FINALSW1- ORAL MEDICATION ADMINISTRATION

Question 1

most common least expensive and most convenient route for clients. The drug being swallowed and because skin is not broken as it is for an injection, it is also a safe method

Answer 1

ORAL MEDICATION ADMINISTRATION

Question 2

examples of medications that are given by enteral routes include which of the following: SELECT ALL THAT APPLY

a. total parenteral nutrition (TPN) solutions
b. oral tablets
c. oral capsules
d. rectal suppositories
e. liquid medications.

Answer 2

everything except A

Question 3

The nurse checking the MAR finds that an order for an antibiotic is now 8 days old. The nurse should:

a. check the medications, performing three medication checks
b. give the ordered medication
c. contact the physician for a new order.
d. give the medication, then notify the physician

Answer 3

C. contact the physician for a new order

Question 4

A patient on the long-term care unit receives the wrong medication. The charge nurse should instruct which staff member to complete the incident report?

a. the nurse who administered the wrong drug
b. the nursing supervisor for the day
c. the nurse who discovered the error
d. no one, because the charge nurse should do it.

Answer 4

c. the nurse who discovered the error

Question 5

when administering medications to a patient with a feeding tube, the nurse should dissolve each crushed medication in at least ___ mL of water.

Answer 5

b. 20 to 30

Question 6

For an adult patient who has an order to receive an otic medication, the nurse should plan to administer it by pulling the pinna:

a. down and forward
b. up and forward
c. down and back
d. up and back.

Answer 6

d. up and back.

Question 7

To reduce the systemic absorption of eye drops, the nurse should:

a. use finger pressure to close the eyelid tightly
b. apply slight finger pressure over the lacrimal duct
c. request the patient tilt the head slightly to the side of the unaffected eye
d. instruct the patient to widen the eyes in order to increase access to the lacrimal duct.

Answer 7

b. apply slight finger pressure over the lacrimal duct

Question 8

A patient complains about the taste of the the sublingual nitroglycerin and admits that the swallows it rather then holding it under his tongue. The nurse explains that sublingual medications.

a. should not be swallowed because it alters the absorption potential.
b. can be inserted rectally without loss of absorption potential
c. can be held against the roof of the mouth with the tongue to reduce taste.
d. can be taken between the cheek and tongue to diminish taste.

Answer 8

a. should not be swallowed because it alters the absorption potential.

Question 9

Before the nurse administers a dose of digoxin (Lanoxin) to a patient, the nurse should assess:

a. blood pressure
b. respiratory rate
c. apical heart rate
d. level of consciousness

Answer 9

c. apical heart rate

Question 10

The licensed nurse who is responsible for doing the narcotic count for the shift should count the drugs.

a. alone for accuracy.
b. with any licensed person
c. with another nurse working on the shift
d. with a nurse coming on duty for the next shift.

Answer 10

d. with a nurse coming on duty for the next shift

Question 11

The nurse receives an order to give vitamin D 10 mcg bid. The nurse recognizes that the abbreviation mcg refers to a measurement in:

a. milligrams
b. milliequivalents
c. milliliters
d. micrograms

Answer 11

d. micrograms

Question 12

Before the nurse administers a liquid medication to an 83 yr old male patient, the nurse should:

a. assess the swallowing reflex by offering a sip of water
b. ask the patient if he would prefer to give the medication to himself.
c. mix thoroughly in applesauce or pudding
d. assess the ability to understand information relative to the drug

Answer 12

a. assess the swallowing reflex by offering a sip of water

Question 13

Metered-dose inhalers are used to deliver specific amounts of medication. The nurse gives the patient which of the following instructions?

a. never shake the inhaler medication before use.
b. exhale while squeezing the canister to deliver the medication.
c. sit upright, exhale, then activate he inhaler as the next inhalation begins.
d. hold the head back while inhaling the medication.

Answer 13

c. sit upright, exhale, then activate he inhaler as the next inhalation begins.

Question 14

An elderly patient is scheduled to take six medications each morning. The nurse administering these medications knows to do which of the following?

a. allow extra time to administer all of the medications
b. allow the patient to take only the medications she can swallow.
c. crush all of the medications before giving them
d. leave the medication at the bedside so the patient can take them slowly.

