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WorksheetsCh. 30 - Medications
Total questions: 20
Worksheet time: 11mins
The nurse administered 0900 medications to the team of clients. The nurse notes that a medication error was made. One client received a medication that was prescribed for the roommate. What action(s) does the nurse perform? Select all that apply.
Complete an incident report.
Perform an assessment of the client.
Document the error in the nurse's notes.
Write "incident report completed" in the nurse's notes.
Notify the health care provider.
The nurse is educating a client on how to self-administer subcutaneous insulin injections. The client asks why the needle must be removed at the same angle as that of insertion. How will the nurse respond?
This helps to control placement of the needle.
It prevents needlestick injuries.
This verifies correct injection of the drug.
It minimizes tissue trauma.
A nurse is caring for a client at a health care facility who is undergoing nicotine withdrawal therapy and has been prescribed a nicotine patch. Which statement is true with regard to the application of a transdermal patch?
The patch is mostly applied to lower parts of the body.
A new patch is placed in the same location as the previous one.
The patch is applied to an area of the skin with adequate circulation.
The drug becomes inactive at the time the patch is removed.
What does the nurse expect to be included in the directions for reconstitution on a drug label? Select all that apply.
dosage per volume after reconstitution
type of diluent not to use
directions for storing the drug
amount of diluent to be added
size of the client
The primary reason for the Controlled Substances Act is:
to prevent substance use and dependence.
to prevent overuse of antibiotics.
to regulate the purchase of opioids.
to regulate the purchase of antibiotics.
The health care provider has prescribed a subcutaneous injection to a client. Which factors should the nurse consider when selecting a syringe and needle? Select all that apply.
size of the client
risk for needlestick injuries
amount of adipose tissue
type of medication
viscosity of the drug
The nurse just completed a refresher course on parenteral drug administration. Which statement by the nurse indicates that teaching was effective?
"Reconstitution is the process of adding liquid, known as diluent, to a powdered substance."
"Reconstitution is a glass or plastic container of parental medication with a self-sealing rubber stopper."
"Reconstitution is a sealed glass drug container that must be broken to withdraw the medication."
"Reconstitution is a sealed glass cylinder of parenteral medication with an attached needle."
The nurse is preparing medications and is notified that a health care provider is on the phone. What is the nurse’s appropriate response?
Ask the unit clerk to take a message from the provider.
Ask another nurse to finish gathering medications and take the call.
Speak to the provider while finishing medication preparation.
Leave medication preparation and take the call.
A nurse needs to administer an intramuscular injection to a thin and frail older adult client. Which of the following actions should the nurse perform to avoid striking the bone when injecting?
Obtain an x-ray of the injection site.
Pinch the muscular tissue.
Massage the injection site.
Inject using a subcutaneous rather than an intramuscular technique.
When instructing a client regarding sublingual application, the nurse should inform the client that which action is contraindicated when administering the drug?
taking the medication on an empty stomach
talking when taking the medication
performing physical activities
swallowing the medication
Which action describes buccal medication administration?
placing a medication through a nasogastric tube
placing a medication underneath the upper lip or in the side of the mouth
placing a medication that is designed to be absorbed through the skin for systemic effects on the skin
placing a medication under the tongue and allowing it to dissolve
The nurse recognizes which routes for parenteral medication administration? Select all that apply.
intradermal
intramuscular
intravenous
transdermal
subcutaneous
The terms side effect, adverse drug reaction, allergic effect, or anaphylactic reaction all refer to the predictable secondary effects of medications.
True
False
The pharmaceutical class of a drug refers to the clinical indication for the drug or action of the drug.
True
False
The change of an active drug from its original form to an inactivated or new form is referred to as which of the following?
Absorption
Distribution
Metablism
Excretion
Which of the following refers to the potential response of the body when it becomes accustomed to the effects of a particular drug over a period of time, resulting in the need for larger doses of the drug to produce the desired effect?
Toxicity
Dependence
Displacement
Tolerance
The health care provider has prescribed the use of a transdermal patch. Which information will the nurse tell the client regarding the application of the patch?
Apply the patch to a clean, hairless location on the skin.
Apply the patch after cleaning the area with soap and water.
Apply the patch next to the previously applied patch but ensure there is no overlap.
Apply the patch on the opposite side of the body as the previous patch.
The health care provider has prescribed an enteric-coated naproxen for arthritic pain to a client who typically prefers a liquid or chewable medication. Which instruction should the nurse provide the client to ensure the medication is taken appropriately?
The potency of the medication will be increased due to early exposure to gastrointestinal acids if crushed or chewed.
Particles of the crushed medication can be inhaled causing respiratory irritation.
Crushing or chewing can cause the medication to be ineffective for pain relief.
Do not chew the medication as disrupting the enteric coating can cause irritation in the lining of the stomach.
The nurse is preparing to administer two IV medications. What is the appropriate nursing action?
Consult a current drug reference book for IV compatibility.
Administer the drugs through the same tubing.
Hold one medication for an hour and administer it after the first medication.
Prepare to administer through two separate tubes.
A client with chronic obstructive pulmonary disease has been prescribed a bronchodilator to be administered by small-volume nebulizer. The nurse should ensure that the client:
coughs intermittently while the medication is being administered.
breathes through their mouth until all the medication has been inhaled.
lays down to take the nebulizer treatment.
talks while the medication is being administered.
