FINALSW1- ORAL MEDICATION ADMINISTRATION Flashcards
most common least expensive and most convenient route for clients. The drug being swallowed and because skin is not broken as it is for an injection, it is also a safe method
ORAL MEDICATION ADMINISTRATION
examples of medications that are given by enteral routes include which of the following: SELECT ALL THAT APPLY
a. total parenteral nutrition (TPN) solutions
b. oral tablets
c. oral capsules
d. rectal suppositories
e. liquid medications.
everything except A
The nurse checking the MAR finds that an order for an antibiotic is now 8 days old. The nurse should:
a. check the medications, performing three medication checks
b. give the ordered medication
c. contact the physician for a new order.
d. give the medication, then notify the physician
C. contact the physician for a new order
A patient on the long-term care unit receives the wrong medication. The charge nurse should instruct which staff member to complete the incident report?
a. the nurse who administered the wrong drug
b. the nursing supervisor for the day
c. the nurse who discovered the error
d. no one, because the charge nurse should do it.
c. the nurse who discovered the error
when administering medications to a patient with a feeding tube, the nurse should dissolve each crushed medication in at least ___ mL of water.
b. 20 to 30
For an adult patient who has an order to receive an otic medication, the nurse should plan to administer it by pulling the pinna:
a. down and forward
b. up and forward
c. down and back
d. up and back.
d. up and back.
To reduce the systemic absorption of eye drops, the nurse should:
a. use finger pressure to close the eyelid tightly
b. apply slight finger pressure over the lacrimal duct
c. request the patient tilt the head slightly to the side of the unaffected eye
d. instruct the patient to widen the eyes in order to increase access to the lacrimal duct.
b. apply slight finger pressure over the lacrimal duct
A patient complains about the taste of the the sublingual nitroglycerin and admits that the swallows it rather then holding it under his tongue. The nurse explains that sublingual medications.
a. should not be swallowed because it alters the absorption potential.
b. can be inserted rectally without loss of absorption potential
c. can be held against the roof of the mouth with the tongue to reduce taste.
d. can be taken between the cheek and tongue to diminish taste.
a. should not be swallowed because it alters the absorption potential.
Before the nurse administers a dose of digoxin (Lanoxin) to a patient, the nurse should assess:
a. blood pressure
b. respiratory rate
c. apical heart rate
d. level of consciousness
c. apical heart rate
The licensed nurse who is responsible for doing the narcotic count for the shift should count the drugs.
a. alone for accuracy.
b. with any licensed person
c. with another nurse working on the shift
d. with a nurse coming on duty for the next shift.
d. with a nurse coming on duty for the next shift
The nurse receives an order to give vitamin D 10 mcg bid. The nurse recognizes that the abbreviation mcg refers to a measurement in:
a. milligrams
b. milliequivalents
c. milliliters
d. micrograms
d. micrograms
Before the nurse administers a liquid medication to an 83 yr old male patient, the nurse should:
a. assess the swallowing reflex by offering a sip of water
b. ask the patient if he would prefer to give the medication to himself.
c. mix thoroughly in applesauce or pudding
d. assess the ability to understand information relative to the drug
a. assess the swallowing reflex by offering a sip of water
Metered-dose inhalers are used to deliver specific amounts of medication. The nurse gives the patient which of the following instructions?
a. never shake the inhaler medication before use.
b. exhale while squeezing the canister to deliver the medication.
c. sit upright, exhale, then activate he inhaler as the next inhalation begins.
d. hold the head back while inhaling the medication.
c. sit upright, exhale, then activate he inhaler as the next inhalation begins.
