prep u administration of drugs

To safely administer medications to clients, a nurse's responsibilities include what intervention?

interpreting the prescriber's prescriptions accurately

After teaching a group of nursing students about the Joint Commission and National Patient Safety Goals (NPSG), the instructor determines that the teaching was successful when the group identifies that the NPSG is updated at which frequency?

annually

Nurse A arrives for work on a unit that has been very busy. Nurse B has been caring for the clients that Nurse A will now care for. Nurse B hands Nurse A a syringe and says, "Mr. Smith in room 431 needs his pain medication. Here it is, I haven't had time to give it." What is Nurse A's best response?

"I can't give medication someone else prepared. I will go prepare it now."

One route of medication administration requires special precautions to avoid complications. What route is this?

GI tube

The nurse is preparing to discharge a client who has begun to use subcutaneous insulin. What would be the best choice of container for the client to use for disposal of used needles and syringes?

Gallon plastic milk container with a screw-on lid

The health care provider has ordered a troche to be administered to a client. What instructions should be given to the client for correct administration of the medication?

Place the troche between your cheek and lower gums and allow it to dissolve.

The nurse is required to administer 2 mL of a subcutaneous (SC) injection to the client.The injection should be given in _____ sites, with separate needles and syringes.

2

The nurse is caring for a client who receives intramuscular (IM) injections. What needle gauge is commonly used for an IM injection?

22 gauge

A nurse is preparing to give a subcutaneous injection. Which of the following angles could the nurse use to deliver the injection? Select all that apply.

45 90

A nurse is preparing to administer a medication into a client's cheek. What kind of administration is this?

Buccal

The nurse has received this medication order: Amoxicillin 250 mg every 8 hours. What should the nurse do?

Call the health care provider for clarification

The nurse working the night shift administered 10 mg of an oral medication to a client instead of 5 mg. What is the nurse's next step after discovering the medication error? Select all that apply.

Call the health care provider. Complete an unusual occurrence report. Take the client's vital signs.

A nurse, who is required to administer a drug twice a day to a client, forgets to administer the first dose. What would be most appropriate for the nurse to do? Select all that apply.

Complete an unusual occurrence report regarding the error. Notify the primary care provider immediately. Report the drug error immediately.

The nurse is required to administer 4 mL of an intramuscular (IM) injection to the client. Which action would be most appropriate?

Divide the drug and give it as two separate injections.

The nurse has administered a sublingual medication to a client. What instruction is most important for the nurse to give to this client?

Do not eat or drink anything until the medication dissolves.

The nurse realizes that errors in drug calculations are caused by which factors? Select all that apply.

Human error Poor lighting Interruptions Taxing workload

The absorption rate of drugs varies according to the route of administration. Rank the order of absorption from most rapid to least rapid.

IV, IM, SC, PO

In response to a client's nausea, the nurse has mixed a dose of an antiemetic with 50 mL of sterile normal saline and will administer the dose by IV piggyback. What is the rationale for the use of IV piggyback?

The client is receiving continuous IV fluids in addition to IV medications.

A nurse is using and electronic medication cart with a bar-coded, point-of-care medication system. What must the nurse scan with the bar coder prior to administering medication to a client? Select all that apply.

The medication The client's identification band The nurse's own badge

A nurse is preparing to give a subcutaneous injection. Which are the most likely sites for the injection? Select all that apply.

Upper arm Back Abdomen Thigh

The nurse is administering a subcutaneous injection and notices that there is blood in the syringe prior to injecting the medication. What is the nurse's best action?

Withdraw the syringe and prepare a new injection.

The nurse receives a verbal order from a health care provider. To ensure safe medication administration, what steps are completed?

Write down the order exactly as the health care provider said it. Read the order back to the health care provider. Request verbal confirmation that the order is correct as written.

Prior to administration of an oral medication to a client, what should the nurse assess for? Select all that apply.

capacity to swallow assess for nausea knowledge of medication

The nurse is preparing to administer medications and demonstrates knowledge of the 6th right by:

documenting the medication after administration.

A nurse is preparing to administer a medication parentally. What are the routes of parenteral drug administration? Select all that apply.

intradermal intravenous intramuscular subcutaneous

The nurse is preparing to administer a prescribed drug parenterally using the Z-track method. The nurse would correctly administer the drug by which route?

intramuscular

A client who has ongoing pain issues has been prescribed meperidine (Demerol) IM. The nurse should best administer this medication into the client's:

thigh using a large-gauge needle.