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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.
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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.
What action is most appropriate when a nurse cannot read a healthcare provider's handwriting on a medication order?
- A. The nurse should question the order with the primary health care provider
- B. The nurse should try to interpret the handwriting
- C. The nurse should confirm the order with a nearby health care provider
- D. The nurse should obtain a verbal order
Correct Answer: A
Rationale: Any order that is unclear, particularly due to illegible handwriting, should be questioned. The nurse should not try to interpret the handwriting as it may lead to a misinterpretation. The nurse should also not confirm the order with any other physician who is nearby. Administering drugs based on verbal orders is permissible only during emergencies.
When ensuring the right drug is being administered, what should the nurse compare? Select all that apply.
- A. Medication
- B. Container label
- C. Medication record
- D. MAR
- E. Nursing notes
Correct Answer: A,B,C,D
Rationale: The nurse compares the medication, container label, and medication record and then the MAR as the item is removed from the cart and before the actual administration of the drug.
At what angle should the nurse insert the needle for an intradermal injection?
- A. 15 degrees
- B. 30 degrees
- C. 45 degrees
- D. 90 degrees
Correct Answer: A
Rationale: When giving an intradermal injection, the needle is inserted bevel up at a 15-degree angle. The nurse would insert the needle at a 90-degree angle for an intramuscular injection or for a patient who is obese and requires a subcutaneous injection. Typically a subcutaneous injection is given at a 45-degree angle.
Prior to administering a prescribed drug, how should the nurse correctly identify the client? Select all that apply.
- A. Checking a client's name on his or her wristband
- B. Checking a client's chart
- C. Asking the client to identify himself or herself and give his or her birth date
- D. Using a current picture of the client if available
Correct Answer: A,C,E
Rationale: Client identifiers can include visual and verbal methods. Visual methods include use of a recent picture of the client or client wristband. Verbal methods include asking the client for his or her name and another unique identifier, such as his or her birth date. Never ask a client, 'Are you Mr. Jones?' because some clients may respond by answering 'yes' even though that is not their name due to confusion or difficulty hearing. Checking the client's chart would be inappropriate to use for identifying the client.