Med Administration
The nurse is administering a subcutaneous heparin injection. What is the most appropriate site and technique for this injection?
What is the abdomen, at least 2 inches from the umbilicus, using a 90-degree angle with a short needle?
Which sign at the IV site most likely indicates infiltration?
What is swelling, coolness, and pallor at the site?
What is the primary reason a central venous catheter (CVC) is used instead of a peripheral IV?
What is to administer large volumes, irritating medications, or for long-term therapy?
Blood must be started within this time frame after being removed from the blood bank.
What is 30 minutes?
A nurse is preparing to administer a new medication to a patient. What is the first action the nurse should take before giving the medication?
What is verifying the patient’s identity using two identifiers?
The nurse is administering a crushed medication via a nasogastric (NG) tube. What is a critical nursing action during this process?
What is flush the tube with 30 mL of water before and after medication administration to prevent clogging?
What should the nurse do if phlebitis is suspected at an IV site?
What is stop the infusion, remove the IV, apply a warm compress, and document the incident?
The central line dressing has loosened, but the nurse has no sterile supplies available. What is the priority action?
What is to reinforce the dressing with clean gloves and secure tape, and immediately obtain sterile supplies for a full sterile change.
A patient develops chills, fever, and back pain 10 minutes after a transfusion begins
What is stop the transfusion immediately?
Which route of medication administration has the fastest absorption rate?
What is intravenous (IV) administration?
The nurse is giving a medication that is classified as a high-alert drug. What is a priority nursing action to ensure patient safety?
What is have another nurse independently verify the dose and drug before administration?
A patient receiving IV fluids develops shortness of breath, crackles in the lungs, and elevated blood pressure. What complication is the nurse most concerned about?
What is fluid volume overload?
The nurse is caring for a patient with a peripherally inserted central catheter (PICC). Which of the following is a priority assessment during daily care?
What is inspecting the insertion site for redness, swelling, or drainage?
Why is it essential to use a blood filter tubing set during transfusion?
What is to trap clots, debris, and aggregated cells that could cause embolism or reaction?
The nurse notes that a patient is allergic to penicillin but the prescribed medication is amoxicillin. What should the nurse do?
What is contact the healthcare provider before administering the medication?
A patient is prescribed digoxin 0.25 mg daily. Before administering the dose, the nurse finds the patient’s apical heart rate is 54 bpm. What should the nurse do?
What is hold the medication and notify the healthcare provider?
The nurse is hanging a secondary (piggyback) IV antibiotic. To ensure proper flow, where should the nurse place the secondary bag in relation to the primary bag?
What is above the level of the primary bag?
Which of the following is an appropriate technique for drawing blood from a central venous catheter?
What is pause the IV fluids, flush with saline, withdraw and discard a small amount of blood, then draw the sample?
What lab values should be assessed before and after a transfusion of packed red blood cells?
What is hemoglobin, hematocrit, and vital signs (pre and post-transfusion)?
Which action should the nurse take when a patient refuses medication?
What is document the refusal, notify the healthcare provider, and explore the patient’s reasons for refusal?
Which of the following is a correct statement regarding the "rights" of medication administration?
A. Right medication, right dose, right patient, right label, right storage, right route, right time, right documentation
B. Right patient, right medication, right route, right dose, right time, right documentation, right reason
C. Right provider, right medication, right form, right time, right patient, right dose
D. Right medication, right dose, right patient, right route, right time, right documentation, right education
What is B: Right patient, right medication, right route, right dose, right time, right documentation, right reason?
The nurse is preparing to administer IV ampicillin to a patient who is already receiving lactated Ringer’s solution. What should the nurse do first to ensure medication safety?
What is check the IV compatibility of ampicillin with lactated Ringer’s solution?
A nurse is administering TPN through a central line and notices a white, cloudy appearance in the line after starting lipids. What should the nurse do first?
What is stop the infusion and assess for incompatibility or precipitate?
The nurse is preparing to administer blood to a patient with heart failure. Which specific precaution should be taken to prevent fluid overload?
What is use a slower infusion rate and possibly administer a diuretic as ordered?