Exam (elaborations)
Chapter 35 Medication Administration
- Course
- Fundamentals of Nursing
- Institution
- Oxford College Of Emory University
Chapter 35 Medication Administration
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DAWITChapter 35: Medication Administration
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3RD Edition
MULTIPLE CHOICE
1. The nurse identifies which medication that has the highest potential for abuse?
a. Methylphenidate (Ritalin)—schedule II
b. Alprazolam (Xanax)—schedule IV
c. Acetaminophen & codeine (Tylenol #3)—schedule III
d. Diphenoxylate & atropine (Lomotil)—schedule V
ANS: A
According to the Controlled Substances Act, drugs that have the potential for
abuse/dependency are classified as schedule I-V. Schedule I drugs have no approved medical
applications in the United States. Schedule II drugs have high potential for abuse/dependency
and have multiple restrictions for prescriptions. Schedule III, IV, and V have lower risks of
dependency/abuse and fewer restrictions for prescriptions. Methylphenidate has the highest
risk of abuse in this selection.
DIF: Applying OBJ: 35.1 TOP: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral
Therapies NOT: Concepts: Addiction
2. The nurse is caring for a patient who will self-administer medication injections at home after
discharge. How can the nurseNbest determine that the patient understands the technique and
R I G B.C M
can administer the injections coUrreS
ctlyN
? T O
a. Provide written instructions about how to administer the injections.
b. Watch the patient self-administer an injection.
c. Call the patient the next day to ask if there is any difficulty with administering the
injections.
d. Ask the patient to express understanding as to how to administer the injections.
ANS: B
The nurse should watch the patient self-administer an injection to make sure that the patient is
doing it correctly. This will give the nurse an opportunity to point out and correct any
mistakes and offer the patient reassurance about the technique.
DIF: Remembering OBJ: 35.9 TOP: Assessment
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: Concepts: Patient Education
3. The nurse is caring for a patient who is in agonizing pain. All the following options are listed
on the patient‘s medication order sheet to relive pain. The nurse knows which option that will
provide the most rapid pain relief for the patient?
a. Morphine (MSContin) 10 mg PO
b. Hydromorphone (Dilaudid) 1 mg IV push
c. Meperidine (Demerol) 75 mg IM
d. Fentanyl (Duragesic) 50 mcg transdermal patch
, DAWIT
ANS: B
IV administration has the most rapid onset of action and will provide the patient with the
quickest pain relief.
DIF: Remembering OBJ: 35.4 TOP: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral
Therapies NOT: Concepts: Pain
4. The nurse administers a medication to a patient. Shortly afterward, the patient develops an
itchy rash over the entire body and reports feeling very unwell. What is the priority action of
the nurse?
a. Leave the patient to notify the provider and the pharmacist.
b. Determine if the patient is having any difficulty breathing.
c. Document the reaction in the patient‘s chart.
d. Obtain an order for hydrocortisone cream to relieve the itching.
ANS: B
The nurse must first determine if the patient is having any difficulty breathing, since the
patient may be starting to have an anaphylactic reaction to the medication, which can lead to
shortness of breath and airway swelling. After assuring that the patient is stable, the nurse can
notify the appropriate personnel and request any treatments for the reaction.
DIF: Applying OBJ: 35.6 TOP: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral
Therapies NOT: Concepts: Clinical Judgment
5. The nurse identifies which medication order to be administered PRN?
a. Zolpidem (Ambien) 10 mNg PR
b. Prednisone 10 mg PO today, StoInig
UOthen Ght iB
f t.
heCpatM
ient cannot sleep
taper down 1 mg each day for the next 10 days
c. Humulin R 10 units subcutaneously before each meal and at bedtime
d. Kefzol (Ancef) 1 g IVPB 30 minutes prior to surgery
ANS: A
The nurse is to give the zolpidine (Ambien) if the patient cannot sleep. Therefore, this is the
PRN (as needed) medication order. The other orders have specific time frames.
DIF: Applying OBJ: 35.9 TOP: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral
Therapies NOT: Concepts: Caregiving
6. After administering an antibiotic to the patient, the nurse notes the patient complaining of
feeling ill, is scratching and has hives. The patient soon starts having difficulty breathing and
is hypotensive. What is the nurse‘s assessment of the situation?
a. The patient is having a mild allergic reaction and an antihistamine will make the
patient feel better.
b. The patient is having an anaphylactic reaction and epinephrine should be
administered right away.
c. The patient‘s infection is worsening and progressing to septic shock so blood
cultures should be drawn.
d. The patient has developed toxic shock syndrome and the antibiotic orders must be
changed right away.
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