Fundamentals EOC Chap 31 Flashcards
The nurse is having difficulty reading a physician’s order for a medication. He or she knows that the physician is very busy and does not like to be called. What is the most appropriate next step for the nurse to take?
- Call a pharmacist to interpret the order
- Call the physician to have the order clarified
- Consult the unit manager to help interpret the order
- Ask the unit secretary to interpret the physician’s handwriting
*2
The patient has an order for 2 tablespoons of Milk of Magnesia. How much medication does the nurse give him or her?
- 2 mL
- 5 mL
- 16 mL
- 30 mL
*4
A nurse is administering eardrops to an 8-year-old patient with an ear infection. How does the nurse pull the patient’s ear when administering the medication?
- Outward
- Back
- Upward and back
- Upward and outward
*4
A patient is to receive cephalexin (Kefl ex) 500 mg PO. The pharmacy has sent 250-mg tablets. How many tablets does the nurse administer?
- ½ tablet
- 1 tablet
- 1 ½ tablets
- 2 tablets
*4
A nurse is administering medications to a 4-year-old patient. After he or she explains which medications are being given, the mother states, “I don’t remember my child having that medication before.” What is the nurse’s next action?
- Give the medications
- Identify the patient using two patient identifiers
- Withhold the medications and verify the medication orders
- Provide medication education to the mother to help her better understand her child’s medications
*3
A patient is transitioning from the hospital to the home environment. A home care referral is obtained. What is a priority in relation to safe medication administration for the discharge nurse?
- Set up the follow-up appointments with the physician for the patient.
- Ensure that someone will provide housekeeping for the patient at home.
- Ensure that the home care agency is aware of medication and health teaching needs.
- Make sure that the patient’s family knows how to safely bathe him or her and provide mouth care.
*3
A nursing student takes a patient’s antibiotic to his room. The patient asks the nursing student what it is and why he should take it. Which information does the nursing student include when replying to the patient?
- Only the patient’s physician can give this information.
- The student provides the name of the medication and a description of its desired effect.
- Information about medications is confidential and cannot be shared.
- He has to speak with his assigned nurse about this.
*2
The nurse is administering a sustained-release capsule to a new patient. The patient insists that he cannot swallow pills. What is the nurse’s next best course of action?
- Ask the prescriber to change the order
- Crush the pill with a mortar and pestle
- Hide the capsule in a piece of solid food
- Open the capsule and sprinkle it over pudding
*1
The nurse takes a medication to a patient, and the patient tells him or her to take it away because she is not going to take it. What is the nurse’s next action?
- Ask the patient’s reason for refusal
- Explain that she must take the medication
- Take the medication away and chart the patient’s refusal
- Tell the patient that her physician knows what is best for her
*1
The nurse receives an order to start giving a loop diuretic to a patient to help lower his or her blood pressure. The nurse determines the appropriate route for administering the diuretic according to:
- Hospital policy.
- The prescriber’s orders.
- The type of medication ordered.
- The patient’s size and muscle mass.
*2
A patient is receiving an intravenous (IV) push medication. If the drug infiltrates into the outer tissues, the nurse:
- Continues to let the IV run.
- Applies a warm compress to the infiltrated site.
- Stops the administration of the medication and follows agency policy.
- Should not worry about this because vesicant filtration is not a problem.
*3
If a patient who is receiving intravenous (IV) fluids develops tenderness, warmth, erythema, and pain at the site, the nurse suspects:
- Sepsis.
- Phlebitis.
- Infiltration.
- Fluid overload.
*2
After seeing a patient, the physician gives a nursing student a verbal order for a new medication. The nursing student first needs to:
- Follow ISMP guidelines for safe medication abbreviations.
- Explain to the physician that the order needs to be given to a registered nurse.
- Write down the order on the patient’s order sheet and read it back to the physician.
- Ensure that the six rights of medication administration are followed when giving the medication.
*2
A nurse accidently gives a patient a medication at the wrong time. The nurse’s first priority is to:
- Complete an occurrence report.
- Notify the health care provider.
- Inform the charge nurse of the error.
- Assess the patient for adverse effects.
*4
A patient is taking albuterol through a pressurized metered dose inhaler (pMDI) that contains a total of 200 puffs. The patient takes 2 puffs every 4 hours. How many days will the
pMDI last?
__________ days
*16 days
