Chapter 35: Medication Administration Questions and Answers Verified solutions

Chapter 35: Medication Administration Questions and Answers Verified solutions The nurse is teaching a patient about how to take a sublingual nitroglycerin tablet. Which statement by the patient best demonstrates understanding of the teaching? a. "I will take the tablet with plenty of water." b. "I will place the tablet inside my cheek." c. "I will put the tablet under my tongue." d. "I will take the tablet while I am eating." - ANS- c. "I will put the tablet under my tongue." The nurse is caring for a critically ill patient. What are the contraindications for administering medications by the oral route for this type of patient? Select all that apply. a. vomiting b. unconsciousness c. diarrhea d. Penicillin allergy e. Intubation - ANS- a and b The nurse is in a patient room ready to administer a new medication to the patient. Which action best demonstrates awareness of safe, proficient nursing practice? a. Identify the patient by comparing her name and birthdate to the medication administration record (MAR). b. Determine whether the medication and dose are appropriate for the patient c. Make sure the medication is in the medication cart d. Check the accuracy of the dose with another nurse. - ANS- a. Identify the patient by comparing her name and birthdate to the medication administration record (MAR). A patient has been using herbal medication as part of her daily routine. Which action should the nurse take? Select all that apply. a. document the herbs as part of the medication history b. recommend a reputable company from which to buy herbs c. allow the patient to self-administer the herbs with her morning medications d. inform the PCP of the findings e. identify possible adverse effects of the herbal medication - ANS- a, d, and e The health care provider prescribes a transdermal medication. The nurse understands what feature of the transdermal route? a. It is inhaled into the respiratory tract b. It is dissolved inside the cheek c. It is absorbed through the skin d. It is inserted into the vaginal cavity - ANS- c. It is absorbed through the skin The nurse is caring for a patient who is unable to hold a cup or a spoon. How should the nurse administer oral medications to the patient? a. Crush the pills and mix them in pudding before administering b. ask the pharmacist to change all of the medications to a liquid form c. use a small paper cup to place the pills into the patient's mouth d. Place the pills on the table and have the patient take the pills by hand - ANS- c. use a small paper cup to place the pills into the patient's mouth What should the nurse do first when preparing to administer medications to a patient? a. Check the medication expiration date b. Check the medication administration record (MAR) c. Call the pharmacy for administration instructions d. Check the patient's name band - ANS- b. check the medication administration record (MAR) The nurse is preparing a plan of care for a patient. What is the most appropriate goal for a patient related to medications? a. The patient will administer all medications correctly by discharge b. The patient will be taught common side effects of prescribed medications c. The patient will have a good understanding of prescribed medications d. The patient will have all medications administered by staff as prescribed - ANS- a. The patient will administer all medications correctly by discharge The nurse reviews a primary care providers order and finds that the medication amount is greater than the standard dose. What should the nurse do? a. Give the standard dose rather than the one that is ordered. b. Consult with the nursing supervisor to get a second opinion. c. Call the primary care provider to discuss the order in question. d. Administer the medication as ordered by the primary care provider. - ANS- c. Call the primary care provider to discuss the order in question. The Kefauver-Harris Drug Amendments were passed in 1962 to? a. Classify habit-forming medications as narcotics. b. mandate accuracy in drug labeling. c. require proof of drug safety and efficacy before marketing. d. categorize drugs on their abuse and addiction potential. - ANS- c. require proof of drug safety and efficacy before marketing. Which of the following is a correct technique for use of an insulin pen? a. Clean the pen tip with household soap. b. Prime the pen with 2 units before dose. c. Cover the needle until the next dose. d. Empty the pen and complete the dosage with a new pen, if necessary. - ANS- b. Prime the pen with 2 units before dose. A medication order that is to be administered immediately is? a. Diazepam 10 mg IV stat. b. Lanoxin 0.125 mg PO daily. c. Ibuprofen 300 mg q4h prn. d. Ativan 1 mg IV on call for surgery. - ANS- a. Diazepam 10 mg IV stat. Which of the following actions performed by the new staff nurse and observed by the nurse manager requires additional instruction? a. Giving medications 20 minutes before the scheduled time. b. Applying a tropical medicated cream without gloves. c. Alternating the sides of the cheeks for buccal medication. d. Documenting on the MAR that the patient refused the medication . - ANS- b. Applying a tropical medicated cream without gloves. The patient tells the nurse that he is experiencing nausea, vomiting, clumsiness, and blurred vision. He says that he has been taking a lot of vitamins. On the basis of the patients symptoms, which vitamin does the nurse suspect is creating the adverse effects? a. Vitamin B3 b. Vitamin C c. Folic acid d. Vitamin A - ANS- d. Vitamin A The patient asks the nurse about different herbal therapies that may promote physical stamina and mental concentration. On the basis of the patient's request, the nurse provides information on ? a. ginseng b. ginger c. echinacea d. chamomile - ANS- a. ginseng The patient is taking an herbal remedy for mild anxiety and difficulty sleeping. It also has the potential to interact with antidepressant medications. The nurse expects that this patient is taking? a. chamomile b. St. John's wort c. echinacea d. gingko biloba - ANS- b. St. John's wort The patient is to be given the medication that is enclosed in a cylindrical gelatin coating. The nurse knows that this medication comes in the form of a: a. tablet b. powder c. capsule d. suppository - ANS- c. capsule The patient receiving an IV infusion of morphine sulfate begins to experience respiratory depression and decreased urine output. This effect is described as: a. toxic b. allergic c. therapeutic d. idiosyncratic - ANS- a. toxic The patient is to receive a medication via the buccal route. The nurse plans to implement which of the following actions? a. place the medication inside the cheek b. crush the medication before administration c. use sterile technique to administer the medication d. offer the patient a glass of orange juice after administration - ANS- a. place the medication inside the cheek The physician orders 100 mg of a hypnotic medication to help the patient sleep. The label on the medication bottle reads Seconal 50 mg. How many tablets should the nurse give the patient? a. 1/2 tablet b. 1 tablet c. 1 1/2 tablets d. 2 tablets - ANS- d. 2 tablets