A client tells the nurse, “This pill is a different color than the one that I usually take at home.” Which is the best response by the nurse?
“Go ahead and take your medicine.”
“I will recheck your medication orders.”
“Maybe the doctor ordered a different medication.”
“I’ll leave the pill here while I check with the doctor.”
The following medications are listed on a client’s medication administration record (MAR). Which medication order should the nurse question?
Lasix 40 mg, po, STAT
Ampicillin 500 mg, q6hr, IVPB
Humulin L (Lente) insulin 36 units, subcutaneously, every morning before breakfast
Codeine q4–6hr, po, prn for pain
The primary care provider prescribed 5 mL of a medication to be given deep intramuscular for a 40-year-old female who is 5’7” tall and weighs 135 pounds. Which is the most appropriate method of administration?
A tuberculin syringe, #25–#27 gauge, 1/4- to 5/8-inch needle
Two 3-mL syringes, #20–#23 gauge, 1 1/2-inch needle
Two 2-mL syringes, #25 gauge, 5/8-inch needle
Two 2-mL syringes, #20–#23 gauge, 1-inch needle
The nurse is to administer 0.75 mL of medication subcutaneously in the upper arm to a 50-year-old 300-pound client. The nurse can grasp approximately 2 inches of the client’s tissue at the upper arm. Which is the most appropriate for the nurse to use?
2-mL syringe, #25 gauge, 5/8-inch needle
2-mL syringe, #20–#23 gauge, 1-inch needle
The nurse is to administer a tuberculin test to a 22-year-old male who is 6 feet tall and weighs 180 pounds. Which is the most appropriate for the nurse to use?
The nurse is to administer 0.5 mL of a medication by intramuscular injection to an older emaciated client. Which is the most appropriate for the nurse to use?
An older client with renal insufficiency is to receive a cardiac medication. Which is the nurse most likely to administer?
A decreased dosage
The standard dosage
An increased dosage
Divided dosages
Proper administration of an otic medication to a 2-year-old client includes which of the following?
Pull the ear straight back
Pull the ear down and back.
Pull the ear up and back
Pull the ear straight upward.
A primary care provider writes a prescription for 0.15 milligram of digoxin intravenously every day. The medication is available in a concentration of 400 micrograms per mL. How many mL will the nurse administer? ___________
0.375 or rounded to 0.38 mL
0.575 or rounded to 0.58 mL
A nursing student is preparing to administer insulin to a client with diabetes. Indicate the correct order for the administration of this medication: 1. Cleanse the site with alcohol. 2. Insert the needle quickly into the subcutaneous tissue. 3. Mix the insulins. 4. Assess the skin for the injection. 5. Pinch the skin lightly. 6. Inject the medication. 7. Count to five. 8. Remove the syringe.
1, 2, 3, 4, 5, 6, 7, and 8
3, 4, 1, 5, 2, 6, 7, and 8
4, 2, 6, 8, 3, 1, 7, and 5
5, 2, 1, 7, 8, 6, 4, and 3
