TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
Chapter 23: Nonparenteral Medications Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition MULTIPLE CHOICE 1. The health care provider prescribes a sublingual medication, and the pharmacy sends an oral
form. Which action does the nurse take? a. Administer the identical drug orally. b. Call the pharmacy for the correct formulation. c. Withhold the drug and notify the provider. d. Calculate the oral equivalent dose for the patient. ANS: B
The nurse can administer the sublingual medication in sublingual form only; changing the route of administration is practicing medicine and is outside the scope of practice for the nurse. The nurse cannot administer the oral medication, even if it is the identical drug, because it is the wrong route and violates a patient medication right. Withholding the medication until the provider is notified is risky and unnecessary because the nurse can ask the pharmacy to send the correct form of the medication. If the pharmacy does not carry the prescribed form, the nurse should contact the provider. Many medications come in several forms; thus, determining an equivalent dose of a medication in another form is possible; however, the nurse needs a prescription for both forms of the medication to administer the oral form. DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation N
OBJ: NCLEX: Physiological Integrity
2. An alert and oriented patient is to receive oral medication. Which does the nurse implement to
administer the prescribed medication? a. Evaluates the patient’s ability to take the medications unassisted. b. Leaves the medications on the breakfast tray for the patient to take later. c. Asks the patient if holding the medications in the hand is preferred. d. Holds the medicine cup to the patient’s lips and tips it into the mouth. ANS: C
Patients can participate in medication administration by holding the medication in the cup or hand before placing it in the mouth. The nurse already knows that this patient is alert. If the provider allows the patient to self-medicate in the hospital, the nurse supervises the activity and ensures patient self-administration of the medications on time. The nurse never leaves medication on the breakfast tray for many reasons. He or she needs to verify that the patient has taken the medication so that correct documentation may occur. Holding the cup for the patient is unnecessary and potentially insulting to the patient. DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
OBJ: NCLEX: Physiological Integrity
3. The nurse approaches a group of patients, one of whom is to receive a dose of medication.
Which is the best method for the nurse to identify the patient needing the medication? a. Question the entire group by calling for the specific patient. b. Request that the other patients identify the patient.
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