fundamentals ch. 33,34,35

Narcotic orders are good for

2 days

Check medication for accuracy of dose

3 times

for an Allergic reaction, the best nursing intervention would be to monitor for

30mins for an allergic reaction

A med given IM can be

3ml max per muscle

Best angle for a subcutaneous injection is a

45-degree angle

Nurse is aware that medication that you Don't put down feeding tube or crush are

Enteric coated, sublingual, buccal, or sustained release

Steps for mixing insulin

Inject air into cloudy, air into clear, withdrawal the clear, withdrawal the cloudy

Best location for subcutaneous heparin is the

abdomen

a patient has received medication via oral and is vomiting, you would want to

acquire an order to administer via rectally or parental route IV

a patient is receiving an initial dose of penicillin for pneumonia, the nurse should be alert and monitor for

an allergic reaction, A systemic allergic reaction for penicillin is hives, or nausea, dizziness.

Filter needles should be used when medication is being withdrawn from

an ampule to trap the glass particles

When administering a med with a feeding tube, dissolve med in 30 mls of water

and use 15-30 of water to flush

The nurse administering a nitro glycerin ointment paste will

apply with gloves or tongue blade

the nurse is administering an enteric coated oral medication to a patient who is unable to swallow tablets. The best nursing intervention would be to

ask the primary care provider if he can prescribe a liquid form

Before a nurse administer a liquid medication to an 83yr old male patient

assess the swallowing the reflex by offering a sip of water

The nurse is going to administer a med which needs to be crushed, the nurse would best

best mix it in apple sauce or in soft food

To reduce systemic absorption of eyedrops, you want to

block the lacrimal drop and apply slight finger pressure under the lacrimal duct

Before administering digoxin (Lanoxin) the nurse should assess and

check the apical heart rate for 1 min

The nurse is checking the EMAR and finds that the order for antibiotics is 8 days old, the nurse should

contact the medical provider for a new order

When you have an order for 2 IM injections in the same syringe, you should initially

determine if the medication Is compatible in the same syringe

A patient is attempting to put pills in the mouth and drops them on the bed sheet, the nurse should

discard the pill and get another from the med pack

Call the pharmacy for a new medication, if the medication is

expired

To ensure proper administration of a tb skin test you should inject slowly to

form a bleb

How to find the Ventrogluteal site is the

head of the trochanter, anterior iliac spine

Stop and withhold the medication order, if the patient says

her medications look different

A nurse is administering a med to an older adult patient who is normally highly protein bound, the nurse would be concerned for

increased drug activity and possible toxicity, if the pt lab value shows low albumin levels.

if you are taking care of an elderly patient in a SNF building, they are prescribed a medication to lower their BP, the best nursing intervention would be to

instruct the resident to rise slowly when getting up to get into bed or chair

When giving medications it is most important to record the fluid intake on

intake record

A patient of a Cambodian culture reports that the new medication is not adequate for treatment because

it is smaller than the old one

Narcotics and controlled substances should be kept under

lock and key

A patient with liver disease, is beginning a medication therapy which is being metabolized in the liver, the nurse should give a

lower than normal dose

Properly giving the suppository includes

lubricant the end of the suppository at the end

When administering several medications via feeding tube, you should

mix them individually

In the event of the narcotic count has less than what it is supposed to be, discrepancy, between the days shift and the evening, the day nurse

must stay till the discrepancy is resolved

Complete drug order must contain

name of the patient, name of the drug, and how it is supposed to be given, the dosage to be given

We know that when instructing a patient who self-injects the insulin, we should educate them

on rotating injections sites

the licensed nurse is responsible for doing the narcotic count for the

oncoming shift with the next nurse

For an adult pt who has an order to receive an Otic medication, the nurse should

plan to administer by pulling the pinna, up and back

rectal suppository

position in left sims position

IV is the fastest route for

post-op pain medications

Z track is given to

prevent tissue irritation

An older patient is having trouble swallowing an enteric coated tab for which there is no liquid form available, to help swallow the dose more easily the nurse should

request that the patient tilt his chin down and try to swallow

A pt has an order for nitro glycerin transdermal patch, best way to ensure proper administration

rotate the sites to avoid skin irritation

A nurse is educating on an obese patient how to administer a subcutaneous injection

she would suggest a longer needle because of his weight

the nurse has an order to administer a scheduled drug, the nurse knows that her responsibility is to

sign out the drug on a narcotic controlled inventory sheet

To Decrease discomfort always use the

smallest gauge needle that is appropriate for the site

Nasal spray inhalers, you should have the patient to

squeeze the bottle while inhaling

Medications that should never be crushed are

sublingual, enteric coated, sustained release

A nurse is administering meds to a group of patients, the nurse knows the best way to identify these patients is to check

the name and id band and compare to the MAR

A patient in a long-term care receives the wrong meds, the nurse instructs which nurse to document?

the nurse who finds the error

An older patient visits an outpatient clinic is being seen for hypertension, the nurse finds that the patient has not been taking his bp meds for the last 10 days

the nurse would say that the medication will help keep his medication in a safe range.

the nurse explains that a drug may have several names, the trade name is

the only name that can be trademarked

The patient is going to be discharged with a variety of medication, the best way to assess the patient with meds is to

to assist the patient with arrangement of a user-friendly pill organizer

Nitropaste

topical drug

a 4yr old child, the best site to use is the

vastus lateralis

An older adult male with arthritis has been taking anti-inflammatory drugs for the past 5 years

watch the patient for GI bleeds, and anemia

a CNS depressant: a nurse is reinforcing instructions, the nurse cautions the patient to not drink alcohol because

we know that the alcohol mixed with the drug, will increase the CNS effect

before administering a medication to a patient, determine

why the patient needs the medication and why they are admitted and Check the medical history of the patient

The nurse is providing instructions on how to use a meter inhaler with a spacer, you instruct to

wrap your lips around the meter inhaler between the teeth, and seal the lips around it completely and completely exhale though the nose

if a patient is being given an antibiotic drug, it is important that you give the scheduled on time and not late because

you can decrease you can decrease the minimum concentration level. Keep it above the minimum concentration level

To administer a drug be sure to have the

-right drug -right dose -right route -right time -right patient -right documentation