FUNDS - Medication Administration - Ch. 32

The nurse extracts medication from multiple dose vials after reconstitution. Which priority nursing action should the nurse perform? Checking the vial for leakage Placing the vial in the refrigerator Monitoring the patient for reactions Labeling the date and time of mixing on the vial

Labeling the date and time of mixing on the vial

Which topical medication contains alcohol? Lotion Liniment Ointment Transdermal disk

Liniment

Which topical medication contains soapy emollient? Paste Lotion Liniment Ointment

Liniment

A patient has difficulty swallowing a capsule. What is the appropriate nursing intervention? Split the capsule into half. Use an alternate medicine. Notify the primary healthcare provider. Encourage the patient to take the capsule whenever he or she wants.

Notify the primary healthcare provider.

Which statement about anaphylactic reaction requires correction? Anaphylactic reactions may cause pharyngeal edema. Anaphylactic reactions may be life threatening. Anaphylactic reactions are a type of allergic reactions. Occurs when a patient is exposed to the allergens for the first time.

Occurs when a patient is exposed to the allergens for the first time.

Which nursing intervention is beneficial while administering a bitter medication to a child? Reducing the dose of the medication Offering the child a frozen juice bar Replacing the medication with other medication Mixing the medication in the child's favorite food

Offering the child a frozen juice bar

An elderly obese patient who has undergone total hip replacement surgery has been put on low-molecular-weight heparin (LMWH) enoxaparin. For which complications of subcutaneous injections should the nurse monitor? Phlebitis Pain Infiltration Hypertrophy of the skin Sterile abscess

Pain Hypertrophy of the skin Sterile abscess

Which statement is true regarding parenteral medications? Parenteral medications are medicated disks absorbed slowly through the skin. Parenteral medications are dissolved in a sugar solution. Parenteral medications are semi-liquid suspensions that usually protect, cool, or cleanse the skin. Parenteral medications are sterile preparations that contain water with one or more dissolved compounds.

Parenteral medications are sterile preparations that contain water with one or more dissolved compounds. (Parenteral medications are sterile preparations that contain water with one or more dissolved compounds. Transdermal medications are medicated disks that are slowly absorbed through the skin. Concentrated sugar solutions are medications dissolved in sugar solutions are referred to as syrup. Lotions are semi-liquid suspensions that usually protect, cool, or cleanse skin.)

Which medication forms can be administered by the topical route? Paste Troche Powder Liniment Suppository

Paste Liniment

A registered nurse prepares to administer medications to four patients through the oral route. Which patient is instructed to dissolve the medication slowly in the mouth? Patient A Patient B Patient C Patient D

Patient A

Four patients are prescribed medications. Which patient should be offered a glass full of water during medication administration? Patient A Patient B Patient C Patient D

Patient A

A nurse assists a primary health care provider during the intravenous administration of medication to a patient. Which information would the nurse find in the medication administration record? Patient's name Dosage of medication Patient's date of birth Medication expiration date Route of administration Medication manufacturing date

Patient's name Dosage of medication Patient's date of birth Route of administration

Which patients need intravenous therapy? Patients with edema Patients with dehydration Patients with deep vein thrombosis Patients with electrolyte imbalances Patients who require blood transfusions

Patients with dehydration Patients with electrolyte imbalances Patients who require blood transfusions

Which patient can be safely administered oral medication? Patients with dysphagia Patients with mouth lesions Patients with skin abrasions Patients with esophageal strictures

Patients with skin abrasions

Which type of volume-controlled infusions sets involves a macrodrip system? Piggyback Syringe pump Intermittent venous access Volume-controlled administration set

Piggyback

A patient has unilateral weakness due to a medical disorder. How can the nurse administer medication to this patient without causing aspiration? Provide the medication as a solution. Place the medication in the weaker side of mouth. Place the medication in the stronger side of mouth. Crush the medication before administration.

Place the medication in the stronger side of mouth.

The registered nurse is supervising a nursing student while administering vaginal medication in a patient. Which intervention of the nursing student indicates a need for correction? Exposing the vaginal orifice by gently retracting the labial fold with the gloved hand Inserting the rounded end of the suppository along the posterior wall of the vaginal canal Placing the patient in supine position and keeping the abdomen and lower extremities draped Applying a small amount of sterile, water-based lubricating jelly to the smooth end of the suppository

Placing the patient in supine position and keeping the abdomen and lower extremities draped

While caring for a patient who in on jejunal tube feeding, the nursing student administers iron through the tube. What is the possible outcome of this intervention? Aspiration Tube obstruction Increased toxicity Poor bioavailability

Poor bioavailability (Incompatibility of the location of the tube with the medication being administered may lead to poor bioavailability due to decreased absorption of the drug administered.)

Which medication forms are commonly prepared for administration by parenteral routes? Elixir Troche Extract Powder Solution

Powder Solution

The nurse is explaining to a patient about the side effects of a prescribed drug. Which terms describe side effects? Predictable Often unavoidable Occur after prolonged intake Occur at usual therapeutic dose Caused by defective drug excretion

Predictable Often unavoidable Occur at usual therapeutic dose

While assessing a patient who is receiving intravenous therapy, the nurse notices circulatory fluid overload. What may be the reason for the patient's condition? Overdose of the medication Rapid infusion of the intravenous fluid Flushing the intravenous port with saline solution Incompatibility between the medication and the intravenous fluid

Rapid infusion of the intravenous fluid

The nurse has been asked to administer a rectal suppository to an adult patient. Where should the nurse place the medication? Rectal wall 5 cm into the rectum Rectal wall 10 cm into the rectum Inner aspect of the anal orifice Just prior to the internal anal sphincter

Rectal wall 10 cm into the rectum

A diabetic patient has been switched from oral antidiabetic drugs to insulin. The patient has been prescribed regular insulin and NPH insulin. When teaching the patient about self-administration of insulin, what should the nurse instruct the patient regarding preparation of the insulin? Shake the insulin vial before preparing. Roll the cloudy insulin vial between the palms of the hands. Prepare the regular insulin first and then draw up the NPH insulin. Presence of bubbles in the syringe does not alter the insulin dose. Administer both insulins 15 minutes before a meal.

