Week 5 Lab Quiz

A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 4 hr as needed. The amount available is diphenhydramine elixir 12.5 mg/5 mL. 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.)

10 mL

A nurse is caring for a client who had IV fluids initiated at 0330. The IV fluids are infusing at 120 mL/hr. The nurse should record how many mL of IV fluids on the intake record at 0600?

300 mL

A nurse is caring for a client and identifies an infiltration at the IV catheter site. Identify the order the nurse should perform the following actions. (Place the steps in the correct order of performance. All steps must be used. Use 1, 2, 3, 4, 5 format.) 1) Elevate the extremity. 2) Remove the IV catheter. 3) Apply warm or cold compresses. 4) Stop the infusion. 5) Apply a sterile dressing.

4, 2, 5, 1, 3

A client receives a wrong medication. The nurse who made the medication error should take which of the following actions first? a. Call the client's provider. b. Assess the client. c. Notify the nurse manager. d. Complete an incident report.

b. Assess the client.

A nurse is caring for a client who is receiving heparin 3,800 units subcutaneous daily. Available is heparin 5,000 units/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.)

0.8 mL

A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following examples should the nurse use to show appropriate transcription of this dosage? a. .2 mg b. 0.2 mg c. 0.20 mg d. 2.0 mg

b. 0.2 mg

After applying an elastic bandage to a wrist, it is important for the nurse to assess: (Select all that apply): a. Wrinkles in the bandage b. Looseness of the bandage c. Palpate proximal pulses to the bandaged site d. Skin pallor or cyanosis distal to bandage e. Joint mobility

a, b, d, e

A nurse teaches the patient about the prescribed buccal medication. Which statement by the patient indicates teaching by the nurse is successful? a. "I should let the medication dissolve completely." b. "I will place the medication in the same location." c. "I can only drink water, not juice, with this medication." d. "I better chew my medication first for faster distribution."

a. "I should let the medication dissolve completely."

Before administering a medication to a client, the nurse must identify the client. Which of the following methods of identification should the nurse use? a. Ask the client's full name and date of birth. b. Verify the client's room number. c. Check the client's name on the medication administration record (MAR). d. Ask a family member to verify the client's identity.

a. Ask the client's full name and date of birth.

A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following a. Shake the inhaler for 3 to 5 seconds. b. Rinse the mouth with mouthwash after inhaling the medication. c. Wait 2 min between inhalations. d. Press down twice on the MDI canister.

a. Shake the inhaler for 3 to 5 seconds.

A nurse caring for a client who has an infected wound removes a dressing saturated with blood and purulent drainage. How should the nurse dispose of the dressing material? a. Discard the dressing in the bedside trash receptacle. b. Dispose of the dressing in a biohazardous waste container. c. Enclose the dressing in a single clear plastic bag and discard in the bedside trash receptacle. d. Double-bag the dressing in clear bags and label it "biohazard".

b. Dispose of the dressing in a biohazardous waste container.

A nurse is preparing to administer ampicillin and gentamicin sulfate via IV infusion. Which of the following resources should the nurse consult first regarding medication compatibility? a. Nurse manager b. Hospital pharmacist c. Health care provider d. Medication sales representative

b. Hospital pharmacist

A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching? a. "I will remove the old patch and apply a new one in the same location." b. "I will press the patch securely in place on my forearm." c. "I will clean and dry the area before applying the patch." d. "I will use lotion on irritated skin before applying a new patch in that area."

c. "I will clean and dry the area before applying the patch."

The nurse is preparing to administer an injection into the deltoid muscle of an adult patient weighing approximately 160 lb. Which needle size and length will the nurse choose? a. 18 gauge × 1 1/2 inch b. 23 gauge × 1/2 inch c. 25 gauge × 1 inch d. 27 gauge × 5/8 inch

c. 25 gauge × 1 inch

A nurse is caring for a client who is postoperative following abdominal surgery. The nurse discovers a loop of bowel through an opening in the surgical incision. Which of the following actions should the nurse take? a. Place the head of the client's bed in the flat position. b. Gently reinsert the bowel back into the client's wound. c. Apply moistened sterile gauze to the site. d. Position the client on his left side.

c. Apply moistened sterile gauze to the site.

A nurse is preparing a client's evening dose of risperidone when the tablet falls on the countertop. Which of the following actions should the nurse take? a. Use the tablet's packaging to pick it up from the counter. b. Wash the tablet off with alcohol and place it in a clean medication cup. c. Discard the tablet and obtain another dose of medication. d. Place the tablet directly into a medication cup.

c. Discard the tablet and obtain another dose of medication.

An older-adult patient needs an intramuscular (IM) injection of antibiotic. Which site is best for the nurse to use? a. Deltoid b. Dorsal gluteal c. Ventrogluteal d. Vastus lateralis

c. Ventrogluteal

A registered nurse interprets that a scribbled medication prescription reads 25 mg. The nurse administers 25 mg of the medication to a patient and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error? a. Health care provider b. Pharmacist c. Hospital d. Nurse

d. Nurse

A nurse is assessing a client's wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following? a. Serous b. Purulent c. Sanguineous d. Serosanguineous

d. Serosanguineous

A nurse is caring for a client who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule? a. Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side. b. Wear sterile gloves and break off the neck of the glass ampule with a single snap in a downward motion. c. Tap the bottom of the ampule, place a gauze pad around the ampule neck, and break off the bottom with a forward motion away from the body. d. Tap the top of the ampule, place a sterile gauze pad around the ampule neck, and break off the top by bending it toward the body.

d. Tap the top of the ampule, place a sterile gauze pad around the ampule neck, and break off the top by bending it toward the body.