Chapter 02: Administration of Drugs Test Bank Introductory Clinical Pharmacology 12th Edition by Susan M Ford

Chapter 02: Administration of Drugs Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A nurse is required to give an intramuscular (IM) injection to an 18-month-old toddler. The nurse would prepare which site for administration? a. Dorsogluteal site b. Deltoid muscle c. Vastus lateralis d. Ventrogluteal site Answer: C Rationale: The vastus lateralis site is frequently used for infants and small children because it is more developed than the other intramuscular sites such as the dorsogluteal and deltoid muscle. Ventrogluteal sites may be used in children who have been ambulating for more than 2 years. Question Format: Multiple Choice Chapter: 2 Learning Objective: 7 Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 29, Administration of Drugs by the Intramuscular Route 2. A health care provider instructs a nurse to administer a medication to a client STAT. Which action by the nurse would be most appropriate? a. Insist on obtaining a written report before administering any drug. b. Administer the drug as ordered by the health care provider. c. Forego obtaining the health care provider's order after the drug has been administered. d. Document the administration of the drug only after receiving the health care provider's order. Answer: B Rationale: The nurse should administer the drug as instructed without a written order as it is an emergency. The nurse should, however, ensure that the health care provider's order is obtained after the drug has been administered. Waiting for a written order during an emergency may exacerbate the client's condition. The nurse should complete the documentation immediately after the administration of the drug and not wait until the health care provider's order is received. Question Format: Multiple Choice Chapter: 2 Learning Objective: 3 Cognitive Level: Apply Client Needs: Safe and Effective Care Environment: Coordinated Care Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 21, Right Dose, Right Route, and Right Time 3. A nurse has administered an opioid drug to a client. Which action would be most appropriate for the nurse to do immediately after administering the drug? a. Monitor the vital signs of the client. b. Document administration of the drug. c. Inform the client about the type of drug. d. Update the health care provider regarding the client's condition. Answer: B Rationale: After administration of any drug, the nurse should immediately document the administration. After the documentation is complete, the nurse can record the client's vital signs. The client needs to be informed about the drug before the administration. The health care provider need not be immediately informed, unless the client develops severe adverse reactions. Question Format: Multiple Choice Chapter: 2 Learning Objective: 9 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacologic Therapies Integrated Process: Communication and Documentation Reference: p. 33, Nursing Responsibilities After Drug Administration 4. A health care provider orders a transdermal drug. When administering this drug, which action by the nurse would be most appropriate? a. Apply next dose to a new site. b. Check the infusion rate. c. Inject only the inner part of the forearm. d. Give small volumes of doses. Answer: A Rationale: An important nursing intervention when administrating drugs through the transdermal route is to apply the next dose to a new site. It is important to check the infusion rate every 15 to 30 minutes in clients using infusion controllers or infusion pumps. When using the intradermal route, the inner part of the forearm should be used as the injection site and small volumes of doses should be administered. Question Format: Multiple Choice Chapter: 2 Learning Objective: 8 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacologic Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 33, Administration of Drugs by the Transdermal Route 5. The health care provider has asked a nurse to administer a drug intravenously to an unresponsive client. How can the nurse ensure that the drug is administered to the right client? a. By waking the client up to ask their name b. By identifying the client's room number c. By checking the client's wristband d. By asking the nursing assistant for the client's location