Medication Administration Process

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Question 1:

A nurse is preparing to administer medication to a client. What is the first step in the medication administration process?

Explanation

Answer: b. Check the medication order.

The first step in the medication administration process is to check the medication order to ensure that it is complete, accurate, and appropriate for the client. The nurse should verify that the order includes the client’s name, the name and dose of the medication, the route and time of administration, and any other relevant information.

a. Verifying the client’s identity is an important step in the medication administration process, but it is not the first step.

c. Preparing the medication is an important step in the medication administration process, but it is not the first step.

d. Administering the medication is an important step in the medication administration process, but it is not the first step.


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Question 2:

A nurse is preparing to administer medication to a client. What should the nurse do if there is a discrepancy between the medication order and the label?

Explanation

If there is a discrepancy between the medication order and the medication label, the nurse should hold the medication and clarify the order with the provider to ensure that it is safe and appropriate for the client. The nurse should not administer a medication if there is any uncertainty about its safety or appropriateness.

a. Administering a medication without clarifying a discrepancy between its order and label could result in harm to the client.

b. Administering a medication without clarifying a discrepancy between its order and label could result in harm to the client.

d. Notifying the charge nurse may be appropriate after clarifying with provider.


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Question 3:

.A nurse has prepared a dose of oral liquid suspension for a pediatric patient.What should be done before administering this dose?

Explanation

Before administering any dose of medicine, the nurse should verify the patient’s identity using two identifiers such as name and date of birth. The nurse should also check the patient’s vital signs such as heart rate, respiratory rate, blood pressure, and temperature. Finally, the nurse should check the patient’s allergies to ensure that they are not allergic to any component of the medicine being administered.

a.Verifying the patient’s identity using two identifiers such as name and date of birth is important before administering any dose of medicine.

b.Checking the patient’s vital signs such as heart rate, respiratory rate, blood pressure, and temperature is important before administering any dose of medicine.

c.Checking patients’ allergies to ensure that they are not allergic to any component of medicine being administered is important before administering any dose of medicine.


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Question 4:

A nurse has prepared an IV infusion for a patient. What should be done before starting this infusion?

Explanation

Before starting an IV infusion, the nurse should verify the patient’s identity using two identifiers such as name and date of birth. The nurse should also check the IV site for any signs of infection, inflammation, or phlebitis. Finally, the nurse should check IV tubing for any kinks or obstructions that may impede flow.

a. Verifying the patient’s identity using two identifiers such as name and date of birth is important before starting an IV infusion.

b. Checking the IV site for any signs of infection, inflammation or phlebitis is important before starting an IV infusion.

c. Checking IV tubing for any kinks or obstructions that may impede flow is important before starting an IV infusion.


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Question 5:

A nurse is preparing to administer medication to a client. What should be done if the client refuses to take the medication?

Explanation

If a client refuses to take a medication, the nurse should document the refusal and notify the provider. The nurse should not force the client to take the medication or administer it against their wishes.

a. Forcing a client to take medication against their wishes is not appropriate.

c. Administering a medication against a client’s wishes is not appropriate.

d. Documenting the refusal and notifying the provider is the appropriate action.


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Question 6:

A nurse has administered a dose of pain medication to a patient. What should be done after administering this dose?

Explanation

After administering a dose of pain medication, the nurse should check the patient’s vital signs such as heart rate, respiratory rate, blood pressure, and temperature. The nurse should also assess the patient’s pain level using an appropriate pain scale. Finally, the nurse should document the administration of pain medication including time, dose, route, and any adverse effects.

a . Checking the patient’s vital signs such as heart rate, respiratory rate, blood pressure, and temperature is important after administering a dose of pain medication.

b.Assessing a patient’s pain level using an appropriate pain scale is important after administering a dose of pain medication.

c.Documenting the administration of pain medication including time, dose, route, and any adverse effects is important after administering a dose of pain medication.


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Question 7:

A nurse has prepared an oral tablet for a patient who has difficulty swallowing. What should be done before administering this tablet?

Explanation

Before administering an oral tablet to a patient who has difficulty swallowing, the nurse should consult with the provider. Some tablets are designed to be swallowed whole and should not be crushed or cut as this may alter their pharmacokinetics. In such cases, alternative formulations such as liquid or chewable tablets may be available.

a.Crushing tablets and mixing them with applesauce may alter the pharmacokinetics and should only be done if approved by the provider.

b.Cutting the tablet in half may alter the pharmacokinetics and should only be done if approved by the provider.

c.Administering the tablet with a large glass of water may help the patient swallow but does not address the underlying difficulty.


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Question 8:

A nurse has prepared an injection for a pediatric patient. What should be done before administering this injection?

Explanation

Before administering an injection to a pediatric patient, the nurse should verify the patient’s identity using two identifiers such as name and date of birth. The nurse should also check the injection site for any signs of infection, inflammation, or injury. Finally, the nurse should check the patient’s allergies to ensure that they are not allergic to any component of the injection being administered.

a.Verifying the patient’s identity using two identifiers such as name and date of birth is important before administering an injection to the pediatric patient.

b.Checking the injection site for any signs of infection, inflammation, or injury is important before administering an injection to the pediatric patient.

c.Checking patients’ allergies to ensure that they are not allergic to any component of the injection being administered is important before administering an injection to the pediatric patient.


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Question 9:

A nurse has prepared an oral liquid suspension for an elderly patient. What should be done before administering this suspension?

Explanation

Before administering an oral liquid suspension to an elderly patient, the nurse should verify the patient’s identity using two identifiers such as name and date of birth. The nurse should also check the ability to swallow by asking about difficulty swallowing or observing during mealtime. Finally, the nurse should check the patient’s allergies to ensure that they are not allergic to any component of the suspension being administered.

a.Verifying a patient’s identity using two identifiers such as name and date of birth is important before administering oral liquid suspension to an elderly patient.

b.Checking the ability to swallow by asking about difficulty swallowing or observing during mealtime is important before administering oral liquid suspension to elderly patients.

c.Checking patients’ allergies to ensure that they are not allergic to any component of suspension being administered is important before administering oral liquid suspension to elderly patients.


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