Exam 3 Medications- Fundamentals PREPU

a. Before meals

A medication order has ac written after the medication dosage. What does ac stand for? a. Before meals b. After meals c. Before d. After

c. 1 mL

A nurse is administering a subcutaneous injection to a client. What is the common maximum volume of a subcutaneous injection? a. 3 mL b. 0.01 mL c. 1 mL d. 0.05 mL

c. Distribution

After teaching a group of nursing students about pharmacokinetics, the instructor determines that the education was successful when the students identify what process by which the medication is delivered to the target cells and tissues? a. Absorption b. Synergism c. Distribution d. Metabolism

d. "Bunching your skin facilitates the placement of the needle in the subcutaneous tissue."

During a teaching session on self-administration of insulin, the client asks the nurse why it is necessary to bunch the skin before inserting the needle. What is the nurse's best response? a."Bunching your skin controls bleeding." b. "Bunching your skin steadies the syringe." c. "Bunching your skin ensures complete delivery of the insulin." d. "Bunching your skin facilitates the placement of the needle in the subcutaneous tissue."

a. Platelets

The chemotherapy client has been admitted for thrombocytopenia. Which blood product will the nurse anticipate administering? a. Platelets b. Fresh frozen plasma c. Whole blood d. Packed cells e. White blood cells

a. a client who is reporting pain near the surgical site

To which client would the nurse be most likely to administer a p.r.n. medication? a. a client who is reporting pain near the surgical site b. a client who requires daily medication to control hypertension c. a client who is experiencing severe and unprecedented chest pain d. a client whose asthma is treated with inhaled corticosteroids

d. gauge (lumen = opening; shaft = length; bevel = slanted portion that provides access to vein)

Which component of a syringe's needle does the nurse recognize that refers to width? a. lumen b. shaft c. bevel d. gauge

d. Upright, with head tilted back

A client has been ordered nasal drops, which the nurse will administer. How should the nurse best position the client? a. Lying flat, with the head extended as much as the client can tolerate b. Seated at a 45-degree angle with the nares flared c. Supine, with the neck in a neutral position d. Upright, with head tilted back

b. review the client's medication, allergy, and medical history

A client has been prescribed nasal medication. What care should the nurse take to avoid potential complications due to the administration of this medication? a. read and compare labels on the medication with the medical record b. review the client's medication, allergy, and medical history c. administer medication within 30 to 60 minutes of the scheduled time d. allow sufficient time to prepare the medication with minimal distraction

c. Hyperglycemia

A client is being started on total parenteral nutrition (TPN). When initiating the therapy, the nurse gradually tapers up the infusion rate as ordered to prevent which potential complication? a. Air embolism b. Infection c. Hyperglycemia d. Pneumothorax

d. Stop the infusion of the antibiotic

A client who has been receiving a secondary infusion of a new antibiotic for several minutes reports itching and a sensation of throat tightness. What is the priority nursing intervention? a. Assess skin for rash. b. Open the airway. c. Activate the Rapid Response Team. d. Stop the infusion of the antibiotic.

a. 0.5

A client with a complex cardiac history has been prescribed digoxin 0.0625 mg PO. The drug is available as 125 mcg tablets. How many of the tablets will the nurse administer? a. 0.5 b. 2 c. 4 d. 1.5

d. Ensure that drops of the medication fall onto the client's conjunctival sac.

A client with a new diagnosis of glaucoma (increased pressure within the eye) has been prescribed a medication that is to be administered by an eye drop. Which action should the nurse perform? a. Apply a few drops of normal saline to the eye to irrigate the eye. b. Ask the client to close his eyes for 15 to 30 seconds prior to administration. c. Cleanse the tip of the container with an alcohol swab. d. Ensure that drops of the medication fall onto the client's conjunctival sac.

b. breathes through his or her mouth until all the medication has been inhaled.

A client with chronic obstructive pulmonary disease has been prescribed a bronchodilator to be administered by small-volume nebulizer. The nurse should ensure that the client: a. takes rapid, shallow breaths until the medication is complete. b. breathes through his or her mouth until all the medication has been inhaled. c. coughs intermittently while the medication is being administered. d. rinses his or her mouth with water before the medication is administered.

c. Determine the compatibility of the two drugs by consulting clinical resources.

A client's eMAR states that two medications are due at the same time, both of which are available in vials and are to be administered by injection. What is the nurse's most appropriate action? a. Recognize that it is not safe to mix two medications in one syringe. b. Page the health care provider to determine whether the drugs can be mixed. c. Determine the compatibility of the two drugs by consulting clinical resources. d. Collaborate with the pharmacy to have one of the times changed.

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

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? a. Input the order into the computerized provider order system. b. Tactfully request the provider to input the order into the computerized provider order system. c. Refuse to implement the order and notify the nurse manager. d. Have another nurse witness and record the order into the medication administration record (MAR).

c. Ask the client to maintain the position for some time

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? a. Place a cotton ball in the ear to absorb excess medication. b. Instill the medication in the opposite ear if prescribed. c. Ask the client to maintain the position for some time. d. Briefly postpone the application in the second ear.

c. Return the medication to the medication cart or medication room.

