Chapter 13: Medication Administration

Chapter 13: Medication Administration

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is assisting the parent of a 6-month-old infant to administer an oral liquid medication. The parent asks why the medication can’t be given in a bottle of formula to make it taste better. How will the nurse respond?

a.	“Adding a medication to the formula will cause the formula to curdle.”
b.	“Formula and medications can form toxic compounds if mixed together.”
c.	“The infant may not always take the entire bottle of formula.”
d.	“This may cause the infant to refuse formula in the future.”

 

 

ANS:  C

Medications should not be mixed with a large amount of food or beverage because patients may miss the full dose if they do not consume the entire amount. If the entire bottle is not consumed, the nurse will have difficulty determining how much dose was received. If medications interact with formula in vivo, package information will indicate this.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 134

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. A patient asks the nurse if an enteric-coated tablet can be crushed and put in pudding to make it easier to swallow. How will the nurse respond to the patient?

a.	“Crushing the medication can lead to a possibly toxic medication dose.”
b.	“Crushing the medication is safe and can prevent gagging on pills.”
c.	“The tablet may be done if a small amount of pudding is used.”
d.	“The tablet may be dissolved in liquid but not crushed and put in food.”

 

 

ANS:  A

Enteric-coated tablets must be swallowed whole to maintain a therapeutic drug level since they are designed to be absorbed in the small intestine. If crushed, an initial excessive release of the drug may occur, causing toxicity. Enteric-coated tablets should not be dissolved in liquid.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 134

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A patient is ordered to take an extended-release medication twice daily but has difficulty swallowing the tablet because of its size. The nurse will perform which action?

a.	Contact the provider to discuss an alternate form of the medication.
b.	Crush the tablet and put it in applesauce to help the patient swallow it.
c.	Cut the tablet in half so the patient can take it more easily.
d.	Dissolve the tablet in liquid.

 

 

ANS:  A

Enteric-coated and extended-release tablets must be swallowed whole to maintain a therapeutic drug level since they are designed to be absorbed in the small intestine. If crushed, an initial excessive release of the drug may occur, causing toxicity. Enteric-coated or extended-release tablets should not be dissolved in liquid. The nurse should contact the provider to discuss another form of the medication.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 134

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. The nurse is teaching a patient about using sublingual nitroglycerin at home. Which statement by the patient indicates understanding of the teaching?

a.	“I may put the tablet in food if I don’t like the taste.”
b.	“I may take a sip of water after placing the tablet in my mouth.”
c.	“I will place the tablet between my cheek and gum.”
d.	“I will place the tablet under my tongue and let it absorb.”

 

 

ANS:  D

Drugs given sublingually should be placed under the tongue. No foods or fluids should be given, since the tablet must remain under the tongue until it is fully absorbed. Medications ordered to be given “buccally” should be placed between the cheek and gum.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 134

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies