Ch31- EAQ

Which action of the nurse indicates instillation of fluids into a body cavity? 1 Administering an eardrop 2 Placing a suppository in the rectum 3 Flushing the vagina with medicated fluid 4 Inserting medicated packing into the vagina 00:00:03 Question Answer Confidence ButtonsJust a guessPretty sureNailed it

1

Which clinical signs and symptoms are indicative of pruritus? 1 Itching of skin 2 Small, raised reddened vesicles over the body 3 Raised, irregularly shaped skin eruptions with reddened margins and pale centers 4 Inflammation of mucous membrane lining the nose

1

Which statement related to enteral feeding needs correction? 1 Positioning a patient at a 90-degree angle while administering enteral feeding reduces the risk of aspiration. 2 Special consideration while administering medication helps avoid the risk of medication toxicity. 3 Reduced medication effectiveness is caused by a failure of precautionary measures while administering. 4 Following the recommendations during medication administration may help avoid tube obstruction.

1

Book Review # 3 An older adult states that she cannot see her medication bottles clearly to determine when to take her prescription. What should the nurse do? Select all that apply. 1 Provide a dispensing system for each day of the week. 2 Provide larger, easier-to-read labels. 3 Tell the patient what is in each container. 4 Have a family caregiver administer the medication. 5 Use teach-back to ensure that the patient knows what medication to take and when.

1,2,5

Book Review # 10 After receiving an intramuscular (IM) injection in. the deltoid, a patient states, "My arm really hurts. Its burning and tingling where I got my injection." What should the nurse do next? Select all that apply. 1 Assess the injection site. 2 Administer an oral medication for pain. 3 Notify the patient's health care provider of assessment findings. 4 Document assessment findings and related interventions in the patient's medical record. 5 This is a normal finding, so nothing needs to be done. 6 Apply ice to the site for relief of burning pain.

1,3,4

Which statement is true regarding routes of medication administration? Select all that apply. One, some, or all responses may be correct. 1 Parenteral route causes anxiety in patients. 2 Inhalational routes have higher absorption rates. 3 Medications are absorbed slowly through the skin. 4 Oral route is avoided in patients with gastrointestinal disorders. 5 Oral route is used in patients with reduced gastrointestinal motility.

1,3,4

When is the administration of an oral medication contraindicated? Select all that apply. One, some, or all responses may be correct. 1 When the patient is unconscious 2 When the patient is an older adult 3 When the patient has gastric suction 4 When the patient is a 5-year-old child 5 When the patient is awaiting surgery

1,3,5

Which topical medication contains alcohol? 1 Lotion 2 Liniment 3 Ointment 4 Transdermal disk

2

Which regulatory agency is responsible for rigorous testing of medications before making them available to the public? 1 Centers for Medicare and Medicaid Services 2 National Formulary 3 United States Pharmacopeia 4 US Food and Drug Administration

4

Which route is considered a potential route of administration when oral medications are contraindicated? 1 Skin 2 Parenteral 3 Transdermal 4 Mucous membranes

4

Which topical dosage form may show systemic side effects? 1 Paste 2 Lotion 3 Liniment 4 Transdermal patch

4

Which topical medication may lead to respiratory depression in the case of an overdose? 1 Lotion 2 Liniment 3 Ointment 4 Transdermal patch

4

Which topical medication preparation may involve more than one medication? 1 Paste 2 Lotion 3 Liniment 4 Ointment

4

Which type of parenteral administration is used in emergency cases for infants and toddlers when no other sites are available? 1 Intrathecal 2 Intrapleural 3 Intraarterial 4 Intraosseous

4

Book Review # 9 Place the steps of administering an intradermal injection in the correct order. 1 Inject the medication slowly 2 Note the presence of a bleb 3 Advance the needle through the epidermis 3mm 4 Using the nondominant hand, stretch the skin over the site with the forefinger 5 Insert the needle at a 5-15 degree angle into the skin until resistance is felt 6 Cleanse the site with an antiseptic swab

6,4,5,3,1,2

The health care provider prescribes pain medication to a patient with the notation prn in the prescription. Which interpretation would the nurse make from the prescription? 1 The medication should be taken as needed. 2 The medication should be taken every hour. 3 The medication should be taken before meals. 4 The medication should be taken twice each day.

