A nurse is caring for a client who uses a morphine PCA for pain control. The client calls the nurse and says that the PCA does not seem to be working because he is still having significant pain. Which response from the nurse is most appropriate?

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Medication Administration Practice Questions Questions

Question 1 of 5

A nurse is caring for a client who uses a morphine PCA for pain control. The client calls the nurse and says that the PCA does not seem to be working because he is still having significant pain. Which response from the nurse is most appropriate?

Correct Answer: D

Rationale: The nurse should first verify the PCA system is functioning correctly (e.g., settings, delivery mechanism) before escalating to the physician or assuming patient error, ensuring safe and effective pain management.

Question 2 of 5

What does the nurse do to verify an order for a medication listed on a medication administration record (MAR)?

Correct Answer: A

Rationale: Verifying the MAR against the original physician's order ensures accuracy and prevents medication errors.

Question 3 of 5

A nurse has administered an intramuscular injection. What will the nurse do with the syringe and needle?

Correct Answer: B

Rationale: To prevent needlestick injuries, needles should not be recapped and must be disposed of in a puncture-resistant sharps container.

Question 4 of 5

Which of the following is the preferred location of intramuscular (IM) injection in infants?

Correct Answer: D

Rationale: The vastus lateralis is preferred in infants due to its large muscle mass and lack of major nerves or vessels. The dorsogluteal site is avoided in infants due to underdeveloped muscles and sciatic nerve risk.

Question 5 of 5

A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective?

Correct Answer: B

Rationale: For daily insulin, rotate site within anatomical area. Rotating injections within the same body part (intrasite rotation) provides greater consistency in absorption of medication. Parenteral medication absorption is not affected by the timing of meals. Taking a medication 30 minutes late is within the 60-minute window of the time medications should be taken. Medications are usually stopped based on the provider's orders except in extenuating circumstances. With some medications, such as antibiotics, it is crucial that the full course of medication is taken to avoid relapse of infection.

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