NUR102: Ch. 31 Medication Administration

A nurse is following safety principles to reduce the risk of needlestick injury. Which actions will the nurse take? (Select all that apply.)

• Recap the needle after giving an injection.

• Remove needle and dispose in sharps box.

• Never force needles into the sharps disposal.

• Use clearly marked sharps disposal containers.

• Use needleless devices whenever possible.

The nurse is caring for two patients with the same last name. In this situation which right of medication administration is the priority to reduce the chance of an error?

• Right medication

• Right patient

• Right dose

• Right route

What is the nurse’s priority action to protect a patient from medication error?

• Reading medication labels at least 3 times before administering

• Administering as many of the medications as possible at one time

• Asking anxious family members to leave the room before giving a medication

• Checking the patient’s room number against the medication administration record

A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?

• Have another nurse witness the wasted medication.

• Return the wasted medication to the medication dispenser.

• Place the wasted portion of the medication in the sharps container.

• Exit the medication room to call the health care provider to request an order that matches the dosages.

A prescription is written for phenytoin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that the health care provider meant to write hydromorphone. What action should the nurse take?

• Call the health care provider to clarify the order.

• Give the patient hydromorphone, as it was meant to be written.

• Administer the medication and monitor the patient frequently.

• Refuse to give the medication and notify the nurse supervisor.

The nurse administers a central nervous system stimulant to a patient. Which assessment finding indicates to the nurse that an idiosyncratic event is occurring?

• Falls asleep during daily activities.

• Presents with a pruritic rash.

• Develops restlessness.

• Experiences alertness.

A registered nurse interprets that a scribbled medication prescription reads 25 mg. The nurse administers 25 mg of the medication to a patient and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error?

• Health care provider

• Pharmacist

• Hospital

• Nurse

The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse’s action?

• Reduced kidney functioning

• Reduced esophageal stricture

• Increased gastric motility

• Increased liver mass

A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?

• Pull the auricle down and back to straighten the ear canal.

• Pull the auricle upward and outward to straighten the ear canal.

• Sit the child up for 2 to 3 minutes after instilling drops in ear canal.

• Sit the child up to insert the cotton ball into the innermost ear canal.

A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective?

• “My parenteral medication must be taken with food.”

• “I will rotate the sites in my left leg when I give my insulin.”

• “Once I start feeling better, I will stop taking my antibiotic.”

• “If I am 30 minutes late taking my medication, I should skip that dose.”