Roll the cloudy insulin vial between the palms of the hands. Prepare the regular insulin first and then draw up the NPH insulin. Administer both insulins 15 minutes before a meal.

Which nursing action is correct while mixing two types of insulin in one syringe? Wiping the tops of both insulin vials with hot water swabs. Rolling the insulin bottle between the hands if the patient takes cloudy insulin Reviewing the patient's medical history and allergies to medications, food, and latex Choosing any vial while mixing short-acting insulin with intermediate-acting insulin Showing insulin prepared in a syringe to another nurse to verify the correct dosage preparation

Rolling the insulin bottle between the hands if the patient takes cloudy insulin Reviewing the patient's medical history and allergies to medications, food, and latex Showing insulin prepared in a syringe to another nurse to verify the correct dosage preparation

The nurse is administrating medication to a patient through volume-controlled administration set. Which action performed by the nurse ensures equal distribution of the medication? Closing the clamp on the air vent Re-establishing the saline lock Rotating the buretrol between the hands Connecting the prefilled syringe to mini-infusion tubing

Rotating the buretrol between the hands

A patient is inhaling using a breath-activated metered-dose inhaler. Which action made by the patient indicates a need for correction? Shaking the inhaler vigorously Positioning the mouthpiece between the lips Inhaling deeply and forcefully through the mouth Holding the breath for 5 to 10 seconds during inhalation

Shaking the inhaler vigorously

A registered nurse evaluates a nursing student who is preparing an insulin injection. Which action made by the nursing student indicates the need for correction? Shaking the insulin bottle to reduce the cloudiness Mixing two different types of insulin into one syringe Rolling the insulin bottle after taking it out from the refrigerator Using an insulin syringe to draw up the doses from the insulin bottle

Shaking the insulin bottle to reduce the cloudiness

Which materials are used to administer intravenous (IV) medication through piggybacks? Vial Syringe Buretrol Short microdrip Infusion tubing with blunt end

Short microdrip Infusion tubing with blunt end

The primary health care provider ordered the nurse to administer a rectal suppository to a patient with constipation. Into which position should the nurse help the patient? Sims' position Supine position Side-lying position Dorsal recumbent position

Sims' position

The primary health care provider prescribes lorazepam (Ativan) 1 mg IV to a patient who is about to undergo an MRI scan. Which type of prescription order has been given by the primary health care provider? Prn order Now order STAT order Single order

Single order

The registered nurse is teaching a nursing student about prescription orders. Which statement if made by the nursing student indicates the need for further teaching? "Only emergency medications are prescribed in STAT prescription orders." "Administration of hydralazine is an example of a now order prescription." "Administration of lorazepam is an example of a prn order of prescription." "A single order prescription necessitates the administration of medication at one specific time." "A prn order is prescribed when the drug should be administered to the patient as and when required."

"Administration of hydralazine is an example of a now order prescription." "Administration of lorazepam is an example of a prn order of prescription."

The registered nurse is teaching pediatric drug dosages to a nursing student. Which statement if made by the nursing student indicates a need for further teaching? "Drugs such as vancomycin should be administered to infants with caution." "Most pediatric medications are ordered in milligrams per kilogram dosage." "A child's age, weight, and maturity of body systems affect the drug dosage. " "After the dose calculation as per the age, most of the doses are rounded to the nearest tenth."

"After the dose calculation as per the age, most of the doses are rounded to the nearest tenth." (Most pediatric medications are not rounded to the nearest tenth decimal. They are rounded to the nearest thousandth, to prevent drug overdose. )

A registered nurse teaches a group of nursing students about the administration of an intravenous bolus to a patient. Which statement made by the nursing student indicates effective learning? "An intravenous bolus allows for the control of intravenous fluid intake." "An intravenous bolus is the safest method of administering medications." "An intravenous bolus is advantageous in patients who have restricted fluids." "An intravenous bolus is used to introduce very diluted forms of medication."

"An intravenous bolus is advantageous in patients who have restricted fluids."

While caring for an older adult patient with respiratory problems, the nurse teaches the patient about the effective use of an inhaler. Which instruction given by the nurse would be most appropriate if a pressurized metered-dose inhaler was prescribed to the patient? "Coordinate the puffs with inhalation for effective outcome." "Inspire fast enough to administer the entire dose of the medication." "Place the medication away from humidity, as there is a chance for formation of clumps." "Apply approximately 5 to 10 lbs of pressure to the top of the canister to administer the medication."

"Apply approximately 5 to 10 lbs of pressure to the top of the canister to administer the medication."

A registered nurse teaches a nursing student about the use of spacers for inhalers. Which statement made by the nursing student indicates the need for further teaching? "Spacers improve drug absorption in a patient's airway." "The improper use of spacers may lead to decreased effects of the medication." "Spacers have a face mask for infants and children less than 4 years of age." "Breath-actuated metered-dose inhalers require use of spacers."

"Breath-actuated metered-dose inhalers require use of spacers."

A registered nurse teaches a nursing student about administering medications in large intravenous infusions. Which statement made by the nursing student indicates the need for further teaching? "I should check the site frequently for infiltration and phlebitis." "I should add medication to intravenous bags that are hung already." "I should regulate the intravenous rate according to the health care provider's order." "I should monitor the patient closely for any adverse reactions to the medications."

"I should add medication to intravenous bags that are hung already."

A registered nurse teaches a nursing student about administering injections to children. Which statement made by the nursing student needs correction? "I should engage the child in conversation." "I should make sure that someone can restrain the child." "I should apply lidocaine ointment to the site after the injection." "I should be more cautious while selecting the intramuscular injection site."

"I should apply lidocaine ointment to the site after the injection."

