Test Bank Q Nursing Skills: Chapter 20 - Safe Medication Preparation-Latest Update

Test Bank Q Nursing Skills: Chapter 20 - Safe Medication Preparation-Latest Update The nurse is caring for several patients. The patient in which situation can safely receive oral medications? a. Nausea with frequent episodes of vomiting b. Taking a daily dose of vitamins c. Nasogastric tube connected to suction d. Diagnosed with an esophageal stricture - CORRECT ANSWERS-ANS: B Avoid giving oral medications to patients with alterations in gastrointestinal function (e.g., nausea and vomiting), reduced motility (after general anesthesia or inflammation of the bowel), or surgical resection of a portion of the gastrointestinal tract. Oral medications cannot be given when the patient has gastric suctioning and are contraindicated in patients before some tests or surgery. Oral administration is contraindicated in patients who are NPO and unable to swallow (e.g., patients with neuromuscular disorders, esophageal strictures, or lesions of the mouth). The nurse receives an order to give a drug parenterally. The nurse will administer this medication by which route? a. Oral b. Topical c. Sublingual d. Intramuscular - CORRECT ANSWERS-ANS: D Parenteral medications can be intramuscular, subcutaneous, intradermal, epidural, or intravenous. Medications given orally are given by mouth. Topical medications are applied on the skin (as a cream or patch) and as eye/eardrops. Sublingual medications are given under the tongue. A patient with a history of renal failure and liver disease has been receiving morphine sulfate every 4 hours for the past 2 weeks. The nurse finds the patient lethargic with a respiratory rate of 6 breaths per minute. The health care provider orders naloxone. The nurse anticipates which effects when naloxone is given? (Select all that apply.) a. Increase in alertness b. Decrease in urine output c. Complaints of pain d. Increase in respiratory rate - CORRECT ANSWERS-ANS: A, C, D Toxic effects develop after prolonged intake of a medication, when a medication accumulates in the blood as the result of decreased clearance by the liver and/or kidneys (because of impaired metabolism or excretion), or when too high a dose is given. Respiratory depression and sedation are known effects of opioid toxicity. Naloxone reverses the effects of opioids, including pain relief.