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 stat his or her name and date of birth
he nurse identifies which medications that are to be administered via parenteral routes? (Select all that apply.)
a. Bisacodyl (Dulcolax) 10 mg suppository daily PRN constipation
b. Prochlroperazine (Compazine) 10 mg IM q 6 hours PRN nausea
c. Brimonidine (Alphagan) 0.1% solution 2 drops to each eye daily
d. Proventil (Ventolin) inhaler 2 puffs as needed for shortness of breath e. Fentanyl (Duragesic) 50 mcg transdermal patch apply every 72 hours
f. Insulin lispro (Humalog) insulin 15 units subcutaneously ac meals
ANS: B, F
Parenteral medications are administered by injection into tissue, muscle, or a vein rather than through the gastrointestinal or respiratory route.
What is the role of the nurse in medication administration? (Select all that apply.)
A. Ensure that medications are administered and delivered in a safe manner.
B. Inform the client that prescribed medications need to be taken only if the client agrees with the treatment plan.
C. Ensure that the client understands the use and administration technique for all prescribed medications.
D. Prevent adverse drug reactions by properly administering all medications.
Answer: A, C
Rationale: Ensuring client safety when administering prescribed medications by following all medication administration procedures and providing client education about the use and administration of the prescribed medications are the nurse's responsibility. Options 2, and 4 are incorrect. Clients have the right to refuse medications, but the nurse should verify the plan of care and the reasons for the medications with the client before administration. Adverse drug reactions may occur regardless of the proper administration tec
A nurse accidently gives a patient the medications that were ordered for the patient's roommate. What is the nurse's priority?
A. Complete an occurrence report.
B. Notify the health care provider.
C. Inform the charge nurse of the error.
D. Assess the patient for adverse effects.
D. Assess the patient for adverse effects.
A tablet that is cut in half is said to be
Scored
Name the 7 right of drug administration
Right drug
Right patient
Right route
Right time
Right dosage
Right Indication
Right documentation
Name 2 nursing interventions when administering a patch to a patient
Use gloves to apply ,Wash hands ,remove previous patch , rotate sites
A client is in the bathroom when the nurse arrives to administer scheduled medications. The client calls to the nurse, "Just leave my medication on the bedside table like the rest of the nurses, and I will take it when I get finished." What is the nurse's best action?
Return to administer the medications when the client is finished in the bathroom.
Leave the medication at the bedside as the client requested.
Let another nurse who is not busy give the client the medication when the client is finished in the bathroom.
Tell the assistive personnel to give the medication when the client is finished in the bathroom.
Ans 1
A physician writes an order for ampicillin 1 gram every 6 hours for a client. What is missing in this order?
What is route
This is the name under which a manufacturer markets the medication. Eg Tylenol
A patient is scheduled to receive a medication at 0800, but the nurse administers it at 0900. Which right of medication administration has been violated?
What is right time
A telehealth nurse receives a call from a patient using a topical nasal decongestant who expresses, “My nose feels even stuffier than before.” Given the potential risks associated with the use of topical decongestants, what is the most appropriate response for the telehealth nurse?
a. “You might want to apply the nasal decongestant more frequently to help relieve your congestion.”
b. “Would you be interested in trying an over-the-counter oral antihistamine to help manage your symptoms?”
c. . “This could be serious; please end this call and contact 9-1-1 immediately.”
d. “how often you’re applying the nasal decongestant and if you’ve noticed any other symptoms?”
“How often you’re applying the nasal decongestant and if you’ve noticed any other symptoms?”
A nurse is monitoring a patient who has just received a new medication. Which of the following signs or symptoms would most likely indicate an allergic reaction to the medication?
A. Increased blood pressure and heart rate.
B. Rash, itching, and swelling of the face and throat.
C. Nausea and vomiting.
D. Dizziness and lightheadedness.
B
Medication errors include which of the following? (Select all that apply.)
Administration of the wrong medication
b. Administration via the wrong route
c. Inaccurate prescribing
d. Failing to administer a medication
a,b,c,d
A provider has ordered a STAT medication to be administered. The nurse knows that the best route of administration is
a.IV.
b.IM.
c.SQ.
d.PO.
A
A nurse is reviewing the medication administration records (MAR) for a patient scheduled to receive multiple medications. The nurse notes a discrepancy in the prescribed dosage for one medication. Which of the following actions should the nurse take first to uphold the rights of medication administration?
A. Administer the medication at the ordered dosage to avoid delaying treatment.
B. Contact the healthcare provider to clarify the dosage before administering the medication.
C. Document the discrepancy in the patient's chart and notify the pharmacist.
D. Withhold the medication and inform the patient of the situation.
Contact the healthcare provider and clarify the dosage before giving it
The nurse is evaluating the integrity of the ventrogluteal injection site. The nurse finds the site by locating the:
1.Middle third of the lateral thigh
2.Greater trochanter, anterior iliac spine, and iliac crest
3.Anterior aspect of the upper thigh
4.Acromion process and axilla
ANS: 2
The nurse finds the ventrogluteal site by locating the greater trochanter with the heel of the hand, the anterior iliac spine with the index finger, and the iliac crest with the middle finger.
