Chapter 28 Medications
The nurse is caring for a client with a yeast infection. Which medication does the nurse anticipate will be prescribed?
miconazole
When administering heparin subcutaneously, the nurse should:
never aspirate
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?
self-contained packets that hold one tablet or capsule for individual clients
The nurse is reviewing the plan of care for a client who has a newly placed implanted catheter and is to be discharged home. What is a priority for the nurse to include in the plan of care?
signs of infection
The Z-track technique is utilized during drug administration by which route?
Intramuscular
The nurse is teaching a client about using two inhalers. Which client statement reflects that nursing teaching has been effective?
"I must wait at least 1 full minute between inhalers."
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 systems' phone number for you."
The nurse is preparing to administer meperidine as an intramuscular injection in an adult client's deltoid site. Which needle should the nurse select for this injection?
1 inch; 22 gauge
A nurse is preparing to administer IV therapy to a client and selects a catheter with a large lumen. Which catheter would have the largest lumen?
18 gauge
A client has an order for chloramphenicol, 500 mg every 6 hours. The drug comes in 250 mg capsules. What would the nurse administer?
2 tabs
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 which have 30 g in 45 mL. How many milliliters is the nurse going to administer every 6 hours to the client?
30 mL
The nurse is reviewing the plan of care for several clients who have prescriptions for intravenous medications. The nurse understands that which client is at the highest risk for greater effect of the IV medication?
73-year-old client diagnosed with liver disease
The nurse is preparing to administer a tuberculin test. Which route will the nurse select to administer this injection?
Intradermal
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?
As the gauge number becomes larger, the size of the needle becomes smaller
A nurse needs to administer a prescribed dosage of oral medication to a client with influenza. Which action should the nurse perform when administering oral medication to the client?
Avoid administering medication prepared by another nurse
The nurse is teaching a client about zolpidem CR (Ambien CR) for sleep. When the client asks, "What does the CR mean?" what is the appropriate nursing response?
Continuous release
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?
Check the client's identification band
A nurse is applying a nitroglycerine transdermal patch to a client. What is the preferred site to use?
Chest
The hospital nurse is using barcode medication administration software when preparing to administer medication to a client. When the scanning system cannot identify the client's identity, what is the appropriate nursing action?
Contact the pharmacy and information technology department for assistance.
A nurse is administering a hepatitis B immunization injection to an adult clent. Which site would the nurse choose for this injection?
Deltoid muscle site
The nurse is assessing a client with diabetes who has poor vision. Which feature of the insulin pen makes it beneficial for this client?
Each unit of insulin is accompanied by a clicking sound in the pen
A severe allergic reaction from a medication requires
Epinephrine
Which medication would most likely be administered via a transdermal patch?
Hormonal medications
Which contains all the components of a valid order?
John Smith, Atenolol 50 mg, twice a day, by mouth
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
What is the name of the process by which a drug moves through the body and is eventually eliminated?
Pharmacokinetics
Which technique should the nurse employ when instilling otic medication in an adult ear?
Pull the client's ear up and back.
28s 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
The nurse is preparing to administer a transdermal medication. How should this be accomplished?
The nurse should apply the medication directly to the skin
Which "rights" are included in the "six rights for medication administration"? Select all that apply.
Right medication, Right dose, Right route, Right time
A nurse is preparing to administer a scheduled dose of enteric-coated ASA to a client who has a history of angina. When preparing the medication, the nurse is careful to check the five rights of medication administration. The five rights include which of the following?
Right time
A hospitalized client asks the nurse for "some aspirin for my headache." There is no order for aspirin for this client. What will the nurse do?
State that an order from the doctor is legally required and check with the doctor
Nurse A receives an urgent phone call and hands several medications to Nurse B, stating, "Please give these to my client. I will be right back." What is Nurse B's appropriate response?
State, "I cannot give medications for you."
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?
Stop the infusion of antibiotic
A nurse enters a client's room to check on his intravenous infusion. An electronic infusion device is not being used. When checking the solution container and rate, the nurse notes that that fluid is infusing at a rate slower than intended. When assessing the client, which finding would the nurse identify as most likely contributing to the slowed rate of infusion?
The client is resting his arm with the IV on his head
A physician has prescribed the use of topical emollients lotion, which is an inunction application, for a client who reports dry skin. Which information should the nurse tell the client regarding the correct method of usage?
The medication is administered by rubbing it into the skin
The nurse has withdrawn opioid pain medication into a syringe. When preparing to administer the medication, the client refuses, stating that pain is controlled currently at a level of 2 on a scale of 1 to 10. What is the appropriate nursing action?
Waste the medication with another nurse witness present
A client with chronic obstructive pulmonary disease (COPD) has been prescribed an inhaled bronchodilator. Which technique should the nurse implement in order to ensure safe and complete delivery of the prescribed medication?
Use a spacer or extender with the metered-dose inhaler
The nurse is preparing to give a vaccination for an infant. At which site should the nurse plan to administer the injection?
Vastus Lateralis
To which client would the nurse be most likely to administer a prn medication?
a client who is reporting pain near the surgical site
The nurse is administering an intramuscular injection to a client. Which action made by the nurse could assess whether the needle is in the client's blood vessel or not?
aspirating for a blood return
A client who is receiving TPN is prescribed a 10% lipid emulsion to be given at 10 a.m. When administering the lipid emulsion, the nurse uses separate tubing attached below the filter of the main IV administration set. The nurse does so to prevent:
clogging of the TPN filter
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
The primary reason for the Controlled Substances Act is:
to prevent drug abuse
1m 3s The nurse is teaching a client about the proper use of transdermal patches. Which location will the nurse teach the client to apply the patch? (Select all that apply.)
upper arms, chest, abdomen, buttock
A nurse is caring for a client undergoing IV therapy. The nurse knows that intravenous administration of medication is appropriate in which situation?
when the client has disorders that affect the absorption of medications
