Exam 32: Medication Administration

The nurse is administering 250 mg of a medication elixir to the patient. The medication comes in a dose of 1000 mg/5 mL. How many milliliters should the nurse administer? Record your answer using two decimal places. ____ mL

The nurse is giving an IM injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?

A nurse is preparing to administer a medication from a vial. In which order will the nurse perform the steps, starting with the first step? 1) Invert the vial. 2) Fill the syringe with medication. 3) Inject air into the airspace of the vial. 4) Clean with alcohol swab and allow to dry. 5) Pull back on the plunger the amount to be drawn up. 6) Tap the side of the syringe barrel to remove air bubbles.

The nurse is planning to administer a tuberculin test with a 27-gauge, 5/8-inch needle. At which angle will the nurse insert the needle?

A nurse is preparing an intravenous IV piggyback infusion. In which order will the nurse perform the steps, starting with the first one? 1) Compare the label of the medication with the medication administration record at the patient's bedside. 2) Connect the tubing of the piggyback infusion to the appropriate connector on the upper Y-port. 3) Hang the piggyback medication bag above the level of the primary fluid bag. 4) Clean the main IV line port with an antiseptic swab. 5) Connect the infusion tubing to the medication bag. 6) Regulate flow.

A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?

What is the nurse's $\bold{priority}$ action to protect a patient from medication error?

The nurse is caring for two patients with the same last name. In this situation which right of medication administration is the $\bold{priority}$ to reduce the chance of an error?

A patient has an order to receive 0.3 mL of U-500 insulin. Which syringe will the nurse obtain to administer the medication?

The nurse closely monitors an older adult for signs of medication toxicity. Which physiological change is the reason for the nurse's action?

Which methods will the nurse use to administer an intravenous (IV) medication that is incompatible with the patient's IV fluid? (Select all that apply.)

A patient needs assistance in eliminating an anesthetic gaseous medication (nitrous oxide). Which action will the nurse take?

Which patient does the nurse $\bold{most}$ closely monitor for an unintended synergistic effect?

A patient is taking 1 tablet of hydrocodone bitartrate 5 mg and acetaminophen 500 mg (Vicodin) every 4 hours. The patient is also taking 2 tablets of acetaminophen (Tylenol) 325 mg every 12 hours. How many grams of acetaminophen is the patient taking daily? Record your answer using one decimal place. ______ g

A nurse is caring for a patient who is receiving pain medication through a saline lock. After obtaining a good blood return when the nurse is flushing the patient's peripheral IV, the patient reports pain. Upon assessment, the nurse notices a red streak that is warm and tender to the touch. What is the nurse's initial action?

A nurse is preparing to administer an injection to a patient. Which statement made by the patient is an indication for the nurse to use the Z-track method?

A nurse is preparing to administer an antibiotic medication at 1000 to a patient but gets busy in another room. When should the nurse give the antibiotic medication?

A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. What should the nurse do?

The nurse prepares a pain injection for a patient but had to check on another patient and asks a new nurse to give the medication. Which action by the new nurse is $\bold{best}$ ?

A nurse is attempting to administer an oral medication to a child, but the child refuses to take the medication. A parent is in the room. Which statement by the nurse to the parent is best?