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What is the most appropriate response when a patient says, 'This doesn't look like my usual pill'?
- A. This is the same pill your doctor has been ordering.'
- B. It must be from a different manufacturer.'
- C. It looks different? Are you sure?'
- D. Let me double check with your doctor and the order.'
Correct Answer: D
Rationale: If the patient makes any statement about the drug, the nurse needs to hold the drug and investigate the patient's statement, double checking the chart and the order and obtaining clarification and/or confirmation from the prescriber. It may be that the dosage or manufacturer has changed and that is what makes the pill look different. It is always important to err on the side of caution. Telling the patient that the pill is the same or that it is from a different manufacturer may be true, but the nurse needs to confirm that before giving it to the patient. Repeating the patient's statement and then asking him if he is sure is inappropriate because it implies that the patient is incorrect.
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What sites are appropriate for subcutaneous injection? Select all that apply.
- A. Upper arm
- B. Inner forearm
- C. Upper abdomen
- D. Gluteus maximus
- E. Upper thigh
Correct Answer: A,C,E
Rationale: The sites for subcutaneous injection are the upper arms, the upper abdomen, and the upper thighs.
When using a bar-code point-of-care medication system, which items should the nurse scan prior to drug administration? Select all that apply.
- A. Client's hospital chart
- B. Client's identification band
- C. Drug unit dose package
- D. Nurse's identification badge
- E. Client's medication administration record
Correct Answer: B,C,D
Rationale: The bar-code point-of-care medication system requires that the client's identification band, the drug unit dose package, and the nurse's identification badge are all scanned prior to drug administration.
What routes are used for parenteral drug administration? Select all that apply.
- A. Subcutaneous
- B. Intramuscular
- C. Intradural
- D. Intravenous
- E. Intradermal
Correct Answer: A,B,D,E
Rationale: A nurse can administer parenteral drugs via subcutaneous, intramuscular, intravenous, intradermal, and, in some instances, intra-arterial routes by means of a catheter placed by a physician in an artery. The primary health care provider can administer a drug via the intradural route.
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.
What is considered a unit dose system? Select all that apply.
- A. Floor stock bottle of aspirin 81 mg
- B. A prefilled Lovenox syringe
- C. One Phenergan suppository
- D. Floor stock bottle of ibuprofen suspension
- E. Single-dose cup of Maalox
Correct Answer: B,C,E
Rationale: Examples of unit dose medications include a package that contains one tablet or capsule, a premeasured amount of a liquid drug, a prefilled syringe, or one suppository.