Administering Medications – Chapter 2
Principles of Drug Action – Test Bank
Practice Questions (Gauwitz, 9th Edition)
The nurse administered the narcotic meperidine, 50 mg orally (PO) at 1400 to a patient with
nausea, vomiting, and pain rated as 9 on a 0-to-10 scale. At 1430, the patient stated that the
medication was not working and requested to have intravenous (IV) morphine, which the
provider had prescribed for severe pain. What is the nurse's best evaluation of this situation?
1.
The patient needs to understand that it takes time for the medication to reduce pain.
2.
Administering meperidine PO was not the best nursing intervention in this situation.
3.
The provider should be notified if the patient's pain is not relieved in 2 hours.
4.
Meperidine PO was the best intervention because morphine IV can cause drug addiction. -
answer-2
An insulin-dependent diabetic female patient tells the nurse that she has been giving herself
injections in the same location in her right thigh for the past several months because it is easier.
What is the nurse's best action?
1.
Provide patient teaching on rotating injection sites.
2.
Tell the patient to make sure the dose is in milliliters.
1
,3.
Check the type of insulin the patient receives to ensure that it is compatible with the vastus
lateralis site.
4.
Document the patient's comments, as the patient understands the treatment regimen. -
answer-1
A surgeon prescribes heparin 2,500 mEq intramuscularly (IM) every 12 hours (q12hr). What is
the nurse's best action?
1.
Administer the medication as prescribed.
2.
Clarify the medication dose with the surgeon.
3.
Administer the medication subcutaneously.
4.
Clarify the dose and route with the surgeon. - answer-4
The nurse is preparing to administer a medication for a client with cystic fibrosis. The nurse is
not familiar with the drug. Which is the best action that the nurse should take?
1.
Administer the drug.
2.
Ask another nurse.
3.
Refer to the Physician's Desk Reference.
2
, 4.
Review a nursing care plan textbook. - answer-3
Which term refers to the movement of a drug from the site of administration to the
bloodstream?
1.
Absorption
2.
Distribution
3.
Metabolism
4.
Excretion - answer-1
A patient who just returned from the postanesthesia care unit is reporting severe incision pain.
Which drug contained in the medication administration record will offer the patient the fastest
relief?
1.
Liquid acetaminophen with codeine
2.
Intravenous morphine sulfate
3.
Intramuscular meperidine
4.
Oral oxycodone tablets - answer-2
3
Principles of Drug Action – Test Bank
Practice Questions (Gauwitz, 9th Edition)
The nurse administered the narcotic meperidine, 50 mg orally (PO) at 1400 to a patient with
nausea, vomiting, and pain rated as 9 on a 0-to-10 scale. At 1430, the patient stated that the
medication was not working and requested to have intravenous (IV) morphine, which the
provider had prescribed for severe pain. What is the nurse's best evaluation of this situation?
1.
The patient needs to understand that it takes time for the medication to reduce pain.
2.
Administering meperidine PO was not the best nursing intervention in this situation.
3.
The provider should be notified if the patient's pain is not relieved in 2 hours.
4.
Meperidine PO was the best intervention because morphine IV can cause drug addiction. -
answer-2
An insulin-dependent diabetic female patient tells the nurse that she has been giving herself
injections in the same location in her right thigh for the past several months because it is easier.
What is the nurse's best action?
1.
Provide patient teaching on rotating injection sites.
2.
Tell the patient to make sure the dose is in milliliters.
1
,3.
Check the type of insulin the patient receives to ensure that it is compatible with the vastus
lateralis site.
4.
Document the patient's comments, as the patient understands the treatment regimen. -
answer-1
A surgeon prescribes heparin 2,500 mEq intramuscularly (IM) every 12 hours (q12hr). What is
the nurse's best action?
1.
Administer the medication as prescribed.
2.
Clarify the medication dose with the surgeon.
3.
Administer the medication subcutaneously.
4.
Clarify the dose and route with the surgeon. - answer-4
The nurse is preparing to administer a medication for a client with cystic fibrosis. The nurse is
not familiar with the drug. Which is the best action that the nurse should take?
1.
Administer the drug.
2.
Ask another nurse.
3.
Refer to the Physician's Desk Reference.
2
, 4.
Review a nursing care plan textbook. - answer-3
Which term refers to the movement of a drug from the site of administration to the
bloodstream?
1.
Absorption
2.
Distribution
3.
Metabolism
4.
Excretion - answer-1
A patient who just returned from the postanesthesia care unit is reporting severe incision pain.
Which drug contained in the medication administration record will offer the patient the fastest
relief?
1.
Liquid acetaminophen with codeine
2.
Intravenous morphine sulfate
3.
Intramuscular meperidine
4.
Oral oxycodone tablets - answer-2
3
