Medication administration-evolve Questions and Answers with Verified solutions

Medication administration-evolve Questions and Answers with Verified solutions A health care provider has ordered Astramorph (morphine sulfate), (a narcotic opioid), and Vistaril (hydroxyzine), an antianxiety medication, to be administered together to produce pain relief for a patient. When smaller doses of each are administered together, the effect is greater than if they were given separately. This effect is an example of: - A synergistic effect The nurse is reviewing a patient's prescribed medications. The patient states that she quit taking her blood pressure medication because it made her "too weak and tired." What type of medication action was the patient most likely experiencing? - side effect Which of the following patients is at highest risk for a toxic medication effect? - The patient who has liver and kidney problems and takes high doses of aspirin to relieve pain A patient has been taking Vancomycin HCl (vancomycin) for an infection. The health care provider has ordered a peak and trough level to be drawn. When should the nurse expect the phlebotomist to draw the patient's blood for the trough level? - 30 minutes prior to administering the Vancomycin The nurse selects a medication according to the eMAR for the correct name, dosage, and route. The nurse goes to the patient's room and compares the name and date of birth on the patient's ID bracelet to that information on the eMAR. The nurse administers the medication orally because it is a pill, and then returns to the eMAR and documents the medication administration. Which of the following 6 rights did the nurse violate? - the right time The following medications are to be administered. Which patient receives medication the most often? The patient who: - receives antibiotics Q4h A patient has an order to receive nystatin oral suspension PC. When will the nurse administer this medication - after meals The health care provider has ordered an antibiotic to be given three times in a 24-hour period. Which would be the best dosing schedule for this medication in order to maintain a therapeutic blood level? - Q8h A nurse is administering daily medications when a patient states, "I never took a little yellow pill before." What is the nurse's best action? - Stop and recheck the medication that it is correct according to the health care provider's order. An alert patient has refused to take her prescribed medications, stating, "The medication isn't doing me any good!" What should the nurse do? - Assess further as to why the patient feels this way and notify the health care provider of the patient's refusal. When should the nurse document medication administration? - Immediately after the medication is given The nurse finished administering medications at 1030 when the nurse realized that she gave a patient all of his medications at 1000, including some medications that should have been administered at 1200 and some at 1400. Which of the 6 rights of medication administration did the nurse violate? - the right time Mrs. Star in room 129-1 requests a prn pain medication. The nurse administered Mrs. Star's pain medication to Mrs. Start in room 138-2. After the nurse assessed Mrs. Start and reported the incident to the health care provider, the nurse reviewed the patients' eMAR and determined that both Mrs. Star and Mrs. Start had orders for the same prn pain medication. Fortunately, Mrs. Start's order stated she could receive pain medication every 4 hours, and 5 hours had elapsed since her last dose. Since neither patient was harmed by the error, why should the nurse complete an incident report? - The nurse should do so to determine why the mistake occurred and what can be done to avoid similar errors in the future. A nurse manager is reviewing with the nurse measures used to prevent medication errors. Which of the following statements indicate a correct understanding of steps used to prevent medication errors? - "I will shut the door of the medication room when I am preparing medications The nurse finished administering medications to a patient when she realized she gave the medications to the wrong patient. What should the nurse do first? - Assess the patient's condition. The nurse is going to prepare a liquid medication for a patient. Which of the following actions, if made by the nurse, indicates that further instruction is needed in performing this procedure - The nurse removes the bottle cap and places the cap facing down. The nurse holds the bottle with the label away from the nurse's hand while pouring. Which of the following are contraindications to oral medication administration? - N/V Inability to swallow, rather, allow it to dissolve. The patient asks why. The nurse's best response is: - "It is designed to be absorbed through the vessels of the undersurface of the tongue, and if it is swallowed, the medication will be destroyed by the gastric juices. The nurse is administering medication to a patient when the patient accidentally drops the tablet on the floor. What should the nurse do? - Discard the tablet and get another one Postop for gastrointestinal surgery Continuous gastric suction The nurse administers a sublingual tablet and instructs the patient to avoid swallowing the tablet but A patient is on a fluid restriction. When giving oral medications, which of the following considerations are needed? - Allow the patient to take medications with a small amount of water and document the amount on the patient's record. A patient states that she has difficulty swallowing pills and asks the nurse to crush them. Which of the following medications would it be okay to crush? - A scored tablet of Lanoxin (digoxin)