Medication Administration Assessment

A nurse is reinforcing teaching with a client who has a new prescription for an antibiotic to treat a urinary tract infection. Which of the following statements should the nurse make? • "You can expect to experience a rash while taking this medication." • "Natural supplements do not interact with antibiotics." • "This medication is used to treat a viral infection." • "Finish the entire course of the prescription."

"Finish the entire course of the prescription."

A nurse is preparing to administer acetaminophen 320 mg oral solution to a school-age child. The amount available is acetaminophen oral solution 160 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

10

A nurse is preparing to administer an intradermal injection to a client. At which of the following degree angles should the nurse insert the needle? •60° angle •45° angle •10° angle •90° angle

10° angle

A nurse is preparing to administer phenytoin suspension 300 mg PO, twice per day. The amount available is phenytoin suspension 125 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

12

A nurse is preparing to administer clindamycin 0.3 g IM to a client. Available is clindamycin 150 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2

A nurse is preparing to administer amikacin 7 mg/kg/day IM to a client who weighs 165 pounds. Available is amikacin 250 mg/mL solution for injection. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2.1

A nurse is caring for a group of clients. Which of the following clients should the nurse identify is at the greatest risk of developing medication toxicity? •A client who has a respiratory infection. •A client who has rheumatoid arthritis. •A client who has impaired kidney function. •A client who has hyperthyroidism.

A client who has impaired kidney function

A nurse is preparing to administer a medication to a client who has an enteral feeding tube. Which of the following actions should the nurse take? • Mix the medication with the client's feeding infusion. • Flush the feeding tube with 10 mL of water prior to administration of the medication. • Administer the medication to the client in a liquid form. • Place the client in a supine position prior to administering the medication.

Administer the medication to the client in a liquid form.

A nurse has received a prescription to administer a medication STAT to a client. Which of the following actions should the nurse take? •Administer the medication whenever the client reports specific manifestations, such as pain. •Administer the medication at specific times until directed by health care provider. •Administer the medication at regular intervals of 4 hr. •Administer the medication within 30 min of the health care provider prescribing the medication.

Administer the medication within 30 min of the health care provider prescribing the medication.

A nurse is reviewing the pharmacokinetics of medications with a newly licensed nurse. The nurse should include that which of the following factors can affect the rate of absorption? (Select all that apply.) •Age of the Client •First Pass effect •Lipid solubility of a medication • Route of administration • Metabolism of the medication

Age of the client Lipid solubility of a medication Route of administration

A nurse is planning to use the teach-back method to educate a client about a new antihypertensive medication. Which of the following should the nurse include to demonstrate this method? •Provide the client with an internet link to research the medications. •Refer the client to the American Heart Association. •Give the client written educational material about the medication. •Ask the client to explain the information using their own words.

Ask the client to explain the information using their own words.

A nurse is scheduled to administer a medication to a client who is currently in the bathroom. Which of the following actions should the nurse plan to take? • Leave the medication at the client's bedside. • Prepare the medication to administer later • Document the medication was given prior to administration. • Come back in a few minutes to administer the medication.

Come back in a few minutes to administer the medication.

A nurse is providing discharge teaching to a client. Which of the following strategies should the nurse include? •Use passive listening skills. •Encourage the client to ask questions. •Use close-ended questions. •Provide written material at a 9th-grade reading level.

Encourage the client to ask questions.

A nurse is preparing to administer insulin to a client. Which of the following actions should the nurse take first? •Document the insulin administration. • Assist with teaching the client about the insulin. • Have a second nurse confirm the insulin dose. • Monitor the client for adverse effects of the insulin.

Have a second nurse confirm the insulin dose.

A nurse is preparing to administer medications to a client who is not wearing an identification bracelet. Which of the following actions should the nurse take before administering the medications? •Verify the client's identity using their diagnosis. •Use one identifier to confirm the client's identity. •Use the client's room number to identify the client •Have the client confirm their name and date of birth

Have the client confirm their name and date of birth.

