Chapter 31 Medication Administration-Fundamentals of Nursing

Chapter 31: Medication Administration
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MULTIPLE CHOICE ra




1. A nursing attendant is teaching a hospital client about medications. Which statement fro
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m the hospital client indicates teaching is effective?
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a. ―My parenteral medication must be taken with food.‖ ar ra ra ra ra ra ra




b. ―I will rotate the sites in my left leg when I give my insulin.‖
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c. ―Once I start feeling better, I will stop taking my antibiotic.‖ ra ra ra ra ra ra ra ar ra ar




d. ―If I am 30 minutes late taking my medication, I should skip that dose.‖
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ACCURATE ANSWER:-B ra



For daily insulin, rotate site within anatomical area. Rotating injections within the same body
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part (intrasite rotation) provides greater consistency in absorption of medication. Parenteral
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medication absorption is not affected by the timing of meals. Taking a medication 30 minutes
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late is within the 60minute window of the time medications should be taken. Medications are u
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sually stopped bas ra ra



ed on the provider’s orders except in extenuating circumstances. With some medications, suc
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h as antibiotics, it is crucial that the full course of medication is taken to avoid relapse of infecti
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on.

DIF:Apply (application) ra



OBJ:Discuss nursing roles and responsibilities in medication administration. TOP:Teaching/
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Learning MSC: Pharmacological and Parenteral Therapies ra ra ra ra




2. A nursing attendant is preparing to administer an injection to a hospital client . Which s
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tatement made by the hospital client is an indication for the nursing attendant to use the Z-
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track method? ra




a. ―I am allergic to many medications.‖ ra ar ra ra ra




b. ―I’m really afraid that a big needle will hurt.‖ ar ar ra ra ra ra ra ra




c. ―The last shot really irritated my skin around the site.‖ ra ra ra ra ra ar ra ra ra




d. ―My legs are too obese for the needle to go through.‖ ar ra ra ar ra ra ra ra ra ra




ACCURATE ANSWER:-C ra



The Z- ra



track is indicated when the medication being administered has the potential to irritate sensit
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ive tissues. It is recommended that, when administering IM injections, the Z-
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track method be used to minimize local skin irritation by sealing the medication in muscle ti
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ssue. The Ztrack method is not meant to reduce discomfort from the procedure. If a hospital clie
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nt is alle ar ra



rgic to a medication, it should not be administered. If a hospital client has additional subcuta
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neous tissue to go through, a needle of a different size may be selected.
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DIF:Apply (application) ra



OBJ:Describe factors to consider when choosing routes of medication administration. ra ra ra ra ra ra ra ra ra ar



TOP:Planning MSC: Pharmacological and Parenteral Therapies ra ra ra ra

, 3. A 2-yearold child is ordered to have eardrops daily.
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Which action will the nursing attendant take? ra ra ra ra ra ar a.
Pull the auricle down and back to straighten the ear canal.
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b. Pull the auricle upward and outward to straighten the ear canal.
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c. Sit the child up for 2 to 3 minutes after instilling drops in ear canal.
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d. Sit the child up to insert the cotton ball into the innermost ear canal.
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ACCURATE ANSWER:-A ra



Children up to 3 years of age should have the auricle pulled down and back, children 3 years o
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f age to adults should have the auricle pulled upward and outward. Solution should be instil
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led 1 cm (1/2 in) above the opening of the ear canal. The hospital client should remain in the
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side-
lying position 2 to 3 minutes. If a cotton ball is needed, place it into the outermost part of the e
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ar canal. ra




DIF:Apply (application) ra



OBJ:Plan safe preparation and administration of medications using clinical judgment.
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TOP:Implementation MSC: Pharmacological and Parenteral Therapies
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4. A hospital client has been prescribed to receive 0.3 mL of U-
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500 insulin. Which syringe will the nursing attendant use to administer the medication?
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a. 3-mL syringe ra




b. U-100 syringe ra




c. Needleless syringe ra




d. Tuberculin syringe ra




ACCURATE ANSWER:-D ra



Because there is no syringe currently designed to prepare U-
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500 insulin, many medication errors result with this kind of insulin. To prevent errors, ensure
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that the order for U- ra ra ra ra



500 specifies units and volume (e.g., 150 units, 0.3 mL of U500 insulin), and use tuberculin syring
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es to draw up the doses. A 3 mL and U-
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100 can result in inaccurate dosing. A needleless syringe will not be acceptable in this situatio
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n.

DIF:Apply (application) ra



OBJ:Plan nursing actions using clinical judgment to prevent medication errors.
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TOP:Planning MSC: Pharmacological and Parenteral Therapies ra ra ra ra




5. A hospital client has an order to receive 12.5 mg of hydrochlorothiazide. The nursing at
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te
ndant has on hand a 25 mg tablet of hydrochlorothiazide. How many tablet(s) will the
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nu rsing attendant administer? a. 1/2 tablet ra ra ra




b. 1 tablet ra




c. 1 1/2 tablets ra ra




d. 2 tablets ra




ACCURATE ANSWER:-A ra



1/2 tablet will be given. The nursing attendant is careful to perform nursing calculations to en
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sure proper medication administration. The dose ordered is 12.5. The dose on hand is 25. 12.5/2
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5 = 1/2 tablet.
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, DIF:Apply (application) ra



OBJ:Solve prescribed medication doses correctly. TOP:Implemen tation MSC: ra ra ra ra ar



Pharmacological and Parenteral Therapies ra ra ra




6. The hospital client is to receive phenytoin at 0900. When will be the ideal time for the
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n ursing attendant to schedule a trough level? a. 0800
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b. 0830
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c. 0900
d. 0930
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ACCURATE ANSWER:-B ra



Trough levels are generally drawn 30 minutes before the drug is administered. If the medicatio
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n is administered at 0900, the trough should be drawn at 0830.
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DIF:Apply (application) ra



OBJ:Discuss factors to include in assessing a hospital client ’s needs for and response to medication thera
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py. TOP:Planning MSC: Pharmacological and Parenteral Therapies ra ra ra ra ra




7. A hospital client
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is receiving vancomycin. Which physiological function is the priority for t
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he nursing attendant s to assess? a. Vision
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b. Hearing
c. Heart tones ra




d. Bowel sounds ra




ACCURATE ANSWER:-B ra



A side effect of vancomycin is ototoxicity—
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hearing. It does not affect vision, heart tones, or bowel sounds.
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DIF:Apply (application) ra



OBJ:Distinguish among different types of medication actions. ra ra ra ra ra ra



TOP:Assessment ar



MSC: Pharmacological and Parenteral Therapies
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8. A health care provider orders lorazepam 1 mg orally 2 times a day. The dose available is
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0.5 mg ar



per tablet. How many tablet(s) will the nursing attendant administer for each dose? a.
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1
b. 2
c. 3
d. 4
ACCURATE ANSWER:-B ra



The nursing attendant will give 2 tablets. It will take 2 tablets (0.5) to equal 1 mg OR ordered d
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ose (1) overdose on hand (0.5). 1/0.5 = 2 tablets.
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DIF:Apply (application) ra



OBJ:Solve prescribed medication doses correctly. TOP:Implemen tation MSC: ra ra ra ra ar



Pharmacological and Parenteral Therapies ra ra ra




9. The nursing attendant is preparing to administer an injection into the deltoid muscle of
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a
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