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Which injection solution base will result in the slowest absorption? Select one: a. alcohol b. saline c. water d. oil - Answer d. oil You are expected to attend an upcoming family reunion, which is being held on a cruise ship. Unfortunately, you are prone to violent seasickness, but fortunately, you respond well to medications for motion sickness. If you want to keep a constant level of medication in your blood stream throughout the cruise, what delivery method is likely to be most effective? Select one: a. IVs as needed b. regularly scheduled IM injections c. oral d.transdermal patch - Answer d.transdermal patch In preparation for abdominal surgery, Alex is given a rectally administered suspension of medication. This is known as a(n) ____. Select one: a. subcolonic b. enema
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c. suppository d. douche - Answer b. enema A medication is provided in a unit dose vial. What does this indicate? Select one: a. The vial has been repackaged by a hospital pharmacy. b. Each vial contains only a single dose. c. The vial must contain insulin, which is measured in units. d. The vial contains multiple units, each of which is a single dose. - Answer b. Each vial contains only a single dose. A drug administered directly into the brain via a catheter is done via an ____ route. Select one: a. intra-articular b. intracapsular c. intraspinal d. intraventricular - Answer d. intraventricular
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b. is a sustained-release medication and that the various colors are associated with different release times c. contains multiple active ingredients, with each ingredient having a different color d. has a very high potential for abuse and dependence - Answer b. is a sustained-release medication and that the various colors are associated with different release times Your back is in severe pain from helping your parents with heavy yard work all day. Your father rubs a liquid liberally on your back as treatment. You quickly notice that your skin is tingling and even burning, and realize that the medication is a(n) ____. Select one: a. ointment b. liniment c. lotion d. gel - Answer b. liniment The instructions on the antibiotic medication for your pet cat tell you to "shake well before administering." This indicates that the medication is a(n) ____. Select one: a. syrup b. suspension c. elixir
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d. solution - Answer b. suspension It is Connor's first day as a CNA at the nursing home and he is Answer ing the phones on his unit. A physician calls to place a medication order. What should Connor do before he takes it? Select one: a. Ask someone else to listen in on the conversation to make sure the order is corect. b. Determine nursing home policy, as a registered nurse may be required to take medication orders by phone. c. Make sure to have complete identifying information for the physician. d. Ensure that the physician knows this is his first day as a CNA at the nursing home. - Answer b. Determine nursing home policy, as a registered nurse may be required to take medication orders by phone. Roxanne is told by her supervisor not to use the abbreviation "SQ." Why? Select one: a. The use of SQ is determined by individual hospital policy. b. SQ on the ISMP list. c. SQ has been replaced by SC. d. Medicaid will not reimburse for this route. - Answer b. SQ on the ISMP list.
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b. Leave him alone so that he can relax, and let the next shift try explaining the medication again. c. Quiz him on the information and if he Answer s incorrectly, keep testing him until he gets it right. d. Ask him to explain to you how the medications should be taken and if he cannot, go over the instructions again. - Answer d. Ask him to explain to you how the medications should be taken and if he cannot, go over the instructions again. Under what circumstances may a verbal medication order be given? Select one: a. when deemed the most efficient protocol b. under the hospital's mandates c. in an emergency d. on minimally staffed shifts - Answer c. in an emergency The physician's order indicates the medication is to be administered prn. What does this mean? Select one: a. It should be administered as needed by the patient. b. It should be administered according to the standard protocol. c. It should be administered only in an emergency.
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d. It should be administered based on the nurse's judgment. - Answer a. It should be administered as needed by the patient. The abbreviation mcg means ____. Select one: a. macrogram b. microgram c. minigram d. milligram - Answer b. microgram What abbreviation should be used to indicate that an extended release formulation is required? Select one: a. extr b. extrel c. exrel d. ER - Answer d. ER What is the proper procedure for giving a verbal medication order to a health care practitioner? Select one: a. The practitioner should write the order out for the physician and have the physician sign it; the medication should then be given as per the order.