Answer 14

a. allow extra time to administer all of the medications

Question 15

When applying a topical nitroglycerin ointment, the nurse will do which of the following?

a. massage it thoroughly into the skin.
b. squeeze it onto the applicator paper and place it on the skin
c. apply it to the medial aspect of the thigh
d. shave the skin prior to application

Answer 15

b. squeeze it onto the applicator paper and place it on the skin

Question 16

if an IV has become infiltrated, the nurse will observe which of the following assessment findings?

a. Pallor, pain
b. Erythema, warmth
c. Erythema, swelling
d. Warmth, swelling

Answer 16

c. Erythema, swelling

Question 17

Which of the following principles of medication administration will be taught to a patient who will be administering his own subcutaneous (SC) injections?

a. Use a 22 G, 5/8 in needle
b. Rotate sites among the upper arm, abdomen, and anterior thigh
c. Avoid injecting within 3 in of a previous injection site
d. insert the needle at a 30 degree angle to the skin

Answer 17

b. Rotate sites among the upper arm, abdomen, and anterior thigh

Question 18

which of the following is the correct needle for an intramuscular (Im) injection?

a. 18 G, 1-in
b. 20 G, 1/2 in
c. 25 G, 2-in
d. 21 G, 1 1/2 in

Answer 18

d. 21 G, 1 1/2 in

Question 19

In which of the following ways can a nurse prevent injury from a needlestick?

a. recap the needle before disposal
b. remove the needle from the syringe
c. immediately discard the needle and syringe in a puncture-proof container
d. stick it into the patient’s mattress until it can be disposed of.

Answer 19

c. immediately discard the needle and syringe in a puncture-proof container

Question 20

Which of the following is done after giving medication through a nasogastric tube that is connected to suction?

a. the tube is reconnected to the suction
b. the tube is clamped for 10 min then reconnected to suction
c. the tube is clamped for 30min then reconnected to suction
d. the suction is left off for 4 hrs then reconnected to suction

Answer 20

c. the tube is clamped for 30min then reconnected to suction

Question 21

When giving a medicine through a nasogastric (NG) tube, the nurse will first do which of the following?

a. flush the tube with 30 mL of water
b. Check placement of the tube
c. take the vital signs
d. ask the patient if the tube is painful

Answer 21

b. Check placement of the tube

Question 22

The nurse instructs a clinic patient on using an inhaler for his asthma attacks. Which of the following is correct about the use of an inhaler?

a. the medication must go into the back of the nose
b. the medication must go directly into the throat
c. the medication must get to the ears
d. the medication must go into the lungs.

Answer 22

d. the medication must go into the lungs.

Question 23

Which of the following represents the proper way for a nurse to administer an oral capsule?

a. tell the patient to swallow it whole
b. pierce it with a needle and squeeze into the mouth
c. crush and dilute it in warm water.
d. tell the patient to chew it completely

Answer 23

a. tell the patient to swallow it whole

Question 24

Which statement by the nurse is more likely to motivate a patient to adhere to a drug therapy regimen for hypertension?

a. your doctor prescribed this drug and your doctor knows what is best for your health.
b. if you do not take this drug you are at greater risk to die of stroke or heart attack within the next 10 yrs.
c. as an artist, your eyes are important, and taking this drug daily helps prevent eye damage from high blood pressure.
d. if you are not taking this drug because you are to poor to afford it, I can call a social worker so you can get financial aid.

Answer 24

c. as an artist, your eyes are important, and taking this drug daily helps prevent eye damage from high blood pressure.

Question 25

The nurse is preparing to teach a patient about a newly prescribed drug therapy. What time is best for improving teaching effectiveness? a. during lunch so that the patient is not too hungry to learn b. after the patient wakes up from a nap and no visitors are present. c. right after the health care provider has told the patient that the health problem cannot be cured. d. when the patient's spouse and 3 adult children are present so that the family can reinforce the teaching.

Answer 25

b. after the patient wakes up from a nap and no visitors are present.

Question 26

The nurse is interviewing a patient. Which action by the nurse indicates active listening? a. asking interview questions while starting an IV b. correcting the patient's use of the word "free bleeder" for hemophilia c. asking the spouse to verify the patient's responses to family history questions d. restating what the patient said to ensure the nurse understands what the patient meant.

