DeWit's Fundamental Concepts and Skills for Nursing, 5th Edition By Patricia A. Williams
DeWit's Fundamental Concepts and Skills for Nursing, 5th Edition By Patricia A. Williams
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Chapter 34: Administering Oral, Topical, and Inhalant Medications
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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
| 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
| 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
| 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
| 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
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