PrepU medications

The nurse is teaching a nursing student regarding safety of chemotherapeutic medication. Which statement by the nurse is correct?

"Antineoplastic drugs can be absorbed through the skin."

Nurse A is having difficulty logging into the automated medication-dispensing system, and asks Nurse B to log in momentarily so that Nurse A is not delayed in administering client medications. What is Nurse B's appropriate response?

"I will get the hospital's information system's phone number for you."

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."

The nurse has inadvertently administered medication ordered for Client A to Client B. What is the appropriate nursing action? Select all that apply.

- Complete an incident report. - Contact the provider to report the error. - Assess Client B thoroughly.

When preparing medications to provide to a client via enteral tube administration, which nursing action(s) is appropriate? Select all that apply.

- Finely crush non-enteric-coated medications. - Refrain from adding bulk-forming laxatives to the mix. - Open the shell of capsules to release the powdered drug. - mix powdered drugs with warm water

The nurse is educating a client on how to use an insulin pen. Which steps reflect recommended procedure? Select all that apply.

- Hold the pen upright and tap to force any air bubbles to the top. - Dial the dose selector to 2 units to perform an "air shot" to get rid of bubbles. - Clean injection site and administer injection by holding pen like a dart.

A client is to take Demerol 35 mg IM. You have Demerol 50 mg per ml. How many ml will you administer?

0.7 mL

A bolus administration of medication has been ordered for a client. How will the nurse prepare to administer this drug?

1 mL/min

The client is prescribed a medication that needs to be taken on an empty stomach. The nurse inadvertently administers this medication with food. What are the ramifications of this error?

Absorption of the medication will be impaired.

The client asks the nurse how to administer medication purchased over the counter for relief of arthritis pain. The nurse reviews the medication and determines that it is to be applied topically. Which instructions should the nurse provide?

Apply the medication to clean, dry skin of the affected area using gloves.

A nurse at the health care facility needs to administer an otic application for a client with an earache. What should the nurse do after instilling the prescribed eardrops in the client's ear?

Ask the client to maintain the position for some time.

A nurse needs to administer a subcutaneous injection to a client. How far from the previous injection site to the area should the nurse administer the injection?

At least one inch (0.25 cm)

The nurse is preparing to administer two IV medications. What is the appropriate nursing action?

Consult current drug reference book for IV compatibility.

An emergency room nurse is ordered to administer nitroglycerin to a client being treated for acute pulmonary hypertension. Which means of drug administration would the nurse use to achieve rapid results in this emergency situation?

IV infusion

The nurse is preparing to administer an allergy test via an intradermal injection. Which injection site would be most appropriate in this situation?

Inner surface of the forearm

A nurse preparing medication for a client is called away to an emergency. What should the nurse do?

Lock the medications in a cart and finish them upon return.

When administering heparin subcutaneously, the nurse should:

Never aspirate

The nurse is preparing to administer the second dose of ordered antibiotics to a client and notes that the first dose of medication is still in the automated medication-dispensing system. The medication administration record (MAR) does not show that the initial dose was given. What is the appropriate nursing action?

Notify the healthcare provider

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

The nurse has received a telephone order for a client from a health care provider. How will the nurse indicate in the documentation that the order was received via telephone?

Record "T.O." at the end of the order.

While administering a medication via a syringe, a client sharply moves and the nurse accidentally encounters a needlestick. What is the priority nursing action?

Report the incident to the nurse manager

A health care provider who just arrived on the unit gives a verbal order to the nurse regarding a nonemergent client situation. What is the nurse's appropriate response?

Tactfully request the provider to input the order into the computerized provider order system.

Drugs known to cause birth defects are called:

Teratogenic

Regarding medication administration, what must occur at the change of shifts?

The narcotics for the division are counted

The nurse is preparing to administer a transdermal medication. How should this be accomplished?

The nurse should apply the medication directly to the skin.

A postoperative client's medication administration record (MAR) provides for PRN administration of a number of analgesics by various routes. Which action should the nurse take to assess the client's pain to determine the appropriate analgesic to administer?

The nurse will have the client rate pain on the pain scale of 1 to 10 and proceed accordingly.

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 drug.

The primary reason for the Controlled Substances Act is:

To prevent drug use and dependence

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

Which assessment should be conducted by the nurse before the nurse administers tuberculin intradermal injection?

checking for documented allergies to food or drugs

The nurse is preparing to administer a tuberculin test. Which route will the nurse select to administer this injection?

intradermal

The chemotherapy client has been admitted for thrombocytopenia. Which blood product will the nurse anticipate administering?

platelets

The nurse is preparing to apply nitroglycerin paste. After checking the order, washing hands, checking the client's identity, and applying gloves, which is the next nursing action?

removing prior application and any remaining residue from skin

What is the best explanation from the nurse as to why a client must return to the unit in 48 hours after having a tuberculin skin test intradermal?

to determine the extent to which the client responded to the drugs