Chp 31 Medication Administration QUESTION AND ANSWERS GRADE A+ SOLUTIONS

1. The nurse is having difficulty reading a physician's order for a medication. He or she knows that the physician is very busy and does not like to be called. What is the most appropriate next step for the nurse to take? A) Call a pharmacist to interpret the order B) Call the physician to have the order clarified C) Consult the unit manager to help interpret the order D) Ask the unit secretary to interpret the physician's handwriting B You must have the right documentation and clarify all orders with the prescriber before administering medications. 2. The patient has an order for 2 tablespoons of Milk of Magnesia. How much medication does the nurse give him or her? A) 2 mL B) 5 mL C) 16 mL D) 30 mL D 1 tablespoon = 15 mL; 2 tablespoons = 30 mL. 3. A nurse is administering eardrops to an 8-year-old patient with an ear infection. How does the nurse pull the patient's ear when administering the medication? A) Outward B) Back C) Upward and back D) Upward and outward D Eardrops are administered with the ear positioned upward and outward for patients greater than 3 years of age. 4. A patient is to receive cephalexin (Kefl ex) 500 mg PO. The pharmacy has sent 250-mg tablets. How many tablets does the nurse administer? A) ½ tablet B) 1 tablet C) 1 ½ tablets D) 2 tablets D Using dimensional analysis: Tablets = 1tablet/250 mg× 500 mg = 500/250 = 2 tablets. 5. A nurse is administering medications to a 4-year-old patient. After he or she explains which medications are being given, the mother states, "I don't remember my child having that medication before." What is the nurse's next action? A) Give the medications B) Identify the patient using two patient identifiers C) Withhold the medications and verify the medication orders D) Provide medication education to the mother to help her better understand her child's medications C Do not ignore patient or caregiver concerns; always verify orders whenever a medication is questioned before administering it. 6. A patient is transitioning from the hospital to the home environment. A home care referral is obtained. What is a priority in relation to safe medication administration for the discharge nurse? A) Set up the follow-up appointments with the physician for the patient. B) Ensure that someone will provide housekeeping for the patient at home. C) Ensure that the home care agency is aware of medication and health teaching needs. D) Make sure that the patient's family knows how to safely bathe him or her and provide mouth care. C A nursing responsibility is to collaborate with community resources when patients have home care needs or difficulty understanding their medications. CONTINUED.....