The registered nurse is teaching a nursing student about the role of the nurse in medication administration. Which statement if made by the nursing student indicates effective learning? "I should assess the patient's ability to self-administer medications." "I should delegate a part of the administration process to nursing assistive personnel." "I should educate about medication administration and monitoring only to the family." "I should instruct the patient about medications to be taken home on the day of discharge."

"I should assess the patient's ability to self-administer medications."

A registered nurse teaches a nursing student about instructions to be given to a patient on intravenous therapy at home. Which statement made by the nursing student indicates the need for further teaching? "I should teach the patient and family how to recognize problems of intravenous therapy." "I should carefully assess the patient's and family's ability to manage intravenous therapy at home." "I should teach patients and their families how to maintain intravenous administration therapy equipment." "I should begin giving instructions to the patient about intravenous therapy when the patient is at home."

"I should begin giving instructions to the patient about intravenous therapy when the patient is at home."

The registered nurse is teaching correct documentation of medications to a nursing student. Which statement if made by the nursing student indicates a need for further teaching? "I should ensure that I use a standard terminology in the medical documentation." "I should consult the health care provider if there are any issues in the documentation." "I should ensure that the medical record of the patient contains the patient's full name." "I should ensure that the abbreviation of the prescribed medication is mentioned in the medical documentation."

"I should ensure that the abbreviation of the prescribed medication is mentioned in the medical documentation."

The nurse ordered the nursing assistive person (NAP) to care for a patient with a vaginal infection. Which statement made by the NAP indicates a need for further learning? "I will report any side effects of the medications." "I will administer medication at a scheduled time." "I will report increased vaginal discharge or bleeding." "I will provide perineal care following medication administration."

"I will administer medication at a scheduled time."

The registered nurse is teaching the spouse of a patient the appropriate use of eye drops. Which statement of the spouse indicates the need for further teaching? "I will instill the eye drops directly onto the cornea." "I will instill the eye drops only into the affected eye." "I will avoid touching the eyelids with the eyedroppers." "I will avoid using the same eye drops in another family member."

"I will instill the eye drops directly onto the cornea."

A registered nurse teaches a nursing student how to protect a patient from aspirating while administering medication through the oral route. Which statements made by the nursing student indicate effective learning? "I will instruct the patient not to self-administer the medications." "I will instruct the patient to hold and drink from a cup if possible." "I will instruct the patient to use a straw while taking liquid medications." "I will crush and mix some medications with pureed foods for easy administration. "I will assess a patient for signs of dysphagia before administering medication."

"I will instruct the patient to hold and drink from a cup if possible." "I will crush and mix some medications with pureed foods for easy administration. "I will assess a patient for signs of dysphagia before administering medication."

A registered nurse teaches a nursing student about the precautionary measures to be taken while caring for a patient with enteral tubes. Which statement made by the nursing student indicates the need for further teaching? "I will use regular syringes while preparing medications for a patient." "I will crush tablets and dilute them with water before administering them to the patient." "I will flush tubes with at least 30 mL of water before and after administering medications." "I will verify the compatibility of the location of the tube with the medication being administered."

"I will use regular syringes while preparing medications for a patient."

A registered nurse teaches a nursing student about intravenous medication administration. Which statement made by the nursing student needs correction? "Intravenous medication is administered for testing skin conditions." "Intravenous medication is administered when the medication highly alkaline." "Intravenous medication is administered slowly to avoid severe adverse reactions." "Intravenous medication is administered to maintain constant therapeutic blood levels."

"Intravenous medication is administered for testing skin conditions." (Intravenous medications are administered to maintain constant therapeutic blood levels. Intradermal medications are administered for testing the skin. Intravenous medication is administrated when medications are highly alkaline because these medications may irritate the muscles. If intravenous medications are administered quickly, it may cause severe adverse reactions.)

A registered nurse teaches a nursing student about an intravenous bolus administration. Which statement made by the nursing student needs correction? "I should confirm the placement of the intravenous line before administering the bolus." "I should stop giving medication if the intravenous fluid cannot flow at the proper rate." "Medications that carry the risk of adverse effects should be administered quickly." "An intravenous bolus should be administered very cautiously because there is no time to correct errors."

"Medications that carry the risk of adverse effects should be administered quickly."

A registered nurse is teaching a nursing student about medications in patients with renal disease. Which statements, if made by the nursing student, indicate a need for further teaching? "Renal failure may lead to drug toxicity in the body." "Adequate fluid intake promotes proper elimination of medications through the kidneys." "Most drugs undergo biotransformation in the kidney before they are excreted." "Health care providers should decrease the medication dose in patients with renal disease." "Enemas will accelerate excretion of the drug through the kidneys in patients with renal failure."

"Most drugs undergo biotransformation in the kidney before they are excreted." "Enemas will accelerate excretion of the drug through the kidneys in patients with renal failure."

Which is the nurse's best response when asked about the advantage of parenteral medication administration? "The parenteral route is easy to administer." "The parenteral route rarely causes anxiety in patients." "The parenteral route provides rapid relief for local respiratory problems." "The parenteral route provides medication to patients with poor peripheral perfusion."

"The parenteral route provides medication to patients with poor peripheral perfusion."

A nursing student communicates with the registered nurse after administering an intradermal medication to the patient. Which statement made by the nursing student causes the registered nurse to suspect that the medication has entered the subcutaneous tissue? "The site is bleeding." "The color of the site has changed." "The tissue integrity of the site has changed." "A mosquito bite type resemblance appeared on the site."

"The site is bleeding."

The registered nurse is teaching a nursing student about time-critical medications. Which statement if made by the nursing student indicates effective learning? "The Institute for Safe Medication Practices (ISMP) determines time-critical medications." "Time-critical medications should be administered within 1 hour of the scheduled time." "Time-critical medications should be administered within 30 minutes of the scheduled time." "Subtherapeutic responses do not occur with delayed administration of time-critical medications."

"Time-critical medications should be administered within 30 minutes of the scheduled time."

