Which of the following drug orders will provide the fastest pain relief for the patient?

Fentanyl transdermal 25 mcg/hour

Morphine 30 mg

Acetaminophen with oxycodone 10 mg/325 mg

Hydromorphone 1 mg IV

Answer and Explanation

The Correct Answer is D

Choice A reason: Fentanyl transdermal releases slowly over hours; its onset of 12-24 hours is too delayed for rapid pain relief, suiting chronic, not acute, pain management.

Choice B reason: Oral morphine (assuming PO) takes 30-60 minutes for onset; its slower absorption via the gut delays relief compared to faster intravenous routes.

Choice C reason: Acetaminophen with oxycodone (PO) has a 30-60 minute onset; gastrointestinal absorption limits speed, making it less rapid than IV administration for acute pain.

Choice D reason: Hydromorphone IV acts within 5-10 minutes; direct bloodstream delivery bypasses digestion, providing the fastest opioid receptor activation for immediate pain relief.

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Correct Answer is B

Explanation

Choice A reason: Pharmacy technicians are not authorized to administer medications. Their scope involves preparation and dispensing under supervision, ensuring safety and compliance.

Choice B reason: Safe practice standards dictate that the preparing nurse administers the medications to ensure accuracy and accountability, minimizing potential errors.

Choice C reason: Delegating to the head nurse violates medication administration protocols, as accountability rests with the nurse who prepared the medications.

Choice D reason: Allowing other licensed nurses to distribute medications increases the risk of errors due to lack of firsthand knowledge of preparation specifics.

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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Which of the following drug orders will provide the fastest pain relief for the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has prepared the 9:00 AM client medications for administration but is called off the unit briefly. Who can distribute these medications to clients?

Correct Answer is B

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

A client is to receive a medication at 9:00 A.M. To prevent a medication error by administering at the incorrect time, the nurse can administer the medication anytime between:

A patient is scheduled to have biofeedback therapy for migraine headaches. On arrival to the clinic, the patient appears anxious and fearful and tells the nurse that she does not want electric shocks. The most reassuring response by the nurse is:

What is the generic name on the medication? (No medication specified; assuming a common example from context, e.g., Zestril.)

After receiving Nembutal PO at bedtime, a client is wide awake all night instead of going to sleep. What kind of adverse reaction to a drug does this situation represent?

The nurse is to administer a nephrotoxic medication to the patient. Which assessment finding indicates to the nurse that the patient should receive a reduced dosage of the drug?

When preparing to administer an intradermal injection to an adult, the nurse ensures that the dose amount does not exceed 0.1 mL. A 1 mL tuberculin syringe is used with a 25-gauge needle and is administered at which angle?

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

The physician orders vancomycin 500 mg in 250 mL of D5W IVPB daily to infuse over 2 hours. Tubing drop factor is 15 gtts/mL. Calculate the flow rate in drops per minute.