ATI Medication Administration
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A nurse is providing discharge teaching to a client. Which of the following strategies should the nurse include?
-Use closed-ended questions
-Provide written material at a 9th-grade reading level
-Use passive listening skills
-Encourage the client to ask questions
-Use closed-ended questions
-Provide written material at a 9th-grade reading level
-Use passive listening skills
-Encourage the client to ask questions
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A nurse is providing discharge teaching to a client. Which of the following strategies should the nurse include?
-Use closed-ended questions
-Provide written material at a 9th-grade reading level
-Use passive listening skills
-Encourage the client to ask questions
-Use closed-ended questions
-Provide written material at a 9th-grade reading level
-Use passive listening skills
-Encourage the client to ask questions
-Encourage the client to ask questions
The nurse should encourage the client to ask questions to facilitate an active role in their own care and promote an understanding of the education.
The nurse should encourage the client to ask questions to facilitate an active role in their own care and promote an understanding of the education.
A nurse is planning to use the teach-back method to educate a client about a new antihypertensive medication. Which of the following should the nurse include to demonstrate this method?
-Provide the client with an internet link to research the medications
-Refer the client to the American Heart Association
-Give the client written education material about the medication
-Ask the client to explain the information using their own words
-Provide the client with an internet link to research the medications
-Refer the client to the American Heart Association
-Give the client written education material about the medication
-Ask the client to explain the information using their own words
-Ask the client to explain the information using their own words
The teach-back method is a teaching approach in which the client repeats the instructions or information back to the nurse using their own words. This method allows the nurse to determine the client's understanding of the information and whether further education is required.
The teach-back method is a teaching approach in which the client repeats the instructions or information back to the nurse using their own words. This method allows the nurse to determine the client's understanding of the information and whether further education is required.
A nurse is assisting with teaching a client about self-administration of insulin. Which of the following actions should the nurse take?
-Repeat the least important information to the client
-Have the client perform a return demonstration of the procedure
-Provide the client with educational materials written at an 8th-grade reading level
-Dim the lights in the client's room before beginning the teaching
-Repeat the least important information to the client
-Have the client perform a return demonstration of the procedure
-Provide the client with educational materials written at an 8th-grade reading level
-Dim the lights in the client's room before beginning the teaching
-Have the client perform a return demonstration of the procedure
The nurse should have the client perform a return demonstration of the procedure to determine the client's understanding.
The nurse should have the client perform a return demonstration of the procedure to determine the client's understanding.
A nurse is performing a medication reconciliation for a client who is being transferred to a long-term care facility. Which of the following actions should the nurse take? (Select all that apply.)
-Place the medication reconciliation form with the client's transfer documents.
-Reinforce teaching about the medications to the client upon discharge.
-Add medications the client is no longer taking in the medication reconciliation.
-Include over-the-counter medications in the medication reconciliation.
-Compare the client's home medications with prescribed discharge medications.
-Place the medication reconciliation form with the client's transfer documents.
-Reinforce teaching about the medications to the client upon discharge.
-Add medications the client is no longer taking in the medication reconciliation.
-Include over-the-counter medications in the medication reconciliation.
-Compare the client's home medications with prescribed discharge medications.
-Place the medication reconciliation form with the client's transfer documents.
-Reinforce teaching about the medications with the client upon discharge.
-Include over-the-counter medications in the medication reconciliation.
-Compare the client's home medications with prescribed discharge medications.
-Reinforce teaching about the medications with the client upon discharge.
-Include over-the-counter medications in the medication reconciliation.
-Compare the client's home medications with prescribed discharge medications.
A nurse is preparing to administer amikacin 7/mg/kg/day IM to a client who weighs 165 pounds. Available is amikacin 250 mg/mL solution for injection. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
2.1 mL
A nurse is scheduled to administer a medication to a client who is currently in the bathroom. Which of the following actions should the nurse plan to take?
-Leave the medication at the client's bedside
-Prepare the medication to administer later
-Document the medication was given prior to administration
-Come back in a few minutes to administer the medication
-Leave the medication at the client's bedside
-Prepare the medication to administer later
-Document the medication was given prior to administration
-Come back in a few minutes to administer the medication
-Come back in a few minutes to administer the medication
The nurse should wait for the client to finish in the bathroom or come back in a few minutes to administer the medication to ensure the medication is safely administered. The nurse should stay with the client until the medication is completely administered via the correct route.
The nurse should wait for the client to finish in the bathroom or come back in a few minutes to administer the medication to ensure the medication is safely administered. The nurse should stay with the client until the medication is completely administered via the correct route.
A nurse is caring for a group of clients. Which of the following clients should the nurse identify is at the greatest risk of developing medication toxicity?
-A client who has a respiratory infection
-A client who has rheumatoid arthritis
-A client who has impaired kidney function
-A client who has hyperthyroidism
-A client who has a respiratory infection
-A client who has rheumatoid arthritis
-A client who has impaired kidney function
-A client who has hyperthyroidism
-A client who has impaired kidney function
The nurse should identify that the client who has impaired kidney function is at the greatest risk for medication toxicity because many medications are excreted by the kidneys. A decrease in function of the kidneys can result in a buildup of medication metabolites.