The registered nurse is teaching the nursing student about topical medications. Which statement made by the nursing student indicates ineffective learning? "Topical medications have limited side effects." "Topical medications cause anxiety in patients." "Topical medications primarily provide local effects." "Topical medications are absorbed through skin only." "Topical medications have more rapid absorption than parenteral routes."

"Topical medications cause anxiety in patients." "Topical medications have more rapid absorption than parenteral routes."

Which instruction is beneficial for a patient who receives medication through buccal mucosa? "You should drink adequate fluids with the medication." "You should use the same cheek for the subsequent administration." "You should swallow the medication after a few minutes of administration." "You should place the medication against the mucous membrane of the cheek."

"You should place the medication against the mucous membrane of the cheek."

A patient's prescription order calls for 30 mL of the medication to be taken. What should the nurse instruct the patient regarding the administration of the medication according to household measurement? "You should take 1 cup of the medication." "You should take 1 quart of the medication." "You should take 1 teaspoon of the medication." "You should take 2 tablespoons of the medication."

"You should take 2 tablespoons of the medication."

How many milliliters of solution or diluents are administered through piggybacks? 10 mL 30 mL 500 mL 1000 mL

30 mL (The volume of solution or diluent administered through piggybacks is 30 mL (between 25 and 250 mL).

Upon grasping the patient's skin, the nurse can hold about 2.5 cm (1 inch) of tissue with the fingers. At which angle should the nurse inject enoxaparin to the patient? 15 degrees 45 degrees 60 degrees 90 degrees

45 degrees

Which statement is true regarding piggybacks? A piggyback is battery-operated. A piggyback is connected to a short tubing line. A piggyback is commonly known as a saline lock. A piggyback contains 10 to 20 mL of fluid.

A piggyback is connected to a short tubing line.

Which statement is true regarding a syringe pump? A syringe pump is a microdrip or macrodrip system. A syringe pump is used to administer medications in very small amounts of fluids. A syringe pump is a very small container that is attached just below the primary infusion bag. A syringe pump is used to administer 30 to 50 mL of medications in controlled infusion times.

A syringe pump is used to administer medications in very small amounts of fluids.

After reading the prescription order of a patient, the nurse prepares to administer the medication in the patient's right ear. Which abbreviation in the prescription reflects the nurse's action? AS AD OD OS

AD

The nurse finds morphine sulfate 2 mg IV Q 4 hours prn in the prescription of a newly admitted patient in the hospital. Which action should the nurse perform based on this finding? Administer morphine sulfate intravenously (IV) only once at specified time. Administer morphine sulfate intravenously (IV) only once within 90 minutes. Administer morphine sulfate intravenously (IV) when the patient requires it but not more than every 4 hours. Administer morphine sulfate intravenously (IV) only once immediately when the patient's condition changes.

Administer morphine sulfate intravenously (IV) when the patient requires it but not more than every 4 hours.

Which action of the nurse indicates instillation of fluids into a body cavity? Administering an eardrop Placing a suppository in the rectum Flushing the vagina with medicated fluid Inserting medicated packing into the vagina

Administering an eardrop

The nurse finds a STAT order in the medication administration record of a patient. What action of the nurse is appropriate in this situation? Administering the medication after 1 hour Administering the medication when it is needed Administering the medication only once and immediately Administering the medication before the surgical procedure

Administering the medication only once and immediately

A registered nurse evaluates a nursing student who is administering a parenteral medication to a 3-year-old child. Which action made by the nursing student indicates the need for correction? Distracting the child with a conversation Applying lidocaine ointment at the site before injection Avoiding underdeveloped muscle areas for injection Administering the medication when the patient is asleep

Administering the medication when the patient is asleep

Which factors help determine the need for changing the needle of a syringe? Syringe size Age of the patient Size of the patient Route of administration Amount of medication to be administered

Age of the patient Size of the patient Route of administration

Which statement about dry powder inhalers indicates a need for correction? The medication inside a dry powder inhaler can clump if exposed to humid climate. Few patients cannot inspire fast enough to administer the entire dose of the medication. All dry powder inhalers require patients to load a single dose of medication into the inhaler with each use. A dry powder inhaler is activated with the patient's breath so there is no need to coordinate puffs with inhalation.

All dry powder inhalers require patients to load a single dose of medication into the inhaler with each use.

A patient is prescribed lozenges for a cough. Which instructions should the nurse give to this patient regarding the use of lozenges? Crush the lozenge before swallowing. Allow the medication to dissolve in the mouth. Dissolve in water before swallowing. Do not ingest the medication quickly. Dissolve in juice before swallowing.

Allow the medication to dissolve in the mouth. Do not ingest the medication quickly.

Where are the best subcutaneous injection sites? Upper ventral gluteal areas Anterior aspects of the thighs Scapular areas of the upper back Outer posterior aspect of the upper arms Abdomen from below the costal margins to the iliac crests

Anterior aspects of the thighs Outer posterior aspect of the upper arms Abdomen from below the costal margins to the iliac crests

The nurse has applied a transparent fentanyl transdermal patch to a patient with pain. Which action of the nurse would be most appropriate for the patient? Massaging over the patch to enhance absorption Applying label to the patch to make it noticeable Instructing the patient to avoid wetting the patch Asking the patient about any medication history

Applying label to the patch to make it noticeable

A nurse is applying an ointment to a patient with skin encrustation. Which action of the nurse would be beneficial to increase the contact of medication with the tissue to be treated? Applying gauze dressing over the medication Applying a thick layer of medication on the affected area Applying the medication by rubbing it gently into the skin Applying the medication after cleaning the skin thoroughly

Applying the medication after cleaning the skin thoroughly

Which interventions should the nurse follow while administering topical medications? Applying the topical medications with gloves and applicators Applying each type of medication according to the directions of use Using nonsterile techniques while applying medications for open wounds Cleaning the skin thoroughly by washing the injured area gently with hot water Documenting the location on the patient's body where the medication was placed

Applying the topical medications with gloves and applicators Applying each type of medication according to the directions of use Documenting the location on the patient's body where the medication was placed

The nurse takes a medication to a patient, and the patient refuses to take it and tells the nurse to take it away. What is the nurse's next action? Ask the patient's reason for refusal. Explain that she must take the medication. Take the medication away and chart the patient's refusal. Tell the patient that her physician knows what is best for her.

