Exam 26: Administering Medications

The nurse must administer hepatitis B (HB) immunoglobulin 0.5 mL intramuscularly to a newly born infant of a hepatitis B antigen (HB Ag)-positive mother. Which injection site should the nurse choose to administer this injection?

The nurse receives a laboratory report that states the patient's digoxin level is 1.2 mg/mL; therapeutic range for this drug is 0.5 to 2.0 mg/mL. Which action should the nurse take?

Which action should the nurse take to relax the vastus lateralis muscle before administering an intramuscular injection into the site?

An insulin-dependent diabetic female patient tells the nurse that she has been giving herself injections in the same location in her right thigh for the past several months because it is easier. What is the nurse's best action?

The nursing student is preparing to administer lisinopril to the patient but does not know what lisinopril is used for. What is the most appropriate action by the student to obtain the information?

A patient who just returned from the postanesthesia care unit is reporting severe incision pain. Which drug contained in the medication administration record will offer the patient the fastest relief?

Which action should the nurse take immediately after administering a medication through a nasogastric tube?

The nurse is preparing to administer a medication for a client with cystic fibrosis. The nurse is not familiar with the drug. Which is the best action that the nurse should take?

A patient has difficulty taking liquid medications from a cup. How should the nurse administer the medications?

The primary care provider prescribes nitroglycerin 1/150 grains sublingually for a patient experiencing chest pain. How should the nurse administer the drug?

The nursing student has registered for a class on pharmacokinetics. Which phrase reflects the student's accurate understanding of what the focus in this class will be?

Which documentation entry related to prn (as needed) medication administration is complete?

When the nurse enters a male patient's room to administer a medication, he calls out from the bathroom, telling the nurse to leave his medication on the bedside table. He reassures the nurse that he will take the medication as soon as he is finished. How should the nurse proceed?

Teratogenic drugs should be avoided in which patient population?

The nurse administered the narcotic meperidine, 50 mg orally (PO) at 1400 to a patient with nausea, vomiting, and pain rated as 9 on a 0-to-10 scale. At 1430, the patient stated that the medication was not working and requested to have intravenous (IV) morphine, which the provider had prescribed for severe pain. What is the nurse's best evaluation of this situation?

How should the nurse dispose of a contaminated needle after administering an injection?

Which body organ is primarily responsible for medication excretion?

Laboratory test results indicate that warfarin anticoagulant therapy is suddenly ineffective in a patient who has been taking the drug for an extended period of time. The nurse suspects an interaction with herbal medications. What type of interaction does the nurse suspect?

A patient with terminal cancer requires increasing doses of an opioid pain medication to obtain relief from pain. This patient is exhibiting signs of drug:

The nurse is preparing to administer otic medications to a 35-year-old patient. What are the most appropriate actions by the nurse? Select all that apply.