Medications Flashcards
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
d. have the patient state his or her name and birth date
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
b. in an emergency situation such as a cardiac arrest
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?
d. can you tell me why you do not want to take the docusate?
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.
b. always following the “six rights” of drug administration
The prescriber orders atenolol (Tenormin) 25 mg to be given orally once a day to control a patients high blood pressure. The nurse takes the patient’s vital signs and finds that the blood pressure is 128/80 and the heart rate is 60 b/m. What does the nurse do first before giving this drug?
a. check the order for prescriber limitations on when the drug should be given
b. notify the prescriber and ask if the drug should be given
c. reassess the blood pressure and heart rate in 30 minutes
d. give the drug exactly as prescribed.
a. check the order for prescriber limitations on when the drug should be given
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.
c. put on a pair of disposable gloves
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
b. under the tongue
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.
a. pull the earlobe down and back
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.
d. remain lying down for 10 to 15 mins after taking this drug
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).
c. check the name on the patient’s wristband.
The physician orders all of the following drugs for a patient who had surgery 2 days ago. Which drug order does the nurse administer first?
a. Alphamine (cyanocobalamin) 100 mcg intramuscularly once
b. Benadryl (diphenhydramine) 25 mg orally every 8 hrs.
c. compazine (prochlorperazine) 10 mg orally STAT
d. Dalmane (flurazepam) 30mg orally at night PRN
c. compazine (prochlorperazine) 10 mg orally STAT
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.
restating what the patient said to ensure the nurse understands what the patient meant.
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.
b. after the patient wakes up from a nap and no visitors are present.
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.
as an artist, your eyes are important, and taking this drug daily helps prevent eye damage from high blood pressure
The order reads: Lanoxin 0.125 mg PO now. The medication is available in 0.25 mg tablets. Which of the following represent the number of tablets the nurse will give.
a. 2 tab
b. 1/2 tab
c. 1 1/2 tab
d. 1/4 tab
b. 1/2 tab
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
a. tell the patient to swallow it whole
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.
d. the medication must go into the lungs.
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
b. Check placement of the tube
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
c. the tube is clamped for 30min then reconnected to suction
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.
c. immediately discard the needle and syringe in a puncture-proof container
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
d. 21 G, 1 1/2 in
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
b. Rotate sites among the upper arm, abdomen, and anterior thigh
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
c. Erythema, swelling
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
b. squeeze it onto the applicator paper and place it on the skin
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.
a. allow extra time to administer all of the medications
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 the inhaler as the next inhalation begins.
d. hold the head back while inhaling the medication.
c. sit upright, exhale, then activate the inhaler as the next inhalation begins.
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
a. assess the swallowing reflex by offering a sip of water
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
d. micrograms
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.
d. with a nurse coming on duty for the next shift.
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
c. apical heart rate
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.
a. should not be swallowed because it alters the absorption potential.
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.
b. apply slight finger pressure over the lacrimal duct
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.
d. up and back.
when administering medications to a patient with a feeding tube, the nurse should dissolve each crushed medication in at least ___ mL of water.
a. 30 to 60
b. 20 to 30
c. 15 to 20
d. 5 to 15
b. 20 to 30
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.
c. the nurse who discovered the error
The nurse checking the MAR finds that an order for an antibiotic is no 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
c. contact the physician for a new order.
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.
a. total parenteral nutrition (TPN) solutions
- actually through IV
A client is nauseated, has been vomiting for several hours, and needs to receive an antiemetic (anti-nausea) medication. Which of the following is accurate?
A. An enteric-coated medication should be given.
B. Any medication will not be absorbed as easily because of the nausea problem.
C. A parenteral route is the route of choice.
D. A rectal suppository must be administered.
C. A parenteral route is the route of choice.
The client receiving an intravenous infusion of morphine sulfate begins to experience respiratory depression and decreased urine output. This effect is described as:
A. Therapeutic
B. Toxic
C. Idiosyncratic
D. Allergic
B. Toxic
The client is to receive a sedative via the buccal route. Which of the following is true?
A. The medication is placed under the tongue.
B. This route is probably more expensive than the intramuscular route.
C. The nurse should offer the client a glass of orange juice after taking the sedative.
D. This method of administration would be avoided in the event of facial injuries.
D. This method of administration would be avoided in the event of facial injuries.