Chapter 15 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 15 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• The nurse receives the following order: “Administer Ativan (lorazepam) 1 mg IV whenever 1) seizure occurs.” The nurse recognizes this order is a/n:

1. A) Stat B) Single order. C) Routine order.              D) PRN order.

Answer: D

Explanation: A)       PRN orders are administered only when predetermined circumstances occur, such as pain, seizures, insomnia, etc., so this is a PRN order to be given only when a seizure occurs. It is not a single order because it specifies the medication is to be given “whenever” a seizure occurs, indicating it may be given multiple times. Stat orders are orders requesting a medication be given immediately. Routine orders are given on a regular basis, without condition, and usually on a specific schedule, whether twice per day, every other day, weekly, or any schedule indicated by the

medication in question.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. PRN orders are administered only when predetermined circumstances occur, such as pain, seizures, insomnia, , so this is a PRN order to be given only when a seizure occurs. It is not a single order because it specifies the medication is to be given “whenever” a seizure occurs, indicating it may be given multiple times. Stat orders are orders requesting a medication be given immediately. Routine orders are given on a regular basis, without condition, and usually on a specific schedule, whether twice per day, every other day, weekly, or any schedule indicated by the

medication in question.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. PRN orders are administered only when predetermined circumstances occur, such as pain, seizures, insomnia, , so this is a PRN order to be given only when a seizure occurs. It is not a single order because it specifies the medication is to be given “whenever” a seizure occurs, indicating it may be given multiple times. Stat orders are orders requesting a medication be given immediately. Routine orders are given on a regular basis, without condition, and usually on a specific schedule, whether twice per day, every other day, weekly, or any schedule indicated by the

medication in question.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. D) PRN orders are administered only when predetermined circumstances occur, such

as pain, seizures, insomnia, etc., so this is a PRN order to be given only when a seizure occurs. It is not a single order because it specifies the medication is to be

given “whenever” a seizure occurs, indicating it may be given multiple times. Stat orders are orders requesting a medication be given immediately. Routine orders are given on a regular basis, without condition, and usually on a specific schedule, whether twice per day, every other day, weekly, or any schedule indicated by the medication in question.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 15-1: Define the key terms used in the skills of administering oral and enteral

medications.

• The nurse receives an order for Motrin and recognizes this is the drug’s: 2)

1. A) Generic B) Brand name.
2. C) Chemical D) Official name.

Answer: B

Explanation: A)      The brand name is the name assigned by the company that markets the drug, and

should be capitalized. A drug, like ibuprofen, may have multiple brand names, such as Motrin, Advil, etc. The generic name is also the official name, and is not

capitalized. The chemical name is usually quite long, and describes the chemicals that make up the medication.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

1. The brand name is the name assigned by the company that markets the drug, and

should be capitalized. A drug, like ibuprofen, may have multiple brand names, such as Motrin, Advil, etc. The generic name is also the official name, and is not

capitalized. The chemical name is usually quite long, and describes the chemicals that make up the medication.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

1. The brand name is the name assigned by the company that markets the drug, and

should be capitalized. A drug, like ibuprofen, may have multiple brand names, such as Motrin, Advil, etc. The generic name is also the official name, and is not

capitalized. The chemical name is usually quite long, and describes the chemicals that make up the medication.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

1. The brand name is the name assigned by the company that markets the drug, and

should be capitalized. A drug, like ibuprofen, may have multiple brand names, such as Motrin, Advil, etc. The generic name is also the official name, and is not

capitalized. The chemical name is usually quite long, and describes the chemicals that make up the medication.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 15-1: Define the key terms used in the skills of administering oral and enteral medications.

• The nurse working in an acute care facility receives an order for a medication and sends the order 3) to the pharmacy to be When the medication arrives, the nurse administers it, and later recognizes the client had a documented allergy to this medication. The client has an acute allergic reaction and dies. Who is legally liable for this error?

1. The physician who ordered the drug
2. The pharmacist who filled the order
3. The nurse who administered the drug
4. The nurse, the pharmacist, and the physician

Answer: D

Explanation: A)      The nurse, the pharmacist, and the physician should have noted the allergy, and a different medication should have been ordered. As a result, all three share responsibility for the error and can be held legally liable.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Evaluation

1. The nurse, the pharmacist, and the physician should have noted the allergy, and a different medication should have been As a result, all three share responsibility for the error and can be held legally liable.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Evaluation

1. The nurse, the pharmacist, and the physician should have noted the allergy, and a different medication should have been As a result, all three share responsibility for the error and can be held legally liable.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Evaluation

1. The nurse, the pharmacist, and the physician should have noted the allergy, and a different medication should have been As a result, all three share responsibility for the error and can be held legally liable.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Evaluation

Objective: Learning Outcome 15-2: Describe the legal aspects of administering medications.

• The nurse prepares a narcotic analgesic for the When the nurse enters the client’s room to 4) administer the medication, the client drops the capsule on the floor. The nurse should:

1. Wipe it off and administer it anyway because it’s a
2. Throw the pill in the trash can in the client’s room and get a
   1. Discard the tablet according to facility policy, with another nurse co-signing the waste, and obtain a new capsule to administer to the
   2. Discard the tablet according to facility policy, with the unlicensed assistive personnel co-signing the waste, and obtain a new capsule to administer to the

Answer: C

Explanation: A)      When wasting a narcotic, it must be witnessed by another licensed staff member, and cannot be witnessed by a UAP. Another capsule should be signed out and administered to the client. The wasted narcotic should be disposed of in the sink, the toilet, or someplace where it cannot be retrieved. Any medication that falls to the floor must be discarded, and can never be administered.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. When wasting a narcotic, it must be witnessed by another licensed staff member, and cannot be witnessed by a Another capsule should be signed out and administered to the client. The wasted narcotic should be disposed of in the sink, the toilet, or someplace where it cannot be retrieved. Any medication that falls to

the floor must be discarded, and can never be administered.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. When wasting a narcotic, it must be witnessed by another licensed staff member, and cannot be witnessed by a Another capsule should be signed out and administered to the client. The wasted narcotic should be disposed of in the sink, the toilet, or someplace where it cannot be retrieved. Any medication that falls to

the floor must be discarded, and can never be administered.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

1. When wasting a narcotic, it must be witnessed by another licensed staff member, and cannot be witnessed by a Another capsule should be signed out and administered to the client. The wasted narcotic should be disposed of in the sink, the toilet, or someplace where it cannot be retrieved. Any medication that falls to

the floor must be discarded, and can never be administered.

Cognitive Level: Analysis

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 15-2: Describe the legal aspects of administering medications.