PCC Medication Administration

An insulin-dependent diabetic patient tells the nurse that they have been giving themself injections in the same location in their right thigh for the past several months because it is easier. What is the nurse’s best action?

• 1.     Tell the patient to make sure the dose is in milliliters.

• 1.     Provide patient teaching on rotating injection sites.

• 1.     Check the type of insulin the patient receives to ensure that it is compatible with the vastus lateralis site.

• 1.     Document the patient’s comments, as the patient understands the treatment regimen.

Before administering a medication, the nurse must verify the six rights of medication administration, which are:

• Right patient, right room, right drug, right route, right dose, and right time.

• Right drug, right dose, right route, right time, right physician, and right documentation.

• Right patient, right drug, right route, right time, right documentation, and right equipment.

•    Right patient, right drug, right dose, right route, right time, and right documentation.

The maximum amount permitted for subcutaneous injection sites is:

• 3 mL

• 0.5 mL

• 1 mL

• 5 mL

The nurse receives a laboratory report that states the patient’s digoxin level is 1.2 mg/mL; therapeutic range for this drug is 0.5 to 2 mg/mL. Which action should the nurse take in regards to the next dose of digoxin?

• Notify the prescriber to reduce the dose.

• Administer the next dose of digoxin as prescribed.

• Ask the prescribing healthcare provider to increase the dose.

• Withhold the next dose of digoxin.

Nursing interventions before administering medications most likely includes which of the following:

• Assessing vital signs, reviewing lab values, checking the MAR for time of last administration, understanding side effects

• Bathing the patient and reporting to the charge nurse

• Reviewing the medication and delaying administration until 1 hour after the patient is ready to take it.

• Educating the patient about their discharge plan.

While receiving an intravenous dose of the antibiotic levofloxacin, a patient develops severe shortness of breath, wheezing, and severe hypotension. Which action should the nurse take first?

• Administer epinephrine intramuscularly (IM)

• Give a bolus dose of intravenous fluids

• Stop the infusion of medication

• Prepare for endotracheal intubation

These injection sites should not be utilized for IM injections due to their proximity to major nerves and vessels:

• Deltoid and Forearm

• Ventrogluteal and Vastus Lateralis

• Back of the upper arm and abdomen

• Rectus Femoris and Dorsogluteal

Cody RN is pulling the medications that are due at 9am for 50 y/o Holly Mason. Which of the following actions poses a risk to patient safety?

• Cody asks the patient to verify their name and date of birth before administering the medications.

• Cody looked up the medications by their generic names and reviewed the side effects.

• Cody reviewed the doctors orders and noted the indications for the patient.

• Cody used a 3 ml syringe to pull up 14 units of insulin and labeled the syringe.