The nurse should identify that the client who has impaired kidney function is at the greatest risk for medication toxicity because many medications are excreted by the kidneys. A decrease in function of the kidneys can result in a buildup of medication metabolites.
A nurse is participating in a committee to reduce medication errors on a medical unit. Which of the following interventions should the nurse recommend? (Select all that apply.)
-Mark the area around the automated medication dispensing system.
-Encourage the use of cell phones when dispensing medications.
-Override the automated medication dispensing system during emergencies.
-Provide the nurse administering medications with a vest.
-Double check dosages of high-alert medications.
-Mark the area around the automated medication dispensing system.
-Encourage the use of cell phones when dispensing medications.
-Override the automated medication dispensing system during emergencies.
-Provide the nurse administering medications with a vest.
-Double check dosages of high-alert medications.
-Mark the area around the automated medication dispensing system.
-Provide the nurse administering medications with a vest.
-Double check dosages of high-alert medications.
-Provide the nurse administering medications with a vest.
-Double check dosages of high-alert medications.
A charge nurse is reviewing routes of medication administration with a newly licensed nurse when providing care to a client. Which of the following routes of administration should the charge nurse include as having the slowest onset of action?
-Intramuscular
-Oral
-Buccal
-Intravenous
-Intramuscular
-Oral
-Buccal
-Intravenous
-Oral
The oral route, while convenient and most preferred by clients, has a slow onset of action.
The oral route, while convenient and most preferred by clients, has a slow onset of action.
A nurse is preparing to administer acetaminophen 320 mg oral solution to a school-age child. The amount available is acetaminophen oral solution 160 mg/5 mL. How many mL should the nurse administer?
10 mL
A nurse is preparing to administer medications to a client. The nurse should identify that which of the following factors contributes to medication errors? (Select all that apply.)
-The use of automated dispensing systems
-Administering a generic medication
-Administering medication outside of prescribed time intervals
-Failing to administer a medication
-Incorrect dose of the prescribed medication administered to the client
-The use of automated dispensing systems
-Administering a generic medication
-Administering medication outside of prescribed time intervals
-Failing to administer a medication
-Incorrect dose of the prescribed medication administered to the client
-Administering medication outside of prescribed time intervals
-Failing to administer a medication
-Incorrect dose of the prescribed medication administered to the client
-Failing to administer a medication
-Incorrect dose of the prescribed medication administered to the client
A nurse is reviewing the pharmacokinetics of medications with a newly licensed nurse. The nurse should include that which of the following factors can affect the rate of absorption? (Select all that apply.)
-Age of the client
-First pass effect
-Lipid solubility of a medication
-Route of administration
-Metabolism of the medication
-Age of the client
-First pass effect
-Lipid solubility of a medication
-Route of administration
-Metabolism of the medication
-Age of the client
-Lipid solubility of a medication
-Route of administration
-Lipid solubility of a medication
-Route of administration
A nurse is preparing to administer an intradermal injection to a client. At which of the following degree angles should the nurse insert the needle?
-60 degree angle
-90 degree angle
-45 degree angle
-10 degree angle
-60 degree angle
-90 degree angle
-45 degree angle
-10 degree angle
-10 degree angle
The nurse should insert the needle at a 5 to 15 degree angle about 1/8 inch under the skin and observe for the tip of the needle, which would indicate that the needle is in the intradermal layer of the client's skin.
The nurse should insert the needle at a 5 to 15 degree angle about 1/8 inch under the skin and observe for the tip of the needle, which would indicate that the needle is in the intradermal layer of the client's skin.
A nurse is preparing to administer a medication to a client who has an enteral feeding tube. Which of the following actions should the nurse take?
-Mix the medication with the client's feeding infusion
-Flush the feeding tube with 10 mL of water prior to administration of the medication
-Administer the medication to the client in a liquid form
-Place the client in a supine position prior to administering the medication
-Mix the medication with the client's feeding infusion
-Flush the feeding tube with 10 mL of water prior to administration of the medication
-Administer the medication to the client in a liquid form
-Place the client in a supine position prior to administering the medication
-Administer the medication to the client in a liquid form
The nurse should administer the medication in a liquid form to reduce the risk of clogging the feeding tube. The nurse should consult with the pharmacist to determine which medications are available as a liquid and which can be crushed and mixed with water prior to administration.
The nurse should administer the medication in a liquid form to reduce the risk of clogging the feeding tube. The nurse should consult with the pharmacist to determine which medications are available as a liquid and which can be crushed and mixed with water prior to administration.
A nurse is collecting data on a client who is receiving vancomycin IV. The nurse observes the client has a rash on their neck, chest, and back. Which of the following actions should the nurse take first?
-Notify the client's provider
-Stop the infusion of the vancomycin
-Administer diphenhydramine to the client
-Document the incident in the client's chart
-Notify the client's provider
-Stop the infusion of the vancomycin
-Administer diphenhydramine to the client
-Document the incident in the client's chart
-Stop the infusion of the vancomycin
The greatest risk to the client is injury from an acute allergic reaction. Therefore, the first action the nurse should take is to stop the infusion of the vancomycin to reduce the risk of further injury.
The greatest risk to the client is injury from an acute allergic reaction. Therefore, the first action the nurse should take is to stop the infusion of the vancomycin to reduce the risk of further injury.