Ch 29 - Medications (Nursing Skills)

10. What does the nurse do to verify an order for a medication listed on a medication administration record (MAR)?

A) Compare it with the original physician's order.

20. A nurse at the health care facility is preparing the medication dosage for a client. Why should the nurse read and compare the label on the medication with the MAR at least three times (before, during, and after) while preparing the medication for administration?

A) Ensures that the right medication is given at the right time by the right route

1. The nurse is preparing to administer a medication via a nasogastric tube. What guideline is appropriate for the nurse to follow when administering a drug via this route?

A) Flush the tube with water between each drug administered

26. A nurse at a health care facility has to instill ear drops in a client. the nurse knows that which of the following techniques varies for an adult and child client?

A) Manipulation of the client's ear to straighten the auditory canal

33. What is the name of the process by which a drug moves through the body and is eventually eliminated?

C) Pharmacokinetics

8. A nurse is converting the dosage of a medication to a different unit in the metric system. The medication label specifies the drug as being 0.5 g per tablet. the order is for 500 mg. How many tablets will the nurse give?

A) 1

3. Which of the following clients receives a drug that requires parenteral route?

A) A woman who has been ordered intravenous antibiotics

30. A client diagnosed with anemia is receiving a blood transfusion. The client develops urticaria accompanied by wheezing and dyspnea not long after the transfusion starts. the nurse interprets this as indicative of which of the following?

A) Allergic reaction

32. A physician writes an order for ampicillin 1 gram every 6 hours for a client. What is missing in this order?

C) Route

25. A client with dry skin has been prescribed inunction. Which of the following should the nurse do to promote absorption of the ointment?

C) Rubbing the ointment into the skin

16. A nurse is administering an intramuscular injection of a viscous medication using the appropriate-gauge needle. What does the nurse need to know about needle gauges?

D) Gauges range from 18 to 30, with 18 being the largest.

29. A nurse is bunching the tissue of a client when administering a subcutaneous injection to that client. The nurse knows that which of the following is the reason for bunching when injecting subcutaneously?

D) To avoid instilling medication within the muscle

11. A nurse is administering a medication that is formulated as enteric-coated tablets. What is the rationale for not crushing or chewing enteric-coated tablets?

D) To prevent gastric irritation

12. A nurse is administering a liquid medication to an infant. Where will the nurse place the medication to prevent aspiration?

A) Between the gum and the cheek

23. A nurse needs to administer a prescribed dose of a narcotic medication to a client with acute neck pain. Which of the following precautions should the nurse take when storing narcotic medications?

A) In a double-locked drawer

35. The "Rights of Medication Administration" help to ensure accuracy when administering medications. Which of the following represent these five rights? Select all that apply. A) Medication B) Client C) Prescribing Physician D) Pharmacy E) Dosage F) Route

A) Medication B) Client E) Dosage F) Route

2. The medical chart of a newly admitted client notes a penicillin allergy, yet the physician has just written an order for an antibiotic in the same drug family after reviewing the client's wound culture and sensitivity. How should the nurse respond to this situation?

A) Withhold the medication until the potential drug allergy has been addressed by the care team.

13. A nurse is teaching an older adult at home about taking newly prescribed medications. Which information would be included?

B) "I have written the names of your drugs with times to take them."

15. What would a nurse instruct a client to do after administration of a sublingual medication?

B) "Try not to swallow while the pill dissolves."

6. A client who is taking an oral narcotic for pain relief tells the nurse he is constipated. What is this common response to narcotics called?

B) Adverse effect

34. Medications administered that are renal toxic should have frequent assessments of which blood values?

B) BUN and creatinine

17. A nurse has administered an intramuscular injection. What will the nurse do with the syringe and needle?

B) Do not recap the needle; place it in a puncture-resistant container.

9. A physician has ordered that a medication be given "stat" for a client who is having an anaphylactic drug reaction. At what time would the nurse administer the medication?

B) Immediately after the order is noted

27. A nurse is showing an older adult client the correct method of self-administering an insulin injection at home. Which of the following points should the nurse tell the client in order to avoid lipoatrophy and lipohypertrophy?

B) Rotate the site with each injection.

31. Which medication system allows for client independence?

B) Self-administered medication system

4. A physician has ordered peak and trough levels of a medication. When would the nurse schedule the trough level specimen?

C) 30 minutes before the next dose

24. A nurse at a health care facility administers a prescribed drug to a client and does not record doing so in the medical administration record. The nurse who comes during the next shift, assuming that the medication has not been administered, administers the same drug to the client again. The nurse on the previous shift calls to inform the health care facility that the administration of the drug to this client in the earlier shift was not recorded. What should the nurse on duty do immediately

C) Check the client's condition.

14. A student nurse is administering medications through a nasogastric tube connected to continuous suction. How will the student do this accurately?

C) Disconnect tubing from the suction before giving drugs, and clamp tubing for 20 to 30 minutes.

21. A client with allergy has been advised to have an allergy test. the nurse needs to administer an injection to the client for allergy testing. Which of the following injection routes is most suitable for allergy testing?

C) Intradermal

19. A nurse is caring for a client in the nursing unit when the physician, during the rounds, prescribes a medication for the client. What appropriate action should the nurse take to ensure the accuracy of the verbal medication order?

D) Ask the physician to write out the order.

22. A nurse needs to administer an intradermal tuberculin skin test injection to a client. Which of the following is the most suitable angle when administering an intradermal injection?

D) 10-degree angle

28. A nurse should read the instructions stated on a vial container before reconstituting it and administering it to a client. Which of the following instructions are stated on the label of a vial container?

D) Amount of diluent to be added

5. A client taking insulin has his levels adjusted to ensure that the concentration of drug in the blood serum produces the desired effect without causing toxicity. What is the term for this desired effect?

D) Therapeutic range

18. A clinic nurse is preparing for a tuberculosis screening. Knowing the injections will be administered intradermally, what size needles and syringes will the nurse prepare?

D) Tuberculin syringe, 1/2-inch 26-gauge needle

7. A nurse is conducting an interview for a health history. In addition to asking the client about medications being taken, what else should be asked to assess the risk for drug interactions?

D) Use of herbal supplements