A nurse is reinforcing teaching with a group of nurses about medication administration. Which of the following routes of administration provides the most rapid onset for the client?

intravenous

Topical patch

Sublingual

Intramuscular

Answer and Explanation

The Correct Answer is A

A. Intravenous: IV administration delivers medication directly into the bloodstream, allowing for the fastest onset of action (within seconds to minutes).

B. Topical patch: Slow absorption, designed for long-term, sustained release.

C. Sublingual: Faster than oral, but slower than IV (absorbed through mucous membranes).

D. Intramuscular: Faster than oral, but slower than IV, as the drug must diffuse into the bloodstream from muscle tissue.

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Correct Answer is A

Explanation

A. Dosage: The prescription states "metformin 500" but does not specify milligrams (mg), making it incomplete. It should be "metformin 500 mg PO BID" to avoid errors.

B. Time/frequency: BID (twice a day) is included, so the frequency is already specified.

C. Route: PO (by mouth) is clearly stated.

D. Medication: The drug name "metformin" is provided, so it is not missing.

A. A 1 mL TB syringe B. U-50 or U-100 insulin syringe C. A 3 mL luer lock syringe D. Depends upon the type of insulin

Correct Answer is B

Explanation

A. A 1 mL TB syringe: Tuberculin syringes lack insulin unit markings, increasing the risk of dosing errors.

B. U-50 or U-100 insulin syringe: Insulin syringes are specifically calibrated in units, ensuring accurate insulin administration.

C. A 3 mL luer lock syringe: This type is not designed for insulin; it lacks unit measurements and may lead to errors.

D. Depends upon the type of insulin: All insulins should be administered using insulin syringes (U-50 or U-100), not different syringe types.

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A nurse is reinforcing teaching with a group of nurses about medication administration. Which of the following routes of administration provides the most rapid onset for the client?

Nursing Test Bank

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