A nurse brings a client the prescribed dose of medication and finds that the client is not in the unit. What should the nurse do in this case? a. Inform the physician about the client's absence. b. Leave the medication on the client's bedside table. c. Return the medication to the medication cart or medication room. d. Inform the head nurse about the client's absence.

b. As the gauge number becomes larger, the size of the needle becomes smaller.

A nurse educator is teaching a student nurse how to choose the correct needle for an injection. Which guidelines for needle selection might they discuss? a. When looking at a needle package, the first number is the length in inches and the second number is the gauge or diameter of the needle. b. As the gauge number becomes larger, the size of the needle becomes smaller. c. When giving an injection, the amount of the medication directs the choice of gauge. d. The size of the syringe is directed by the viscosity of the medication to be given.

b. Subcutaneous injections are administered into the adipose tissue layer just below the epidermis and dermis.

A nurse is administering enoxaparin sodium (anticoagulant) to a client with deep vein thrombosis, via the subcutaneous route. What is a recommended guideline when administering a subcutaneous injection? a. Sites commonly used for a subcutaneous injection are the inner surface of the forearm and the upper back, under the scapula. b. Subcutaneous injections are administered into the adipose tissue layer just below the epidermis and dermis. c. Subcutaneous injections are administered at a 30- to 45-degree angle based on the amount of subcutaneous tissue present. d. Pinching is advised for obese clients to lift the adipose tissue away from underlying muscle and tissue.

b. Use a syringe to plunge the tube to try to dislodge the medication.

A nurse is administering medication to a client via a gastric tube and finds that the medicine enters the tube and then the tube becomes clogged. What is the appropriate intervention in this situation? a. Remove the tube and replace it with a new tube. b. Use a syringe to plunge the tube to try to dislodge the medication. c. Call the physician before instituting any corrective interventions. d. Wait the prescribed amount of time and attempt to administer the medication again before calling the physician.

d. Avoid crushing sustained-release pellets.

A nurse is caring for a client who is being tube fed. What care should the nurse take when administering medications through an enteral tube? a. Add medications to the formula. b. Mix all the medications together in 15 mL of water. c. Use cold water when mixing powdered medications. d. Avoid crushing sustained-release pellets.

c. It is a canister that contains pressurized medication.

A nurse is explaining to a client the correct method of using a metered-dose inhaler when self-administering a prescribed dose of medication. What is a feature of a metered-dose inhaler? a. It is a battery-operated device that spins. b. It suspends finely powdered medication. c. It is a canister that contains pressurized medication. d.It has propellers that get activated during inhalation.

a. Check the client's identification band.

A nurse is providing care for a client who has a history of dementia. Which method should the nurse use in order to determine the client's identity prior to medication administration? a. Check the client's identification band. b. Ask the client his name prior to giving the drug. c. Cross-reference the MAR with the client's medical record. d. Enlist the help of a colleague who is familiar with the client.

d. 30 mL

A nurse is taking care of a 56-year-old man with end-stage liver disease. The nurse has a prescription to give 20 g of lactulose every 6 hours to treat the client's hepatic encephalopathy. On hand, the nurse has containers of lactulose that have 30 g in 45 mL. How many milliliters is the nurse going to administer every 6 hours to the client? a. 15 mL b. 22.5 mL c. 67.5 mL d. 30 mL

c. larger diameter

A nurse is using an 18-gauge needle to administer medication to a client. The nurse knows that, when compared with a 27-gauge needle, an 18-gauge needle has which feature? a. shorter length b. greater length c. larger diameter d. smaller diameter

b. self-contained packets that hold one tablet or capsule for individual clients

An acute care facility follows the unit dose supply method to supply medication to the clients. What is meant by the unit dose supply method? a. a container with enough prescribed medications for several days for a client b. self-contained packets that hold one tablet or capsule for individual clients c. a supply that remains on the nursing unit for use in an emergency d. systems that contain frequently used medication for that unit

b. Place the date on the vial and retain for future us

In preparing to administer a drug to a client, the nurse has pierced a multi-use vial of medication. What is the appropriate nursing action? a. Discard the remaining drug. b. Place the date on the vial and retain for future use. c. Draw up the remaining medication to give at the next time of administration. d. Send the vial with the remaining drug back to the pharmacy.

