Pharmacology Ch. 9, Photo Atlas of Drug Administration

Which suggestion would the nurse give a mother for administering a bitter-tasting medication to an infant?

"Mix the medication with a teaspoon of jelly."

The nurse is teaching a patient the proper way to measure liquid medications. Which statement made by the patient indicates understanding of the information presented by the nurse?

"Place the medication cup at eye level on a flat surface while pouring the medication."

Which information would the nurse teach the patient to ensure the safe use of a medication by the buccal route?

"Place the tablet between the lower molar teeth and the cheek."

Which statement by a patient indicates an understanding of how to clean a nebulizer at home?

"Soak the nebulizer parts in a solution of vinegar and water."

The nurse is educating the parents of a newborn about the administration of oral medications. Which instructions would the nurse give to prevent the newborn from aspirating the medication?

"While administering the medication, hold the newborn by slightly elevating the head."

Which information would the nurse include when teaching a patient about administering a suppository?

"You should remove the outer wrappings from the drug before insertion."

Which needle is required to administer oil-based medications by the intramuscular route?

An 18- to 25-gauge needle

For which condition would rectal drug administration be contraindicated?

Diarrhea

Which precaution would the nurse take while administering intravenous phenytoin to a patient?

Infuse the phenytoin with normal saline.

Which action would the nurse perform when administering a medication subcutaneously?

Insert the needle at a 45- or 90-degree angle, depending on patient size.

Which route of medication administration has the fastest rate of absorption?

Intravenous route

As the nurse prepares to administer a medication intravenously to a patient, which information would the nurse keep in mind?

It is difficult to remove the effects of the drug once it is administered intravenously.

Which medication placement demonstrates correct technique regarding the delivery of sublingual medication?

Placed under the tongue

Which is an appropriate action for the nurse to take when administering oral medications to patients?

Placing the medications into the patient's hand at the bedside

While administering a nasal medication the nurse instructs the patient, "Tilt your head backward." What is the target site for the medication in this situation?

Posterior pharynx

Which action is correct for safe and accurate dosing of medication from an ampule?

Setting the ampule on a flat surface to remove the medication

Which position is suitable for the administration of rectal drugs?

Sims' position

According to The Joint Commission, who is responsible for preparing intravenous solutions and intravenous piggyback (IVPB) admixtures?

The pharmacy

Which is the appropriate method for removing a medication from an ampule?

The tip of the needle must not come in contact with the rim of the ampule

Which site is appropriate for administering an intradermal injection?

Three to four finger widths below the antecubital space

Which action by the nurse is appropriate when withdrawing medication from a multidose vial?

Writing the date and time the vial was opened on the label

Which method would the nurse use to administer an orally disintegrating medication to a patient?

Administering the tablet 5 minutes before food or drink

The nurse is caring for a patient who has conjunctivitis. The patient reports to the nurse, "I have an unpleasant taste in my mouth after the eyedrops are administered." Which precaution would be taken by the nurse while instilling the eyedrops?

Apply gentle pressure on the patient's nasolacrimal duct.

Which statement is correct about administering an injection via the Z-track method? Select all that apply.

- It prevents the skin from staining at the injection site. - It reduces pain at the site of medication administration. - It prevents medication leakage into the subcutaneous tissue.

Which side effect would the nurse expect if a patient receives cold eardrops? Select all that apply.

- Pain - Nausea - Dizziness

Which information would be included on skills lab instructions for subcutaneous injection of heparin? Select all that apply.

- Pinch the skin - Do not aspirate before injection. - Use an abdominal site away from the umbilicus.

Which information is appropriate for the nurse to teach the patient about a sublingual medication? Select all that apply.

- Place the tablet under the tongue. - Swallow after the drug is dissolved.

Which action(s) are correct in the administration of a liquid oral medication to a patient? Select all that apply.

- Placing the bottle's cap upside down on a paper - Holding the bottle with the label against the palm - Holding the medicine cup at eye level when measuring the dose

At what angle is the needle inserted in the skin while administering a drug by the intramuscular route? Record your answer using a whole number. _______ degree(s)

90

Which equipment is appropriate for the nurse to measure oral medications less than 5 mL in volume for an infant?

A calibrated oral syringe

Which assessment would the nurse perform for a patient who is receiving patient-controlled analgesia? Select all that apply.

- Blood pressure - Level of sedation - Respiratory status

Which information would be included on skills lab instructions to perform intradermal injection? Select all that apply.

- Inject into the forearm. - Insert the needle bevel up. - Place the needle at a 15-degree angle.

While a health care facility is having a disaster drill, a nursing instructor asks a nursing student to apply dressings to wounds of patients who were injured in an earthquake. The nursing instructor finds only a few gloves and an empty bottle of sanitizer in the medical kit. Which instructions would be given by the nursing instructor? Select all that apply.

