C HAPTER 09: P ARENTERAL A DMINISTRATION :
S AFE P REPARATION OF P ARENTERAL
M EDICATIONS
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which statement by the patient learning about proper disposal of used
s yringes and needles indicates a need for further teachi ng?
a. “Even needles with sleeves should be disposed of appropriately. ”
b. “It is unusual that anyone could get a needle injury or disease from
used needles.”
c. “It is important for me to use the designated container to dispose of
my syringes and needles. ”
d. “I am going to purchase the ‗Sharps by Mail Disposal S ystem ’ once I
am home.”
ANS: B
The patient needs more education because injury from needlesticks and
transfer of pathogens is a health concern. It is accurate that even needles with
sleeves should be dispos ed of appropriately and that a designated container to
dispose of syringes and needles should be used. The patient should be
encouraged to purchase the “Sharps by Mail Disposal S ystem. ”
DIF: Cognitive Level: Application REF: p. 126 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Evaluation
, CON: Clinical Judgment | Safet y | Patient Education
2. Which nursing action is accurate when administering parenteral
medication?
a. Adjust the route of the medication, if needed .
b. Document the response to PRN medications at the end of the shift.
c. Request the pharmacist to provide education about the medication to
the patient.
d. Use clinical judgment when rescheduling missed doses of a
medication.
ANS: D
The nurse must exercise clinical judgment about the scheduling of new drug
orders, missed dosages, modified drug orders or substitution of
therapeuticall y equivalent medicines by the pharmacy, or changes in the
patient’s condition that require consultation with the physician, hea lthcare
provider, or pharmacist. Adjusting the route is not within the role of the
nurse. Documenting the response to PRN medications at the end of the shift
is not an acceptable time frame. Educating the patient about the medication is
within the nurse’s role.
DIF: Cognitive Level: Comprehension REF: p. 119 OBJ: 1
NAT: NCLEX Client Needs Category: Safe, Effective Care
Environment
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y
3. Which advantage applies to administering a drug p arenterall y?
a. The duration of action is longer.
b. Medications given by this route are inexpensive.
c. The onset of action is more rapid.
S AFE P REPARATION OF P ARENTERAL
M EDICATIONS
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Which statement by the patient learning about proper disposal of used
s yringes and needles indicates a need for further teachi ng?
a. “Even needles with sleeves should be disposed of appropriately. ”
b. “It is unusual that anyone could get a needle injury or disease from
used needles.”
c. “It is important for me to use the designated container to dispose of
my syringes and needles. ”
d. “I am going to purchase the ‗Sharps by Mail Disposal S ystem ’ once I
am home.”
ANS: B
The patient needs more education because injury from needlesticks and
transfer of pathogens is a health concern. It is accurate that even needles with
sleeves should be dispos ed of appropriately and that a designated container to
dispose of syringes and needles should be used. The patient should be
encouraged to purchase the “Sharps by Mail Disposal S ystem. ”
DIF: Cognitive Level: Application REF: p. 126 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Evaluation
, CON: Clinical Judgment | Safet y | Patient Education
2. Which nursing action is accurate when administering parenteral
medication?
a. Adjust the route of the medication, if needed .
b. Document the response to PRN medications at the end of the shift.
c. Request the pharmacist to provide education about the medication to
the patient.
d. Use clinical judgment when rescheduling missed doses of a
medication.
ANS: D
The nurse must exercise clinical judgment about the scheduling of new drug
orders, missed dosages, modified drug orders or substitution of
therapeuticall y equivalent medicines by the pharmacy, or changes in the
patient’s condition that require consultation with the physician, hea lthcare
provider, or pharmacist. Adjusting the route is not within the role of the
nurse. Documenting the response to PRN medications at the end of the shift
is not an acceptable time frame. Educating the patient about the medication is
within the nurse’s role.
DIF: Cognitive Level: Comprehension REF: p. 119 OBJ: 1
NAT: NCLEX Client Needs Category: Safe, Effective Care
Environment
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y
3. Which advantage applies to administering a drug p arenterall y?
a. The duration of action is longer.
b. Medications given by this route are inexpensive.
c. The onset of action is more rapid.
