WorksheetsNursing Medication Administration Assessment
Total questions: 44
Worksheet time: 23mins
The nurse assesses a client with intermittent claudication who is receiving pentoxifylli8ne. Which assessment should the nurse perform to determine the effectiveness of the medication?
Evaluate the level of consciousness
Auscultate bowel sounds
Measure hourly urinary output
Monitor numeric pain scale
The nurse is preparing to administer the client's morning dose of digoxin. Which action should the nurse take prior to administering the medication?
Verify that the urine output exceeds 30 mL per hour
Check the client for orthostatic hypotension
Listen at the heart at the 5th intercostal space
Obtain a left radial pulse rate for a full 30 seconds
The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug?
Promotes excretion of uric acid in the urine
Prevents the formation of kidney stones
Decreases pain and burning during urination
Increases the strength of the urine stream
A client with open-angle glaucoma is using pilocarpine ophthalmic solution, a miotic agent. Which action should the nurse at the eye clinic include in evaluating the effectiveness of the medication?
Use Snellen chart to assess visual acuity
Check the amount of drainage from each eye
Palpate eyelids for decreased swelling
Review eye pressure measurements
A client with type 2 diabetes mellitus is managed with glimepiride. The primacy healthcare provider (HCP) adds a new prescription for injectable exenatide. Which information is most important for the nurse to teach this client?
Notify healthcare provider if anorexia occurs
Consume additional sources of potassium
Watch for signs of jitteriness or diaphoresis
Administer subcutaneously after meals
A client who is newly diagnosed with erosive esophagitis secondary to gastroesophageal reflux disease (GERD) reports to the home health nurse that there has been only minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take?
Auscultate the clients bowel sounds and measure abdominal girth
Confirm that the client is taking the medication one hour after meals
Notify the healthcare provider that the client may need a change in dosage
Advise the client that healing typically takes several weeks to occur
During a home health visit, the nurse assesses a client with Alzheimer's Disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take?
Instruct the caregiver to withhold the medication until the dosage can be decreased to ensure safety
notify HCP that the dosage of medication may need increasing to manage insomnia
Advise the caregiver that the purpose of the medication is to promote sleep, so a change in medication may be needed
Explain to the caregiver, insomnia is a common and temporary side effect when the medication is first started
A client uses transdermal contraceptive, calls to the clinic because she forgot to apply a new patch three days ago. Which instruction should the nurse provide to the client?
Apply the new patch today and use backup method for 7 days
Wait until Sunday to apply a new patch and use the same site
If pregnancy test is negative, apply the next patch immediately
Wait until the last day of your next menstrual period to apply the patch
While assessing a client who takes acetaminophen for chronic pain, the nurse observes that the client's skin looks yellow in color. Which action should the nurse take in response to this finding?
Check the client's capillary glucose level
Use a pulse oximeter to assess oxygen saturation
Report findings to the HCP
Advise the client to reduce the medication dose
A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?
Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs (NSAIDS)
Those with allergies to chamomile, ragweed or yarrow should not take feverfew
Abdominal pain, gas, nausea, vomiting and diarrhea can occur when taking feverfew
Increased anxiety and nervousness have been reported by those taking feverfew
The nurse is preparing to administer alendronate to a client with osteoporosis. Which laboratory value indicates that the nurse should withhold the medication and contact the healthcare provider?
Reference Range: Total Calcium (9 to 10.5 mg/dL)
Sodium (136 to 145 mEq/L)
Potassium (3.5 to 5 mEq/L)
Magnesium (1.3 to 2.1 mEq/L)
Calcium 13.0 mg/dL (3.3 mmol/L)
Magnesium 2.4 mEq/L (2.4 mmol/L)
Potassium 5.2 mEq/L (5.2mmol/L)
Sodium 132 mEq/L (132mmol/L)
The nurse is administering sevelamer during lunch to a client with chronic kidney disease (CKD). The client asks the nurse to bring the medication later. The nurse should describe which action of sevelamer as an explanation for taking it with meals?
Promotes stomach emptying and prevents gastric refluxq
Buffers hydrochloric acid and prevents gastric erosion
Prevents indigestion associated with ingestion of spicy foods
Binds with phosphorus in foods and prevents absorption
The nurse is teaching a client with type 1 diabetes mellitus about the onset, peak, and duration of a new prescription for glargine insulin. If the insulin is self administered at 0800, when is the client most likely to experience hypoglycemia?