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Mrs. Chen is an older woman who can sometimes be contrary about taking her medication. One morning, she refuses to take her medication, which includes drugs for her high blood pressure, Type 2 diabetes, and seizure disorder. What should you do? Select one: a. Withhold her breakfast and any scheduled activities until she takes her medication. b. Return the medication to the medication room, make a note of her refusal in the chart, and notify the physician if appropriate. c. Tell her you will have to give her shots if she does not take her medication. d. Leave the medications on her bed table. She will eventually take them and then likely show you the empty pill cup. - Answer b. Return the medication to the medication room, make a note of her refusal in the chart, and notify the physician if appropriate. Ms. Vasco's arms are covered with bruises and as a result, she begs you to give her a pill rather than another injection. Under what circumstances can a route be changed? Select one: a. when the patient approved the change b. only with a physician's order c. when the ordered form is not available d. anytime that an equivalent is available - Answer b. only with a physician's order
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The nurse on duty has just finished preparing medication for administration as she falls and hits her head badly enough to be taken to the emergency room. The supervisor has given you responsibility for medication administration. What should you do? Select one: a. Standard hospital policy prohibits throwing away drugs, so you should administer but with caution. b. The nurse on duty is known to be accurate, so you can use what she prepared without concern. c. Start preparation from the beginning. You should not administer medications someone else has prepared. d. Use what the nurse on duty prepared, with the exception of controlled substances, which you should prepare yourself. - Answer c. Start preparation from the beginning. You should not administer medications someone else has prepared. Under what circumstances must a MEDWATCH form be completed? Select one: a. when a causal link is established between a medication and an adverse outcome b. when a death results Incorrect c. when a legal complaint has been lodged d. never, because MEDWATCH is voluntary - Answer d. never, because MEDWATCH is voluntary
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a. Peel back the labels so he can tell which is which. b. Look the medications up in a drug reference and then administer them. c. Do not administer the medication. d. Use the medications if he is familiar with their standard usage. - Answer c. Do not administer the medication. The medication order notes the medication is to be administered pc. What does pc mean? Select one: a. after meals b. as needed c. separately from other medications d. when requested by the patient - Answer a. after meals If a health care practitioner is unfamiliar with a drug, he or she should ____. Select one: a. administer it regardless, because the physician ordered it b. consult a standard reference or a pharmacist or similar professional before administering it c. call the ordering physician and ask why that particular drug was chosen
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d. substitute a more familiar drug and document the reason in the chart - Answer b. consult a standard reference or a pharmacist or similar professional before administering it Administration by NG tube is preferable to intravenous administration when a patient is ____. Select one: a. unable to swallow for prolonged periods of time because of illness, trauma, surgery, or unconsciousness b. unable to lie down for long periods of time and appears to be emotionally distraught c. is unlikely to ever regain the ability to swallow d. is unlikely to live much longer - Answer a. unable to swallow for prolonged periods of time because of illness, trauma, surgery, or unconsciousness What administration route tends to be least expensive because of its availability for most medications and the lack of need for special equipment? Select one: a. G tube b. rectal c. oral d. NG tube - Answer c. oral Your patient vomits administered medication whole less than a minute later after taking it. What should you do? Select one:
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c. Remind her that she must take the medication and may have an emergency if she refuses. d. Arrange for a neurological examination as this behavior is so unusual for her. - Answer a. Determine why she refused to take her medication, report it to the person in charge, and document the incident. Liquid medication administered by oral syringe should be deposited ____. Select one: a. just behind the lips b. in the middle of the tongue c. as far back in the mouth as possible d. into the cheek pocket - Answer d. into the cheek pocket An advantage of the rectal route is that it ____. Select one: a. bypasses digestive enzymes b. is possible for nearly all important medications c. provides consistent and complete absorption d. is especially easy for children and the elderly - Answer a. bypasses digestive enzymes Gastric tubes are sometimes called ____. Select one: a. peg tubes
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b. NG tubes c. PICC lines d. ports - Answer a. peg tubes The medication you are to administer via a nasogastric tube must be taken on an empty stomach. You know that your patient is receiving feedings as well as medication through his nasogastric tube. What should you do? Select one: a. Stop the tube feeding for 30 to 60 minutes, depending on the medication. b. Stop the tube feeding and periodically aspirate stomach contents until you know the stomach is empty. c. Contact the physician and request a different medication that does not require an empty stomach. d. Go ahead with the medication administration without stopping the tube feeding. - Answer a. Stop the tube feeding for 30 to 60 minutes, depending on the medication. When administering liquid medication using an oral syringe, you should ____. Select one: a. pour the medication into a medicine cup and then pour the correct amount into the syringe b. pour the medication into a medicine cup and withdraw the correct amount into the syringe
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a. make sure the area it will be placed on is cleanly shaven b. abrade the skin to facilitate absorption c. avoid touching the inside of the patch d. puncture the drug reservoir - Answer c. avoid touching the inside of the patch The order is for an injection into the vastus lateralis. Where is the vastus lateralis? Select one: a. front of the thigh towards the midline of the leg b. front of the thigh towards the outside of the leg c. above and to the outside of the buttock area d. upper outer arm above the axilla - Answer b. front of the thigh towards the outside of the leg What is the route of administration that is most likely to have systemic effects? Select one: a. eye b.topical skin c. mucous membrane d. transcutaneous - Answer d. transcutaneous
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Transcutaneous delivery systems may be used for treatment of ____. Select one: a. psychiatric disorders b. chronic reflux c. systemic infections d. severe, chronic pain for which opiates are needed - Answer d. severe, chronic pain for which opiates are needed Richard has asthma and has not used his metered-dose inhaler for more than 24 hours. What should he do before using the inhaler again? Select one: a. Shake for at least 60 seconds. b. Discharge a waste dose. c. Take it apart and sterilize it. d. Use a small volume nebulizer. - Answer b. Discharge a waste dose. Which of the following routes is typically limited to localized effects? Select one: a. sublingual preparations b. buccal preparations c. transcutaneous preparations
