Order Nursing Medications Discussion

Order Nursing Medications Discussion
Order Nursing Medications Discussion
1. Which drug name is the name selected by the pharmaceutical company selling the drug and protected by
trademark?
a. Chemical name
b. Generic name
c. Official name
d. Trade name
2. The process by which a drug is transferred from its site
of entry into the body to the bloodstream is known as
which of the following?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion
3. A patient has an abnormal, unexpected response to a
drug. This is defined as which of the following?
a. Drug tolerance
b. A cumulative effect
c. An idiosyncratic effect
d. An anaphylactic reaction
4. A medication order reads: “K-Dur, 20 mEq PO b.i.d.”
When does the nurse correctly give this drug?
a. Daily before bedtime
b. By mouth every other day
c. Twice a day by the oral route
d. Once a week after recording an apical rate
5. You are to administer a medication to Mr. Brown. In
addition to checking his identification bracelet, you
can correctly verify his identity by doing which of the
following?
a. Asking the patient his name
b. Reading the patient’s name on the sign over the bed
c. Asking the patient’s roommate to verify his name
d. Asking, “Are you Mr. Brown?”
Order Nursing Medications Discussion
6. You are to administer a medication using a nasogastric
tube. Before giving the medication, what should you do?
a. Crush the enteric-coated pill for mixing in a liquid
b. Flush open the tube with 60 mL of very warm water
c. Check for proper placement of the nasogastric tube
d. Take the patient’s vital signs
7. The medication order reads: “Hydromorphone, 2 mg IV
every 3 to 4 hours p.r.n. pain.” The prefilled cartridge is
available with a label reading “Hydromorphone 2 mg/
1 mL.” The cartridge contains 1.2 mL of hydromorphone.
Which of the following actions is correct?
a. Give all the medication in the cartridge because it
expanded when it was mixed
b. Call the pharmacy and request the proper dose
c. Refuse to give the medication
d. Dispose of 0.2 mL correctly before administering
the drug
8. A patient requires 40 units of NPH insulin and 10 units
of regular insulin daily subcutaneously. Which of the
following gives the correct sequence when mixing
insulins?
a. Inject air into the regular insulin vial and withdraw
10 units; then, using the same syringe, inject air into
the NPH vial and withdraw 40 units of NPH insulin.
b. Inject air into the NPH insulin vial, being careful
not to allow the solution to touch the needle; next,
inject air into the regular insulin vial and withdraw
10 units; then, withdraw 40 units of NPH insulin
c. Inject air into the regular insulin vial, being careful
not to allow the solution to touch the needle; next,
inject air into the NPH insulin vial and withdraw
40 units; then, withdraw 10 units of regular insulin.
d. Inject air into the NPH insulin vial and withdraw
40 units; then, using the same syringe, inject air into
the regular insulin vial and withdraw 10 units of
regular insulin.
9. Ms. Hall has an order for hydromorphone, 2 mg, intravenously, q 4 hours p.r.n. pain. The nurse notes that
according to Ms. Hall’s chart, she is allergic to Dilaudid. The order for medication was signed by Dr. Long.
Which of the following would be the correct procedure
in this situation?
a. Administer the medication; the doctor knows best.
b. Call Dr. Long and ask that she change the
medication.
c. Ask the supervisor to administer the medication.
d. Ask the pharmacist to provide a medication to take
the place of Dilaudid.
10. The nurse manager on your unit prepared medications
for Mr. Giles. She is called to the phone and asks you
to give the patient his medications. Which is the best
response to this request?
a. Give Mr. Giles the medication and record it in his
chart.
b. Tell the nurse manager that you do not have time
and ask her to get someone else.
c. Tell the nurse manager that because you did not
pour the medication, you cannot administer it.
d. Give the medication to Mr. Giles but have the nurse
manager chart it.
11. Why is the intravenous method of medication administration called the “most dangerous route of administration”?
a. The vein can take only a small amount of fluid at a
time.
b. The vein may harden and become nonfunctional.
c. Blood clots may become a serious problem.
d. The drug is placed directly into the bloodstream,
and its action is immediate.
12. Mr. King is receiving heparin subcutaneously. Which
of the following demonstrates correct technique for this
procedure?
a. Aspirate before giving and gently massage after the
injection.
b. Do not aspirate; massage the site for 1 minute.
c. Do not aspirate before or massage after the injection.
d. Massage the site of the injection; aspiration is not
necessary but will do no harm.
13. A patient refuses to take her noon medication, saying
that she does not need it. Which of the following would
be the best response?
a. Tell her that she must take the medication because
the doctor ordered it.
b. Tell her that you went through a lot of preparation to
get her medications ready, and it’s the least she can do.
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