse out the mouth
The nurse is to administer a medication to client in isolation and the medication is in a multi-dose container. How will the nurse complete the third check of medication administration? -Take the multi-dose container into the client's room and complete the third check in the room -Complete the third check before placing the multi-dose container back in the drawer -Check the multi-dose label before going into the room and leave the container outside the room -Check the multi-dose label before putting the container back in the drawer and label medicine cup with needed information.
Check the multi-dose label before putting the container back in the drawer and label medicine cup with needed information.
The nurse has administered a client's medication. Which action would be the most appropriate if the client vomits immediately, or soon after administration? -Clean up the vomit/emesis and re-administer the medication -Do not re-administer the medication until the next dose is due -Check the medication to see if vomiting is indicated -Check the vomit/emesis for pills or pill fragments and call the client's HCP
Check the vomit/emesis for pills or pill fragments and call the client's HCP
Prior to the nurse administering eye drops to the client, what should the nurse do? -Have the client focus downward toward the dropper -Clean the eyelids of any loose eyelashes -Ask the client to blink several times ion a row -Tell the client to rub the eyes
Clean the eyelids of any loose eyelashes
The nurse is preparing to administer medications to a client with a gastric tube. What information should the nurse check before administering any medication through the gastric tube? Select all that apply. -Residual or stomach contents -Client's allergies -Whether tube feedings should be held -If medication should be given on a full or empty stomach -Placement of tube
Client's allergies Whether tube feedings should be held If medication should be given on a full or empty stomach
The nurse is in the client's room to administer the client's morning oral medications. Which action should the nurse take first? -Confirm the client's identity -Document the medications being given -Open the unit dose packages of medications -Pour a cup of water for the client to drink
Confirm the client's identity
A nurse is preparing to administer oral medications to a client. While opening the unit-dose package the medication falls on the floor. Which action by the nurse would be most appropriate? -Discard the current unit-dose package and obtain a new one -Notify the HCP that the medication was dropped -Call the pharmacy to determine if the medication can be given -Document that the client refused the medication
Discard the current unit-dose package and obtain a new one
After the client inhales a dose from a dry powder inhaler, which action does the nurse instruct the client to take next? -Hold breath for 5-10 seconds -Rinse mouth out with water and spit -Wait 1 minute before inhaling again -Exhale the breath slowly and evenly
Hold breath for 5-10 seconds
The nurse will be administering an inhaled medication via a small volume nebulizer. What would the nurse have the client do first? -Remain still for about 5 minutes -Rinse and gargle with tap water -Perform deep breathing and coughing exercises -Encourage client to blow the nose and cough up secretions
Encourage client to blow the nose and cough up secretions
The client with a gastric tube is prescribed a delayed-release tablet. Which are appropriate actions for the nurse? Select all that apply -Hold the medication -Split the medication -Crush the timed-release medication -Call the HCP for prescription -Check the drug guide
Hold the medication Call the HCP for prescription Check the drug guide
The nurse is preparing to administer medications to a client with a gastric tube. What equipment with the nurse gather to administer medications to the client? Select all that apply. -Gloves -Pill cutter -Waterproof pad -Irrigation set -Tap water
Gloves Waterproof pad Irrigation set Tap water
The nurse is teaching the client how to correctly use a metered dose inhaler. Which client action displays understanding of the education? -Exhaling immediately after administration -Refraining form shaking the canister before puffs -Administering 2 puffs rapidly, between breaths -Holding the inhaler 2 cm away from the mouth
Holding the inhaler 2 cm away from the mouth
The nurse is splitting medications. After splitting the tablet and administering half to the client, what should the nurse do with the remaining half? Select all that apply. -If the medication is a narcotic, waste with another nurse present -Save medication in client's drawer for next administration -Send medication back to the pharmacy -Dispose of medication in a toilet -Dispose of medication per hospital protocol
If the medication is a narcotic, waste with another nurse present Dispose of medication in a toilet
The nurse is administering a medication using a small volume nebulizer. What should the nurse instruct the client to do? -Depress the canister as the client begins to exhale slowly -Breathe normally -Inhale slowly and deeply through the mouth -Place the mouthpiece about 1-2 inches from the mouth
Inhale slowly and deeply through the mouth
After reviewing the skills for administering different medications, a student nurse demonstrates the need for additional review when she takes which action? -Leaves before verifying that the client has swallowed the medication -Asks the client if he or she would like the medication in a cup or in the hand -Documents in the MAR that the medication was taken by the client -Takes the medication instead of leaving it at the client's bedside
Leaves before verifying that the client has swallowed the medication
The nurse is administering eye drops to a client. Where should the nurse place the drops? -Outer eyelid margin -Lower conjunctival sac -Inner canthus -Cornea
Lower conjunctival sac
The nurse is caring for an adult client by inserting a rectal suppository. Which action would be the most appropriate by the nurse? -Insert the suppository's flat end first -Inset the suppository to a depth of about 1 inch -Lubricate the suppository and glove finger -Encourage the client to remain still for about 30 minutes.
