Chapter 34 Administering Oral, Topical, and Inhalant Medications

Chapter 34  Administering Oral, Topical, and Inhalant Medications

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Before the nurse administers a liquid medication to an 83-year-old male patient, the nurse should:
a.
assess the swallowing reflex by offering a sip of water.
b.
ask the patient if he would prefer to give the medication to himself.
c.
mix thoroughly in applesauce or pudding.
d.
assess the ability to understand information relative to the medication.

ANS: A
A factor to consider when giving anything orally is the ability of the patient to swallow.

DIF: Cognitive Level: Application REF: p. 647 OBJ: Theory #7
TOP: Routes of Medication Administration
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk

2. The nurse receives an order to give vitamin D 10 mcg bid. The nurse recognizes that the abbreviation mcg refers to a measurement in:
a.
milligrams.
b.
milliequivilants.
c.
millileters.
d.
micrograms.

ANS: D
The abbreviation mcg refers to a measurement of micrograms.

DIF: Cognitive Level: Knowledge REF: p. 647|Table 24-3
OBJ: Clinical Practice #4 TOP: Abbreviations
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies

3. The licensed nurse who is responsible for doing the narcotic count for the shift should count the medications:
a.
alone for accuracy.
b.
with any licensed person.
c.
with another nurse working on the shift.
d.
with a nurse coming on duty for the next shift.

ANS: D
Controlled substances must be counted by one nurse going off duty and one coming on duty at the change of each shift.

DIF: Cognitive Level: Comprehension REF: p. 652 OBJ: Theory #1
TOP: Counting Controlled Substances KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A

4. Before the nurse administers a dose of digoxin (Lanoxin) to a patient, the nurse should assess:
a.
blood pressure.
b.
respiratory rate.
c.
apical heart rate.
d.
level of consciousness.

ANS: C
The apical heart rate is measured before giving a dose of digoxin (Lanoxin) to determine whether it is safe to give; the apical rate should be greater than 60 beats/min for an adult patient.

DIF: Cognitive Level: Application REF: p. 657|Skill 34-1
OBJ: Theory #7 TOP: Medication Administration
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies

5. A nurse is administering oral medications to a patient who is having intake and output (I&O) measured. When giving medications, it is most important to:
a.
give the medication with a small piece of cracker or cookie.
b.
give the medication with as much fluid as possible.
c.
record the fluid taken on the MAR or eMAR.
d.
record the fluid taken on the intake record.

ANS: D
When a patient is having I&O measured, the nurse must record all fluid that the patient drinks while taking medications in the oral intake column of the I&O sheet.

DIF: Cognitive Level: Application REF: p. 653 OBJ: Theory #1
TOP: Medication Administration KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort