Unit 6 FON

. A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

Administer the medication under the client's tongue.

A nurse is reinforcing teaching with an adult client who has a low literacy level about the subcutaneous administration of medication. Which of the following strategies should the nurse use to promote the client's understanding.

After giving the client essential information, the nurse should ask the client to restate, review, or demonstrate skills to determine understanding.

A nurse is caring for an adult client who is competent and has refused an analgesic injection. The nurse administers the injection despite the client's objectives. Which of the following types of the following types of tort has the nurse committed?

Battery is actual physical contact without the client's consent. Administering the medication against the client's wishes is battery.

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

Sublingual route is brisk because medication goes through the oral mucosa into the bloodstream.

Ampule

sealed glass container for a drug

Polypharmacy

administration of multiple drugs to the same person

Dose

amount of drug

Induration

area of hardness

Lipoatrophy

breakdown of subcutaneous fat at the site of repeated insulin injections

Stock supply

drugs kept in a nursing unit for use in an emergency

Percutaneous application

drugs rubbed into or placed in contact with the skin

Controlled Substance

drugs whose prescription and dispensing are regulated by federal law because they have the potential for abuse

Xerostomia

dry mouth

Wheal

elevated circle on the skin

Extended-release

form of drug designed to dissolve slowly and and be release over time; (CR, ER)

Continuous Release

form of drug designed to dissolve slowly and be released over time; also extended release. (CR, ER)

Deltoid site

injection area in the lateral upper arm

Dorsogluteal site

injection area in the upper outer quadrant of the buttocks

Z-track technique

injection method that prevents medication from leaking outside the muscle

Transdermal application

method of applying a drug on the skin and allowing it to become passively absorbed

Ophthalmic application

method of applying drugs onto the mucous membrane is no longer intact

Aersol

mist

Over-the-counter

nonprescription drug

Drug diversion

obtaining a drug through illicit methods such as theft from a person for whom the drug has been prescribed

Sublingual application

placement of a drug under the tongue

Reconstitution

process of adding liquid to a powdered substance

A nurse is preparing to administer morning insulin to a client who has a prescription for 14 units for regular insulin and 28 units of NPH insulin SC daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?

42 units

A nurse is preparing to administer penicillin Im to an adult client. Which of the following angles should the nurse use for injection into the client's ventrogluteal muscle?

90 degrees, with this angle the nurse will deposit the medication deeply into the muscle to ensure rapid absorption.

A nurse observes a newly licensed nurse administered enoxaparin SC using a pre-filled syringe. Which of the following indicated appropriate medication administration?

A newly licensed nurse should administer enoxaparin at least 2in from the umbilicus.

A newly licensed nurse is preparing to administer an IM medication to a client and is unsure of the appropriate technique. Which of the following actions should the nurse take?

Review the institutional policy and procedure manual.

A nurse is preparing to administer ceftriaxone 3mL intramuscularly to an adult client. Which of the following actions should the nurse plan to take?

Should be injected deeply into a large muscle.

A nurse is preparing to administer enteric-coated aspirin to an older adult client who has a cerebrovascular accident and has difficulty swallowing medication. The client asks the nurse if she will crush the medication to make it easier to swallow. Which of the following responses should the nurse make?

The enteric coating prevents it from dissolving in the stomach, crushing the pill will destroy the protective coating

A client receives the wrong medication in error. The nurse who made the medication error should do which of the following?

The first action the nurse should take using the nursing process is to collect data from the client. Determine whether the error has caused the client any harm.

A nurse is administering an IM injection using a passive needle-safety device. After injection, which of the following actions should the nurse take?

The needle will retract into the barrel of the syringe immediately after use. The nurse should just make sure the device works as it should

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?

The nurse should apply firm pressure without massage to the site for 1-2 min after administration. (massaging the area after injection can cause bleeding.)

A nurse is preparing to administer an IM injection to a client using medication from an ampule. Which of the following actions should the nurse plan to make?

The nurse should insert the need into the center of the ampule without touching the rim with the needle tip or shaft.

A nurse is preparing to administer a prepackaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?

The nurse should perform the final medication check at the client's bedside while reviewing the package label.

A Nurse is preparing to dispose of a needle after administering an intramuscular injection to a client who has hepatitis C. Which of the following actions should the nurse take?

The nurse should place the uncapped needle in a puncture-resistant container to prevent needlestick injuries.

Generic name

chemical drug name that is not protected by a manufacture's trademark

Nebulizer

device that converts liquid inhalant medication to an aerosol using compressed air

Gauge

diameter

Inhalant route

drug administration into the lower airways

Otic application

drug instillation of the outer ear

Buccal application

drug placement against the mucous membranes of the inner cheek

Sustained release

drug that dissolves at time intervals

Tragus

skin-covered cartilage at the opening of the external ear

Precipitate

solid particles originally dissolved in liquid

Rebound effect

swelling of the nasal mucosa within a short time of inhaled decongestant drug administration

Enteric-coated Tablet

tablet covered with substance that does not dissolve until it is past the stomach

Scored tablet

tablet with groove in the center

Lipohypertrophy

thickening of subcutaneous fat at insulin injection sites