Midmorning
Shortly after midnight
No peak occurs
Midafternoon
A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain prior to administering the medication?
Trouble sleeping
Difficulty with urination
Unexplained weight loss
Recent oral intake
A client with history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that the additional teaching is needed?
Attaches spacer device to the inhaler
Stores the medication at room temperature
Primes pump with 7 pumps
Rinses mouth after each use
A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?
Double the dose if a dose is missed
Reduce caffeine and acidic intake
Avoid taking on an empty stomach
Consume 2 L of water daily
A client with irritable bowel syndrome starts a new prescription for dicyclomine, an anticholinergic medication. The client reports the onset of sensitivity to bright sunlight and a dry mouth. How should the nurse respond?
Determine if the medication is being taken correctly
Advise stopping the medication until the unpleasant effects wear off
Schedule an appointment for evaluation by the healthcare provider
Provide instructions in managing these side effects
The nurse determines that a client has been taking antidepressants for the past six months. Which symptoms are common side effects of this medication classification?
Headache, jaundice, and diarhhea
Bradycardia, delirium, and sedation
Insomnia, hypertension, and vomiting
Dry mouth, blurred vision, and constipation
The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six hours for four days. What assessment is most important for the nurse to complete?
Auscultate the client's bowel sounds
Observe for edema around the ankles
Measure the client's capillary glucose level
Count the apical and radial pulses simultaneously
A client receives a new prescription for somatropin. Which information provided by the client indicates a need for further education by the nurse?
Store unused a vials at room temperature
Rotate injection sites to minimize discomfort
Discard the medication if the solution is cloudy
Administer the medication subcutaneously
The nurse prepares to administer a scheduled dose of labetalol by mouth to a client with hypertension. The client's vital signs are temperature 99F (37.2C), heart rate 48 beats/min, respirations 16 breaths/min, and blood pressure 150/90. Which action should the nurse take?
Administer the dose and monitor the client's BP regularly
Withhold the schedules dose and notify the HCP
Assess for orthostatic hypotension before administering the dose
Apply a telemetry monitor before administering the dose
To evaluate the effectiveness of a client's prescription for rosuvastatin, which action should the nurse emplement?
Evaluate the client's serum cholesterol level results
Measure skin folds for body mass index (BMI) calculation
Obtain the client's heart rate and blood pressure
Review the client's daily food and weight log
A client has a prescription for clopidogrel bisulfate 75 mg by mouth daily 0900. In which situation situation should the nurse holds the medication?
The client's platelet level is high
Breakfast has not been eaten
Elective surgery is scheduled in 2 hours
An abdominal sonogram is scheduled
A male client with a newly diagnosed seizure disorder starts a prescription for clonazepam. One week later the nurse observes that his speech is slurred and he has an ataxic gait. Which action should the nurse implement?
Advise the client to discontinue the medication immediately
Report these side effects to the HCP
Explaining the need to refrain from alcohol use while taking this drug
Document the client continued seizure activity
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with medication? Which action should the nurse take?
Withhold the medication until the client's breakfast tray is available on the unit
Consult with a pharmacist about scheduling the dose one hour after the client eats
Assign an Unlicensed assistive personnel (UAP) to bring the clients a glass of low fat milk
Instruct the client that it is necessary to take nothing but water with the medication
The nurse provided instructions to a client who is taking levothyroxine and would tell the client take the medication in which way?
Oral doses of levothyroxine must be taken on an empty stomach
Avoid the use of iron supplements
Administer levothyroxine at bedtime
consumer foods that are high in iodine
The nurse adminsters naloxone to a client with opiod-induced respiratory despression. One hour later, nursing assessments reveal that the client has respiratory rate of 4 breaths/min, SPA O2 of 75% and is unable to be aroused. What action should the nurse implement?
Prepare to assist with chest tube insertion
Administer second dose of naloxone
Determine Glasgow Coma score
Initiate cardiopulmonary resuscitation (CPR)
A client who is obtunded arrives in the emergency room with a suspected drug overdose. The client becomes responsive after the administration of IV naloxone, but within a short period, the client's level of consciousness decreased again, and the respiratory rate decreases to 6 breaths/min. Which action should the nurse take first?
Administer an additional dose of naloxone
Initiate a second IV access site
Prepare to initiate CPR
Determine if the results of the drug toxicity screen are available
The nurse administers acetylcysteine to a client with a thick and nonproductive cough. To evaluate the effectiveness of the medication, what question should the nurse ask the client?
"Are you experiencing any pain when you cough?"
Are you still coughing?
How much phlegm are you coughing up
A female client with mild depression reports to the nurse recently starting St. Johns Wort. Which information provided by the client requires further intruction?
Hard candy can be used for a dry mouth
Another form of contraceptive is not needed
Insomnia may occur while taking the medication
Sensitivity to the sun can develop
A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?
Use the cream only on intact skin
Apply the cream to the area for 2 weeks
Cover the site with an occlusive dressing
Limit exposure to direct sunlight
A male client who has erectile dysfunction (ED) recently received a new prescription for sildenafil citrate. During a clinic visit the client reports the onset of nasal congestion, dizziness, and dyspepsia. Which nursing assessment takes priority?
Measure blood pressure while laying and standing
??
The nurse is monitoring a client who has liver failure and is taking lactulose. Which findings indicate that the medication is having the desired effect? SATA
Increased urine output
Increased serum ammonia
Improved level of consciousness
Increased bowel movements
Decreased serum potassium
The healthcare provider prescribes streptomycin 200 mg IM every 12 hours. The vial is labeled, "Streptomycin 1 gram/2.5 mL" How many milliliters should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.?
(a)
A client receives a prescription for IV famotidine. Which finding indicates to the nurse the medication is effective?
Reduced epigastric pain
Decreased in nighttime awakenings
Positive stool antigen test
Loss of 3 lbs (1.36 kg) in a moth
The nurse is planning to administer sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this patient's plan of care?
Administer sucralfate once a day, preferably at bedside
Monitor for electrolyte imbalance
Assess for secondary candida infection
Give sucralfate on an empty stomach
A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mmHg. A transdermal nitroglycerine patch was applied 30 minutes ago to the right upper chest. Which action should the nurse take?
Reassure the client that the patch will begin to take effect within a few minutes
Withhold further doses of nitroglycerine until contacting the healthcare provider
Leave the patch in place and administer a PRN dose of sublingual nitroglycerin
Obtain another transdermal patch and position it on the client's left upper chest
A client receives a prescription for methotrexate. Which information provided by the client requires additional instruction by the nurse?
Take the medication during pregnancy
Use folic acid to protect the liver
Store the medication at room temperature
Obtain a platelet count weekly
The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory findings indicate that the medication has been effective?
Reference Range:
Glucose (74 to 106 mg/dL)
Hemoglobin (14 to 18 g/dL)
Potassium (3.5 to 5 mEq/L)
Serum glucose level of 120 mg/dL
Serum potassium level of 3.8 mEq/L (3.8mmol/L)
Serum ammonia level of 30 ug/dL (17.62 umol/dL)
Hemoglobin level of 13.5 (135 g/L)
Serum glucose level of 120 mg/dL (6.7 mmol/L)
The nurse is caring for a client who is taking diclofenac for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. What of the client's serum laboratory values is most important for the nurse to review?
Sodium
Glucose
Total protein
Hemoglobin
A postoperative male client asks the nurse to bring the largest possible dose of a prescribed narcotic. Which action should the nurse implement first?
Review the history for past use of recreational drugs
Ask the client to describe his current pain using a pain scale
Encourage the client to use diversional thoughts to manage pain
Determine when the last dose was administered
A client receives a new prescription for montelukast. Which information should the nurse include in the client's teaching?
The medication will contract the smooth muscles located in the respiratory tract
Montelukast will help repair damaged tissues in the base of the lungs
The medication will prophylactically limit the inflammatory response to allergens
Montelukast will increase the production of mucus in the lungs
A client with myasthenia gravis is experiencing a cholinergic crisis. Which symptoms are associated with this condition? (SATA)
Bradycardia
Rash
Vomiting
Fever
Drooling
The nurse mixed diphenhydramine 25 mg in a 100 mL bag of 0.9% sodium chloride, which is to be administered IV over 30 minutes. The IV pump should be set to administer how many mL/hour? (Enter numerical value only)
(a)
