Chapter 34: Administering Oral, Topical, and Inhalant Medications

Chapter 34: Administering Oral, Topical, and Inhalant Medications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Before the nurse administers a liquid medication to an 83-year-old male patient, the nurse should:

a.	assess the swallowing reflex by offering a sip of water.
b.	ask the patient if he would prefer to give the medication to himself.
c.	mix thoroughly in applesauce or pudding.
d.	assess the ability to understand information relative to the medication.

 

 

ANS:   A

A factor to consider when giving anything orally is the ability of the patient to swallow.

 

DIF:    Cognitive Level: Application             REF:    p. 647              OBJ:    Theory #7

TOP:    Routes of Medication Administration

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Reduction of Risk

 

2. The nurse receives an order to give vitamin D 10 mcg bid. The nurse recognizes that the abbreviation mcg refers to a measurement in:

a.	milligrams.
b.	milliequivilants.
c.	millileters.
d.	micrograms.

 

 

ANS:   D

The abbreviation mcg refers to a measurement of micrograms.

 

DIF:    Cognitive Level: Knowledge             REF:    p. 647|Table 24-3

OBJ:    Clinical Practice #4                            TOP:    Abbreviations

KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies

 

3. The licensed nurse who is responsible for doing the narcotic count for the shift should count the medications:

a.	alone for accuracy.
b.	with any licensed person.
c.	with another nurse working on the shift.
d.	with a nurse coming on duty for the next shift.

 

 

ANS:   D

Controlled substances must be counted by one nurse going off duty and one coming on duty at the change of each shift.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 652              OBJ:    Theory #1

TOP:    Counting Controlled Substances        KEY:   Nursing Process Step: N/A

MSC:   NCLEX: N/A

 

4. Before the nurse administers a dose of digoxin (Lanoxin) to a patient, the nurse should assess:

a.	blood pressure.
b.	respiratory rate.
c.	apical heart rate.
d.	level of consciousness.

 

 

ANS:   C

The apical heart rate is measured before giving a dose of digoxin (Lanoxin) to determine whether it is safe to give; the apical rate should be greater than 60 beats/min for an adult patient.

 

DIF:    Cognitive Level: Application             REF:    p. 657|Skill 34-1

OBJ:    Theory #7       TOP:    Medication Administration

KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies

 

5. A nurse is administering oral medications to a patient who is having intake and output (I&O) measured. When giving medications, it is most important to:

a.	give the medication with a small piece of cracker or cookie.
b.	give the medication with as much fluid as possible.
c.	record the fluid taken on the MAR or eMAR.
d.	record the fluid taken on the intake record.

 

 

ANS:   D

When a patient is having I&O measured, the nurse must record all fluid that the patient drinks while taking medications in the oral intake column of the I&O sheet.

 

DIF:    Cognitive Level: Application             REF:    p. 653              OBJ:    Theory #1

TOP:    Medication Administration                KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort