Chapter 7: Preparing and Administering Medications

Chapter 7: Preparing and Administering Medications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which represents the proper way for a nurse to administer an oral capsule?

a.	Tell the patient to swallow it whole.
b.	Pierce it with a needle and squeeze into the mouth.
c.	Crush and dilute it in warm water.
d.	Tell the patient to chew it completely.

 

 

ANS:  A

Remain at the patient’s bedside until the medication is swallowed. Do not crush tablets or break capsules without checking with the pharmacist. Many medications have special coatings that are essential for proper absorption.

 

DIF:    Cognitive Level: Understand            REF:   p. 79               OBJ:   6

TOP:   Oral Medications                             KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

2. The nurse instructs a clinic patient on using an inhaler for his asthma attacks. Which is correct about the use of an inhaler?

a.	The medication must go into the back of the nose.
b.	The medication must go directly into the throat.
c.	The medication must get to the ears.
d.	The medication must go into the lungs.

 

 

ANS:  D

If using inhalers, patients must be carefully instructed so the medication goes all the way into the lungs, not just to the back of the nose or throat. Take a deep breath first, exhale, and then inhale the medication.

 

DIF:    Cognitive Level: Apply                   REF:   p. 117             OBJ:   6

TOP:   Medication to Mucous Membranes

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

3. When giving a medicine through a nasogastric (NG) tube, which will the nurse do first?

a.	Flush the tube with 30 mL of water.
b.	Check placement of the tube.
c.	Take the vital signs.
d.	Ask the patient if the tube is painful.

 

 

ANS:  B

Make certain that the NG tube is in the stomach. Aspirate (take out) stomach contents with a syringe, or inject (put in) 5 to 10 mL of air into the tube and listen for a gurgling sound in the abdominal area. This may be heard by placing a stethoscope over the stomach.

 

DIF:    Cognitive Level: Understand            REF:   p. 82               OBJ:   6

TOP:   Nasogastric Medications                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

4. Which is done after giving medication through a nasogastric tube that is connected to suction?

a.	The tube is reconnected to the suction.
b.	The tube is clamped for 10 minutes and then reconnected to suction.
c.	The tube is clamped for 30 minutes and then reconnected to suction.
d.	The tube is left off for 4 hours and then reconnected to suction.

 

 

ANS:  C

When the medication has passed through the tube, reclamp the tube for 30 minutes before the suction is reattached.

 

DIF:    Cognitive Level: Understand            REF:   p. 82               OBJ:   6

TOP:   Administering Nasogastric Medications

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

5. Standard precautions to prevent transmission of HIV and other bloodborne pathogens should be used when the nurse is likely to come into contact with blood, semen, vaginal secretions, and possibly breast milk. Only these four fluids have been shown to transmit HIV. Although the risk is unknown, universal precautions for prevention of HIV have also been suggested for which bodily fluids?

a.	Tears
b.	Sweat
c.	Pleural fluid
d.	Nasal secretions

 

 

ANS:  C

The Centers for Disease Control (CDC) recommend that health care workers use gloves, gowns, masks, and protective eyewear when they are likely to be exposed to patients’ blood or body fluids; they consider that all patients might be infected. Universal precautions also apply to tissues, cerebrospinal fluid, synovial fluid, and amniotic fluid.

 

DIF:    Cognitive Level: Remember            REF:   p. 86| Box 7-2

OBJ:   7                    TOP:   Standard Precautions

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control