C HAPTER 33: P HARMACOLOGY AND
P REPARATION FOR D RUG A DMINISTRATION
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. The nurse is aware that for a drug to be effectivel y eliminated from the
body, the patient must have a fluid intake of 50 mL/kg/day. The nurse
would provide for a patient who weighs 125 pounds ______ mL of water
per day.
a. 1560
b. 899.2
c. 2840.9
d. 3039.1
ANS: C
The patient’s weight is 125 pounds/2.2 pounds = 56.8 kg 50 m L =
2840.9 m L.
DIF: Cognitive Level: Anal ysis REF: p. 627 OBJ:
Theory #3 TOP: Distribution of Drugs KEY: Nursing
Process Step: Planning MSC: NC LEX: Physiological
Integrit y: Pharmacologica l Therapies
,2. Before administering a medication to a newl y assigned patient, the nurse
should determine why the patient is receiving it by checking the:
a. medication administration record (MAR) or electronic medication
administration record (eMAR).
b. medical history.
c. laboratory test results.
d. intake and output record.
ANS: B
The medical history contains information about the medical problems a
patient has, so the nurse can correlate the reason a drug is being
administered.
DIF: Cognitive Level: Application REF: p. 634 OBJ:
Clinical Practice #4 TOP: Assessment Before Medication
Administration KEY: Nursing Process Step: Assessment
MSC: NC LEX: Safe, Effective Care Environment: Safet y
and Infection Control
3. The nurse is going to administer a medication that must be crushed for the
patient to take it. This medication is best given to the patient by:
a. adding it to water.
b. dissolving it in juice.
c. mixing it in applesauce or soft food.
d. sprinkling it on meat or vegetables.
ANS: C
, A drug that is crushed needs to be mixed in something else, such as
applesauce.
DIF: Cognitive Level: Application REF: p. 637 OBJ:
Clinical Practice #4 TOP: Medication Preparation KEY:
Nursing Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Basic Care and Comfort
4. When the nurse is administering a medication to a patient, the patient
states that the tablet looks different from the one usuall y taken. The most
prudent action by the nurse would be to:
a. reassure the patient that the medication is the same as the one
ordered.
b. determine why the patient is refusing to take the medication and call
the primary care provider.
c. assess for possible causes of this patient’s confusion.
d. withhold the dose and verify the drug order.
ANS: D
If a patient questions the dose given, the nurse should stop and verify
the order.
DIF: Cognitive Level: Application REF: p. 631 OBJ:
Clinical Practice #4 TOP: Safe Drug Administration
KEY: Nursing Process Step: Implementation MSC:
NCLEX: Safe, Effective Care Environment: Safet y and Infectio n
Control
P REPARATION FOR D RUG A DMINISTRATION
Williams: deWit's Fundamental Concepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. The nurse is aware that for a drug to be effectivel y eliminated from the
body, the patient must have a fluid intake of 50 mL/kg/day. The nurse
would provide for a patient who weighs 125 pounds ______ mL of water
per day.
a. 1560
b. 899.2
c. 2840.9
d. 3039.1
ANS: C
The patient’s weight is 125 pounds/2.2 pounds = 56.8 kg 50 m L =
2840.9 m L.
DIF: Cognitive Level: Anal ysis REF: p. 627 OBJ:
Theory #3 TOP: Distribution of Drugs KEY: Nursing
Process Step: Planning MSC: NC LEX: Physiological
Integrit y: Pharmacologica l Therapies
,2. Before administering a medication to a newl y assigned patient, the nurse
should determine why the patient is receiving it by checking the:
a. medication administration record (MAR) or electronic medication
administration record (eMAR).
b. medical history.
c. laboratory test results.
d. intake and output record.
ANS: B
The medical history contains information about the medical problems a
patient has, so the nurse can correlate the reason a drug is being
administered.
DIF: Cognitive Level: Application REF: p. 634 OBJ:
Clinical Practice #4 TOP: Assessment Before Medication
Administration KEY: Nursing Process Step: Assessment
MSC: NC LEX: Safe, Effective Care Environment: Safet y
and Infection Control
3. The nurse is going to administer a medication that must be crushed for the
patient to take it. This medication is best given to the patient by:
a. adding it to water.
b. dissolving it in juice.
c. mixing it in applesauce or soft food.
d. sprinkling it on meat or vegetables.
ANS: C
, A drug that is crushed needs to be mixed in something else, such as
applesauce.
DIF: Cognitive Level: Application REF: p. 637 OBJ:
Clinical Practice #4 TOP: Medication Preparation KEY:
Nursing Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Basic Care and Comfort
4. When the nurse is administering a medication to a patient, the patient
states that the tablet looks different from the one usuall y taken. The most
prudent action by the nurse would be to:
a. reassure the patient that the medication is the same as the one
ordered.
b. determine why the patient is refusing to take the medication and call
the primary care provider.
c. assess for possible causes of this patient’s confusion.
d. withhold the dose and verify the drug order.
ANS: D
If a patient questions the dose given, the nurse should stop and verify
the order.
DIF: Cognitive Level: Application REF: p. 631 OBJ:
Clinical Practice #4 TOP: Safe Drug Administration
KEY: Nursing Process Step: Implementation MSC:
NCLEX: Safe, Effective Care Environment: Safet y and Infectio n
Control
