Medication and IV Administration 2025
A child diagnosed with tinea is being treated with griseofulvin. What instructions should the nurse give the
parents? - ansHave the child avoid intense sunlight.
A client calls the clinic and tells the nurse that she forgot to take her oral contraceptive this morning. What
should the nurse tell the client to do? - ansTake the medication immediately.
A client comes to the clinic for diagnostic allergy testing. The nurse understands that intradermal injections are
used for such testing based on which principle? - ansIntradermal drugs diffuse more slowly.
A client complains of difficulty swallowing when the nurse tries to administer a medication in capsule form.
What action should the nurse take next? - ansCheck for availability of a liquid preparation.
A client develops hepatic encephalopathy 1 week after portal caval shunt surgery. The client's physician orders
neomycin, 4 g by mouth daily in four divided doses. The client's partner asks how neomycin decreases the
serum ammonia concentration. How should the nurse respond? - ansNeomycin decreases the amount of
ammonia-producing bacteria in the GI tract.
A client has a nasogastric (NG) tube. How should the nurse administer oral medication to this client? - ansCrush
the tablets and prepare a liquid form; then insert the liquid into the NG tube.
A client has been on long-term prednisone therapy. What should the nurse instruct the client to include in the
diet? Select all that apply. - ansprotein
potassium
calcium
vitamin D
A client has been ordered vancomycin 1400 mg I.V. The medication is placed in 250 mL of normal saline. At
which rate should the nurse set the pump to infuse the medication over 90 minutes? Record your answer using
a whole number. - ans167
,A client has been prescribed digoxin. Which symptom should the nurse tell the client to report as a potential
indication of digoxin toxicity? - ansvisual disturbances
A client has been taking intravenous furosemide for congestive heart failure. The client is ordered to start
intravenous gentamicin. What intervention is the priority for the nurse? - ansmonitor serum BUN and
creatinine levels
A client has developed a hospital-acquired pneumonia. When preparing to administer cephalexin 500 mg, the
nurse notices that the pharmacy sent cefazolin. What should the nurse do? Select all that apply. - ansVerify the
medication order as written by the by the health care provider. (HCP).
Contact the pharmacy and speak to a pharmacist.
Request that cephalexin be sent promptly.
Return the cefazolin to the pharmacy
A client has not had a bowel movement for 2 days and is feeling uncomfortable. The physician writes an order
that states, "laxative of choice." How should the nurse proceed with this order? - ansAsk the physician to
prescribe a specific laxative.
A client has sustained a head injury and is to receive mannitol by I.V. push. In evaluating the effectiveness of
the drug, the nurse should expect to find: - ansdecreased cerebral edema.
A client is being switched from levodopa (L-dopa) to carbidopa-levodopa. The nurse should monitor for which
possible complication during medication changes and dosage adjustment? - ansvital sign fluctuation
A client is brought to the emergency department with abdominal trauma following an automobile accident.
The vital signs are as follows: heart rate, 132 bpm; respirations, 28 breaths/min; blood pressure, 84/58 mm Hg;
temperature, 97.0° F (36.1° C); oxygen saturation 89% on room air. Which prescription should the nurse
implement first? - ansAdminister 1 liter 0.9% saline IV.
A client is prescribed a bisacodyl suppository. When administering the suppository, the nurse will include what
actions? - ansInsert the suppository approximately 1 inch (2.5 cm) into the rectum, or just past the internal anal
sphincter.
, A client is prescribed warfarin sodium. The nurse has prepared 1 tablet of 5 mg, 1 tablet of 2 mg, and 1/2 tablet
of 3 mg. What is the dose that the nurse will be administering? Record your answer using one decimal place. -
ans8.5
A client is refusing to take the prescribed oral medication. Which measure by the nurse can be used to get the
client to take the medication? Select all that apply. - anssuggesting a liquid form of the medication instead of a
pill
asking the client the reason for not taking the medication
explaining the purpose of the medication to the client
A client is scheduled for surgery at 8 a.m.(0800). While completing the preoperative checklist, the nurse sees
that the surgical consent form isn't signed. It's time to administer the preoperative analgesic. Which nursing
action takes the highest priority in this situation? - ansnotifying the surgeon that the client hasn't signed the
consent form
A client is taking iron supplements. What information should the nurse give the client? - ansThe stools will
become darker.
A client is to be discharged on daily medication delivered by a transdermal disk. Which statement indicates the
need for further medication teaching? - ans"I'll place the disk on the same spot each day."
A client is to be discharged on prednisone. Which statement indicates that the client understands how to take
the medication? - ans"I need to wear or carry identification that I am taking prednisone."
A client is to receive 1 unit of packed red blood cells over 2 hours. There are 250 mL in the infusion bag. The IV
administration infusion set delivers 10 gtt/mL. At what flow rate (in drops per minute) should the nurse run the
infusion? Record your answer using a whole number. - ans21
A client is to receive a glycerin suppository. Which nursing action is appropriate when administering a
suppository? - ansApplying a lubricant to the suppository
A child diagnosed with tinea is being treated with griseofulvin. What instructions should the nurse give the
parents? - ansHave the child avoid intense sunlight.