Ask the patient's reason for refusal.

The nurse administers a rectal suppository to a patient with constipation. Which action of the nurse would be most effective in preventing expulsion of the suppository? Helping the patient into the Sims' position Asking the patient to lay flat for at least 5 minutes Asking the patient to take slow, deep breaths through the mouth Lubricating the rounded end of the suppository with a sterile water-soluble lubricant

Asking the patient to lay flat for at least 5 minutes

Which patient condition may be caused by poor precautionary measures taken by the nursing student while administering medication through the oral route? Aspiration Dysphagia Nausea and vomiting Gastrointestinal (GI) irritation

Aspiration

After administering a medication, the nurse finds that a medication error has occurred. Which action by the nurse is most appropriate in this situation? Preparing and filing an incident report Reporting the incident to the manager Reporting the incident to the supervisor Assessing and examining the patient's condition

Assessing and examining the patient's condition

The nurse assists the primary health care provider while administering an intravenous bolus to a patient. Which interventions are beneficial for the patient? Injecting the medication rapidly into the port Assessing the intravenous site for signs of infiltration or phlebitis Avoiding the disposal of uncapped needles and syringes Identifying the patient by his or her name and medical history Injecting normal saline flush at the same rate medication was delivered

Assessing the intravenous site for signs of infiltration or phlebitis Injecting normal saline flush at the same rate medication was delivered

The primary health care provider instructs the nurse to administer a booster dose of tetanus toxoid to a 7-year-old patient. Which nursing actions are appropriate? Avoiding injections when the patient is asleep Having a parent help restrain the patient if he or she is unpredictable or uncooperative Always look for a muscular site for injection Avoiding distracting the concentration of child while injecting the vaccine Avoiding the application of topical lidocaine ointment before injecting the vaccine

Avoiding injections when the patient is asleep Having a parent help restrain the patient if he or she is unpredictable or uncooperative

How do mist sprays cause a rapid relief of respiratory problems? Because of a rapid absorption of medication through the mucous membrane Because of a rapid absorption of medication through the gastrointestinal tract Because of a rapid absorption of medication through the sublingual capillary network Because of a rapid absorption of medication through the alveolar-capillary network

Because of a rapid absorption of medication through the alveolar-capillary network

The nurse is administering prescribed medications to patients on the unit. When should the nurse compare the label of the medication container with the medication administration record (MAR)? Comparing the label with the medication administration record (MAR) is not required. Before removing the container from the shelf Twice daily regardless of administration to patients At the patient's bedside before administering the medication When the amount of medication ordered is removed from the container

Before removing the container from the shelf At the patient's bedside before administering the medication When the amount of medication ordered is removed from the container

The nurse is having difficulty reading a physician's order for a medication. The nurse knows that the physician is very busy and does not like to be called. Which is the most appropriate next step for the nurse to take? Call a pharmacist to interpret the order. Call the physician to have the order clarified. Consult the unit manager to help interpret the order. Ask the unit secretary to interpret the physician's handwriting.

Call the physician to have the order clarified.

A primary health care provider prescribed a transparent fentanyl patch to manage a patient's pain. A new patch was applied without removing the old one. Which symptoms may be seen in the patient due to the delayed removal of the fentanyl patch? Pain Coma Death Allergic reactions Respiratory depression

Coma Death Respiratory depression

What is the role of state's Nurse Practice Act (NPA) in nursing? Controlling sales and distribution of medicines Defining the scope of nurse's professional function Ensuring safe and effective medications to the general population Establishing the individual policies to meet federal, state, and local regulations

Defining the scope of nurse's professional function

While administering oral medication to a patient with dysphagia, which health care professionals should the nurse collaborate with to determine the best techniques for medication administration? Dietitian Speech therapist Physical therapist Respiratory therapist Occupational therapist

Dietitian Speech therapist Occupational therapist

Which interventions should the nurse perform when administering medications to a patient through a nasogastric tube? Dissolve the different medications separately. Draw all the medications together in a syringe. Use a pigtail vent after connecting the syringe to the tube. Flush the tube before and after administration of the medication. Contact the health care provider if the patient resists the administration.

Dissolve the different medications separately. Flush the tube before and after administration of the medication. Contact the health care provider if the patient resists the administration.

A nursing student determines whether the patient's metered-dose inhaler is empty. Which method of determination is accurate? Floating the metered-dose inhaler in water Understanding the mechanisms that indicate how many doses are left Using devices that count down the number of remaining doses available Dividing the number of doses in the container by the number of doses the patient takes per day

Dividing the number of doses in the container by the number of doses the patient takes per day

Which action may cause the contamination of the solution during an injection? Drawing up the medication slowly Keeping the tip of the syringe covered with a cap or needle Avoiding the needle touching the outer edges of ampule Not touching the plunger length or inner part of the barrel with the hands

Drawing up the medication slowly

Which oral medication is available in liquid form? Elixir Tablet Capsule Lozenge

Elixir

Which route is used for the administration of regional analgesia for surgical procedures? Epidural Intrapleural Intraosseous Intraperitoneal

Epidural

After seeing a patient, the physician gives the nursing student a verbal order for a new medication. What should the nursing student do first? Follow Institute for Safe Medication Practices (ISMP) guidelines for abbreviations. Explain to the physician that the order should be given to a registered nurse. Write down the order on the patient's order sheet and read it back to the physician. Ensure that the six rights of medication administration are followed when giving the medication.

Explain to the physician that the order should be given to a registered nurse.

