medication admin prepU
A code is called and Nurse A hands several drugs to Nurse B, stating while rushing off, "Give these to my client while I help with the code." What is Nurse B's appropriate response?
State, "I cannot give medications for other nurses."
The nurse is teaching a client with arthritis about taking medications at home. Which client statement indicates that nursing teaching has been effective?
"I will ask my pharmacist about an easy-to-open lid."
The nurse is caring for a client with diabetes. Which client statement reflects that nursing teaching has been effective?
"I will eat a meal within a half hour of taking my morning insulin."
What is the best response by the nurse when a client asks about the side effects of using nasal spray?
"Long-term use of nasal sprays can cause rebound nasal congestion."
A client asks why the client is being prescribed an otic medication. What is the best response by the nurse?
"Otic medications are used to treat local fungal infection in the ears."
The nurse just completed a refresher course on parenteral drug administration. Which statement by the nurse indicates that teaching was effective?
"Reconstitution is the process of adding liquid, known as diluent, to a powdered substance."
A nurse is administering a subcutaneous injection to a client. What is the common maximum volume of a subcutaneous injection?
1 mL
A nurse is reviewing information about a prescribed drug in a drug handbook in preparation for administration to a client. When reading about the drug, the nurse identifies which name as the generic name?
Ampicillin sodium
The nurse is preparing medications and is notified that a health care provider is on the phone. What is the nurse's appropriate response?
Ask the unit clerk to take a message from the provider.
The nurse is reading a medication prescription for a drug that is routinely administered every 12 hours. The prescription does not state the frequency of administration. What is the appropriate nursing action and accompanying rationale that guides the nurse's action?
Contact the health care provider to clarify the prescription. Assumptions cannot be made about medication administration and the nurse must practice within the state's nurse practice act and the organization's policies and procedures concerning medication administration
A nurse is administering medications through an enteral tube to a client with swallowing difficulties due to a cerebrovascular accident (CVA). Which action should the nurse perform to prevent gastric reflux?
Help the client into a Fowler position
The nurse is caring for a client who just returned from the postanesthesia care unit (PACU) and rates current pain as 9 out of 10. Which is the most appropriate postoperative prescription for this client?
IV morphine sulfate
The nurse has given a client an injection. How will the nurse prevent an accidental needle stick?
Immediately activate the safety needle and place the syringe and needle into a Sharps container.
What is the name of the process by which a drug moves through the body and is eventually eliminated?
Pharmacokinetics
The nurse is assessing a client who was seen 7 days ago with strep throat. The client states, "I felt better after 2 days of the antibiotic the provider prescribed, so I quit taking it." What would the nurse do to address this situation?
Provide education on taking all antibiotics for effective treatment
Which medication system allows for client independence?
Self-administered medication system
Which statement best describes the nurse's rationale for selecting the ventrogluteal site when using the Z-track technique for administering an injection?
The ventrogluteal site provides a location with the capacity for depositing and absorbing the drug
A client requests more medication for pain at the surgical site rated 8 out of 10. There is a PRN prescription for 10 mg PO of oxycodone for pain greater than 6 out of 10 on the pain scale. Which action should the nurse take first?
Verify clients name and date of birth
To which client would the nurse be most likely to administer a PRN medication?
a client who is reporting pain near the surgical site
The nurse is caring for a client with pneumonia who requires administration of medications. When does the nurse document administration in the medication administration record (MAR)?
after completion of administration of each drug
A client has an intermittent infusion device inserted for the administration of antibiotic therapy every 6 hours. The nurse would expect to flush the device at which frequency?
before and after each medication administration
A nurse is administering an adult client's ordered antipsychotic drug intramuscularly. What would be the most appropriate site for administration?
deltoid
A nurse is using an 18-gauge needle to administer medication to a client. The nurse knows that, when compared with a 27-gauge needle, an 18-gauge needle has which feature?
larger diameter
A nurse is preparing to convert a client's IV to an intermittent infusion device. The IV is connected to extension tubing. Before disconnecting the IV tubing from the extension tubing, the nurse clamps the extension tubing for which reason?
prevent air from entering the line
