PREPARATION AND ADMINISTRATION OF MEDICATION

52. Filgrastim (Neupogen) 5 mcg/kg/day by injection is prescribed for a client who weighs 132 lb. The vial label reads filgrastim 300 mcg/mL. How many milliliters should the nurse administer? Record your answer using a whole number. Answer: _____ mL

1 mL

What is a nurse's responsibility when administering prescribed opioid analgesics? Select all that apply. 1. Count the client's respirations. 2. Document the intensity of the client's pain. 3. Withhold the medication if the client reports pruritus. 4. Verify the number of doses in the locked cabinet before administering the prescribed dose. 5. Discard the medication in the client's toilet before leaving the room if the medication is refused.

1. Count the client's respirations. 2. Document the intensity of the client's pain. 4. Verify the number of doses in the locked cabinet before administering the prescribed dose.

105. How should a nurse prepare an IV piggyback (IVPB) medication for administration to a client receiving an IV infusion? Select all that apply. 1. Wear clean gloves to check the IV site. 2. Rotate the bag after adding the medication. 3. Use 100 mL of fluid to mix the medication. 4. Change the needle before adding the medication. 5. Place the IVPB at a lower level than the existing IV. 6. Use a sterile technique when preparing the medication.

1. Wear clean gloves to check the IV site. 2. Rotate the bag after adding the medication. 6. Use a sterile technique when preparing the medication.

54. A health care provider prescribes an IV infusion ampicillin 375 mg every 6 hours. The drug is supplied as 500 mg of powder in a vial. The directions are to mix the powder with 1.8 mL of diluent, which yields 250 mg/mL. How much prepared solution should the nurse administer? Record your answer using one decimal place. Answer: _______ mL

1.5 mL

51. At the conclusion of visiting hours, the parent of a 14-year-old adolescent scheduled for orthopedic surgery the next day hands the nurse a bottle of capsules and says, "These are for my child's allergy. Will you be sure my child takes one about 9 tonight?" What is the nurse's best response? 1. "I will give one capsule tonight before bedtime." 2. "I will get a prescription so that the medicine can be taken." 3. "Does your health care provider know about your child's allergy?" 4. "Did you ask your health care provider if your child should have this tonight?"

2. "I will get a prescription so that the medicine can be taken."

83. A client is brought to the emergency department after a bee sting. The client has a history of allergies to bees and is having difficulty breathing. What client reaction should cause a nurse the most concern? 1. Ischemia 2. Asphyxia 3. Lactic acidosis 4. Increased blood pressure

2. Asphyxia

55. Based on the client's reported pain level, the nurse administers 8 mg of the prescribed morphine. The medication is available in a 10 mg syringe. Wasting of the remaining 2 mg of morphine should be done by the nurse and a witness. Who should be the witness? 1. Nursing supervisor 2. Licensed practical nurse 3. Client's health care provider 4. Designated nursing assistant

2. Licensed practical nurse

171. 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? Select all that apply. 1. After reporting severe pain 2. On admission to the hospital 3. Upon entering the operating room 4. Before transfer to a rehabilitation facility 5. At time of scheduling for the surgical procedure

2. On admission to the hospital 4. Before transfer to a rehabilitation facility

53. A child is to receive 60 mg of phenytoin (Dilantin). The medication is available as an oral suspension that contains 125 mg/5 mL. How many milliliters should the nurse administer? Record your answer using one decimal place. Answer: ______ mL

2.4 mL

58. A client is scheduled to receive phenytoin (Dilantin) 100 mg orally at 6 PM but is having difficulty swallowing capsules. What method should the nurse use to help the client take the medication? 1. Sprinkle the powder from the capsule into a cup of water. 2. Insert a rectal suppository containing 100 mg of phenytoin. 3. Administer 4 mL of phenytoin suspension containing 125 mg/5 mL. 4. Obtain a change in the administration route to allow an IM injection.

3. Administer 4 mL of phenytoin suspension containing 125 mg/5 mL.

50. A client has an anaphylactic reaction after receiving intravenous penicillin. What does the nurse conclude is the cause of this reaction? 1. An acquired atopic sensitization occurred. 2. There was passive immunity to the penicillin allergen. 3. Antibodies to penicillin developed after a previous exposure. 4. Potent antibodies were produced when the infusion was instituted.

3. Antibodies to penicillin developed after a previous exposure.

49. A client is receiving an antihypertensive drug intravenously for control of severe hypertension. The client's blood pressure is unstable and is 160/94 mm Hg before the infusion. Fifteen minutes after the infusion is started, the blood pressure increases to 180/100 mm Hg. Which type of response is the client demonstrating? 1. Allergic 2. Synergistic 3. Paradoxical 4. Hypersusceptibility

3. Paradoxical

56. A nurse is instructing a group of volunteer nurses on the technique of administering the smallpox vaccine. What injection method should the nurse teach? 1. Z-track 2. Intravenous 3. Subcutaneous 4. Intradermal scratch

4. Intradermal scratch

57. A primary care provider prescribes cefazolin (Kefzol) 125 mg IM for a client. The vial contains 0.5 gm of Kefzol in powdered form. The instructions indicate to add 2 mL of sterile water to provide a solution that contains 225 mg per mL. Draw a line on the syringe to indicate the volume of medication to the nearest tenth the nurse should administer.

Use the "Desire over Have" formula of ratio and proportion to solve this problem. Desire mg x mL 125 = Have mg mL 225 1 225125 x = x = ÷ 125 225 x mLRound the answer up to mL= 055 06 .. ..