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 is administering a pain medication to a patient. In addition to checking the identification bracelet, which active identification strategy reflects best practice?
Correct Answer: A
Rationale: The nurse should ask the patient to state their name and birthdate based on facility policy. A sign over the patient's bed may not be current or correct. The roommate is an unsafe source of information. The patient may not hear their name or may reply in the affirmative regardless of accuracy (e.g., a person with a hearing deficit).
Question 2 of 5
A nurse is administering a medication to a patient via an enteral feeding tube. Which are accurate guidelines related to this procedure? Select all that apply.
Correct Answer: C,D,F
Rationale: The nurse should use the facility policy for checking tube placement prior to administering medications. The nurse should also give each medication separately and flush with water between each drug, adjusting the amount of water used if fluids are restricted. Enteric-coated medications should not be crushed, the tube should be flushed with 15 to 30 mL of water, and the head of the bed should be elevated to prevent reflux and aspiration.
Question 3 of 5
A medication prescription reads: 'Hydromorphone, 2 mg IV every 3 to 4 hours PRN pain.' The prefilled cartridge is available with a label reading 'Hydromorphone 2 mg/1 mL' and a statement that the cartridge contains 1.2 mL of hydromorphone. How should the nurse proceed?
Correct Answer: D
Rationale: Many prefilled medication cartridges are overfilled, requiring some medication to be discarded to prevent adverse effects. Always check correct dose compared to the volume in the syringe for accuracy. As this is a prefilled syringe, it is not necessary to call the pharmacy or refuse to give the medication. Wasting narcotics typically requires a second RN to witness the waste and verify the amount of narcotic discarded.
Question 4 of 5
A nurse prepares to administer insulin to a patient with diabetes. What is the correct procedure to carry out this prescription? MAR 7:30 AM: 40 units of NPH insulin and 10 units of regular insulin daily subcutaneously.
Correct Answer: B
Rationale: Regular or short-acting insulin (unmodified insulin) should never be contaminated with NPH or any insulin modified with added protein. Placing air in the NPH vial first without allowing the needle to contact the solution ensures that the regular insulin will not be contaminated.
Question 5 of 5
A nurse is administering heparin subcutaneously to a patient. What technique is appropriate for this injection?
Correct Answer: C
Rationale: When giving heparin subcutaneously, the nurse should not aspirate or massage, so as not to cause trauma or bleeding in the tissues.