Deck 63: Administration of Medications

Question 1

The nurse administering medications to clients first checks the medication administration record (MAR) to compare information. What information is contained in the MAR? Select all that apply.

A) Client name
B) Client address
C) Client birth date
D) Medication name
E) Administration route
F) Scheduled times

Answer 1

Client name
Medication name
Administration route
Scheduled times

Question 2

The nurse is setting up medications for clients in a hospital setting. Which guidelines are recommended for this procedure? Select all that apply.

A) Work from the bottom to the top of the MAR when setting up medications.
B) Set up medications for all clients at one time.
C) Compare each medication label with the MAR to make sure they are identical.
D) Read the medication package at least two times.
E) If unit doses are difficult to open, bring scissors when going to the bedside.
F) Do not open a unit-dose package until ready to give the medicine.

Answer 2

Compare each medication label with the MAR to make sure they are identical.
If unit doses are difficult to open, bring scissors when going to the bedside.
Do not open a unit-dose package until ready to give the medicine.

Question 3

What measures should the nurse take when storing medications for an elderly client at a long-term care facility?

A) Label the medication with the client's medical record number.
B) Provide details about the medication name and its dosage on its label.
C) Relabel the medication if the content on the label is illegible.
D) Record the manufacturing date of the medication on the label.

Answer 3

Provide details about the medication name and its dosage on its label.

Question 4

What intervention accurately demonstrates effective, safe medication administration?

A) Using at least three client identifiers.
B) For verbal orders, having the prescriber read back the order.
C) Labeling all medications in procedural settings.
D) Not using abbreviations, acronyms, or symbols for medication orders.

Question 5

A nurse is preparing a medication administration record (MAR) at the healthcare facility. Which is the most accurate way to verify accuracy of the MAR?

A) Check with the client to see if he or she has been administered the medication.
B) Perform an order sheet check just before medication administration.
C) Record the trade name of the medication to promote accuracy.
D) Compare the medication record with the original physician's order.

Question 6

What are the client's rights regarding medication administration? Select all that apply.

A) Right client
B) Right medication
C) Right birth date
D) Right dose
E) Right documentation
F) Right package insert

Question 7

The nurse administering medication to an alert and oriented client checks to make sure the medication matches the client ID. Which guideline is recommended for identifying the client after checking the wrist ID band?

A) Question the client's name: "Are you Mr. Gray?"
B) Have another nurse identify the client.
C) Ask the client: "What is your name and birth date?"
D) Ask a family member to identify the client.

Question 8

The nurse administering medications in a healthcare facility compares and confirms the medication name and dosage three times before administering it. Which is one of the recommended times?

A) After removing the medication from the storage area to the cart
B) When placing the medication in the medication cup or envelope
C) After administering the medication to the client
D) When documenting the administration of the medication

Question 9

The nurse is administering prescribed medication to an elderly client who tells the nurse that "this is not the color of the pill I normally take." What action should the nurse take in this situation?

A) Recheck the medication administration record (MAR), order, and medication prior to dispensing it.
B) Administer the pill; explain to the client that generic drugs come in different colors.
C) Call the client's prescribing healthcare practitioner to confirm the order.
D) Document the conversation in the client record and do not administer the pill.

Question 10

The nurse is dispensing a medication that is ordered for 0500. Which time can this medication be given and still be considered "on time."

A) 0545
B) 0400
C) 0530
D) 0415

Question 11

Which is an example of a STAT order?

A) A dose of epinephrine for a client experiencing anaphylactic shock
B) An order for pain medication as needed following surgery
C) An order to increase the dose of a heart medication
D) An order to wean a client gradually off of prednisone

Question 12

The physician orders the nurse to start the client on STAT mannitol therapy to prevent cerebral edema. What intervention should the nurse implement when administering this STAT medication?

A) Assess the client's age and what symptoms have prompted the STAT order.
B) Chart the STAT medications before they are given and recheck the vital signs.
C) Confirm that the order is on the physician's orders and the medication administration record.
D) Enter client's initials next to the order after giving STAT drugs and have the administration witnessed by two nurses.

