Test Bank For Introductory Clinical Pharmacology 12Th Edition By Ford.

1. A nurse is required to give an intramuscular (IM) injection to an 18-month-old toddler. The nurse would prepare which site for administration? A) Dorsogluteal site B) Deltoid muscle C) Vastus lateralis D) Ventrogluteal site Answer: C Rationale: The vastus lateralis site is frequently used for infants and small children because it is more developed than the other intramuscular sites such as the dorsogluteal and deltoid muscle. Ventrogluteal sites may be used in children who have been ambulating for more than 2 years. Question Format: Multiple Choice Chapter: 2 Learning Objective: 7 Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 29, Administration of Drugs by the Intramuscular Route 2. A health care provider instructs a nurse to administer a medication to a client STAT. Which action by the nurse would be most appropriate? A) Insist on obtaining a written report before administering any drug. B) Administer the drug as ordered by the health care provider. C) Forego obtaining the health care provider's order after the drug has been administered. D) Document the administration of the drug only after receiving the health care provider's order. Answer: B Rationale: The nurse should administer the drug as instructed without a written order as it is an emergency. The nurse should, however, ensure that the health care provider's order is obtained after the drug has been administered. Waiting for a written order during an emergency may exacerbate the client's condition. The nurse should complete the documentation immediately after the administration of the drug and not wait until the health care provider's order is received. Question Format: Multiple Choice Chapter: 2 Learning Objective: 3 Cognitive Level: Apply Client Needs: Safe and Effective Care Environment: Coordinated Care Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 21, Right Dose, Right Route, and Right Time 3. A nurse has administered an opioid drug to a client. Which action would be most appropriate for the nurse to do immediately after administering the drug? A) Monitor the vital signs of the client. B) Document administration of the drug. C) Inform the client about the type of drug. D) Update the health care provider regarding the client's condition. Answer: B Rationale: After administration of any drug, the nurse should immediately document the administration. After the documentation is complete, the nurse can record the client's vital signs. The client needs to be informed about the drug before the administration. The health care provider need not be immediately informed, unless the client develops severe adverse reactions. Question Format: Multiple Choice Chapter: 2 Learning Objective: 9 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacologic Therapies Integrated Process: Communication and Documentation Reference: p. 33, Nursing Responsibilities After Drug Administration 4. A health care provider orders a transdermal drug. When administering this drug, which action by the nurse would be most appropriate? A) Apply next dose to a new site. B) Check the infusion rate. C) Inject only the inner part of the forearm. D) Give small volumes of doses. Answer: A Rationale: An important nursing intervention when administrating drugs through the transdermal route is to apply the next dose to a new site. It is important to check the infusion rate every 15 to 30 minutes in clients using infusion controllers or infusion pumps. When using the intradermal route, the inner part of the forearm should be used as the injection site and small volumes of doses should be administered. Question Format: Multiple Choice Chapter: 2 Learning Objective: 8 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacologic Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 33, Administration of Drugs by the Transdermal Route 5. The health care provider has asked a nurse to administer a drug intravenously to an unresponsive client. How can the nurse ensure that the drug is administered to the right client? A) By waking the client up to ask their name B) By identifying the client's room number C) By checking the client's wristband D) By asking the nursing assistant for the client's location Answer: C Rationale: The nurse should identify a client by checking the client’s wristband, which has the client's name. The nurse should not ask the client to confirm their name, because some clients, particularly those who are confused or have difficulty hearing, may respond by answering yes. Additionally, this client is unresponsive. The nurse can obtain the client's location by asking any other member of the health care staff, but should verify the client's identity by checking the wristband. The nurse should not rely on the client's room number alone. Question Format: Multiple Choice Chapter: 2 Learning Objective: 1 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacologic Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 20, Right Client 6. A client is ordered to receive subcutaneous heparin twice a day. When administering this drug, what action would be most important for the nurse to take to minimize tissue damage? A) Insert the needle at the appropriate angle. B) Select the needle length based on the client's weight. C) Ensure that there is no hair on the injection site. D) Rotate the injection site regularly. Answer: D Rationale: The nurse should rotate the injection sites to minimize the damage caused to the tissue. Inserting the needle at the proper angle and selecting the needle length based on the client's weight will not significantly help in minimizing tissue damage if the same site is repeatedly injected. It is not necessary to avoid injection sites that have hair as long as the drug is administered in the upper arms, the upper abdomen, and the upper back. Question Format: Multiple Choice Chapter: 2 Learning Objective: 7 Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potential Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 28, Administration of Drugs by the Subcutaneous Route 7. The nurse is unable to read the health care provider's handwriting for a new drug order. Which action by the nurse would be most appropriate in this situation? A) Question the order with the primary health care provider. B) Try to interpret the handwriting. C) Confirm the order with a nearby health care provider. D) Obtain a verbal order. Answer: A Rationale: Any order that is unclear, for any reason, should be questioned. The nurse should not try to interpret the handwriting as it may lead to a misinterpretation. The nurse should also not confirm the order with any other health care provider who is nearby. Administering drugs based on verbal orders is generally permissible only during emergencies. Question Format: Multiple Choice Chapter: 2 Learning Objective: 1 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacologic Therapies Integrated Process: Communication and Documentation Reference: p. 35, Key Points 8. A nurse is preparing to administer an intramuscular injection to a client for the first time. What would be most important for the nurse to do? A) Obtain the client's allergy history B) Obtain information about the drug C) Inquire if the client has any objections to syringes D) Discuss the dosage with other nurses Answer: A Rationale: Before giving any drug for the first time, the nurse should ask the client about any known allergies as well as any family history of allergies. The nurse need not particularly obtain information about the drug as it has been prescribed by the health care provider, but needs to be aware of the adverse effects it may cause. There is also no need to discuss the dosage with other nurses or to find out if the client has any objections to syringes. However, the nurse should help allay the client's fears by reassuring them about the administration. Question Format: Multiple Choice Chapter: 2 Learning Objective: 4 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacologic Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 22, Considerations in Drug Administration 9. As the nurse administers a drug to the client, the client says, “This doesn't look like my usual pill.” Which response by the nurse would be most appropriate? A) “This is the pill the pharmacy sent.” B) “It must be from a different manufacturer.” C) “It looks different? Are you sure?” D) “Let me double-check with your health care provider and the order.”