A nurse is preparing to administer medications to a group of clients. One client, diagnosed with heart failure, is prescribed digoxin. The nurse notes the client’s pulse rate is 52 beats per minute. What should the nurse do first?
A. Administer the digoxin as scheduled. B. Withhold the digoxin and notify the healthcare provider. C. Administer the digoxin but at a reduced dosage. D. Assess the client for signs of digoxin toxicity. E. Document the pulse rate and proceed with administering the digoxin.
Rationale: With a pulse rate of 52 beats per minute, administering digoxin might exacerbate bradycardia and potentially lead to adverse effects. Withholding the medication and promptly notifying the healthcare provider ensures appropriate evaluation and modification of the treatment plan to prevent harm to the client. Correct Answer: B. Withhold the digoxin and notify the healthcare provider.
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A nurse is preparing to administer a subcutaneous injection to a client. Which technique should the nurse use to ensure proper medication administration?
A. Administer the medication at a 90-degree angle. B. Pinch the skin and inject the medication at a 45-degree angle. C. Cleanse the site with alcohol after the injection. D. Recap the needle before disposing of it in the sharps container. E. Insert the needle quickly to minimize discomfort.
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Rationale: Subcutaneous injections typically require pinching the skin and injecting at a 45-degree angle to ensure proper administration. This technique allows for adequate absorption and minimizes discomfort for the client, aligning with best practices for medication administration. Correct Answer: B. Pinch the skin and inject the medication at a 45-degree angle.
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@qbankproacademy 4000+ Free NCLEX QUESTIONS. Go to QBankProAcademy.com FREE Qbank questions for NCLEX RN, PN, HESI Exit, Med Surg, AANP, ANCC, and HesiA2. Practice questions, quizzes, and listen to the Free Podcast. In this video, we review a question on MEDICATION ADMINISTRATION in Nursing Care. Free nursing NCLEX 60-DAY CHALLENGE https://qbankpro.thinkific.com/courses/qbankpro-academy At QbankproAcademy.com our mission is to provide free QBanks, videos, and the most up to date test prep information for nurses. If you find our website helpful, please tell other aspiring nurses, nursing students, and professors. Please link to our site from your blogs, videos, and college websites, or share us on your favorite social media sites. Thank you for your support! nclex Nurses Nursing aanp qbank ancc hesi medsurg qbank
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NCLEX Review: Medication Administration Treatments
A nurse is preparing to administer an oral medication that comes in both liquid and tablet forms to a pediatric client. The medication dosage for both forms is the same. What is the nurse’s priority consideration?
A. Assess the client’s weight before administering. B. Verify the client’s ability to swallow pills. C. Ask the client’s preference between liquid or tablet form. D. Check for any allergies to the medication. E. Review the expiration dates of both forms.
Rationale: For pediatric clients, considering their ability to swallow pills is crucial when deciding between liquid and tablet forms of medication. This ensures safe and effective administration, minimizing the risk of choking or aspiration, and aligning with the client’s capabilities. Correct Answer: B. Verify the client’s ability to swallow pills.
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NCLEX Questions Critical Thinking: Medication Administration Symptoms
A nurse is administering medications to a client with diabetes who is prescribed regular insulin subcutaneously. Which action should the nurse take to ensure accurate administration?
A. Inject the insulin into the muscle for faster absorption. B. Warm the insulin vial in hot water before administration. C. Administer the insulin using a 25-gauge needle. D. Rotate injection sites within the same anatomic area. E. Draw regular insulin into the syringe after drawing up cloudy insulin.
Rationale: Rotating injection sites within the same anatomic area helps prevent lipodystrophy and ensures consistent absorption of insulin. This practice maintains the effectiveness of the medication and minimizes the risk of complications associated with repeated injections in the same site. Correct Answer: D. Rotate injection sites within the same anatomic area.
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Understanding Medication Administration Care: NCLEX Delegation Questions
A nurse is preparing to administer oral medications to a group of clients. One client, elderly and with a history of dysphagia, is prescribed multiple tablets at once. What should the nurse prioritize?
A. Crush all tablets and mix them in applesauce for administration. B. Administer the tablets with a large sip of water simultaneously. C. Check with the healthcare provider for alternative medication forms. D. Encourage the client to take each tablet separately with water. E. Administer the tablets rectally for better absorption.
Rationale: Given the client’s history of dysphagia and the potential risk of choking or difficulty swallowing multiple tablets, consulting the healthcare provider for alternative medication forms ensures safe and effective administration. This action prioritizes the client’s safety and adherence to the prescribed treatment. Correct Answer: C. Check with the healthcare provider for alternative medication forms.
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Understanding Medication Administration: NCLEX Priority Questions
A nurse is preparing to administer eye drops to a client with glaucoma. What technique should the nurse employ to administer the eye drops effectively?
A. Apply pressure to the lacrimal sac after instilling the drops. B. Administer the drops directly onto the cornea. C. Have the client close their eyes tightly after instillation. D. Touch the dropper tip to the eye to ensure proper delivery. E. Instruct the client to blink vigorously after receiving the drops.
Rationale: Applying pressure to the lacrimal sac after instilling eye drops prevents systemic absorption and promotes the retention of the medication in the eye, optimizing therapeutic effects. This technique minimizes waste and enhances the client’s response to treatment. Correct Answer: A. Apply pressure to the lacrimal sac after instilling the drops.
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A nurse is preparing to administer medication to a client diagnosed with peptic ulcer disease. The client is prescribed ranitidine (H2 receptor antagonist). Before administration, the nurse discovers that the client has a history of kidney disease. What action should the nurse take first?
A. Administer the ranitidine as prescribed. B. Assess the client’s current renal function. C. Notify the healthcare provider immediately. D. Suggest an alternative antacid medication. E. Educate the client on dietary modifications.
Rationale: Clients with kidney disease may require dosage adjustments or alternative medications due to potential adverse effects or altered drug metabolism. Notifying the healthcare provider ensures a safe and appropriate course of action, preventing potential harm related to renal impairment when administering the medication. Correct Answer: C. Notify the healthcare provider immediately.
NCLEX Questions: Focus on Medications for Medication Administration
A nurse is preparing to administer medications to a group of clients. One of the clients, diagnosed with hypertension, is prescribed an ACE inhibitor. Upon checking the client’s medication administration record, the nurse notices a recent note indicating a severe allergic reaction to an ACE inhibitor. What should the nurse do first?
A. Administer the ACE inhibitor as prescribed. B. Notify the healthcare provider immediately. C. Proceed with administering the ACE inhibitor but at a lower dose. D. Assess the client for any current signs of allergic reaction. E. Consult the pharmacist for an alternative medication.
Rationale: This scenario highlights the critical importance of recognizing allergic reactions and the need for immediate action. While withholding medication is crucial, contacting the healthcare provider promptly ensures appropriate alternative measures are taken, preventing harm and addressing the client’s needs. Correct Answer: B. Notify the healthcare provider immediately.
A nurse is preparing to administer an intramuscular injection to a client. Which technique should the nurse use to ensure proper medication administration?
A. Aspirate for blood return before injecting the medication. B. Select a smaller gauge needle for faster absorption. C. Insert the needle quickly and at a 90-degree angle. D. Massage the injection site after administering the medication. E. Change the injection site with each dose.
Rationale: Rotating injection sites prevents tissue damage, discomfort, and ensures optimal absorption. Consistent use of the same injection site can lead to local tissue irritation or injury, impacting the effectiveness of the medication. Therefore, rotating sites is essential for safe and effective intramuscular injections. Correct Answer: E. Change the injection site with each dose.
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NCLEX Focus Exploring Medication Administration: Causes and Diagnosis
A nurse is administering medications to a group of clients. One client is prescribed sublingual nitroglycerin for angina. What should the nurse instruct the client to do after administering the medication?
A. Swallow the tablet immediately. B. Place the tablet between the cheek and gum. C. Drink a full glass of water. D. Avoid talking or moving the mouth. E. Chew the tablet thoroughly.
Rationale: Sublingual nitroglycerin requires absorption through the oral mucosa, and instructing the client to avoid talking or moving the mouth allows for optimal absorption. These actions enhance the medication’s effectiveness in relieving anginal symptoms by ensuring proper absorption, making it a critical part of medication administration for this drug. Correct Answer: D. Avoid talking or moving the mouth.