Medication Administration Complete Solution

Medication Administration Complete Solution Nursing Scenarios and Answers 1. Intradermal Injection Angle - Question: At which angle should the nurse insert the needle for an intradermal injection? - ️ 10° angle - Feedback: Intradermal injections are typically administered at a shallow angle to ensure that the medication is deposited just beneath the epidermis. 2. Discharge Teaching Strategy - Question: Which strategy should the nurse include in discharge teaching? - ️ Encourage the client to ask questions. - Feedback: This promotes engagement and understanding of the client's health care. 3. Transdermal Nitroglycerin Patch Application - Question: What instruction should be included for administering a transdermal nitroglycerin patch? - ️ Wear clean gloves to apply the transdermal medication. - Feedback: This helps prevent contamination and protects the nurse from absorbing the medication. 4. Calculating Phenytoin Suspension - Question: How many mL should the nurse administer for phenytoin suspension 300 mg PO? - ️ 12 mL - Calculation: ( frac{300,mg}{125,mg/5,mL} = 12 ,mL ) 5. Medication Administration in Preschoolers - Question: What information should the nurse keep in mind when administering medications to a preschooler? - ️ The deltoid muscle can be used to administer intramuscular injections. - Feedback: The deltoid is an appropriate site for intramuscular injections in children. 6. Routes of Medication Administration - Question: Which route has the slowest onset of action? - ️ Oral - Feedback: Oral medications have a longer absorption time compared to other routes. 7. Calculating Amikacin Dose - Question: How many mL of amikacin should the nurse administer to a client who weighs 165 pounds? - ️ 2.1 mL - Calculation: ( 7,mg/kg times frac{165,lbs}{2.2,lbs/kg} = 52.5,mg ); ( frac{52.5,mg}{250,mg/mL} approx 0.21 ,mL ), administered as per dosing guidelines. 8. Teach-Back Method - Question: How should the nurse demonstrate the teach-back method? - ️ Ask the client to explain the information using their own words. - Feedback: This confirms the client's understanding in an interactive way. 9. New Prescription for Nitroglycerin Patch - Question: What actions should the nurse take regarding the nitroglycerin patch? (Select all that apply) - ️ Ask the client what they know about the nitroglycerin patch. - ️ Determine the client's ability to apply the patch. - ️ Check the client's reading comprehension level. - Feedback: This information helps tailor education to the client's needs. 10. Client at Risk for Medication Toxicity - Question: Who is at the greatest risk of developing medication toxicity? - ️ A client who has impaired kidney function. - Feedback: Impaired renal function can lead to accumulation of medications. 11. Administering STAT Medication - Question: What should the nurse do when administering a medication STAT? - ️ Administer the medication within 30 minutes of the health care provider prescribing the medication. - Feedback: Timely administration is crucial for STAT orders. 12. Factors Affecting Rate of Absorption - Question: Which factors can affect the rate of absorption? (Select all that apply.) - ️ Age of the client - ️ Lipid solubility of a medication - ️ Route of administration - Feedback: These factors influence how quickly a medication takes effect in the body. 13. Administering Medications Without ID Bracelet - Question: What should the nurse do if the client is not wearing an identification bracelet? - ️ Have the client confirm their name and date of birth. - Feedback: This is vital for ensuring correct patient identification. 14. Medication Reconciliation for Transfer - Question: What actions should the nurse take during medication reconciliation? (Select all that apply.) - ️ Place the medication reconciliation form with the client's transfer documents. - ️ Reinforce teaching about the medications to the client upon discharge. - ️ Include over-the-counter medications in the medication reconciliation. - ️ Compare the client's home medications with prescribed discharge medications. - Feedback: Thorough reconciliation prevents medication errors and ensures continuity of care. 15. Antibiotic Prescription Teaching - Question: What should the nurse inform a client with a new antibiotic prescription for a urinary tract infection? - ️ "Finish the entire course of the prescription." - Feedback: Completing the full course is essential to prevent antibiotic resistance. --- A nurse is collecting data on a client who is receiving vancomycin IV. The nurse observes the client has a rash on their neck, chest, and back. Which of the following actions should the nurse take first? ️Stop the infusion of the vancomycin. A nurse is preparing to administer acetaminophen 320 mg oral solution to a school-age child. The amount available is acetaminophen oral solution 160 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) ️10 A nurse is preparing to administer a medication to a client who has an enteral feeding tube. Which of the following actions should the nurse take? ️Administer the medication to the client in a liquid form. A nurse is reviewing measurement systems to perform dosage calculations with a newly licensed nurse. Which of the following instructions should the nurse include? ️To convert g to mg, move the decimal point 3 places to the right. A nurse is preparing to administer insulin to a client. Which of the following actions should the nurse take first? ️Have a second nurse confirm the insulin dose. A nurse is participating in a committee to reduce medication errors on a medical unit. Which of the following interventions should the nurse recommend? (Select all that apply.) ️Mark the area around the automated medication dispensing system. Provide the nurse administering medications with a vest. Double check dosages of high-alert medications. A nurse is preparing to administer medications to a client. The nurse should identify that which of the following factors contributes to medication errors? (Select all that apply.) ️Administering medication outside of prescribed time intervals Failing to administer a medication Incorrect dose of the prescribed medication administered to the client