Lubricate the suppository and glove finger
The nurse enters the client's room to administer oral medications. Which action would the nurse take first? -Confirm the client's identity -Ask the client about any allergies -Offer the client something to drink -Perform hand hygiene
Perform hand hygiene
When pouring a liquid medication into a graduated liquid medication cup, which nursing action would be the most appropriate? -Hold the cup directly against the lip of the liquid container -Hold the cup in the nondominant hand above waist level -Position the cup at an angle to the mouth of the liquid -Place the cup on a flat surface at eye level
Place the cup on a flat surface at eye level
The nurse is administering routine medications to a postsurgical client and the client asks, "could I have something for pain?" The nurse checks the MAR and notes that the medication is an opioid. What should the nurse do? -Place the opioid into a separate cup -Open the pill into the client's hand -Give all the medications together Administer the medication and let the client take it when the client wants
Place the opioid into a separate cup
The nurse is preparing to administer a transdermal medication. Which placement is appropriate? -Site of the client's discomfort -Inner aspect of the forearm -Posteriorly on the shoulder -Anteriorly over the sternum
Posteriorly on the shoulder
The nurse is distributing afternoon medications to the clients. When removing a tablet from a multi-dose bottle, what should the nurse do first? -Pick a tablet out of the bottle with the fingers -Drop tablet into a medication cup -Pour the tablet into the bottle cap -Shake a tablet out onto the hand
Pour the tablet into the bottle cap
A nurse has administered a pain medication to the client. What should the nurse do next? -Reassess the client -Leave the client alone -Put all four side rails up -Call the health care provider
Reassess the client
The nurse needs half of a tablet of medication and is preparing to split the tablet but there is no score. What should the nurse do? Select all that apply. -Refrain from splitting the tablet -Cut the tablet in half -Call the health care provider -Administer a whole tablet -Check with the pharmacy
Refrain from splitting the tablet Call the health care provider
The nurse is preparing to apply a new transdermal patch to a client's chest. What would the nurse do first? -Initial and write the date and time on the label of the new patch -Wash the area of the old patch with soap and water -Remove the old patch from the client's skin -Remove the new patch from its protective covering
Remove the old patch from the client's skin
After administering an inhaled medication via a small volume nebulizer, which action should the nurse have the client do? -Rinse and gargle with tap water -Perform deep breathing and coughing exercises -Remain still for about 5 minutes -Blow the nose forcefully
Rinse and gargle with tap water
After administering an inhaled medication via a metered-dose inhaler, the nurse asks the client to take which action? -Take in a deep breath -Rinse and gargle with water -Spit out excess medication -Clear throat forcefully
Rinse and gargle with water
The nurse is caring for a client with a GI bleed who has a NG tube. After administering the medications via the NG tub, what would the nurse do next? -Shut off NG tube for 30 minutes -Reestablish NG tube to low-intermittent wall suction -Flush with 30 mL hot water after the last medication -Flush with 5 mL cold water after each medication
Shut off NG tube for 30 minutes
The nurse is inserting a medication via a rectal suppository to a client. What would the nurse instruct the client to do? -Use panting breaths -Hold the breath -Take slow deep breaths -Inhale for a count of 10
Take slow deep breaths
A nurse is distributing the 0900 medications to the clients. What should the nurse do when removing a tablet from a multi-dose bottle? Select all that apply. -Take the multi-dose bottle into the client's room -Pick up two tablets directly from the bottle -Use gloves for extra protection -Put an extra tablet back into the bottle from cap -Touch the tablet(s) with the fingers
Take the multi-dose bottle into the client's room Use gloves for extra protection Put an extra tablet back into the bottle from cap
The nurse administers a dry powder inhaler to a client. The client takes this medication at home. What action does the nurse take? -Ask the client to use the normally prescribed inhalers from home -Instruct the client on difference between home and in-hospital inhalers -Teach the client how to use the inhaler using step-by-step instructions -Have the client use the inhaler while the nurse prepares other medications
Teach the client how to use the inhaler using step-by-step instructions
The nurse has instructed the client in the use of a metered dose inhaler. Which instructions should the nurse include in the client education? -Teach the client to push the top of the medication canister while taking a deep breath -Train the client to monitor the respiratory rate for 1 minute after taking the medication -Tell the client to exhale immediately after inhaling the medication -Explain the need to wait 30 second before taking a second dose of medication
Teach the client to push the top of the medication canister while taking a deep breath
The clients tells the nurse that the medication in the cup is not the same as the medication he took the day before. The client is insistent that the medication is not the one prescribed. Which action by the nurse would be least appropriate? -Tell the client that he must take this medication because it is prescribed by the HCP -Contact the HCP to determine if the medication prescribed is correct -Check the drug package with what is written on the MAR Verify what is written on the MAR with the client's chart
Tell the client that he must take this medication because it is prescribed by the HCP