Which of the following are methods to reduce the risk of needlestick injury? (Select all that apply.)
a.Recap the needle after giving an injection.
b.Have sharps boxes emptied when three-quarters full.
c.Use two hands to dispose of sharps into the disposal.
d.Never force a needle into the sharps disposal.
e.Clearly mark sharps disposal containers.
f.Use needleless devices whenever possible.
ANS: B, D, E, F
To prevent the risk of needlesticks, the nurse should never recap needles. Empty sharps boxes before they become too full, so needles do not stick out the top. Needles should not be forced into the box. Clearly mark receptacles to warn of danger. Using needleless systems when possible will further reduce the risk of needlestick injury.
the nurse is preparing to administer 8 mg of a 10 mg dose of an intravenous narcotic. Which of the following statements made by the nurse best reflects an understanding of the appropriate manner to handle this situation?
1. “I will sign out the narcotic before the end-of-shift count is completed.”
2.“I need to get another RN to witness the waste and sign the narcotic sheet.”
3. “Narcotics are expensive, so it makes sense to save the unused portion for the next time they need the drug.”
4. “I always make sure someone sees me place the unused portion on the narcotic in the sharps container.”
2
Which nursing action is the number one priority for ensuring that medication stays in the target therapeutic range?
a.Drawing the peak and trough levels at the same time each day
b.Administering a double dose after a dose was missed
c.Delivering the same amount of the drug at the same time each day
d.Increasing absorption by holding all other medications 1 hour before administration
ANS is A
The nurse is reviewing a medication order for a drug that is typically given every 12 hours, but the frequency is not specified in the prescription. What should the nurse do first to ensure safe medication administration?
a. Ask the patient how often they take the medication
b. Input the prescription in the EHR to detect an error
c. Contact the health care provider to clarify the prescription
d. Review drug book
c. Contact the healthcare provider
The nurse is preparing to administer eye drops to a client being prepared for cataract surgery. Which actions would the nurse take to administer the drops? Select all that apply.
Wash hands.
Put gloves on.
Place the drop in the conjunctival sac.
Pull the lower lid down against the cheekbone.
Instruct the client to squeeze the eyes shut after instilling the eye drop.
Instruct the client to tilt the head forward, open the eyes, and look down.
1. Wash hands.
2. Put gloves on.
3. Place the drop in the conjunctival sac.
4.Pull the lower lid down against the cheekbone.
To administer eye medications, the nurse would wash hands and put gloves on. The client is instructed to tilt the head backward, open the eyes, and look up. The nurse pulls the lower lid down against the cheekbone and holds the bottle like a pencil with the tip downward. Holding the bottle, the nurse gently rests the wrist of the hand on the client's cheek and squeezes the bottle gently to allow the drop to fall into the conjunctival sac. The client is instructed to close the eyes gently and not to squeeze the eyes shut to prevent the loss of medication.
A nurse is preparing to administer a newly prescribed medication to a patient with a history of hypertension and chronic obstructive pulmonary disease (COPD). The medication requires administration on an empty stomach and has potential food interactions. The patient also reports experiencing dizziness and palpitations after their last dose of a different medication. Considering the patient's medical history, the risk of drug interactions, and the need for safety, which of the following actions should the nurse prioritize before giving the new medication?
A. Check the patient’s complete medication list for interactions and confirm when all medications were last taken.
B. Explain to the patient the importance of taking the new medication on an empty stomach and to report any side effects.
C. Measure the patient’s vital signs, especially heart rate and blood pressure, to ensure they are stable.
D. Talk to the healthcare provider about the patient's recent symptoms and whether to proceed with the new medication.
a
A: This option highlights the importance of reviewing the full medication list to prevent adverse effects and ensure safety, especially with the patient’s complex history.
B: While educating the patient is essential, it should follow ensuring the medication's safety given the reported symptoms and interactions.
C: Checking vital signs is important, but it should be part of a comprehensive assessment that includes reviewing medications.
D: Consulting the healthcare provider is wise, but it’s crucial to gather all relevant medication information first for an informed discussion.
The nursing role regarding a medication error includes
1.Immediate assessment of the client
2.Notification of the health care provider
3.Report the error to the appropriate institutional administrator
4.Notify the client’s family or medical power of attorney of the error
5.Attach a written incident report to the client’s chart within 24 hours
6.Monitoring of the client as indicated by the potential effects of the medication
1236
When an error occurs, the client’s safety and well-being become the top priority. The nurse assesses and monitors the client’s condition and notifies the physician or prescriber of the incident as soon as possible. Once the client is stable, the nurse reports the incident to the appropriate person in the institution. The nurse is responsible for preparing a written occurrence or incident report that usually needs to be filed within 24 hours of the error. The occurrence report is not a permanent part of the medical record and is not referred to anywhere in the record. Notification of the client’s family is not required unless the client’s condition warrants it.
The patient is to receive amoxicillin (Moxatag) 500 mg q8h; the medication is dispensed at 250 mg/5 mL. How many teaspoons would the nurse administer for one day?
6 tsp
The drug is dispensed at 250 mg/5 mL. The nurse is to give 500 mg, which is 10 mL. There is 5 mL in a teaspoon; therefore, the patient receives 2 tsp/ dose. 3 time 2 =6