1. A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day
... [Show More] should the nurse expect to administer this medication?
A. One
B. Two
C. Three
D. Four - A
2. A nurse educator is reviewing medication metabolism at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages? (Select all that apply.)
A. Increased renal excretion
B. Increased medication-metabolizing enzymes
C. Liver failure
D. Peripheral vascular disease
E. Concurrent use of medication the same pathway metabolizes - C, E
3. A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take? (Select all that apply.)
A. Have the client lie on one side
B. Ask the client to look up at the ceiling
C. Tell the client to blink when the drops enter the eye
D. Drop the medication into the client's conjunctival sac
E. Instruct the client to close the eye gently after instillation - B, D, E
4. A nurse is teaching a client about transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands?
A. "I will clean the site with an alcohol swab before I apply the patch."
B. "I will rotate the application sites weekly."
C. "I will apply the patch to an area of skin with no hair."
D. "I will place the new patch on the site of the old patch." - C
5. A nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the client's medication. Which of the following actions should the nurse take?
A. Obtain a blood specimen immediately prior to administering the next dose of medication
B. Verify that the client has been taking the medication for 24 hours before obtaining a blood specimen
C. Ask the client to provide a urine specimen after the next dose of medication
D. Administer the medication, and obtain a blood specimen 30 minutes later - A
6. A nurse is preparing a client's medications. Which of the following actions should the nurse take in following legal practice guidelines? (Select all that apply.)
A. Teach the client about the medication
B. Determine the dosage
C. Monitor for adverse effects
D. Lock compartments for controlled substances
E. Determine the client's insurance status - A, C, D
7. A nurse is reviewing a client's prescribed medications. Which of the following situations represents a contraindication to medication administration?
A. The client drank grapefruit juice, which could reduce a medication's effectiveness
B. The medication has orthostatic hypotension as an adverse effect
C. A medication is approved for ages 12 and older, and the client is 8 years old
D. An antianxiety med that has an adverse effect of drowsiness is prescribed as a preoperative sedative - C
8. A nurse is assessing a client before administering medications. Which of the following data should the nurse obtain? (Select all that apply.)
A. Use of herbal products
B. Daily fluid intake
C. Ability to swallow
D. Previous surgical history
E. Allergies - A, C, E
9. A nurse is working with a newly licensed nurse who is administering meds to clients. Which of the following action should the nurse identify as an indication that the newly hired nurse understands medication error prevention?
A. Taking all meds out of the unit dose wrappers before entering the client's room
B. Checking the prescription when a single dose requires administration of multiple tablets
C. Administering a medication, then looking up the usual dosage range
D. Relying on another nurse to clarify a medication prescription - B
10. A nurse is caring for a client experiencing IV extravasaction. The facility requires the administration of an antidote for the prescribed IV solution. After stopping the IV infusion, which of the following actions should the nurse take first?
A. Remove the IV catheter
B. Withdraw the solution from the IV access
C. Administer the antidote to the vesicant
D. Insert a new IV access in a different extremity - B [Show Less]