Exam 1 - Medication Administration

Fill in the blank (with a number) question - Enter the answer in the space provided. Your answer should contain only numbers and, if necesary, a decimal point. The nurse is to administer meperidine (Demerol) 75 mg intramuscularly to a client. The medication is supplied in an ampule of 50 mg/mL. How many milliliters should the nurse administer to the client? Enter the correct number ONLY. ___________

1.5

A client arrives in the emergency department (ED) stating that she ate shrimp for supper, is having difficulty breathing, and has broken out in hives. What medication does the nurse anticipate administering immediately? a) Epinephrine b) Dopamine c) Dobutamine d) Amiodarone

a) Epinephrine

You are helping to give Mantoux tests to children who are being registered for kindergarten in your community. How should you administer this test? a) Interdermal injection into the inner forearm b) Intramuscular injection into the vastus lateralis c) Subcutaneous injection into the umbilical area d) Insert at a 45-degree angle into the deltoid

a) Interdermal injection into the inner forearm

The nursing instructor is teaching her students about the rectal administration of drugs. The instructor gives the students a scenario in which the client is prescribed an antipyretic drug, which is to be administered rectally. What nursing interventions should a student nurse perform after administering the suppository? a) Ensure that the client maintains bed rest for at least two hours. b) Check the client every 30 minutes. c) Provide the client with plenty of fluids. d) Ensure that the client avoids food intake for at least 30 minutes.

b) Check the client every 30 minutes.

The client, newly admitted to the hospital, has a list of home medications, which includes a transdermal fentanyl patch. It is most important for the nurse to a) Ask about constipation. b) Teach about adverse reactions. c) Check the dose. d) Remove the old patch.

c) Check the dose.

The client is a young, thin woman who is prescribed iron dextran intramuscularly. The nurse, when administering the medication, a) Uses a 23-gauge needle b) Employs the Z-track technique c) Rubs the site vigorously d) Injects into the deltoid muscle

b) Employs the Z-track technique

A patient is being seen in the ER following a motor vehicle accident (MVA). He is having severe back pain. The preferred route of administration of medication in the most acute care situations is which of the following routes? a) Epidural b) Subcutaneous c) Intravenous d) Intramuscular

c) Intravenous

Choice Multiple question - Select all answer choices that apply. The nurse is teaching the client about use of the pictured item with a metered-dose inhaler (MDI). The nurse instructs the client as follows: (Select all that apply.) a) It is not necessary to hold your breath after using. b) Use normal inhalations with the device. c) Take a slow, deep inhalation from the device. d) Activate the MDI once. e) The device may increase delivery of the MDI medication.

c) Take a slow, deep inhalation from the device. d) Activate the MDI once. e) The device may increase delivery of the MDI medication.

A client with a feeding tube is to receive medication. The medication supplied is an enteric-coated tablet. Which of the following would be most appropriate? a) Give the tablet as is in its original state. b) Dissolve the tablet in water after crushing it. c) Sprinkle the contents of the opened tablet into the tube. d) Check with the pharmacist to see of a liquid form is available.

d) Check with the pharmacist to see of a liquid form is available.

Which of the following is a correct route of administration for potassium? a) Intramuscular b) IV (intravenous) push c) Subcutaneous d) Oral

d) Oral