Chapter 32: Medication Administration Potter et al.: Fundamentals of Nursing, 9th Edition

MULTIPLE CHOICE 1. A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective? a. “My parenteral medication must be taken with food.” b. “I will rotate the sites in my left leg when I give my insulin.” c. “Once I start feeling better, I will stop taking my antibiotic.” d. “If I am 30 minutes late taking my medication, I should skip that dose.” ANS: B For daily insulin, rotate site within anatomical area. Rotating injections within the same body part (instrasite rotation) provides greater consistency in absorption of medication. Parenteral medication absorption is not affected by the timing of meals. Taking a medication 30 minutes late is within the 60-minute window of the time medications should be taken. Medications are usually stopped based on the provider’s orders except in extenuating circumstances. With some medications, such as antibiotics, it is crucial that the full course of medication is taken to avoid relapse of infection. DIF: Apply (application) REF: 548 | 672 OBJ: Discuss nursing roles and responsibilities in medication administration. TOP: Teaching/Learning MSC: Pharmacological and Parenteral Therapies 2. A nurse is preparing to administer an injection to a patient. Which statement made by the patient is an indication for the nurse to use the Z-track method? a. “I am allergic to many medications.” b. “I’m really afraid that a big needle will hurt.” c. “The last shot like that turned my skin colors.” d. “My legs are too obese for the needle to go through.” ANS: C The Z-track is indicated when the medication being administered has the potential to irritate sensitive tissues. It is recommended that, when administering IM injections, the Z-track method be used to minimize local skin irritation by sealing the medication in muscle tissue. The Z-track method is not meMULTIPLE CHOICE 1. A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is effective? a. “My parenteral medication must be taken with food.” b. “I will rotate the sites in my left leg when I give my insulin.” c. “Once I start feeling better, I will stop taking my antibiotic.” d. “If I am 30 minutes late taking my medication, I should skip that dose.” ANS: B For daily insulin, rotate site within anatomical area. Rotating injections within the same body part (instrasite rotation) provides greater consistency in absorption of medication. Parenteral medication absorption is not affected by the timing of meals. Taking a medication 30 minutes late is within the 60-minute window of the time medications should be taken. Medications are usually stopped based on the provider’s orders except in extenuating circumstances. With some medications, such as antibiotics, it is crucial that the full course of medication is taken to avoid relapse of infection. DIF: Apply (application) REF: 548 | 672 OBJ: Discuss nursing roles and responsibilities in medication administration. TOP: Teaching/Learning MSC: Pharmacological and Parenteral Therapies 2. A nurse is preparing to administer an injection to a patient. Which statement made by the patient is an indication for the nurse to use the Z-track method? a. “I am allergic to many medications.” b. “I’m really afraid that a big needle will hurt.” c. “The last shot like that turned my skin colors.” d. “My legs are too obese for the needle to go through.” ANS: C The Z-track is indicated when the medication being administered has the potential to irritate sensitive tissues. It is recommended that, when administering IM injections, the Z-track method be used to minimize local skin irritation by sealing the medication in muscle tissue. The Z-track method is not meant to reduce discomfort from the procedure. If a patient is allergic to a medication, it should not be administered. If a patient has additional subcutaneous tissue to go through, a needle oant to reduce discomfort from the procedure. If a patient is allergic to a medication, it should not be administered. If a patient has additional subcutaneous tissue to go through, a needle o