ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 30 : Medications Questions
Question 1 of 5
A nurse in a rehabilitation facility is preparing to administer a skeletal muscle relaxant to a patient recovering from a motor vehicle accident. When the patient states, 'I don't want that pill,' what action will the nurse take next?
Correct Answer: C
Rationale: The nurse should first assess the patient's concern about the medication and provide education, if needed. If an allergy is the cause, the nurse should withhold the medication and notify the health care provider. Encouraging or manipulating a patient to take a pill undermines the patient's trust, especially if an adverse reaction occurs.
Question 2 of 5
A nurse is preparing to administer medications to a patient transferred from the intensive care unit just as lunch is served. Prior to administering medications to the patient, the nurse takes which action?
Correct Answer: A
Rationale: Medication reconciliation has been shown to decrease the incidence of medication errors that occur at points of transition in patient care. This process maintains a current, accurate list of medications a patient has received. Morning care can be delayed, if not yet given. Obtaining the patient's meal can be delegated to another person on the unit (e.g., AP). A report must be taken prior to accepting the patient for transfer.
Question 3 of 5
When administering an IVPB medication using gravity, what action is appropriate for the nurse take?
Correct Answer: A
Rationale: Hang the piggyback container on the IV pole, positioning it higher than the primary IV bag. When infusing by gravity, the primary IV fluid container must be lowered. Closing the roller clamp to the secondary line will impede flow of the piggybacked medication.
Question 4 of 5
A nurse is administering enoxaparin subcutaneously using the manufacturer's prefilled syringe. Which action reflects correct practice?
Correct Answer: A
Rationale: Enoxaparin should be administered in the alternating 'left and right anterolateral and left and right posterolateral abdominal wall[s].' Air, inserted by the manufacturer, should not be expelled prior to use. As this is a low-molecular-weight heparin, do not massage the area to prevent bruising. Recapping any syringe places the nurse at risk for needlestick injury and is not recommended.
Question 5 of 5
A nurse is administering medications to an older adult with dysphagia. After crushing the pills, which action is most appropriate?
Correct Answer: C
Rationale: Older adults may have difficulty swallowing medications and may find it easier to take their medications when crushed or given in liquid form. Combine the crushed medication with a small amount of soft food, such as applesauce or pudding; 120 mL or a bowl of pudding is a large amount; should the patient not finish all the food, an accurate assessment of medication taken cannot be assessed. Only medications designated as chewable can be used in this way.