A nurse is assisting with teaching a client about self-administration of insulin. Which of the following actions should the nurse take? • Repeat the least important information to the client. • Have the client perform a return demonstration of the procedure. • Provide the client with educational materials written at an 8th-grade reading level. • Dim the lights in the client's room before beginning the teaching.

Have the client perform a return demonstration of the procedure.

A charge nurse is reviewing routes of medication administration with a newly licensed nurse when providing care to a client. Which of the following routes of administration should the charge nurse include as having the slowest onset of action? •Intramuscular •Oral •Buccal •Intravenous

Oral

A nurse is collecting data on a client who is receiving vancomycin IV. The nurse observes the client has a rash on their neck, chest, and back. Which of the following actions should the nurse take first? •Notify the client's provider. •Stop the infusion of the vancomycin. •Administer diphenhydramine to the client. •Document the incident in the client's chart.

Stop the infusion of the vancomycin.

A nurse is preparing to administer medications to a preschooler. Which of the following information should the nurse keep in mind when administering medications to this client? •The dosage is calculated by height. •The preschooler is unable to take capsules. •Preschoolers receive the same amount as adults. •The deltoid muscle can be used to administer intramuscular injections.

The deltoid muscle can be used to administer intramuscular injections.

A nurse is reviewing measurement systems to perform dosage calculations with a newly licensed nurse. Which of the following instructions should the nurse include? •To convert g to mg, move the decimal point 3 places to the right. •Liters is a unit of measurement for distance •The metric system uses fractions rather than decimals. •Grains is used as a measurement of weight in the metric system.

To convert g to mg, move the decimal point 3 places to the right.

A nurse is preparing to administer medications to a client. The nurse should identify that which of the following factors contributes to medication errors? (Select all that apply.) •The use of automated dispensing systems. •Administering a generic medication. •Administering medication outside of prescribed time intervals. •Failing to administer a medication •Incorrect dose of the prescribed medication administered to the client.

•Administering medication outside of prescribed time intervals •Failing to administer a medication •Incorrect dose of the prescribed medication administered to the client

A nurse is assisting with teaching a client who has a new prescription for a nitroglycerin patch. Which of the following actions should the nurse take? (Select all that apply) •Ask the client what they know about the nitroglycerin patch. •Find out whether the client is able to pay for the medication. •Determine the client's ability to apply the patch. •Check the client's reading comprehension level. •Use medical terminology to instruct the client about the patch.

•Ask the client what they know about the nitroglycerin patch. •Determine the client's ability to apply the patch. •Check the client's reading comprehension level.

A nurse is participating in a committee to reduce medication errors on a medical unit. Which of the following interventions should the nurse recommend? (Select all that apply.) •Mark the area around the automated medication dispensing system. •Encourage the use of cell phones while dispensing medications. •Override the automated medication dispensing system during emergencies. •Provide the nurse administering medications with a vest. •Double check dosages of high-alert medications.

•Mark the area around the automated medication dispensing system. •Provide the nurse administering medications with a vest. •Double check dosages of high-alert medications.

A nurse is performing a medication reconciliation for a client who is being transferred to a long-term care facility. Which of the following actions should the nurse take? (Select all that apply.) •Place the medication reconciliation form with the client's transfer documents. •Reinforce teaching about the medications to the client upon discharge. •Add medications the client is no longer taking in the medication reconciliation. •Include over-the-counter medications in the medication reconciliation. •Compare the client's home medications with prescribed discharge medications.

•Place the medication reconciliation form with the client's transfer documents. •Reinforce teaching about the medications to the client upon discharge. •Include over-the-counter medications in the medication reconciliation. •Compare the client's home medications with prescribed discharge medications.

A nurse is assisting with teaching a newly licensed nurse about administering a transdermal nitroglycerin patch to a client. Which of the following instructions should the nurse include? •Expect the transdermal medication to absorb rapidly. •Wear clean gloves to apply the transdermal medication. •Apply no more than two transdermal patches at a time. •Place a new transdermal patch over the same site as an old patch.

•Wear clean gloves to apply the transdermal medication.