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 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.
Question 2 of 5
A nurse discovers that a medication error occurred. What is the nurse's priority?
Correct Answer: C
Rationale: The nurse's first responsibility is the patientâ??careful observation is necessary to assess for adverse effects of the medication error. The other nursing actions are pertinent but only after evaluating the patient's welfare.
Question 3 of 5
A nurse is teaching a patient how to use a meter-dosed inhaler to control asthma. What are appropriate guidelines for this procedure? Select all that apply.
Correct Answer: A,C,E
Rationale: The correct procedure for using a meter-dosed inhaler is: Shake the inhaler well and remove the mouthpiece cover; breathe normally through the spacer; depress the canister releasing one puff into the spacer and inhale slowly and deeply; after inhaling, hold breath for 5 to 10 seconds, or as long as possible, and then exhale slowly through pursed lips; wait 1 to 5 minutes as prescribed before administering the next puff; and gargle and rinse with tap water after using the MDI.
Question 4 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 5 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.