Exam 26: Administering Medications

The nursing student is preparing to administer an intramuscular (IM)injection to her patient.She states to her instructor,"I'm going to administer this medication in my patient's buttocks at the dorsogluteal site." What is the most appropriate response by the instructor?

Which term refers to the movement of a drug from the site of administration to the bloodstream?

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

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

Before administering a medication,the nurse must verify the six rights of medication administration,which include:

The nurse mixes two medications together in one syringe and is preparing to administer them to her patient.On entering the patient's room,the nurse notices that the medication looks cloudy and there are some particles floating in the mixture.What is the most appropriate action by the nurse?

The physician prescribes warfarin 5 mg orally at 1800 for a patient.After administering the medication,the nurse realizes that she administered a 10 mg tablet instead of the prescribed 5 mg PO.Which of the following actions by the nurse is appropriate?

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

The primary care provider orders peak and trough levels for a patient who is receiving intravenous vancomycin every 12 hours.When should the nurse obtain a blood specimen to measure the trough?

Which body organ is mostly responsible for medication excretion?

What is the most essential action by the nurse prior to delegating the administration of an intravenous (IV)medication to a licensed practical nurse (LPN)?

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 she suspect?

The nurse educator in the local hospital is preparing a teaching plan for staff nurses on using medication abbreviations in nursing documentation.What is most important for the nurse to include in the teaching plan concerning acceptable abbreviations? Select all that apply.

The nursing student has registered for a class on pharmacokinetics.Which of the following reflects the student's accurate understanding of what he can expect to focus on in this class?

An insulin-dependent diabetic 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 nurse is preparing to administer a subcutaneous does of insulin to a patient with diabetes.Which two sites might the nurse use that would provide the best absorption of the injection? Select all that apply.

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:

After receiving diphenhydramine,a patient complains that his mouth is very dry.This is not uncommon for patients taking this medication.Which drug effect is this patient experiencing?

The nurse must administer ear drops to an infant.How should she proceed?

The nurse is preparing to administer ophthalmic eye drops to her patient.What are the most appropriate actions for administering eye drops? Select all that apply.