Ford Roach’s Introductory Clinical Pharmacology 9th Edition by Susan M. Ford -Test Bank

17 March 2023

600

Chapter 2- Administration of Drugs

1. What is the nurse responsible for when a drug is prescribed to a client? Select all that apply.

A) Administering the drug to the client. B) Monitoring for therapeutic response.

C) Checking for drug-drug interactions. D) Reporting adverse reactions.

E) Teaching the client information needed to administer drugs safely at home.

2. Which of the following is part of the concept known as the five + 1 rights of drug administration? Select all that apply.

A) Right documentation

B) Right patient

C) Right route

D) Right drug

E) Right prescriber

3. Which of the following are appropriate ways to identify a client prior to administering a prescribed drug?

A) Checking a client's name on his or her wristband. B) Checking a client's chart.

C) Asking the client to identify himself or herself and give his or her birth date. D) Asking a client if they are the correct client.

E) Using a recent picture of the client if available.

4. Which of the following should the nurse compare when determining the right drug to administer to the client? Select all that apply.

A) Medication

B) Container label

C) Medication record

D) MAR

E) Nursing notes

5.	Which of the following must be included on the physician's order? Select all that apply.
A	) Client's name
B	) Drug name
C	) Dosage form
D	) Route of administration
E	) Frequency of administration

6. When a physician phones in an order for a client, the nurse should do which of the following? Select all that apply.

A) Write down the order.

B) Record the order as soon as the MAR is retrieved.

C) Repeat back the information exactly as written. D) Clarify any unclear information.

E) Obtain verbal confirmation that the information is correct.

7. a	Which of the following factual knowledge should the nurse have prior to administering drug? Select all that apply.
A	) Normal dosage range
B	) Special precautions in administration
C	) Drug's most common adverse effects
D	) Drug's general action
E	) Reason for use of the drug

8. Which of the following represent the different types of orders that may be given by a physician? Select all that apply.

A) Standing order

B) STAT order

C) Single order

D) Alternate order

E) PRN order

9. S	A nurse should never do which of the following when administering a drug to a client? elect all that apply.
A	) Chart immediately on the MAR after drug administration.
B	) Remove a drug from an unlabeled container.
C	) Give a drug that someone else prepared.
D	) Crush tablets or open capsules.
E	) Remove the wrapping of unit dose until the drug reaches the client's bedside.

10. D	rug errors can occur at which of the following stages? Select all that apply.
A	) When transcribing the drug order.
B	) When verifying the client.
C	) When dispensing the drug.
D	) When charting after drug administration.
E	) When administering the drug.

11.	Which of the following can a nurse do to help prevent drug errors? Select all that apply.
A	) Recheck all calculations.
B	) Always administer the drug before answering any client's questions.
C	) Avoid distractions and concentrate on only one task at a time.
D	) Confirm any questionable orders.
E	) Practice the five + 1 rights of drug administration.

12.

Which of the following abbreviations are appropriate to use in care plans, nurses' notes, or medical orders at accredited health care organizations? Select all that apply.

A) IU B) QD

C) 0.2 mg

D) Unit

E) 2.0 mg

13.

Which of the following is scanned during administration of a drug using a bar code point-of-care medication system? Select all that apply.

A) Client's hospital chart

B) Client's identification band

C) Drug unit dose package

D) Nurse's identification badge

E) Client's medication administration record

14.	Which of the following is considered a unit dose system? Select all that apply.
A	) Floor stock bottle of aspirin 81 mg
B	) A prefilled Lovenox syringe
C	) One Phenergan suppository
D	) Floor stock bottle of Motrin suspension
E	) Single-dose cup of Maalox

15. a	Which of the following steps need to be taken by the nurse when administering a drug to client via the oral route? Select all that apply.
A	) Assure clients are in an upright position prior to administration.
B	) Assure that a full glass of water is readily available.
C	) Assure that a client always has access to PRN drugs by leaving them at the bedside.
D	) Instruct client to tilt head back to swallow a capsule.
E	) Instruct client to tilt head forward to swallow a tablet.

