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Exam 35: Medication Administration

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Question 1

Multiple Choice

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The nurse is caring for a patient who is NPO with a new PEG (percutaneous endoscopic gastrostomy) tube. Which of the patient's medications can the nurse administer through the tube? (Select all that apply.)

A) Edluar (zolpidem tartrate) sublingual tablet 5 mg nightly at bedtime
B) Ondansetron (Zofran) oral disintegrating tablet 8 mg q 8 hours PRN nausea
C) Ceclor (cefaclor for oral suspension) 250 mg q 6 hours
D) Oxymorphone hydrochloride extended release (Opana ER) 40 mg q 12 hours
E) Phenytoin (Dilantin) chewable tablet 100 mg q 12 hours
F) Potassium chloride oral solution 20 mEq daily

G) A) and B)
H) B) and E)

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Question 2

Multiple Choice

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The nurse carefully reviews the patient's medication list. Which observation about the list indicates the highest risk for serious drug-drug interactions?

A) The patient has been taking the same medications for a long time.
B) The patient is taking a large number of medications.
C) Most of the drugs on the list are prescribed at high doses.
D) The patient takes oral, injected, and inhaled medications.

E) C) and D)
F) None of the above

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Question 3

Multiple Choice

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The nurse is noting an order for a medication to be given TID. Which times will the nurse plan to administer the medication to the patient?

After administering an antibiotic to the patient, the patient complains of feeling very ill. The nurse notes that the patient is scratching and has hives. The patient soon starts having difficulty breathing and his blood pressure drops. What is the nurse's assessment of the situation?

The nurse is to administer 45 mg of phenobarbital to the patient. How many tablets will the patient receive?

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?

The nurse suspects that the patient is experiencing a drug toxicity rather than a side effect. Which question will the nurse ask to help confirm this suspicion?

The nurse is caring for a patient who is taking many prescription medications for various health problems. Which direction from the nurse will help the patient avoid dangerous drug interactions?

When administering phenytoin (Dilantin) through the patient's IV line, the nurse carefully flushes the IV with normal saline before and afterward to avoid crystal formation of the medication that occurs when it mixes with dextrose in water (D₅ W) solution. Which type of drug interaction is the nurse being careful to avoid?

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?

Which medications are to be administered via parenteral routes? (Select all that apply.)

The nurse is caring for a patient who takes 6 tablets of methotrexate once every week on Fridays. How many mg of methotrexate does the patient take per dose?

Which of the following medication orders is to be administered PRN?

Which medication has the highest potential for abuse?

The nurse prepares to administer the following medication to the patient. Which instruction will the nurse be sure to give before the patient takes the medication?

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?

The nurse is to administer 15 mg of morphine liquid to the patient. How much morphine liquid will the nurse draw up to administer to the patient? Morphire sulfate oral solution (CONCENTRATE) $100 \mathrm { mg } / 5 \mathrm {~mL}$ (20 mg/mL) CII Px only

The nurse is caring for a patient who was just made NPO. The nurse is to administer carvedilol (Coreg) 25 mg PO to the patient for control of high blood pressure. What is the best action of the nurse?

The nurse begins a shift on a busy medical-surgical unit. The nurse will be caring for multiple patients. Which patient will the nurse assess first?

During discharge teaching, the nurse is to give the patient a signed, dated, and timed prescription from the physician for medications to be taken at home. Which prescription drug order needs to be corrected before it is given to the patient?