Exam 26: Administering Medications

The home health nurse is caring for a 75-year-old patient with severe arthritis of her hands and fingers.The patient states,"I can't use these childproof safety lock caps because I can't open them." What is the most appropriate response(s)by the nurse? Select all that apply.

A patient is having pain and has requested a dose of analgesic medication.The medication administration record indicates that he prescribed the narcotics hydromorphone (Dilaudid)intramuscularly and morphine sulfate intravenously.Where should the nurse first assess to determine which medication to administer?

Which body organ is mostly responsible for the metabolism of medications?

The nurse is teaching parents ways to give oral medication to their child.Which action would they implement to improve compliance?

The nursing student is preparing to administer lisinopril to her 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 develops urticaria and pruritus 5 days after beginning phenytoin for treatment of seizures.Which type of reaction is the patient most likely experiencing?

A surgeon prescribes heparin 2,500 mEq IM q 12 hr.What is the nurse's best action?

While receiving an intravenous dose of an antibiotic,levofloxacin,a patient develops severe shortness of breath,wheezing,and severe hypotension.Which action should the nurse take first?

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

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

The nurse must administer hepatitis B immunoglobulin 0.5 mL intramuscularly to a 3-day-old infant born to an HB Ag-positive mother.Which injection site should the nurse choose to administer this injection?

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

Which expected outcome is best for a patient with a nursing diagnosis of Deficient Knowledge related to new drug treatment regimen?

What is/are the primary roles of the Food and Drug Administration (FDA)? Select all that apply.

Which factor in a patient's medical history is most likely to prolong the half-life of certain drugs?

A patient is given furosemide 40 mg orally at 0900.The duration of action for this drug is approximately 6 hours after oral administration.At which time in military hours should the nurse no longer expect to see the effects of this drug?

Teratogenic drugs should be avoided in which patient population?

The new nurse is beginning her orientation on a medical-surgical unit.What is most important for the nurse to know regarding hospital policies concerning controlled substances? Select all that apply.

A patient with end-stage cancer is prescribed morphine sulfate to reduce pain.For which effect is this medication prescribed?

The nurse administered the narcotic Demerol,50 mg PO at 1400 to a patient with 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 morphine IV,which the provider had prescribed for severe pain.What is the nurse's best evaluation of this situation?