The nurse prepares to administer a multivitamin from an ampule to a patient. Which nursing action indicates a need for correction? Drawing the medication quickly from the ampule Cleaning the patient's site of injection with an antiseptic cotton swab Applying friction in a circular motion up to 5 cm (2 inch) while cleaning the site Extracting the medication from a previously opened ampule first followed by the new ampule

Extracting the medication from a previously opened ampule first followed by the new ampule

The primary health care provider ordered the nurse to access to the posterior pharynx when administering nasal drops to a patient with sinusitis. Which action of the nurse would be most effective specifically for this patient? Holding the dropper 1 cm (1/2 inch) above the nares Instructing the patient to breathe through the mouth Helping the patient into the supine position and tilting the head backward Instilling the prescribed number of drops toward the midline of the ethmoid bone

Helping the patient into the supine position and tilting the head backward

The nurse has to administer liquid medication that is available in a multidose bottle. Which intervention should the nurse follow while preparing to administer the medication? Hold the bottle in a way that the label is in the palm. Make sure not to shake the bottle before administrating the medication. Draw up a volume of less than 10 mL in parenteral syringe. Hold the medicine cup at eye level and pour the medication.

Hold the medicine cup at eye level and pour the medication.

Which drug is administered with the STAT order of prescription? Cetrizine Hydroalazine Vancomycin Paracetamol (over-the-counter analgesic

Hydroalazine

According to ISMP (Institution of safe medication practices), which descriptive term is used during the administration of drugs? IVP Bolus IV push IV over 5 minutes

IV over 5 minutes

A patient was brought to an emergency department with severe difficulty breathing. Which route of drug administration may provide rapid relief to the patient? Oral Topical Inhalational Transdermal

Inhalational

Which route is generally preferred for the administration of anesthetic agents during abdominal surgery? Topical Sublingual Inhalational Transdermal

Inhalational

he nurse has to administer a subcutaneous injection to a patient. Which precautions should the nurse follow when administering the subcutaneous injection? Inject medication slowly. Pinch skin with the nondominant hand. Aspirate when administering the injection. Inject the needle slowly at a 45- to 90-degree angle. Insert the needle with bevel up at a 5- to 15-degree angle. Eugene off target

Inject medication slowly. Pinch skin with the nondominant hand.

The nurse has to mix medications from a vial and ampule. Which action should the nurse perform first? Labeling the vial Injecting air into the vial Injecting air into the ampule Extracting the medication from the ampule

Injecting air into the vial

An elderly obese patient who has undergone total hip replacement surgery has been put on low-molecular-weight heparin (LMWH) enoxaparin. Which technique should the nurse use to administer enoxaparin? Expel air bubble from the prefilled syringe. Insert the needle at a 90-degree angle. Administer the injection subcutaneously. Pinch the injection site as the needle is inserted. Use the right or left side of the abdomen at least 2 inches from the umbilicus.

Insert the needle at a 90-degree angle. Administer the injection subcutaneously. Pinch the injection site as the needle is inserted. Use the right or left side of the abdomen at least 2 inches from the umbilicus.

The nurse is trying to minimize the discomfort of a patient while injecting the medication. Which action would be most appropriate? Inserting the needle quickly and smoothly Avoiding conversation while injecting the medication Using anatomical marks to select the proper site of injection Avoiding use of EMLA cream to the injection site before giving the medication

Inserting the needle quickly and smoothly

While administering a rectal suppository in a patient, the nurse finds that anal sphincter is not relaxed. Which intervention of the nurse would help the patient relax the anal sphincter? Performing the third accuracy check again Applying gentle pressure on buttocks and holding them together Instructing the patient to take slow, deep breaths through the mouth Instructing the patient to remain in the side position for 5 minutes after administration

Instructing the patient to take slow, deep breaths through the mouth

A nursing student prepares to administer medication to a patient through the oral route. Which actions made by the nursing student may cause the patient to experience aspiration? Administering one pill at a time Instructing the patient to drink the medication from a cup Allowing the patient to self-administer the medication Instructing the patient to use straws while taking liquid medication Positioning the patient in a relaxed sleeping position during administration

Instructing the patient to use straws while taking liquid medication Positioning the patient in a relaxed sleeping position during administration

Which type of volume-controlled infusion is commonly called a saline lock? Piggyback Syringe pump Intermittent venous access Volume-controlled administration set

Intermittent venous access

Which statement is true regarding intermittent venous access? Intermittent venous access requires constant monitoring of flow rates. Intermittent venous accessreduces the risk of rapid-dose infusion by an intravenous push. Intermittent venous access increases patient mobility, safety, and comfort. Intermittent venous access allows medications to be given in very small amounts of fluid.

Intermittent venous access increases patient mobility, safety, and comfort.

The nurse working in a neonatal ward finds it difficult to establish an intravenous (IV) line for an infant. Which route of medication administration is suitable for this clinical situation? Intrapleural Intraarterial Intraosseous Intraperitoneal

Intraosseous

Which routes of administration are most commonly used to administer chemotherapeutic agents? Epidural Intracardiac Intrapleural Intraarticular Intraperitoneal

Intrapleural Intraperitoneal

Which statements are true regarding the topical route of medication administration? It has more side effects. It primarily provides local effect. It is a painless route of administration. Medications are absorbed through skin rapidly. Patients with skin abrasions are at risk for systemic effect.

It primarily provides local effect. It is a painless route of administration. Patients with skin abrasions are at risk for systemic effect.