Answer 26

d. restating what the patient said to ensure the nurse understands what the patient meant.

Question 27

when giving a drug to a patient who is awake but confused, what is the best way for the nurse to identify the patient? a. check the room and bed number that the patient occupies. b. ask the patient to state his or her name and birth date. c. check the name on the patient's wristband. d. ask the patient if he or she is Mr. or Ms. (name).

Answer 27

c. check the name on the patient's wristband.

Question 28

What must the nurse be sure to tell the patient after a vaginal drug is administered? a. this drug should be refrigerated b. you may take this drug at home while sitting on the toilet. c. be sure to empty your bladder after receiving this drug. d. remain lying down for 10 to 15 mins after taking this drug.

Answer 28

d. remain lying down for 10 to 15 mins after taking this drug.

Question 29

What administration technique does the nurse use to give a 2 yr old child ear drops? a. pull the earlobe down and back b. pull the earlobe up and out c. keep the earlobe straight d. hang the patient's head over the side of the bed.

Answer 29

a. pull the earlobe down and back

Question 30

A sublingual drug is administered by placing the drug in what part of the body? a. between the cheek and the upper jaw b. under the tongue c. in the nose d. in the eyes

Answer 30

b. under the tongue

Question 31

A patient is to receive nitroglycerin ointment, 1 inch STAT, for elevated blood pressure. What must the nurse do before giving this drug? a. shave the hair off the patient's chest b. place the patient on a heart monitor c. put on a pair of disposable gloves d. measure the dose directly on the patient's skin.

Answer 31

c. put on a pair of disposable gloves

Question 32

what is the most important role of the nurse in preventing drug errors? a. always checking the patient's diagnosis before giving a drug b. always following the "six rights" of drug administration c. being the one defense for detecting and preventing drug errors d. being most likely to detect a drug error that has occurred.

Answer 32

b. always following the "six rights" of drug administration

Question 33

The nurse is giving morning medications to patient who refuses to take an oral dose of docusate (Colace).What is the nurse's best response? a. your prescriber ordered that you must take this drug twice a day. b. docusate will soften your bowel movements so that you do not strain c. this drug will help prevent constipation while you are on bed rest. d. can you tell me why you do not want to take the docusate?

Answer 33

d. can you tell me why you do not want to take the docusate?

Question 34

when is it acceptable for the nurse to take a verbal order from the prescriber before giving a drug to a patient? a. during the night shift when the prescriber is not at the hospital b. in an emergency situation such as a cardiac arrest c. when a patient is experiencing severe pain d. at any time it is necessary

Answer 34

b. in an emergency situation such as a cardiac arrest

Question 35

What is the best way for the nurse to make sure that the right patient is receiving a prescribed drug when the patient is alert and oriented? a. ask the patient to state his or her name b. check the patient's wrist band c. look at the patients chart d. have the patient state his or her name and birth date.

Answer 35

d. have the patient state his or her name and birth date.

Question 36

oral medication administration delivers medication for absorption through which tract?

Answer 36

alimentary

Question 37

- It means “pertaining to the cheek”. , a medication is held in the mouth against the mucous membranes of the cheek until the drug dissolves. The drug may act locally on the mucous membranes of the mouth or systematically when it is swallowed in the saliva.

Answer 37

BUCCAL

Question 38

Defined as other than through the alimentary or respiratory tract; that is by needle.

Answer 38

PARENTERAL

Question 39

a. _______ – into the subcutaneous tissue, just below the skin b. _______– into the muscle c. _______– under the epidermis (into the dermis) d. _______– into the vein

Answer 39

Subcutaneous (hypodermic) Intramuscular Intradermal Intravenous

Question 40

Medications that are applied to a circumscribed surface areas of the body. They affect only the area to which they are applied.

Answer 40

TOPICAL

Question 41

applied to the skin

Answer 41

Dermatologic preparations

Question 42

applied into the body cavities or orifices, such as the urinary bladder, eyes, ears, nose, rectum, or vagina.

Answer 42

Instillation and irrigations

Question 43

– administered into the respiratory tract by a nebulizer or positive pressure breathing apparatus. Air, oxygen, and vapor are generally used to carry the drug into the lungs.