16. T g	o properly administer an oral dosage form through a nasogastric feeding tube or astrostomy, the nurse should do which of the following? Select all that apply.
A	) Do not dilute liquids prior to administration.
B	) Check the tube for placement.
C	) Crush tablets and dissolve them in water prior to administration.
D	) Flush the tube with water after drugs are administered.
E	) Flush the tube with air to assure the tube is clear prior to administration.

17.	A nurse can administer parenteral drugs via which of the following?
A	) Subcutaneous
B	) Intramuscular
C	) Intradural
D	) Intravenous
E	) Intradermal

18.

Which of the following are steps a nurse should follow when administering a drug via intramuscular injection? Select all that apply.

A) Always wear gloves.

B) Cleanse skin at injection site.

C) Place pressure on the area after removing the needle. D) Recap the needle before disposal.

E) Aspirate for 5 to 10 seconds.

19.

When administering an intradermal injection, a 1-mL syringe with what gauge needle should be used? Select all that apply.

A) 26 gauge B) 28 gauge C) 29 gauge D) 25 gauge E) 27 gauge

20.

A client has an order to receive 10 units of Lantus insulin at bedtime via subcutaneous injection. Which of the following are appropriate sites for the injection? Select all that apply.

A) Upper arms

B) Inner forearm

C) Upper abdomen

D) Gluteus maximus

E) Upper thigh

21.

A nurse is required to give an intramuscular (IM) injection to a 2-year-old infant. Which

of the following is the most appropriate administration site for this patient?

A) Dorsogluteal site B) Deltoid muscle C) Vastus lateralis D)

Ventrogluteal site

22.

A physician instructs a nurse to administer a drug to a patient STAT. Which of the following should the nurse perform in this situation?

A) Insist on obtaining a written report before administering any drug. B) Administer the drug as instructed by the physician.

C) Forgo obtaining the physician's order after the drug has been administered.

D) Document the administration of the drug only after receiving the physician's order.

23.

A nurse has administered narcotics to a patient. Which of the following interventions should the nurse perform immediately after administering the drug?

A) Monitor the vital signs of the patient.

B) Document administration of the drug.

C) Inform the patient about the type of drug.

D) Update the physician regarding the patient's condition.

24.

A nurse is required to administer a drug through the transdermal route. Which of the following responsibilities should the nurse follow for the patient?

A) Apply next dose to a new site. B) Check the infusion rate.

C) Inject only the inner part of the forearm. D) Give small volumes of doses.

25. T u p	he physician has asked a nurse to administer a drug intravenously to a patient who is nresponsive. How can the nurse ensure that the drug is administered to the right atient?
A	) By waking him up to ask him his name.
B	) By identifying the patient's room number.
C	) By checking the patient's wristband.
D	) By asking the nursing assistant for the patient's location.

26.

A nurse is required to administer subcutaneous injections to a patient regularly. Which of the following interventions should the nurse perform in order to minimize tissue damage?

A) Insert the needle at the appropriate angle.

B) Select the needle length based on the patient's weight.

C) Ensure that there is no hair on the injection site. D) Rotate the injection site regularly.

27. T h si	he nurse assigned to take care of a patient is unable to read the primary-care provider's andwriting. Which of the following interventions is the most appropriate in this tuation?
A	) The nurse should question the order with the primary-care provider.
B	) The nurse should try to interpret the handwriting.
C	) The nurse should confirm the order with a nearby care provider.
D	) The nurse should obtain a verbal order.

28.

Which of the following precautions should a nurse take before administering a drug to a patient intramuscularly for the first time?

A) Obtain the patient's allergy history.

B) Obtain information about the drug.

C) Inquire if the patient has any objections to syringes.

D) Discuss the dosage with other nurses.

Answer Key

1.	A, B, D, E
2.	A, B, C, D
3.	A, C, E
4.	A, B, C, D
5.	A, B, C, D, E
6.	A, C, D, E
7.	A, B, C, D, E
8.	A, B, C, E
9.	B, C, D, E
10.	A, C, E
11.	C, D, E
12.	C, D
13.	B, C, D
14.	B, C, E
15.	A, B
16.	B, C, D
17.	A, B, D, E
18.	A, B, C, E
19.	A, D, E
20.	A, C, E
21.	C
22.	B
23.	B
24.	A
25.	C
26.	D
27.	A
28.	A