Chapter 35 Medication Administration

Chapter 35  Medication Administration

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which medication has the highest potential for abuse?
a.
Methylphenidate (Ritalin) – schedule II
b.
Alprazolam (Xanax) – schedule IV
c.
Acetaminophen & codeine (Tylenol #3) – schedule III
d.
Diphenoxylate & atropine (Lomotil) – schedule V

ANS: A
According to the Controlled Substances Act, drugs that have the potential for abuse/dependency are classified as schedule I-V. Schedule I drugs have no approved medical applications in the United States. Schedule II drugs have high potential for abuse/dependency and have multiple restrictions for prescriptions. Schedule III, IV, and V have lower risks of dependency/abuse and fewer restrictions for prescriptions

DIF: Applying REF: p. 814 TOP: Assessment
MSC: NCLEX Client Needs Category: Pharmacological Therapies: Medication Administration
NOT: Concepts: Addiction

2. The nurse is caring for a patient who will give himself medication injections at home after discharge. How can the nurse best determine that the patient understands the technique and can administer the injections correctly?
a.
Provide written instructions about how to administer the injections.
b.
Watch the patient give himself an injection.
c.
Call the patient the next day to ask if he is having difficulty with the injections.
d.
Ask the patient if he understands how to administer the injections.

ANS: B
The nurse should watch the patient give himself an injection to make sure that he is doing it correctly. This will give the nurse an opportunity to point out and correct any mistakes and offer the patient reassurance about his technique.

DIF: Remembering REF: p. 845 TOP: Assessment
MSC: NCLEX Client Needs Category: Health Promotion: Self-care
NOT: Concepts: Patient Education

3. The nurse is caring for a patient who is in agonizing pain. All of the following options are listed on the patient’s medication order sheet to relive pain. Which will provide the most rapid pain relief for the patient?
a.
Morphine 10 mg PO
b.
Dilaudid 1 mg IV push
c.
Demerol 75 mg IM
d.
Duragesic 50 mcg transdermal patch

ANS: B
IV administration has the most rapid onset of action and will provide the patient with the quickest pain relief.

DIF: Remembering REF: p. 815 TOP: Implementation
MSC: NCLEX Client Needs Category: Pharmacological Therapies: Pharmacological Pain Management NOT: Concepts: Pain

4. The nurse administers a medication to a patient. Shortly afterward, the patient develops an itchy rash all of his body and reports feeling very unwell. What is the priority action of the nurse?
a.
Leave the patient to notify the physician and the pharmacist.
b.
Determine if the patient is having any difficulty breathing.
c.
Document the reaction in the patient’s chart.
d.
Obtain an order for hydrocortisone cream to relieve the itching.

ANS: B
The nurse must first determine if the patient is having any difficulty breathing, since the patient may be starting to have an anaphylactic reaction to the medication. Anaphylaxis is life threatening and requires immediate treatment; the nurse must recognize this potential and plan to initiate emergency interventions right away.

DIF: Applying REF: p. 816 | p. 838 | p. 846 | p. 853 TOP: Assessment
MSC: NCLEX Client Needs Category: Pharmacological Therapies: Medication Administration
NOT: Concepts: Clinical Judgment

5. Which of the following medication orders is to be administered PRN?
a.
Zolpidem (Ambien) 10 mg PO tonight if the patient cannot sleep
b.
Prednisone 10 mg PO today, then taper down 1 mg each day for the next 10 days
c.
Humulin R 10 units subcutaneously before each meal and at bedtime
d.
Kefzol (Ancef) 1 g IVPB 30 minutes prior to surgery

ANS: A
The nurse is to give the Ambien if the patient cannot sleep. The nurse uses discretion when deciding when to administer the medication PRN.

DIF: Applying REF: pp. 819-820 TOP: Documentation
MSC: NCLEX Client Needs Category: Pharmacological Therapies: Medication Administration
NOT: Concepts: Caregiving