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

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? a. No extra documentation is necessary. b. Have another nurse cosign the order input. c. Tell the provider to sign the order as soon as possible. d. Record "T.O." at the end of the order.

c. Each unit of insulin is accompanied by a clicking sound in the pen

The nurse is assessing a client with diabetes who has poor vision. Which feature of the insulin pen makes it beneficial for this client? a. The insulin pen is easily transported on the client. b. It is easier to learn how to use an insulin pen than a syringe and vial. c. Each unit of insulin is accompanied by a clicking sound in the pen. d. With an insulin pen, a large variety of insulin types are available.

a. decreased irritation and pain in subcutaneous tissue

The nurse is preparing to administer a client's intramuscular injection and intends to use the technique shown. What potential benefit of this technique should the nurse describe? a. decreased irritation and pain in subcutaneous tissue b. less frequent administration of the medication c. more rapid administration of the medication d. decreased risk for infection

a. 15-degree angle

The nurse is preparing to administer a tuberculin test. At which angle is the nurse expected to instill the drug? a. 15-degree angle b. 45-degree angle c. 90-degree angle d. 120-degree angle

d. 90 degrees

The nurse is preparing to administer insulin to an obese client. At what angle will the nurse plan to insert the needle into the client? a. 10 to15 degrees b. 20 to 30 degrees c. 45 degrees d. 90 degrees

d. "sustained action" The nurse will clarify that SA means "sustained action." XR means "extended release;" CR means "continuous release;" SR means "sustained release.

The nurse is teaching a client about metformin SA. When the client asks, "What does the SA mean?" what is the appropriate nursing response? a. "sustained release" b. "continuous release" c. "extended release" d. "sustained action"

c. Give written instructions to the client and caregivers.

The nurse is teaching a client how to take medications upon discharge. The client is alert and oriented but unable to articulate the teaching back to the nurse. What is the appropriate nursing action? a. Provide discharge paperwork to the client. b. Request another nurse to reteach the material. c. Give written instructions to the client and caregivers. d. Arrange for home health to see the client.

c. "Antineoplastic drugs can be absorbed through the skin."

The nurse is teaching a nursing student regarding safety of chemotherapeutic medication. Which statement by the nurse is correct? a. "Pharmacists usually administer chemo drugs." b. "Once the drugs are packaged in the pharmacy, there are no risks in handling the medication." c. "Antineoplastic drugs can be absorbed through the skin." d. "Antineoplastic drugs only target cancer cells."

a. "Reconstitution is the process of adding liquid, known as diluent, to a powdered substance."

The nurse just completed a refresher course on parenteral drug administration. Which statement by the nurse indicates that teaching was effective? a. "Reconstitution is the process of adding liquid, known as diluent, to a powdered substance." b. "Reconstitution is a sealed glass cylinder of parenteral medication with an attached needle." c. "Reconstitution is a glass or plastic container of parental medication with a self-sealing rubber stopper." d. "Reconstitution is a sealed glass drug container that must be broken to withdraw the medication."

d. to prevent drug use and dependence.

The primary reason for the Controlled Substances Act is: a. to regulate the purchase of antibiotics. b. to regulate the purchase of narcotics. c. to prevent overuse of antibiotics. d. to prevent drug use and dependence.

c. Engage safety shield on needle guard and discard needle appropriately.

When administering a subcutaneous injection to a client, the needle pulls out of the skin when the skin fold is released. What would be the appropriate next action of the nurse in this situation? a. Pull out and discard the needle. b. Discard the equipment and start the procedure from the beginning. c. Engage safety shield on needle guard and discard needle appropriately. d. Document the incident and inform the primary care provider.

B, C, E

When administering oral medications, which practices should the nurse follow? Select all that apply. a. Dispense multiple liquid medications into a single cup to reduce the number of containers the client must handle. b. Perform hand hygiene before and after medication administration. c. Stay at the bedside until the client has swallowed all the medications. d. Store the client's MAR at the bedside at all times to ensure safe identification. e. Verify the client's response to the medication 30 minutes after administration or as appropriate for the drug.

a. checking for documented allergies to food or drugs

Which assessment should be conducted by the nurse before the nurse administers tuberculin intradermal injection? a. checking for documented allergies to food or drugs b. preparing the syringe with the medication c. cleaning the area with an alcohol swab d. gathering all the equipment needed

a. The ventrogluteal site provides a location with the capacity for depositing and absorbing the drug.

Which statement best describes the nurse's rationale for selecting the ventrogluteal site when using the Z-track technique for administering an injection? a. The ventrogluteal site provides a location with the capacity for depositing and absorbing the drug. b. The ventrogluteal site determines whether or not the needle is in a blood vessel. c. The ventrogluteal site prevents tissue contact with the irritating drug. d. The ventrogluteal site reduces the transmission of microorganisms.

d. Pull the client's ear up and back.

Which technique should the nurse employ when instilling otic medication in an adult ear? a. Tilt the client's head toward the ear in which the medication is being instilled. b. Tilt the client's head back with face upward. c. Pull the client's ear down and back. d. Pull the client's ear up and back.

c. Report the needlestick to the nurse manager.

While administering a medication via a syringe, a client sharply moves and the nurse accidentally encounters a needlestick. What is the priority nursing action? a. Request counseling on the potential for infection. b. Document the injury. c. Report the needlestick to the nurse manager. d. Obtain the client's blood to be tested for HIV and HBV.