A client calls the clinic and tells the nurse that she forgot to take her oral contraceptive this morning. What
should the nurse tell the client to do? - ansTake the medication immediately.
A client comes to the clinic for diagnostic allergy testing. The nurse understands that intradermal injections are
used for such testing based on which principle? - ansIntradermal drugs diffuse more slowly.
A client complains of difficulty swallowing when the nurse tries to administer a medication in capsule form.
What action should the nurse take next? - ansCheck for availability of a liquid preparation.
A client develops hepatic encephalopathy 1 week after portal caval shunt surgery. The client's physician orders
neomycin, 4 g by mouth daily in four divided doses. The client's partner asks how neomycin decreases the
serum ammonia concentration. How should the nurse respond? - ansNeomycin decreases the amount of
ammonia-producing bacteria in the GI tract.
A client has a nasogastric (NG) tube. How should the nurse administer oral medication to this client? - ansCrush
the tablets and prepare a liquid form; then insert the liquid into the NG tube.
A client has been on long-term prednisone therapy. What should the nurse instruct the client to include in the
diet? Select all that apply. - ansprotein
potassium
calcium
vitamin D
A client has been ordered vancomycin 1400 mg I.V. The medication is placed in 250 mL of normal saline. At
which rate should the nurse set the pump to infuse the medication over 90 minutes? Record your answer using
a whole number. - ans167
,A client has been prescribed digoxin. Which symptom should the nurse tell the client to report as a potential
indication of digoxin toxicity? - ansvisual disturbances
A client has been taking intravenous furosemide for congestive heart failure. The client is ordered to start
intravenous gentamicin. What intervention is the priority for the nurse? - ansmonitor serum BUN and
creatinine levels
A client has developed a hospital-acquired pneumonia. When preparing to administer cephalexin 500 mg, the
nurse notices that the pharmacy sent cefazolin. What should the nurse do? Select all that apply. - ansVerify the
medication order as written by the by the health care provider. (HCP).
Contact the pharmacy and speak to a pharmacist.
Request that cephalexin be sent promptly.
Return the cefazolin to the pharmacy
A client has not had a bowel movement for 2 days and is feeling uncomfortable. The physician writes an order
that states, "laxative of choice." How should the nurse proceed with this order? - ansAsk the physician to
prescribe a specific laxative.
A client has sustained a head injury and is to receive mannitol by I.V. push. In evaluating the effectiveness of
the drug, the nurse should expect to find: - ansdecreased cerebral edema.
A client is being switched from levodopa (L-dopa) to carbidopa-levodopa. The nurse should monitor for which
possible complication during medication changes and dosage adjustment? - ansvital sign fluctuation
A client is brought to the emergency department with abdominal trauma following an automobile accident.
The vital signs are as follows: heart rate, 132 bpm; respirations, 28 breaths/min; blood pressure, 84/58 mm Hg;
temperature, 97.0° F (36.1° C); oxygen saturation 89% on room air. Which prescription should the nurse
implement first? - ansAdminister 1 liter 0.9% saline IV.
A client is prescribed a bisacodyl suppository. When administering the suppository, the nurse will include what
actions? - ansInsert the suppository approximately 1 inch (2.5 cm) into the rectum, or just past the internal anal
sphincter.
, A client is prescribed warfarin sodium. The nurse has prepared 1 tablet of 5 mg, 1 tablet of 2 mg, and 1/2 tablet
of 3 mg. What is the dose that the nurse will be administering? Record your answer using one decimal place. -
ans8.5
A client is refusing to take the prescribed oral medication. Which measure by the nurse can be used to get the
client to take the medication? Select all that apply. - anssuggesting a liquid form of the medication instead of a
pill
asking the client the reason for not taking the medication
explaining the purpose of the medication to the client
A client is scheduled for surgery at 8 a.m.(0800). While completing the preoperative checklist, the nurse sees
that the surgical consent form isn't signed. It's time to administer the preoperative analgesic. Which nursing
action takes the highest priority in this situation? - ansnotifying the surgeon that the client hasn't signed the
consent form
A client is taking iron supplements. What information should the nurse give the client? - ansThe stools will
become darker.
A client is to be discharged on daily medication delivered by a transdermal disk. Which statement indicates the
need for further medication teaching? - ans"I'll place the disk on the same spot each day."
A client is to be discharged on prednisone. Which statement indicates that the client understands how to take
the medication? - ans"I need to wear or carry identification that I am taking prednisone."
A client is to receive 1 unit of packed red blood cells over 2 hours. There are 250 mL in the infusion bag. The IV
administration infusion set delivers 10 gtt/mL. At what flow rate (in drops per minute) should the nurse run the
infusion? Record your answer using a whole number. - ans21
A client is to receive a glycerin suppository. Which nursing action is appropriate when administering a
suppository? - ansApplying a lubricant to the suppository
