A patient who is to receive a daily medication by the oral route has had nausea and vomiting for the last 24 hours. The best action to ensure that the patient receives the scheduled dose is to:

Withhold the dose for 1 hour and see whether the nausea subsides.

Have the patient take the pill with sips of water.

Have the patient take the pill with crackers.

Acquire an order to administer by the rectal or parenteral route.

Answer and Explanation

The Correct Answer is D

Choice A reason: Withholding delays treatment; nausea may persist, risking vomiting of the dose if given later, reducing bioavailability and therapeutic effect over time.

Choice B reason: Sips of water won’t prevent vomiting; with ongoing nausea, the oral dose is likely expelled, decreasing absorption and failing to deliver the medication effectively.

Choice C reason: Crackers may worsen nausea or fail to retain the dose; vomiting risks remain high, compromising oral administration’s reliability in this acute condition.

Choice D reason: Rectal or parenteral routes bypass the stomach, ensuring delivery despite vomiting; this maintains therapeutic levels, critical for efficacy in a nauseated patient.

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Correct Answer is A

Explanation

Choice A reason: IM injections use a 90-degree angle; this ensures deep muscle penetration for average-weight adults, optimizing drug absorption into vascular tissue.

Choice B reason: 45 degrees is for subcutaneous injections; it’s too shallow for IM, risking fat deposition instead of muscle, reducing efficacy in this context.

Choice C reason: 15 degrees is far too shallow; it’s not a standard angle, likely depositing drug in skin layers, failing to reach muscle for intended absorption.

Choice D reason: 25 degrees mimics subcutaneous; it doesn’t reach muscle depth, compromising IM delivery and therapeutic effect in an average-weight client.

A. One time. B. Two times. C. Three times. D. Five times.

Correct Answer is C

Explanation

Choice A reason: Checking medications only once increases the likelihood of errors. Safe practice requires multiple verification steps.

Choice B reason: While better than a single check, verifying only twice may still miss potential discrepancies in drug or dosage accuracy.

Choice C reason: The three-check system (when retrieving, preparing, and administering medication) minimizes errors, ensuring patient safety through consistent validation at each step.

Choice D reason: Excessive verification may delay administration, reducing practicality without significantly improving safety beyond three checks.

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A patient who is to receive a daily medication by the oral route has had nausea and vomiting for the last 24 hours. The best action to ensure that the patient receives the scheduled dose is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an intramuscular injection for a client of average weight. At what angle would the nurse insert the needle?

Correct Answer is A

Explanation

When preparing medications for delivery to an assigned patient, the nurse should check each medication for accuracy of drug and dose:

Correct Answer is C

Explanation

What are the concepts considered to be rights of medication administration? (Select all that apply.)

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