Question 13

To which guideline should the nurse refer when a client asks for a PRN pain medication?

A) First consult the medication administration record (MAR) to determine when the client received the last dose.
B) Administer the PRN medication as soon as the client asks for it.
C) Make sure the client is experiencing severe pain before administering the dose.
D) If the pain is extreme and the prescribed time has not elapsed, notify the physician.

Question 14

The nurse monitors clients for adverse effects of medications they are taking. Which would be considered a minor adverse effect?

A) Allergic reaction
B) Diarrhea
C) Respiratory depression
D) Symptom relief

Question 15

A psychiatric client is given a sedative to produce a calming effect, and instead the client becomes more agitated. What is the term for this medication effect?

A) Medication toxicity
B) Potentiation
C) Paradoxical effect
D) Anaphylaxis

Question 16

A nurse is caring for a client who has been administered penicillin. The nurse observes that the client is exhibiting difficulty in breathing and is developing syncopal episodes. On examining the client's vital signs, the nurse notes rapid pulse and palpitations. The assessment data supports the possible existence of what medication associated condition?

A) Medication toxicity
B) Paradoxical effect
C) Therapeutic effect
D) Anaphylactic reaction

Question 17

The nurse explains to a student nurse that a medication's effects may be local or systemic. Which would be most likely to produce a local effect?

A) Anti-inflammatory creams
B) Rectal suppositories
C) Antibiotic injection
D) Meter-dosed inhalers

Question 18

Medications can be administered enterally or parenterally. Which is an example of a parenterally administered medication?

A) An oral medication
B) A medication administered buccally
C) A sublingual medication
D) A subcutaneous injection

Question 19

Which is an example of a medication administered enterally?

A) Medication instilled into the eye
B) Medication instilled through a jejunostomy tube
C) Medication given via respiratory tract
D) Medication absorbed through the skin

Question 20

Which medication form would result in the fastest medication absorption?

A) Suppositories
B) Medications instilled in nasogastric tube
C) Eye drops
D) Oral capsules

Question 21

A client has been prescribed buccal administration of nicotine to aid in smoking cessation. What information should the nurse provide the client to assure the desired effect of the medication?

A) Not to chew the nicotine buccal medication.
B) To place the medication between the tongue and palate.
C) Take the medication at bedtime.
D) Should be taken 1 hour before eating.

Question 22

The nurse is instructed to give an antihistamine in the form of an orally disintegrating tablet. Which intervention will help assure the proper administration of this form of medication?

A) Take tablet with a full glass of water.
B) Place the tablet between the client's tongue and cheek.
C) Break up the tablet by chewing it well before swallowing.
D) Place the tablet on the client's tongue to dissolve instantly.

Question 23

A client with a nasogastric tube has been prescribed a heart medication that is supplied in a capsule form. What would be the appropriate nursing action before administering this medication?

A) Flush the tube with distilled water, add the capsule, and flush the tube again.
B) Call for a specific order to open the capsule, mix with liquid, and instill in the tube.
C) Crush the capsule and add the contents to liquid and instill it into the tube.
D) Do not administer the medication; call the pharmacy for a liquid form.

Question 24

A hospitalized adolescent client is diagnosed with asthma and an inhaler (albuterol) is prescribed. Which teaching point should the nurse include in the discharge instructions?

A) Do not shake the inhaler before administration.
B) Take a shallow breath and hold it before administration.
C) Inhale as slowly and deeply as possible after positioning the canister.
D) After inhaling, hold the breath for about 5 seconds and then slowly exhale.

Question 25

The nurse administers pain medication to a client via a fentanyl transdermal patch. During nursing rounds 5 minutes later, the client states that "the patch fell off" and asks for a new one. What would be the appropriate nursing intervention in this situation?

A) Administer a new patch.
B) Skip this dosage and administer a new patch when it is due again.
C) Help to locate the old patch before administering a new one.
D) Report the incident to the primary care provider.

Question 26

The nurse should position the client in which position to best facilitate the administration of a nasal drops?

A) Lying flat
B) High Fowler's
C) Low Fowler's
D) Side-lying