Oral and Topical Medication Quiz

Skills Module 3.0: Oral and Topical Medication Administration Posttest CLOSE Question: 1 of 9 CORRECT Time Remaining: 08:19:35 Pause Remaining: 08:20:00 PAUSE FLAG A nurse is administering aspirin 81 mg PO daily to a client who has a history of myocardial infarction. The medication is scheduled for 0800. Which of the following scenarios demonstrates proper use of one of the Ten Rights of Medication Administration? The nurse performs the first check of the correct dosage at the client's bedside. INCORRECT The nurse should perform three checks of the medication and dosage prior to administration. The first check is performed prior to removing the medication from the drawer. The nurse identifies the client by stating the client's name as written on the medication administration record. INCORRECT The nurse should ask the client to state their name and check the medication administration record against the client's identification bracelet to ensure proper identification. The nurse documents that the aspirin was given at 0825. CORRECT Routinely prescribed medications should be given within 30 min of the time ordered. The nurse opens the 81 mg aspirin unit dose package prior to entering the client's room. INCORRECT When using unit dose packages, the package should be opened at the client's bedside after the third check. Skills Module 3.0: Oral and Topical Medication Administration Posttest CLOSE Question: 2 of 9 CORRECT Time Remaining: 08:19:18 Pause Remaining: 08:20:00 PAUSE FLAG A nurse is preparing to instill antibiotic ear drops into the ear of a 2-year-old child. Which of the following techniques should the nurse use when administering ear drops to this client? Have the client maintain a side-lying position for 30 min after administration of the ear drops. INCORRECT The client should remain in a side-lying position for 5 min following the administration of ear drops. Pull the client's auricle down and back to open the canal when administering the ear drops. CORRECT The auricle should be pulled down and back for young children and up and out for adults. Don sterile gloves prior to administration of the ear drops. INCORRECT It is not necessary to wear sterile gloves to maintain sterile technique when administering ear drops. Insert the tip of the dropper into the ear canal when administering the ear drops. INCORRECT The dropper should be held 1 cm (0.39 in) away from the canal to prevent contamination and maintain sterility. Skills Module 3.0: Oral and Topical Medication Administration Posttest CLOSE Question: 3 of 9 CORRECT Time Remaining: 08:17:11 Pause Remaining: 08:20:00 PAUSE FLAG A nurse is preparing to administer a client's medication. The client states the medication makes them feel nauseated and refuses to take it. Which of the following actions should the nurse take? Document the reason for refusal along with the date and time in the client's medical record. CORRECT The client has the right to refuse medication. Refusals must be documented in the client's record with the date, time, and reason for refusal, if known. Tell the client that if they don't take the medication that they will not get any better. INCORRECT The nurse should educate the client on the consequences of not taking the medication. The nurse should also assess the client's nausea to see if it can be treated. Place the medication on the client's bedside so they can take it when they are no longer nauseated. INCORRECT The nurse should always witness the client take the medication. Notify the pharmacist that the client refuses to take the medication. INCORRECT It is not necessary to notify the pharmacist about the refusal; however, the provider might need to be notified. Skills Module 3.0: Oral and Topical Medication Administration Posttest CLOSE Question: 4 of 9 CORRECT Time Remaining: 08:15:28 Pause Remaining: 08:20:00 PAUSE FLAG A nurse is caring for a client who has COPD. For which of the following inhalation medication delivery methods should the nurse assess the client's ability to inhale deeply? Dry powder inhaler (DPI) CORRECT This method has no propellant and requires a deep inhalation to trigger the release of medication. Therefore, it is important for the nurse to assess the client's ability to inhale deeply for this type of inhalation medication delivery method. Nasal spray INCORRECT Medication administered via nasal spray does not go into the lungs; therefore, it is not necessary for the client to inhale deeply. Metered dose inhaler (MDI) with attached spacer INCORRECT The MDI contains propellant, so medication is forcefully expelled when triggered by hand. The spacer facilitates delivery of the medication because it requires less hand coordination. Use of a nebulizer via a mask INCORRECT This delivery method is beneficial for a client who is unable to use a hand-held nebulizer and provides continuous medication delivery until the measured dose has been delivered.