Answer 43

Inhalations

Question 44

Medications may be administered to the eye using irrigations or instillations. instilled in the form of liquids or ointments.

Answer 44

OPTHALMIC MEDICATIONS

Question 45

Instillations or irrigations of the external auditory canal are referred to as _____ and are generally carried out for cleaning purposes.

Answer 45

otic

Question 46

usually are instilled for their astringent effect (to shrink swollen mucous membranes), to loosen secretions and facilitates drainage, or to treat infections of the nasal cavity or sinuses.

Answer 46

Nasal instillations (nose drops and sprays)- NASAL MEDICATIONs

Question 47

are the most common nasal instillations.

Answer 47

Nasal decongestants

Question 48

Chronic use of nasal decongestants may lead to a _______, that is, an increase in nasal congestion.

Answer 48

rebound effect

Question 49

* Check the name on the prescription and wristband. | * Ideally, use 2 or more identifiers and ask the patient to identify themselves.

Answer 49

1. Right patient

Question 50

* Check the name of the medication, brand names should be avoided. * Check the expiry date. * Check the prescription. * Make sure medications, especially antibiotics, are reviewed regularly.

Answer 50

2. Right medication

Question 51

* Check the prescription. * Confirm appropriateness of the dose using the BNF or local guidelines. * If necessary, calculate the dose and have another nurse calculate the dose as well.

Answer 51

3. Right dose

Question 52

* Again, check the order and appropriateness of the route prescribed. * Confirm that the patient can take or receive the medication by the ordered route.

Answer 52

4. Right route

Question 53

* Check the frequency of the prescribed medication. * Double-check that you are giving the prescribed at the correct time. * Confirm when the last dose was given.

Answer 53

5. Right time

Question 54

* Check if the patient understands what the medication is for. * Make them aware they should contact a healthcare professional if they experience side-effects or reactions.

Answer 54

6. Right patient education

Question 55

* Ensure you have signed for the medication AFTER it has been administered. * Ensure the medication is prescribed correctly with a start and end date if appropriate.

Answer 55

7. Right documentation

Question 56

* Ensure you have the patient consent to administer medications. * Be aware that patients do have a right to refuse medication if they have the capacity to do so.

Answer 56

8. Right to refuse

Question 57

* Check if your patient actually needs the medication. * Check for contraindications. * Baseline observations if required.

Answer 57

9. Right assessment

Question 58

* Ensure the medication is working the way it should. * Ensure medications are reviewed regularly. * Ongoing observations if required.

Answer 58

10. Right evaluation

Question 59

indicates that the medication is to be given immediately and only once.

Answer 59

A stat order

Question 60

is for medication to be given once at a specified time.

Answer 60

single order or one-time order

Question 61

may or may not have a termination date. It may be carried out indefinitely until an order is written to cancel it, or it may be carried out for a specified number of days.

Answer 61

standing order

Question 62

permits the nurse to give a medication when, in the nurse’s judgment, the client requires it. The nurse must use good judgment about when the medication is needed and when it can be safely administered.

Answer 62

prn order, or as needed order,

Question 63

what are the 7 essential parts for administration of drugs/medication order

Answer 63

- patient's full name - date and time - drug name - dosage - route administration - time and frequency of administration - signature of physician

Question 64

``` these are routes of administration, give their abbreviations intramuscular intravenous by mouth, oral subcutaneous ```

Answer 64

``` IM- IV- PO- SL Sub-Q ```

Question 65

``` drug dosages cc g mg mcg mL oc tbsp tsp ```

Answer 65

``` cubic centimeter gram milligram microgram milliliter ounce tablespoon teaspoon ```

Question 66

``` times of drug administration: as desired as needed every 4h immediately ```

Answer 66

ad lib PRN q4h stat

Question 67

``` important medical abbreviations: once a day twice a day three times a day four times a day as needed as much as desired nothing by mouth intradermal intramuscular intraosseous intraperitoneal subcutaneous ```

Answer 67

``` SID- once a day BID twice a day TID three times a day QID four times a day PRN as needed Ad lib- as much as desired NPO- nothing by mouth ID- intradermal IM- intramuscular IO- intraosseous IP-intraperitoneal SC OR SQ- subcutaneous ```