Medication Administration

Choose two patient identifiers:

• Social Security Number

• Name

• Room Number

• Telephone Number

• Date of Birth

You have measured your medication, the dose is in your hand, and your patient refuses the medication. What 2 things do you do?

• Tell the patient it is good for them

• Dispose of medication properly

• Let the patient know that their noncompliance will be reported

• Document refusal

Your patients pulse is 120. They have a scheduled Albuterol inhaler BID. It is 30 minutes before the scheduled time. What do you do?

• Give the Inhaler

• Wait 30 minutes and check pulse again

• Hold the medication

• Document as refused

Your patients pulse is 115. They have a scheduled Albuterol inhaler BID. What do you do?

• Give the inhaler

• Document as refused

• Hold the medication

• Check pulse in 30 minutes

You are the nurse caring for multiple clients on a post-operative unit in which narcotics are used. Upon entering the medication room, you witness a coworker using "wasted" medication on themselves by injecting their vein with Morphine. What should you do?

• Call the police

• Call security

• Confront your coworker & ensure they do not leave the room

• Notify the nursing supervisor

Which of the following is a violation of client confidentiality rights?

• Performing a procedure without consent

• Threatening to give a client a medication

• Telling the client that he or she cannot leave the hospital until their care is received

• Observing care provided to the client without the client's permission

A female patient and her husband present to the emergency department. The patient reports right-sided arm pain 9/10 after reportedly falling down a staircase. The patient reluctantly mentions her husband intentionally pushed her down the stairs. Which is the most appropriate nursing response?

• "I will call the physician to obtain an order for Morphine."

• "Oh really? I will discuss this situation with your husband."

• "Let's talk about the ways we can develop a safety plan for your home."

• "As your nurse, I am legally bound to report any abuse or suspicion of abuse. I will find a way to keep you safe under our care."

The nurse is rounding on a stable, post-operative patient. The client is in the restroom and states that he still has not taken the medication the previous nurse left on the bedside table. Which is the best response by the nurse? Select all that apply.

• Ask the assistive personnel to give the medication to the client when he is done.

• Call the night shift nurse and ask when and why the medication was left on the bedside table

• Document the occurrence; notify administration.

• Notify the client that medication cannot be left unattended, and come back when he is finished.

• Document which medications have not been taken and ensure it is consistent with MAR documentation

A mental health nurse is noticed in the grocery store by a neighbor to a patient the nurse has been caring for. The neighbor states, "I know who you are! How is Debbie doing? Did you change her medications to help her with her anxiety?" Which is the most appropriate nursing response?

• "Hello, Debbie is doing much better. I cannot discuss details, but thank you for your concern."

• "I cannot discuss any client situation with you, I'm sorry."

• "If you want to know about Debbie, you will need to contact her yourself."

• "Being her friend, you know she has been through a hard time and deserves her privacy."

For an intramuscular injection; which of the following needle selections is appropriate? Select all that apply

• 1/2 to 1 inch

• 1/8 in

• 1/4 inch

• 2-3 inch