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A nurse is administering medications to four clients. The nurse should identify which of
the following nursing actions as a part of the evaluation phase of the nursing process?
1. Collecting information about a client's pain level following administration of a narcotic.
2. Taking the blood pressure of a client before administering an antihypertensive
medication
3. Lowering the level of a client's bed before administering a benzodiazepine medication
4. Instructing a client to rinse their mouth following administration of an inhalation
corticosteroid - ANS-1. Collecting information about a client's pain level following
administration of a narcotic.
A nurse is teaching a newly licensed nurse about crushing medications. The nurse
should explain that which of the following medications can be crushed?
1. Extended-release oxycodone
2. Sublingual nitroglycerine
3. Enteric-coated aspirin
4. Sucralfate tablets - ANS-4. Sucralfate tablets
A nurse is transcribing medication prescriptions for a group of clients. Which of the
following is the appropriate way for the nurse to record medications that require the use
of a decimal point?
.4 mL
0.6 mL
8.0 mL
125.0 mL - ANS-0.6 mL
A nurse is caring for a client who states that his provider told him he is at risk for
anaphylaxis following administration of amoxicillin and that he does not understand
what this means. Which of the following is an appropriate response by the nurse?
1. "Anaphylaxis is a predictable and often unavoidable secondary effect that can occur
at a usual therapeutic dose."
, 2. "Anaphylaxis will cause you to experience withdrawal symptoms when you
discontinue taking the medication."
3. "Anaphylaxis is an unusual response that can occur due to an inherited
predisposition."
4. "Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening." -
ANS-4. "Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-
threatening."
A nurse is preparing to administer a medication to a newly admitted client. The nurse
should identify which of the following actions as a part of the assessment phase of the
nursing process?
1. Asking the client about a history of medication allergies
2. Instructing the client about the medication's adverse effects
3. Determining whether the medication should be administered with or without meals
4. Monitoring the client's response to the medication - ANS-1. Asking the client about a
history of medication allergies
A nurse is providing teaching regarding medication administration to a group of newly
licensed nurses. Which of the following is a legal responsibility of a nurse?
1. Prescribing the correct dosage
2. Modifying the medication regimen
3. Reporting medication errors
4. Delegating administration to assistive personnel - ANS-3. Reporting medication
errors
A nurse is preparing to administer insulin subcutaneously to a client. The nurse should
document the administration of the medication immediately after which of the following
actions?
1. Taking the insulin from the automated dispensing machine
2. Injecting the insulin
3. Checking the client's blood glucose level
4. Checking the correct dosage of the insulin - ANS-2. Injecting the insulin
A nurse is assessing a client following administration of an antibiotic. The nurse should
identify that which that which of the following findings is a manifestation of an
anaphylactic reaction to the medication?
1. Swollen lips
2. Hypertension
3. Low heart rate
4. Constipation - ANS-1. Swollen lips
Newly licensed nurse to have a second nurse review the dosage of which of the
following meds prior to administration?
1. Heparin
2. Acetaminophen
3. Acetylcysteine