What are the clinical signs and symptoms of pruritus? Itching of skin Small raised vesicles over the body Raised, irregularly shaped skin eruption Inflammation of mucous membrane lining the nose

Itching of skin

A student nurse administers low-molecular weight heparin to a patient via the subcutaneous route. Which action made by the nurse may most likely cause bruising and pain? Keeping the injection rate at 10 seconds Pinching the injection site while administering the needle Using the right side of the abdomen at least 2 inches from the umbilicus Not allowing the air bubble to expel in the syringe before giving the medication

Keeping the injection rate at 10 seconds

A patient who is on intravenous bolus therapy develops adverse reactions to the medication. Which nursing interventions are appropriate in this situation? Inserting a new intravenous site Stopping the infusion of medication Following the guidelines for an appropriate response Discontinuing the intravenous infusionAdding allergy information to the patient's medical record Adding allergy information to the patient's medical record

Stopping the infusion of medication Following the guidelines for an appropriate response Adding allergy information to the patient's medical record

While administering an intravenous medication, the patient develops adverse reactions. What is the priority nursing intervention in this situation? Administering the antidote of the medication Flushing the intravenous line with normal saline solution Stopping the medication delivery immediately Documenting the adverse reaction in the patient's medical record

Stopping the medication delivery immediately

Which student nurse's assessment sheet is accurate regarding various forms of medication? Student nurse 1 Student nurse 2 Student nurse 3 Student nurse 4

Student nurse 2

What are the sites of injection for the intrathecal route of medication administration? Pleural space Bone marrow Epidural space Subarachnoid space Ventricles of the brain

Subarachnoid space Ventricles of the brain

A diabetic patient has been switched from oral antidiabetic drugs to insulin. The nurse teaches the patient about self-administration of insulin. What is the route for insulin injection? Intradermal Subcutaneous Intramuscular Intravenous

Subcutaneous

A patient reports severe vomiting, diarrhea, and abdominal cramps to the nurse. Which form of medication is contraindicated in the patient? Lotion applied to the topical surface Tablet administered through the oral route Solution administered through an intravenous line Transdermal medicine administered through the skin surface

Tablet administered through the oral route

The nurse withdraws medication from a vial. Which step should the nurse follow to ensure the appropriate withdrawal of the medication? Keep the needle tip above the fluid level Inject air into the vial's air space while holding on to the plunger Tap the side of the syringe barrel to dislodge any air bubbles. Remove the needle from the vial by pulling back on the barrel of the syringe

Tap the side of the syringe barrel to dislodge any air bubbles.

The nurse is preparing a teaching plan for safe insulin administration. Which interventions included in the plan is appropriate for the patient? Teaching the patient to determine the expiration date of insulin Teaching the steps of administering intramuscular injection Instructing the patient to avoid refrigeration of the medication When necessary, instructing the patient to accept help from the caregiver for rotating injection sites Helping the patient determine the insulin required based on the home capillary glucose monitoring

Teaching the patient to determine the expiration date of insulin When necessary, instructing the patient to accept help from the caregiver for rotating injection sites Helping the patient determine the insulin required based on the home capillary glucose monitoring

A patient has been prescribed enoxaparin. Which points should the nurse keep in mind when administering enoxaparin? The injection should be given in the abdomen. The injection should be given over a bony prominence. Air should be expulsed from the syringe before administration. The injection site should be pinched while the needle is being inserted. The injection should be given over large underlying muscles.

The injection should be given in the abdomen. The injection site should be pinched while the needle is being inserted.

An elderly obese patient who has undergone total hip replacement surgery has been put on low-molecular-weight heparin (LMWH) enoxaparin. What should the nurse explain to the patient about subcutaneous administration? It produces no discomfort or pain to the patient. The medication is absorbed faster due to a rich blood supply. The abdomen is not an appropriate site for subcutaneous injections. The injection site should not be near any bony prominences or large nerves. The medication is injected into the connective tissue below the dermis.

The injection site should not be near any bony prominences or large nerves. The medication is injected into the connective tissue below the dermis.

The nurse observes weight gain, edema, hypertension, and distended neck veins in a patient who is on fluid replacement therapy. What could be the reason behind this condition in the patient? The intravenous solution is infusing too fast. The level of the fluid bag has been lowered The intravenous sites of administration have been rotated. The patient was placed in a high Fowler's position.

The intravenous solution is infusing too fast.

Which statement is true regarding dry powder inhalers (DPIs)? They require more manual dexterity. The medication in them may clump in a humid climate. They require good coordination of puffs with inhalation. They use a chemical propellant to push the medication out of the inhaler.

The medication in them may clump in a humid climate.

Which statement about a patient's rights of medication is incorrect? The nurse should always administer labeled medications to the patient. The nurse cannot forcefully administer any medication to a patient of consenting age. The nurse should maintain confidentiality of the experimental drugs administered to the patient. The nurse should maintain transparency of the standard drugs being administered to the patient.

The nurse should maintain confidentiality of the experimental drugs administered to the patient.

The nurse on night shift explains a patient's condition to the healthcare provider, who in turn provides the verbal order of medication over the phone. Which accurately describe the roles of nurse and health care provider in executing telephone orders? The nurse should read back the order. The nurse should not sign the order. The nurse has to enter the order in the computer. The nurse should receive confirmation from the prescriber. The prescriber should countersign within 48 hours.

The nurse should read back the order. The nurse has to enter the order in the computer. The nurse should receive confirmation from the prescriber.

Which statement about medication preparation and administration is correct? Medications should be prepared in unmarked containers. The nurse cannot delegate medication preparation to another nurse. The nurse should not reveal the disposal of narcotic drugs to other health care personnel. The nurse who administers medication to the patient is responsible for any errors related to it.

The nurse who administers medication to the patient is responsible for any errors related to it. (The nurse who administers the medication to a patient is responsible for any errors related to it. Therefore, the nurses should administer medications with caution. Medications should not be prepared in unmarked containers. The nurse can delegate medication preparation to another nurse. If a patient refuses narcotics, proper agency procedure should be followed by having someone else witness the disposed medication.)

What are the advantages of administering medications by the oral route? The oral route is easy to administer. The oral route rarely causes anxiety. The oral route is convenient and comfortable. The oral route can be used when a patient has gastric suction. The oral route is effective when a patient has reduced gastric mobility.

The oral route is easy to administer. The oral route rarely causes anxiety. The oral route is convenient and comfortable.

What is a disadvantage of the parenteral route of medication administration? The parenteral route causes discoloration of the teeth. The parenteral route can only be given to unconscious patients. The parenteral route is contraindicated before some tests or surgery. The parenteral route may place the patient at a higher risk of reactions.

The parenteral route may place the patient at a higher risk of reactions.

