Chapter 16: Administering Medications

Chapter 16: Administering Medications

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A patient who underwent a minor procedure in an outpatient clinic has requested pain medication. His nurse has an order to give 1 g of acetaminophen PO every 4 hours for pain. Which of the following is the brand name for the drug that has been ordered?

ANS:   A

A medication sometimes has as many as three different names. A medication’s chemical name is an exact description of the medication’s composition and molecular structure. In clinical practice, health care workers rarely use chemical names. An example of a chemical name is N-acetyl-para-aminophenol, which is commonly known as Tylenol. The manufacturer who first develops the medication gives the generic or nonproprietary name with United States Adopted Names Council (USANC) approval. Acetaminophen is an example of a generic name. It is the generic name for Tylenol. The generic name becomes the official name that is listed in publications such as the United States Pharmacopeia (USP). The trade or brand name (e.g., Tylenol) is the name under which a manufacturer markets a medication. The trade name has the symbol ^® to the upper right of the name, indicating that the manufacturer has registered the medication’s name.

PTS:    1                      DIF:    Cognitive Level: Application             REF:    374

OBJ:    Discuss methods used to teach a patient about prescribed medications

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Safe and Effective Care Environment

2. A patient has an order for 1 g of acetaminophen every 4 hours for pain after oral surgery. Because he is having difficulty swallowing after the surgery, the nurse will give him the medication in his rectum. The appropriate form of acetaminophen for this route of administration is which of the following?

ANS:   D

Medications are available in a variety of forms or preparations. The form of the medication determines its route of administration. Manufacturers make many medications in several forms, such as tablets, capsules, elixirs, and suppositories.

PTS:    1                      DIF:    Cognitive Level: Knowledge             REF:    376

OBJ:    Describe factors to consider when choosing routes of medication administration

TOP:    Nursing Process: Assessment            MSC:   Client Needs: Physiological Integrity

3. A registered nurse for more than 15 years was concerned when she learned that her hospital was going to let unlicensed nursing assistants start IVs on patients. She knew that this was in violation of the scope of nursing practice in her state. Which of the following organizations define the scope of nursing’s professional functions and responsibilities?

ANS:   D

State Nurse Practice Acts have the most influence over nursing practice by defining the scope of nurses’ professional functions and responsibilities.

PTS:    1                      DIF:    Cognitive Level: Knowledge             REF:    375

OBJ:    Discuss legal responsibilities in medication prescription and administration

TOP:    Nursing Process: Assessment

MSC:   Client Needs: Safe and Effective Care Environment

4. A 34-year-old mother of two children told her nurse that she has been on morphine for 6 months after back surgery and has gone to multiple health care providers to obtain prescriptions. Medication __________ best describes this situation.

ANS:   B

Medication abuse happens when patients repeatedly use an addictive substance (e.g., opioids or alcohol).

PTS:    1                      DIF:    Cognitive Level: Application             REF:    378

OBJ:    Differentiate the types of adverse effects of medications

TOP:    Nursing Process: Assessment            MSC:   Client Needs: Physiological Integrity

5. Mrs. Morris is a 78-year-old patient whose physician has prescribed daily eye drops for her glaucoma. Mrs. Morris does not always use the eye drops because she has difficulty affording them on her fixed income. This situation is best described as medication:

ANS:   D

Research shows that approximately 50% of patients do not adhere to taking their medications as prescribed. Ethically, nurses need to understand why this happens. Finances, poor patient education, fear of addiction, or the perception that a medication is not needed cause nonadherence. Nonadherence with medications affects the health and safety of patients and is commonly found in older adults.

PTS:    1                      DIF:    Cognitive Level: Application             REF:    378

OBJ:    Discuss methods used to teach a patient about prescribed medications

TOP:    Nursing Process: Assessment            MSC:   Client Needs: Physiological Integrity