Pharm Chapter 10: Drug Administration

Pharm Chapter 10: Drug Administration The nurse is administering oral meds to a patient. Which are important considerations? (Select all) A) Administer irritating drugs with food B) Avoid mixing meds in infant formula C) Enteric-coated capsules may be chewed or crushed D) Oral meds should be stopped if the patient is vomiting E) Cut all transdermal patches to the correct dose ️ Ans: A, B, D --- The clinic nurse is preparing to administer an intradermal injection. Which supplies are most appropriate for this procedure? A) 21-gauge, 5/8 inch needle B) 27-gauge, 5/8 inch needle and 3-mL syringe C) 25-gauge needle and insulin syringe D) 25-gauge needle and tuberculin syringe ️ Ans: D --- The nurse is administering an IM injection to a 5-year-old child. Choose the correct site the nurse will use. A) Intravenous B) Dorsogluteal C) Deltoid D) Ventrogluteal ️ Ans: D --- The nurse administers a variety of drugs to a patient. Which statement by the patient indicates a need for further teaching? A) I do not eat or drink when I have sublingual nitroglycerin in place B) I mix all of these meds in my dessert and hope I am not too full to finish it C) I keep the meds in their original labeled containers D) I store meds away from children and pets ️ Ans: B --- The nurse is teaching a patient to use an inhaler. What common teaching point is essential for the nurse to include? A) Cleaning the metered-dose inhaler or nebulizer is not recommended B) The semi-Fowler or high Fowler position is recommended C) Spacers decrease delivery of med D) Nebulizers change meds to a large-particle powder mist ️ Ans: B --- A 3-year-old patient has an IM med ordered. What is the most appropriate approach to gain the child's cooperation? A) Engage the help of a second nurse to hold the child B) Give a pretend injection to a toy animal C) Restrain the patient's upper extremities D) Ask family members to leave the room ️ Ans: B --- The nurse prepares to administer oral meds to a patient. What nursing intervention is needed in addition to the "five-plus-five" rights to ensure safety? A) Assess the patient for risk of aspiration B) Mix two of the four meds into the meal C) Administer drugs on a full stomach if food interferes with medication absorption D) Administer irritating drugs without food to decrease GI discomfort ️ Ans: A --- A patient is to start on a lidocaine transdermal patch. What is essential for the nurse to include in the patient's teaching? (Select all) A) Wear gloves when applying the patch B) Cut the patch in half if a reduced dose is needed C) Wear gloves when removing the patch D) Rotate placement of patch to different sites E) Remove the patch if it becomes loose ️ Ans: A, C, D --- The nurse needs to administer an intramuscular injection to an infant. Which is the most appropriate site to utilize for this patient? A) Ventrogluteal B) Deltoid C) Vastus lateralis D) Abdomen ️ Ans: C --- Which behavior describes the appropriate administration of eye drops? A) Med is applied directly on the eyeball surface B) Med is applied in the conjunctival sac C) Med is applied while patient is looking at the floor D) Med is applied in the lacrimal sac ️ Ans: B --- Which intervention will the nurse use when administering a medication subcutaneously? A) Use a 1- to 1 1/2-inch, 23- to 25-gauge needle B) Insert the needle at a 45- to 90-degree angle, depending on patient size, to penetrate subcutaneous tissue