-Abrams-Clinical-Drug-Therapy-Rationales-for-Nursing-Practice-by-Ge

-Abrams-Clinical-Drug-Therapy-Rationales-for-Nursing-Practice-by-GeINSTANT DOWNLOAD WITH ANSWERS Abrams’ Clinical Drug Therapy Rationales for Nursing Practice by Geralyn Frandsen -Test Bank Sample Test Chapter 3- Medication Administration and the Nursing 1. An infant’s current weight indicates that the maximum safe dose of Tylenol is 30 mg by mouth. The phy65 mg to be given, and the nurse administers Tylenol 65 mg. Who is legally responsible in the event thaa toxic reaction to the medication? A) The nurse B) The pharmacist C) The physician D) The pharmacy technician Ans: A Feedback: When giving medications, the nurse is legally responsible for safe and accurate administration. This regharryson that the nurse may be held liable for not giving a drug or for giving a wrong drug or dose. The pharresponsible for filling the medication order, but if an error exists in the order and the medication is still adthe nurse, the nurse is the most responsible. If the physician writes the order but does not administer ththen the physician is not legally responsible. The pharmacy technician is not legally responsi2. An 80-year-old patient with risk factors for thrombophlebitis is to be administered heparin 5000 units suThe heparin vial is labeled 10,000 units/mL. How many milliliters will the nurse administer to the pA) 50 mL B) 1.5 mL C) 5 mL D) 0.5 mL Ans: D Feedback: 5000 units/X = 10,000 units/1 mL. 3. The physician orders potassium chloride 40 mEq to be added to the patient’s IV solution. The vial readsHow many milliliters will be added to the IV solution? A) 0.25 mL B) 20 mL C) 200 mL D) 40 mL Ans: B Feedback: 40 mEq/X mL = 10 mEq/5 mL. 4. You have received an order for a medication to be administered buccally. Where is the medication adA) Eye B) Vagina C) Cheek D) Nose Ans: C Feedback: A medication that has been ordered to be administered buccally is given in the patient’s cheek. The eyeharryson nose are not considered part of the buccal mucosa. 5. The nurse is repeatedly unsuccessful in starting an IV on a patient who requires antibiotic therapy. The orders the patient to receive an oral antibiotic. What is the major disadvantage of the oral route over throute? A) Slower rate of action B) Greater adverse effects C) Increased risk of tolerance D) Dose must be larger. Ans: A Feedback: The oral route of administration has a slower rate of action. Oral antibiotics do not produce greater advThe risk of tolerance is equal in intravenous and oral antibiotics. The dose is not necessarily larger inintravenous antibiotics. 6. A patient has a gastrostomy tube, and the pharmacy has delivered an extended-release tablet. Whatappropriate action taken by the nurse? A) Administer the medication orally. B) Administer the medication through the tube. C) Crush the medication and administer half of it at a time. D) Call the pharmacy to obtain an immediate-release form. Ans: D Feedback: The most important nursing action is to call the pharmacy to determine whether a liquid or a nonextentablet can be substituted. Extended-release tablets should never be crushed—the patient would be plaoverdose or potentially serious adverse effects or death. If the patient has a gastrostomy tube, then he swallow and cannot take the pill orally. The medication cannot be administered through the tube becobstruct the tube. 7. The nurse has measured a patient’s capillary blood glucose and is preparing to administer NPH insulinfollowing actions should the nurse perform? A) Administer intramuscularly. B) Rotate the liquid. C) Vigorously shake the vial. D) Administer intradermally