Nokea
How many times should the student compare the drug label with the MAR when preparing an oral drug for administration?
- A. 2
- B. 3
- C. 4
- D. 5
Correct Answer: B
Rationale: The proper procedure is to compare the drug label with the MAR three times: (a) when the drug is taken from its storage area, (b) immediately before removing the drug from the container, and (c) before administering the drug to the patient.
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What are examples of topical drugs? Select all that apply.
- A. Eyedrops
- B. Suppository
- C. Nebulized bronchodilator
- D. Nicotine patch
- E. Capsule
Correct Answer: A,B
Rationale: Topical drugs are drugs that are applied to the outer layer of the skin but not absorbed through the skin, such as eyedrops and suppositories. A nebulized bronchodilator is an inhaled medication. A nicotine patch delivers the medication transdermally; that is, it is readily absorbed from the skin. A capsule is a form of oral medication.
What actions are appropriate when administering an intramuscular injection? Select all that apply.
- A. Always wear gloves
- B. Cleanse skin at injection site
- C. Place pressure on the area after removing the needle
- D. Recap the needle before disposal
- E. Aspirate after inserting the needle
Correct Answer: A,B,C,E
Rationale: When administering an intramuscular injection, the nurse should always wear gloves, cleanse the skin at the injection site prior to administration, aspirate for 5 to 10 seconds after inserting the needle, apply pressure to the area after removing the needle, and never recap the needle.
What action is most appropriate when a nurse receives a STAT medication order?
- A. Insist on obtaining a written report before administering any drug
- B. Administer the drug as ordered by the physician
- C. Forgo obtaining the physician's order after the drug has been administered
- D. Document the administration of the drug only after receiving the physician's order
Correct Answer: B
Rationale: The nurse should administer the drug as instructed without a written order as it is an emergency. The nurse should, however, ensure that the physician's order is obtained after the drug has been administered. Waiting for a written order during an emergency may exacerbate the patient's condition. The nurse should complete the documentation immediately after the administration of the drug and not wait until the physician's order is received.
What types of orders for drug therapy might the nurse expect to find in a client's medical record? Select all that apply.
- A. Standing order
- B. STAT order
- C. Single order
- D. Alternate order
- E. PRN order
Correct Answer: A,B,C,E
Rationale: Common orders given by health care providers for drug therapy include the standing order, the single order, the PRN order, and the STAT order.
What actions can nurses take to help prevent drug errors? Select all that apply.
- A. Rechecking all calculations
- B. Always administering the drug before answering any of the client's questions
- C. Avoiding distractions and concentrating on only one task at a time
- D. Confirming any questionable orders
- E. Practicing the five+ 1 rights of drug administration
Correct Answer: A,C,D,E
Rationale: In addition to following the five+ 1 rights of drug administration, a nurse can employ the following strategies to aid in the prevention of drug errors: confirm any questionable orders; when calculations are necessary, verify them with another nurse; listen to the client when he or she questions a drug, the dosage, or the drug regimen; never administer the drug until the client's questions have been adequately researched; and avoid distractions and concentrate on only one task at a time.