Nokea
The five+ 1 rights of drug administration include which of the following? Select all that apply.
- A. Right documentation
- B. Right patient
- C. Right route
- D. Right drug
- E. Right prescriber
Correct Answer: A,B,C,D
Rationale: The five+ 1 rights of drug administration include: right patient, right drug, right dose, right route, right time, and right documentation.
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What is most important for the nurse to do when preparing to administer a prescribed oral drug? Select all that apply.
- A. Making sure the client is in an upright position prior to administration
- B. Ensuring that a full glass of water is readily available
- C. Leaving PRN drugs at the bedside for ready access if needed
- D. Instructing the client to tilt his or her head back to swallow a capsule
- E. Having the client refrain from sipping on the water before placing the tablet in the mouth
Correct Answer: A,B
Rationale: Clients should always be in an upright position when receiving oral drugs and a glass of water should be readily available. They should be encouraged to take a few sips of water before placing the tablet or capsule in the mouth. Drugs should never be left at the client's bedside. Instruct clients to tilt their head back to swallow a tablet and slightly forward to swallow a capsule.
What gauge needles are appropriate for intradermal injections? Select all that apply.
- A. 26 gauge
- B. 28 gauge
- C. 29 gauge
- D. 25 gauge
- E. 27 gauge
Correct Answer: A,D,E
Rationale: A 1-mL syringe with a 25- to 27-gauge needle that is 1/4 to 5/8 inches long is best suited for intradermal injections.
What site is most appropriate for an IM injection in an 18-month-old toddler?
- A. Dorsogluteal site
- B. Deltoid muscle
- C. Vastus lateralis
- D. Ventrogluteal site
Correct Answer: C
Rationale: The vastus lateralis site is frequently used for infants and small children because it is more developed than the other intramuscular sites such as the dorsogluteal and deltoid muscle. Ventrogluteal sites may be used in children who have been ambulating for more than 2 years.
Where should a buccal medication be placed?
- A. Under the tongue
- B. Against the cheek mucous membrane
- C. Inside the rectum
- D. At the back of the tongue
Correct Answer: B
Rationale: Buccal drugs are placed in the mouth against the mucous membranes of the cheek in either the upper or lower jaw. Sublingual medications are placed under the tongue. Rectal suppositories are inserted into the rectum. Oral medications are placed at the back of the tongue.
A nurse's responsibility when a drug is prescribed for a client includes which of the following? Select all that apply.
- A. Administering the drug to the client
- B. Monitoring for therapeutic response
- C. Checking for drug?drug interactions
- D. Reporting adverse reactions
- E. Teaching the client information needed to administer drugs safely at home
Correct Answer: A,B,D,E
Rationale: When a drug is prescribed to a client, the nurse is responsible for the administration of the drug, monitoring for therapeutic effects, reporting adverse drug reactions, and teaching the client information needed to administer the drug safely at home. A pharmacist checks for drug?drug interactions prior to dispensing a drug for administration.