Which medication order requires nursing judgment and means administer if needed?

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Fundamentals of Nursing Medication Administration Practice Questions Questions

Question 1 of 5

Which medication order requires nursing judgment and means administer if needed?

Correct Answer: D

Rationale: PRN indicates for the nurse to administer morphine every 4 hours if needed and requires nursing judgment. Stat means the dose of morphine would be given immediately, not as needed. The orders for the dose of morphine to be given prior to the patients scheduled procedure and four times a day, do not indicate to give the dose as needed.

Question 2 of 5

Which lab test(s) would be used to assess liver and/or renal function before administering medications? (Select one that does not apply.)

Correct Answer: A

Rationale: Liver function tests include LDH (lactic dehydrogenase) and ALT (alanine aminotransferase). Renal function tests include Crs (serum creatinine) and BUN (blood urea nitrogen). Although a CBC (complete blood count) and an aPTT are useful in assessing the patient before administration of medication, they are not renal or hepatic function tests.

Question 3 of 5

A patient is ordered to take an extended-release medication twice daily but has difficulty swallowing the tablet because of its size. The nurse will perform which action?

Correct Answer: A

Rationale: Enteric-coated and extended-release tablets must be swallowed whole to maintain a therapeutic drug level since they are designed to be absorbed in the small intestine. If crushed, an initial excessive release of the drug may occur, causing toxicity. Enteric-coated or extended-release tablets should not be dissolved in liquid. The nurse should contact the provider to discuss another form of the medication.

Question 4 of 5

A patient who has asthma will begin taking an inhaled corticosteroid medication to be used with a spacer. The patient asks why the spacer is necessary. The nurse will explain that the spacer

Correct Answer: B

Rationale: Spacers are used to enhance the delivery of medication to the lower, smaller airways. They do not allow higher dosing or minimize drug side effects.

Question 5 of 5

The nurse is preparing to administer an intramuscular injection to a 14-month-old toddler. To help with site selection for this injection, what will the nurse ask the child's parent?

Correct Answer: A

Rationale: The ventrogluteal muscle is the preferred injection site for toddlers who have gluteal muscle development associated with firmly established walking. The muscle development, and not the child's weight, is more important. Asking if a patient is right- or left-handed is necessary if deltoid muscles are used.

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