CH 3: Medication Administration and the Nursing Process of Drug Therapy

A patient is to receive an intramuscular injection of ketorolac. Which of the following muscles should be avoided? A. deltoid B. dorsogluteal C. ventrogluteal D. vastus lateralis

b

A physician writes an order using the abbreviation MS. The order states "MS 10 mg IV push every 6 hours as needed for pain." According to The Joint Commission's "Do Not Use" list, what is the potential problem in this order? A. The order does not include a dosage. B. The drug could be magnesium sulfate or morphine sulfate. C. The potential problem is minimal, and the order is clear. D. The order does not include the route.

b

What should the nurse keep in mind when evaluating a patient's response to drug therapy? A. Few drugs cause adverse effects. B. Drugs may cause virtually any symptom or problem. C. Patients always report adverse effects. D. Therapeutic effects are more important than adverse effects.

b

The patient receives regular insulin 5 units subcutaneously. To what degree is the syringe held for the injection? (Select all that apply.) A. 30 degrees B. 45 degrees C. 60 degrees D. 90 degrees

b,d

A prescriber has written an order for levothyroxine sodium 50 mg/day by mouth. The nurse knows that the standard dose is 50 mcg. What action should the nurse take? A. Call the prescriber and question the order. B. Administer 50 mcg instead. C. Consult the pharmacist about the order. D. Ask the patient what he or she usually takes.

a

During an initial nursing assessment, the patient reports that he is allergic to a particular medicine. What should the nurse ask the patient? A. What symptoms occurred when you had the allergic reaction? B. Did you need to take epinephrine (Adrenalin)? C. Did your physician think this information needed to be communicated? D. Have you ever overdosed on this medication?

a

The nurse has administered lacosamide to the wrong patient. What is the first action the nurse should take? A. Assess the patient's vital signs and level of consciousness. B. Notify the physician. C. Fill out an incident report. D. Call the respiratory therapist for administration of oxygen.

a

A patient is to receive lamotrigine 300 mg by mouth two times per day. The pharmacy has delivered 50-mg tablets. How many tablets should the nurse administer each time? A. 2 tablets B. 4 tablets C. 6 tablets D. 8 tablets

c

How do nursing interventions increase safety and effectiveness of drug therapy? A. by avoiding the use of nondrug measures during drug therapy B. by using multiple drugs to relieve most symptoms or problems C. by teaching patients about their drug therapy D. by avoiding excessive instructions

c

The nurse is administering the first dose of an anti-infective agent. Which of the following assessments should the nurse make prior to administering the anti-infective agent? A. Assess the patient's temperature. B. Assess the patient's level of consciousness. C. Assess whether the patient is allergic to any anti-infective agent. D. Assess whether the patient has taken the medication previously.

c

A prescriber has written an order for an oral antihypertensive medication for a patient who is in rehabilitation following a stroke. Prior to administering the medication, which of the following nursing interventions is most important? A. allowing the patient to take the medication with thickened liquids B. placing the patient in the sitting position C. assessing the patient's blood pressure D. assessing the patient's ability to swallow

d

How is a medication delivered by piggyback administered? A. It is pushed into the IV line. B. It is retrograded into the IV line. C. It is injected intramuscularly after another medication. D. It is mixed with 50 to 100 mL of IV fluid in a separate container.

d

Which of the following nursing actions will prevent adverse drug events? A. Use only the trade name when documenting medications. B. Crush long-acting medications if the patient has dysphagia. C. After receiving a verbal order, administer the medication and then write down the order. D. Use bar code technology according to institutional policy.

d