A patient is admitted to the hospital for hernia surgery and is informed of patient rights. Which rights does this patient have in regards to medication administration? The right to receive unnecessary medications The right to know the name and purpose of medications The right to refuse a medication regardless of the consequences The right to receive unlabeled medications safely without discomfort The right to order the medication himself

The right to know the name and purpose of medications The right to refuse a medication regardless of the consequences

Which statements are true regarding vaginal suppositories? They are prescribed for treating infection. They are administered with an applicator inserter. They are stored in the refrigerator to prevent them from melting. Solid, oval-shaped suppositories are packaged individually in foil wrappers. They should be kept at room temperature for some time before administration.

They are prescribed for treating infection. They are stored in the refrigerator to prevent them from melting. Solid, oval-shaped suppositories are packaged individually in foil wrappers.

Which safety measures should the nurse implement to prevent aspiration when administering oral medications? Administer all medications at the same time. Time the medications with meals. Encourage the use of straws whenever possible. Choose a different route if the risk of aspiration increases. Recommend self-administration if possible.

Time the medications with meals. Choose a different route if the risk of aspiration increases. Recommend self-administration if possible.

Before administering an intravenous bolus, the primary health care provider instructs the nurse to flush the intravenous lock with normal saline by pushing slowly on the plunger. What could be the reason behind this instruction? To clear the intravenous lock of blood To prevent the transmission of infection To control the infusion rate of the intravenous bolus To determine whether the intravenous needle is positioned in the vein

To clear the intravenous lock of blood

While teaching a patient about metered dose inhalers, the nurse discusses the three-point position. What is the rationale for this nursing intervention? To help the patient activate the canister To direct the aerosol towards the airways To ensure that fine particles are aerosolized To distribute medication to the airways during inhalation

To help the patient activate the canister

The nurse applies lidocaine to a site before injecting the medication. What is the purpose of this nursing intervention? To reduce pain To minimize tissue pulling To minimize muscular tension To provide more consistency in the medication absorption

To reduce pain

Which form of topical medication is applied over a long period and should be removed before administering another dose? Lotion Liniment Ointment Transdermal patch

Transdermal patch

Which topical dosage form may show systemic side effects? Paste Lotion Liniment Transdermal patch

Transdermal patch

Which type of syringe is used to administer a small and precise amount of medication subcutaneously in infants and newborns? 5-mL syringe 3-mL syringe Insulin syringe Tuberculin syringe

Tuberculin syringe

A patient who has diarrhea is dehydrated and needs 480 mL of oral rehydration solution. How can the nurse show the patient what 480 mL is using a household measurement? One cup is approximately equivalent to 480 mL. Two cups are approximately equivalent to 480 mL. Three cups are approximately equivalent to 480 mL. Four cups are approximately equivalent to 480 mL.

Two cups are approximately equivalent to 480 mL.

A nursing student prepares a medication in liquid form to administer to a patient orally through small-bore feeding tubes. Which action made by the nursing student indicates a need for correction? Dissolving the gelcaps in 30 mL of warm water Crushing the simple tablets and diluting them in water Flushing the tubes with 30 mL of water before administration Using an intravenous syringe pump to prepare the medication

Using an intravenous syringe pump to prepare the medication

Which tips are appropriate for the safe administration of medications in children? Mixing medications with the child's favorite foods Offering juice after the child swallows the medication Using straws to help the child swallow the medication Using a glass disposable syringe to prepare liquid doses Mixing a small amount of medication with other foods or liquids

Using straws to help the child swallow the medication Mixing a small amount of medication with other foods or liquids

The registered nurse is evaluating a nursing student who is administering an eye medication to a patient. Which action of the nursing student needs correction? Using the medication only on the patient's affected eye Instilling the medication without direct contact with the cornea Using the eye medication for both affected and unaffected eye of the patient Instilling the medication without touching the eyelids or other eye structures with eye droppers

Using the eye medication for both affected and unaffected eye of the patient

Which nursing intervention is done to prevent accidental needlestick injuries? Adjusting the regulator clamp infusion rate Regulating the main infusion line to the desired rate Using the needleless port of the main intravenous line after cleaning with an antiseptic swab Hanging the piggyback medication bag above the level of the primary fluid bag

Using the needleless port of the main intravenous line after cleaning with an antiseptic swab

Which medication would the nurse add to intravenous fluids? Insulin Heparin Vitamins Dobutamine

Vitamins (The nurse would add vitamins to intravenous fluids. Insulin should not be added to intravenous fluids, unless it is diluted with sterile or normal saline. Heparin and dobutamine are high-alert medications that should not be (prepared by nursing on the nursing unit).)

What are the advantages of administering medications via volume-controlled infusions? Volume-controlled infusions reduce the risk of a rapid-dose infusion by an intravenous push. Volume-controlled infusions involve diluting and infusing medications over longer time intervals. Volume-controlled infusions provide increased patient mobility, safety, and comfort. Volume-controlled infusions allow for cost savings because of the omission of continuous intravenous therapy. Volume-controlled infusions allow for the administration of medications that are stable for a limited time in a solution.

Volume-controlled infusions reduce the risk of a rapid-dose infusion by an intravenous push. Volume-controlled infusions involve diluting and infusing medications over longer time intervals. Volume-controlled infusions allow for the administration of medications that are stable for a limited time in a solution.

When is the administration of an oral medication contraindicated? When the patient is unconscious When the patient is an older adult When the patient has gastric suction When the patient is a 5-year-old child When the patient is awaiting surgery

When the patient is unconscious When the patient has gastric suction When the patient is awaiting surgery

The nurse is administering medications to a 4-year-old patient. After the nurse explains which medications are being given, the mother states, "I don't remember my child having that medication before." Which action should the nurse take next? Give the medications. Identify the patient using two patient identifiers. Withhold the medications and verify the medication orders. Provide medication education to the mother to help her better understand her child's medications.

Withhold the medications and verify the medication orders.

Which part of a pressurized metered-dose inhaler is used to improve drug absorption in a patient's airway? Spacer Canister Propellant Face mask

spacer