An elderly patient is scheduled to take six medications each morning. The nurse administering these medications knows to do which of the following?
a. allow extra time to administer all of the medications
b. allow the patient to take only the medications she can swallow.
c. crush all of the medications before giving them
d. leave the medication at the bedside so the patient can take them slowly.
a. allow extra time to administer all of the medications
When applying a topical nitroglycerin ointment, the nurse will do which of the following?
a. massage it thoroughly into the skin.
b. squeeze it onto the applicator paper and place it on the skin
c. apply it to the medial aspect of the thigh
d. shave the skin prior to application
b. squeeze it onto the applicator paper and place it on the skin
if an IV has become infiltrated, the nurse will observe which of the following assessment findings?
a. Pallor, pain
b. Erythema, warmth
c. Erythema, swelling
d. Warmth, swelling
c. Erythema, swelling
Which of the following principles of medication administration will be taught to a patient who will be administering his own subcutaneous (SC) injections?
a. Use a 22 G, 5/8 in needle
b. Rotate sites among the upper arm, abdomen, and anterior thigh
c. Avoid injecting within 3 in of a previous injection site
d. insert the needle at a 30 degree angle to the skin
b. Rotate sites among the upper arm, abdomen, and anterior thigh
which of the following is the correct needle for an intramuscular (Im) injection?
a. 18 G, 1-in
b. 20 G, 1/2 in
c. 25 G, 2-in
d. 21 G, 1 1/2 in
d. 21 G, 1 1/2 in
In which of the following ways can a nurse prevent injury from a needlestick?
a. recap the needle before disposal
b. remove the needle from the syringe
c. immediately discard the needle and syringe in a puncture-proof container
d. stick it into the patient’s mattress until it can be disposed of.
c. immediately discard the needle and syringe in a puncture-proof container
Which of the following is done after giving medication through a nasogastric tube that is connected to suction?
a. the tube is reconnected to the suction
b. the tube is clamped for 10 min then reconnected to suction
c. the tube is clamped for 30min then reconnected to suction
d. the suction is left off for 4 hrs then reconnected to suction
c. the tube is clamped for 30min then reconnected to suction
When giving a medicine through a nasogastric (NG) tube, the nurse will first do which of the following?
a. flush the tube with 30 mL of water
b. Check placement of the tube
c. take the vital signs
d. ask the patient if the tube is painful
b. Check placement of the tube
The nurse instructs a clinic patient on using an inhaler for his asthma attacks. Which of the following is correct about the use of an inhaler?
a. the medication must go into the back of the nose
b. the medication must go directly into the throat
c. the medication must get to the ears
d. the medication must go into the lungs.
d. the medication must go into the lungs.
Which of the following represents the proper way for a nurse to administer an oral capsule?
a. tell the patient to swallow it whole
b. pierce it with a needle and squeeze into the mouth
c. crush and dilute it in warm water.
d. tell the patient to chew it completely
a. tell the patient to swallow it whole
Which statement by the nurse is more likely to motivate a patient to adhere to a drug therapy regimen for hypertension?
a. your doctor prescribed this drug and your doctor knows what is best for your health.
b. if you do not take this drug you are at greater risk to die of stroke or heart attack within the next 10 yrs.
c. as an artist, your eyes are important, and taking this drug daily helps prevent eye damage from high blood pressure.
d. if you are not taking this drug because you are to poor to afford it, I can call a social worker so you can get financial aid.
c. as an artist, your eyes are important, and taking this drug daily helps prevent eye damage from high blood pressure.
The nurse is preparing to teach a patient about a newly prescribed drug therapy. What time is best for improving teaching effectiveness?
a. during lunch so that the patient is not too hungry to learn
b. after the patient wakes up from a nap and no visitors are present.
c. right after the health care provider has told the patient that the health problem cannot be cured.
d. when the patient’s spouse and 3 adult children are present so that the family can reinforce the teaching.
b. after the patient wakes up from a nap and no visitors are present.
The nurse is interviewing a patient. Which action by the nurse indicates active listening?
a. asking interview questions while starting an IV
b. correcting the patient’s use of the word “free bleeder” for hemophilia
c. asking the spouse to verify the patient’s responses to family history questions
d. restating what the patient said to ensure the nurse understands what the patient meant.
d. restating what the patient said to ensure the nurse understands what the patient meant.
