Ch 2: CP

One route of medication administration requires special precautions to avoid complications. What route is this? Oral Subcutaneous IM GI tube

GI tube

Which should be administered intradermally? (Choose one) NPH insulin Influenza vaccine PPD skin test Tetanus vaccine

PPD skin test

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. Suck on the troche and allow it to coat the back of the throat. Chew the troche quickly to release the medication, and take a few sips of water. Swallow the troche whole. It may be split in half if it is too large to swallow.

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

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. Report the drug error immediately. Increase dosage to compensate for the first dose. Complete an unusual occurrence report regarding the error. Notify the primary care provider immediately. Take no action if the client does not show any adverse reaction.

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

Which route is not a parenteral route? Sublingual Intramuscular Subcutaneous Intravenous

Sublingual

A nurse is to give an intermittent infusion. Approximately how long will it take for the infusion to be given? 5 to 10 minutes 50 to 100 minutes 30 to 60 minutes 60 to 120 minutes

30 to 60 minutes

The nurse should use which needle when administering a nonviscous solution by the intramuscular (IM) route for an adult? 1.5 inches (3.8 cm), 22 gauge 1 inch (2.5 cm), 25 gauge 0.5 inches (1.3 cm), 25 gauge 1.5 inches (3.8 cm), 18 gauge

1.5 inches (3.8 cm), 22 gauge

The nurse is caring for a client who receives intramuscular (IM) injections. What needle gauge is commonly used for an IM injection? 16 gauge 18 gauge 22 gauge 25 gauge

22 gauge

A client who weighs 165 lb (75 kg) and who is 5 ft 2 in (1.57 m) tall is scheduled to receive a subcutaneous injection. At what angle should the nurse insert the needle? 60° 70° 80° 90°

90°

troche

A flat, round dosage form containing medication, flavoring, sugar, and mucilage; dissolves in mouth to release medication. Also known as a lozenge.

The nurse has received this medication order: Amoxicillin 250 mg every 8 hours. What should the nurse do? Administer the dose Call the health care provider for clarification Ask the client how the client has taken the medication in the past Verify the client's allergies

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. Report the error the next morning when the shift supervisor arrives. Complete an unusual occurrence report. Take the client's vital signs. Administer antidote medication.

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

The nurse is caring for a client with a nasogastric tube who will receive oral medications through this tube. What procedure should the nurse follow to administer the client's oral tablets? Cut the tablets in small pieces and drop them down the tube. Break the tablets in quarters and mix with the client's liquid medications. Crush the tablets and dissolve them in water before administration. Place the tablets in a carbonated beverage one hour before administration.

Crush the tablets and dissolve them in water before administration.

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. Give the entire volume in one injection site. Ask the health care provider to change the prescription. Use a larger-gauge, longer needle

Divide the drug and give it as two separate injections.

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? Large Styrofoam drinking cup with a lid Gallon plastic milk container with a screw-on lid Coffee can with a plastic lid Cardboard shoe box with a lid

Gallon plastic milk container with a screw-on lid

During the process of medication reconciliation, what is the primary function of the list of medications developed from the medication history? Provides the client's family with a comprehensive list of current medications Assures quality nursing care by being placed in the client's medical record Helps minimize the risk of medication interactions with newly prescribed medications Provides the primary health care provider with a written copy of current medications

Helps minimize the risk of medication interactions with newly prescribed medications

The absorption rate of drugs varies according to the route of administration. Rank the order of absorption from most rapid to least rapid. PO (oral), SC (subcutaneous), IM (intramuscular), IV (intravenous) IV, SC, IM, PO SC, IV, IM, PO IV, IM, SC, PO

IV, IM, SC, PO

The nurse is performing ear irrigation on a client with impacted cerumen. This is an example of what type of medication administration? Oral Parenteral Topical Sublingual

Topical

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. Withdraw the needle slightly and continue to administer the injection. Withdraw the syringe and inject into a new site using the same syringe. Call the health care provider for an order of oral medication.

Withdraw the syringe and prepare a new injection.

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 semiannually quarterly monthly

annually

When is it appropriate to document medication administration on the client's medication administration record (MAR)? at the end of each shift at least once during a 24-hour period as soon as possible after administration before removing the medication from the package

as soon as possible after administration

The nurse is preparing to administer a prescribed drug and scans the client's hospital identification band, the drug unit dose package, and the nurse's identification badge. Which type of drug distribution system is the nurse using? bar-coded point-of-care medication system automated medication management system unit dose system multidose system

bar-coded point-of-care medication system

The nurse is preparing to administer medications and demonstrates knowledge of the 6th right by: identifying the client prior to administering the medication. ensuring that the MAR matches the provider's order. documenting the medication after administration. double checking the medication with the allergies listed on the clients chart.

documenting the medication after administration.

What is essential for the nurse to obtain before administering a medication to the client? prescription of the drug medical history of the client health care provider's prescription primary care provider's verbal prescription

health care provider's prescription

To safely administer medications to clients, a nurse's responsibilities include what intervention? interpreting the prescriber's prescriptions accurately making dosage adjustments safely and in a timely fashion delegating the administration of medications efficiently identifying the most appropriate medication for a client's health problem.

interpreting the prescriber's prescriptions accurately

The nurse is preparing to administer allergy skin testing. Through which parenteral route should the nurse administer drugs to the client to optimize results? intradermal subcutaneous intravenous intramuscular

intradermal

The nurse is teaching a client about medications prescribed by the health care provider. Enteric-coated tablets should be not crushed because the medication: melts when in contact with moisture. dissolves in the client's mouth. tastes unpleasant and bitter. irritates the stomach mucosa.

irritates the stomach mucosa.

A client who has ongoing pain issues has been prescribed meperidine (Demerol) IM. The nurse should best administer this medication into the client's: vascular space using a large-gauge needle. shoulder muscle using a small-gauge needle. buttocks using a small- to medium-gauge needle. thigh using a large-gauge needle.

thigh using a large-gauge needle.