Review Medication Administration Process

Medication Administration and Dosage Calculations > Pharmacology

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Medication Administration Process

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Total Questions : 9

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Question 1:

A nurse is preparing to administer medication to a client. What is the first step in the medication administration process?

A. Verify the client’s identity. B. Check the medication order. C. Prepare the medication. D. Administer the medication.

Answer and Explanation

Choice A:

Verifying the client’s identity is an important step in the medication administration process, but it is not the first step.

Choice B:

The first step in the medication administration process is to check the medication order to ensure that it is complete, accurate, and appropriate for the client. The nurse should verify that the order includes the client’s name, the name and dose of the medication, the route and time of administration, and any other relevant information.

Choice C:

Preparing the medication is an important step in the medication administration process, but it is not the first step.

Choice D:

Administering the medication is an important step in the medication administration process, but it is not the first step.

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Question 2:

A nurse is preparing to administer medication to a client. What should the nurse do if there is a discrepancy between the medication order and the label?

A. Administer the medication as ordered. B. Administer the medication as labeled. C. Hold the medication and clarify the order with the provider. D. Hold the medication and notify the charge nurse.

Answer and Explanation

Choice A:

Administering a medication without clarifying a discrepancy between its order and label could result in harm to the client.

Choice B:

Administering a medication without clarifying a discrepancy between its order and label could result in harm to the client.

Choice C:

If there is a discrepancy between the medication order and the medication label, the nurse should hold the medication and clarify the order with the provider to ensure that it is safe and appropriate for the client. The nurse should not administer a medication if there is any uncertainty about its safety or appropriateness.

Choice D:

Notifying the charge nurse may be appropriate after clarifying with provider.

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Question 3:

A nurse has prepared a dose of oral liquid suspension for a pediatric patient.What should be done before administering this dose?

A. Verify patient’s identity B. Check patient’s vital signs C. Check patient’s allergies D. All of above

Answer and Explanation

Choice A:

Verifying a patient’s identity using two identifiers such as name and date of birth is important before administering any dose of medicine.

Choice B:

Checking the patient’s vital signs such as heart rate, respiratory rate, blood pressure, and temperature is important before administering any dose of medicine.

Choice C:

Checking patient’s allergies to ensure that they are not allergic to any component of the medicine being administered is important before administering any dose of medicine.

Choice D:

Before administering any dose of medicine,the nurse should verify patient’s identity using two identifiers such as name and date of birth.The nurse should also check patient’s vital signs such as heart rate,respiratory rate,blood pressure,and temperature.Finally,the nurse should check patient’s allergies to ensure that they are not allergic to any component of medicine being administered.

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Question 4:

A nurse has prepared an IV infusion for a patient. What should be done before starting this infusion?

A. Verify patient’s identity B. Check IV site C. Check IV tubing D. All of above

Answer and Explanation

Choice A:

Verifying patient’s identity using two identifiers such as name and date of birth is important before starting an IV infusion.

Choice B:

Checking IV site for any signs of infection,inflammation or phlebitis is important before starting an IV infusion.

Choice C:

Checking IV tubing for any kinks or obstructions that may impede flow is important before starting an IV infusion.

Choice D:

Before starting an IV infusion,the nurse should verify patient’s identity using two identifiers such as name and date of birth.The nurse should also check IV site for any signs of infection,inflammation or phlebitis.Finally,the nurse should check IV tubing for any kinks or obstructions that may impede flow.

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Question 5:

A nurse is preparing to administer medication to a client. What should be done if the client refuses to take the medication?

A. Force the client to take the medication. B. Document the refusal and notify the provider. C. Administer the medication anyway. D. None of the above.

Answer and Explanation

Choice A:

Forcing a client to take medication against their wishes is not appropriate.

Choice B:

If a client refuses to take a medication, the nurse should document the refusal and notify the provider. The nurse should not force the client to take the medication or administer it against their wishes.

