N5451 Skills Lab Video Quizzes - Module 4 Oral and Topical Medications
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Course
N5451
Institution
N5451
N5451 Skills Lab Video Quizzes - Module 4 Oral and Topical Medications The nurse is to administer a medication to a client in isolation and the medication is in a multi-dose container. How will the nurse complete the third check of medication administration? Check the multi-dose label before putt...
N5451 Skills Lab Video Quizzes - Module 4 Oral and
Topical Medications
The nurse is to administer a medication to a client in isolation and the medication is in a
multi-dose container. How will the nurse complete the third check of medication
administration?
Check the multi-dose label before putting the container back in the drawer and label
medicine cup with needed information. The multi-dose container should not be taken
into an isolation room. The label should be verified, and medication placed into a
medicine cup. The cup should be labeled with client's name, date of birth, identification
number, medication name, and dose.
A nurse has administered a pain medication to the client. What should the nurse do
next?
Reassess the client. The most appropriate action after administering pain medication is
to reassess the client for the right response. The client should not be left alone without
access to the call bell and should be instructed not to get out of bed without help. All
four side rails should not be up; this is a form of restraint.
The nurse is administering routine medications to a postsurgical client and the client
asks, "Could I have something for pain?" The nurse checks the medication
administration record (MAR) and notes that the medication is an opioid. What should
the nurse do?
Place the opioid into a separate cup. The medication should be given in separate cups
so that an additional assessment can be performed. Orally administered medications
should be dispensed into a medicine cup and ingested when administered, not when
the client wants. Medications that need additional assessments should not be
administered together.
The nurse is distributing afternoon medications to the clients. When removing a tablet
from a multidose bottle, what should the nurse do first?
Pour the tablet into the bottle cap. The nurse should pour the tablet into the bottle cap
and then into a medication cup for each client. The nurse should never let the tablet
touch his or her fingers or bare hand. The nurse should drop the tablet into the bottle
cap before putting it into a medication cup.
A nurse is distributing the 0900 medications to the client. What should the nurse do
when removing a tablet from a multi-dose bottle? Select all that apply.
Use gloves for extra protection. Take the multi-dose bottle into the client's room. Put an
extra tablet back into the bottle from cap. The nurse must refrain from touching the
, tablets. It is permitted to put an extra tablet back into the bottle if it was deposited into
the cap first. It is permitted to take the multi-dose bottle into the room if the room is not
isolation. It is permitted to use gloves in any situation when the nurse feels the need for
extra protection.
The client is prescribed digoxin 0.125 mg PO every day The nurse obtains the
medication from unit stock and discovers that digoxin only comes in a 0.25-mg tablet.
How many tablets of digoxin should the nurse administer to the client?
0.5 tablet Because the client only needs 0.125 mg of digoxin per day, the nurse would
need to split the 0.25- tablet in half to obtain the correct dose; therefore, the nurse
should administer 0.5 tablet to the client. Administering 1, 1.5, or 2 tablets would be too
much medication for the client. 0.125 mg ÷ 0.25 mg/tablet = 0.5 tablet
The nurse is preparing hydrochlorothiazide 50-mg tablet from unit stock. The health
care provider orders 75 mg of hydrochlorothiazide PO for the client's hypertension. How
many tablets of hydrochlorothiazide will the nurse administer to the client?
1.5 tablets Because the client only needs 50 mg of hydrochlorothiazide per day, the
nurse would need to split one of the 50-mg tablets in half to obtain the correct dose,
which is 1.5 tablets. Administering 0.5, 1, or 2 tablets would be either too much or too
little medication for the client. 75 mg ÷ 50 mg/tablet = 1.5 tablets
The nurse is splitting medications. After splitting the tablet and administering half to the
client, what should the nurse do with the remaining half? Select all that apply.
If the medication is a narcotic, waste with another nurse present. Dispose of medication
per hospital protocol. Medications should already be split, if coming from the pharmacy.
If the nurse uses unit stock and must split, the medication must be disposed of per
hospital protocol. If the medication is a narcotic, the medication should be wasted in the
presence of another nurse. Medications should not be wasted in the toilet or down a
sink, sent back to pharmacy, or saved in the client's drawer.
The nurse needs half of a tablet of medication and is preparing to split the tablet but
there is no score. What should the nurse do? Select all that apply.
Call the health care provider. Refrain from splitting the tablet The nurse should refrain
from splitting the tablet because only scored tablets can be cut in half so that the client
gets the correct dose. The health care provider should be called to relay that the
medication cannot be given as prescribed and request another prescription. The nurse
should not administer a whole tablet nor cut the tablet in half unless there is a score on
the tablet.
The nurse is preparing a liquid medication for a client. The health care provider
prescribes cimetidine hydrochloride 600 mg PO for gastrointestinal bleeding. The
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