- "Assess whether the patient is allergic to latex by asking them." - "Use Standard Precautions while dressing the patients' wounds." - "Wash your hands with soap and water because we don't have sanitizer."

Which is an accurate statement to teach patients concerning buccal medications? Select all that apply.

- "Do not take the tablet with fluids." - "Place the tablet between the upper molar teeth and the cheek."

Which factors would the nurse consider when selecting a site for an intramuscular injection to a pediatric patient? Select all that apply.

- Age of the child - Type of medication being given - Viscosity of the prescribed solution

Which interventions are correct in the administration of eye drops? Select all that apply.

- Assisting the patient to a sitting position - Holding the eye dropper 1 to 2 cm above the conjunctival sac - Repeating the procedure if the drops are deposited on the outer lid margins

Arrange the steps of intramuscular medication administration using the Z-track method in the correct order.

- Prepare the site for injection - Use the nondominant hand to pull the skin laterally - Hold the skin in the proper position while giving the injection. - Insert the needle at a 90-degree angle. - Aspirated for 5 to 10 seconds to check for blood return. - Wait 10 seconds before withdrawing the needle - Withdraw the needle slowly and smoothly and - Release the skin immediately

Which pieces of information would be included in a seminar on the administration of medication to infants? Select all that apply.

- The infant may need partial restraint. - Measure liquids using an oral syringe. - Do not administer while the infant is crying.

Which is the maximum volume that can be administered by the intradermal route in one injection?

0.1 mL

The nurse is preparing to administer an intramuscular medication using an air lock to prevent leakage of the medication into the subcutaneous space. Which amount of air would the nurse withdraw for the air lock?

0.2 mL

Which represents the correct technique in the administration of a tuberculin skin test?

Creating a small bleb under the skin

In which type of insulin syringe does each line represent 2 units? Record your answer using a whole number. _____-unit syringe

100

How many patient identifiers would the nurse check before administering a medication to a patient?

2

To ensure maximum absorption, how long should retention enemas be held inside the rectum before expulsion?

30 to 60 minutes

The primary health care provider has written a prescription for a nurse to administer medicine to a patient by the subcutaneous route. The patient has a thin stature. At which angle is the needle inserted in the skin? Record your answer using a whole number. ____ degree(s)

45

Which medicine is given very rapidly using an intravenous push injection?

Adenosine

A primary health care provider has prescribed an inhaled bronchodilator and an inhaled corticosteroid medication for a patient at the same time. Which action by the nurse is appropriate?

Administer the bronchodilator first.

The primary health care provider has prescribed a vaccine for a pediatric patient. Which action demonstrates the correct procedure for administration of a vaccine?

Administer the vaccine intramuscularly in the vastus lateralis site.

Which technique is the correct way to determine whether an intravenous line is in the vein?

Aspirate for blood return when inserting the intravenous needle.

A patient is prescribed oral digoxin. Which nursing action is appropriate before administering this medication?

Assesses the patient's apical pulse for 60 seconds

A patient refuses to take an oral medication after the nurse has removed it from the sealed package. Which action by the nurse is correct?

Dispose of the medication per facility protocol.

Which precaution would be taken by the nurse for safe administration of insulin?

Do not aspirate when insulin is injected.

When administering ophthalmic drops, which action would the nurse perform?

Drop the prescribed number of drops into the conjunctival sac.

Which dosage form may be given immediately after dissolving it in water?

Effervescent powders

The nurse is administering a medication intravenously to a patient. Before administering the drug, the nurse finds an air bubble in the syringe and has 0.2 mL extra medicine in the syringe. Which action would the nurse take before administering the medication?

Expel the excess drug into the sink.

Which action would the nurse take when administering an intramuscular injection to an adult?

Grasp the lower end of the syringe with the nondominant hand.

Which technique by the nurse is appropriate when administering an intramuscular (IM) medication to a child?

Inserting the needle at a 90-degree angle

What is the advantage of using the Z-track method of intramuscular injection?

It prevents leakage of the medication into subcutaneous tissue.

Which action by the nurse is correct in administering a rectal suppository?

Not palpating the patient's rectal wall for the presence of feces

Which statement about the dorsogluteal site for intramuscular injections is correct?

The dorsogluteal region is no longer recommended for injection.

Which site would the nurse administer a dose of tetanus toxoid intramuscularly to an adult patient?

Ventrogluteal

When administering a sublingual medication, which action would the nurse perform?

Wear gloves to place the tablet under the patient's tongue.

Which situation needs correction about when it is appropriate to use gloves during medication administration?

With all oral medication administration

When would the nurse use the Z-track technique to give an intramuscular injection?

With medications that are known to be irritating, painful, or staining to tissues