Choice C:

Administering a medication against a client’s wishes is not appropriate.

Choice D:

Documenting the refusal and notifying the provider is the appropriate action.

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Question 6:

A nurse has administered a dose of pain medication to a patient. What should be done after administering this dose?

A. Check patient’s vital signs B. Assess patient’s pain level C. Document administration D. All of above

Answer and Explanation

Choice A:

After administering a dose of pain medication,the nurse should check patient’s vital signs such as heart rate,respiratory rate,blood pressure,and temperature.The nurse should also assess patient’s pain level using an appropriate pain scale.Finally,the nurse should document administration of pain medication including time,dose,route,and any adverse effects.

Choice B:

Assessing patient’s pain level using an appropriate pain scale is important after administering a dose of pain medication.

Choice C:

Documenting administration of pain medication including time,dose,route,and any adverse effects is important after administering a dose of pain medication.

Choice D:

After administering a dose of pain medication, the nurse should check the patient’s vital signs such as heart rate, respiratory rate, blood pressure, and temperature. The nurse should also assess the patient’s pain level using an appropriate pain scale. Finally, the nurse should document the administration of pain medication including time, dose, route, and any adverse effects.

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Question 7:

A nurse has prepared an oral tablet for a patient who has difficulty swallowing. What should be done before administering this tablet?

A. Crush tablet and mix with applesauce B. Cut tablet in half C. Administer tablet with large glass of water D. Consult with provider

Answer and Explanation

Choice A:

Crushing tablet and mixing with applesauce may alter pharmacokinetics and should only be done if approved by provider.

Choice B:

Cutting tablets in half may alter the pharmacokinetics and should only be done if approved by the provider.

Choice C:

Administering a tablet with a large glass of water may help the patient swallow but does not address the underlying difficulty.

Choice D:

Before administering an oral tablet to a patient who has difficulty swallowing,the nurse should consult with provider.Some tablets are designed to be swallowed whole and should not be crushed or cut as this may alter their pharmacokinetics.In such cases,alternative formulations such as liquid or chewable tablets may be available.

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Question 8:

A nurse has prepared an injection for a pediatric patient. What should be done before administering this injection?

A. Verify patient’s identity B. Check injection site C. Check patient’s allergies D. All of above

Answer and Explanation

Choice A:

Verifying patient’s identity using two identifiers such as name and date of birth is important before administering an injection to pediatric patient.

Choice B:

Checking injection site for any signs of infection,inflammation or injury is important before administering an injection to pediatric patient.

Choice C:

Checking patient’s allergies to ensure that they are not allergic to any component of injection being administered is important before administering an injection to pediatric patient.

Choice D:

Before administering an injection to a pediatric patient,the nurse should verify patient’s identity using two identifiers such as name and date of birth.The nurse should also check injection site for any signs of infection,inflammation or injury.Finally,the nurse should check patient’s allergies to ensure that they are not allergic to any component of injection being administered.

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Question 9:

A nurse has prepared an oral liquid suspension for an elderly patient. What should be done before administering this suspension?

A. Verify patient’s identity B. Check ability to swallow C. Check patient’s allergies D. All of above

Answer and Explanation

Choice A:

Verifying a patient’s identity using two identifiers such as name and date of birth is important before administering oral liquid suspension to an elderly patient.

Choice B:

Checking ability to swallow by asking about difficulty swallowing or observing during mealtime is important before administering oral liquid suspension to elderly patient.

Choice C:

Checking patient’s allergies to ensure that they are not allergic to any component of suspension being administered is important before administering oral liquid suspension to elderly patient.

Choice D:

Before administering an oral liquid suspension to an elderly patient,the nurse should verify patient’s identity using two identifiers such as name and date of birth.The nurse should also check ability to swallow by asking about difficulty swallowing or observing during mealtime.Finally,the nurse should check patient’s allergies to ensure that they are not allergic to any component of suspension being administered.

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Total Questions : 9

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Medication Administration Process

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