1

Which injection is preferred for allergy skin testing? 1 Intradermal injection 2 Intravenous injection 3 Intramuscular injection 4 Subcutaneous injection

1

Which route causes medication to be absorbed slowly after administration? 1 Medications placed on the skin 2 Medications placed under the tongue 3 Medications placed in the oral mucosa 4 Medications placed on the respiratory airways

1

Which route is used for the administration of regional analgesia for surgical procedures? 1 Epidural 2 Intrapleural 3 Intraosseous 4 Intraperitoneal

1

Which statement about medication names requires correction? 1 The trademark for generic names is indicated by the superscript TM. 2 The United States Adopted Names Council approves generic names of drugs. 3 The nonproprietary name of a medication is the generic name given to the drug. 4 The Institute for Safe Medication Practices publishes a list of medications that are frequently confused with other medications.

1

Which statement is correct regarding insulin needles? 1 They should be used at a 90-degree angle. 2 Insulin needles that are 8 mm cause less pain. 3 Insulin needles are inserted in an intramuscular site. 4 Insulin needles that are 4 to 5 mm can cause more pain.

1

Which statement is true regarding the disadvantage of medication administration through intraocular disk? 1 Expensive 2 Slow absorption 3 Risk of introducing infection 4 Occurrence of serious systemic effects

1

Which route of medication administration is easiest and most desirable? 1 Oral 2 Rectal 3 Vaginal 4 Intravenous

3

Which physiological change affecting the metabolism of medication would the nurse be aware of in geriatric patients? Select all that apply. One, some, or all responses may be correct. 1 Reduced liver function 2 Reduced absorptive capacity 3 Reduced functioning of brain receptors 4 Shortening of half-life of drugs excreted through the kidneys 5 Reduced function of the immune system

1,2

Which statement accurately describes the unit-dose system? Select all that apply. One, some, or all responses may be correct. 1 It uses carts for distribution. 2 It has labeled drawers. 3 It has controlled substances kept in foil. 4 It does not contain prn and stock medication. 5 It includes prescribed doses of medication for a full course.

1,2

Which statement describes the advantage of administering medications by the oral route? Select all that apply. One, some, or all responses may be correct. 1 The oral route is easy to administer. 2 The oral route rarely causes anxiety. 3 The oral route is convenient and comfortable. 4 The oral route can be used when a patient has gastric suction. 5 The oral route is effective when a patient has reduced gastric motility.

1,2,3

Book Review # 4 The nurse must take a verbal order during an emergency on the unit. Which of the following guidelines can be used for taking verbal or telephone orders? Select all that apply. 1 Only authorized staff may receive and record verbal or telephone orders. The health care agency identifies in writing the staff who are authorized. 2 Clearly identify the patient's name, room number, and diagnosis. 3 Read back all orders to the health care provider. 4 Use clarification questions to avoid misunderstandings. Write "VO" (verbal order) or "TO" (telephone order), including date and time, name of the patient, and complete order; sign the name of the health care provider and name.

1,2,3,4,5

Which statement is accurate regarding the steps involved in administering medications topically? Select all that apply. One, some, or all responses may be correct. 1 Medications are absorbed through skin slowly. 2 An advantage of this route is limited side effects. 3 Topical medications generally have local effects. 4 The medication may be inserted into a body cavity. 5 Applications are left in place for 12 hours to 7 days. 6 Systemic effects may occur if a patient's skin is thin.

1,2,3,4,5,6

Which statement is true regarding vaginal suppositories? Select all that apply. One, some, or all responses may be correct. 1 They are prescribed for treating infection. 2 They are administered with an applicator inserter. 3 They are stored in the refrigerator to prevent them from melting. 4 Solid, oval-shaped suppositories are packaged individually in foil wrappers. 5 They should be kept at room temperature for some time before administration.

1,3,4

Which medication form can be administered by the topical route? Select all that apply. One, some, or all responses may be correct. 1 Paste 2 Troche 3 Powder 4 Liniment 5 Suppository

1,4

Which point would the nurse keep in mind when administering enoxaparin? Select all that apply. One, some, or all responses may be correct. 1 The injection should be given in the abdomen. 2 The injection should be given over a bony prominence. 3 Air should be expelled from the syringe before administration. 4 The injection site should be pinched while the needle is being inserted. 5 The injection should be given over large underlying muscles.

1,4

Book Review # 2 The health care provider has written the following orders. Which orders does the nurse need to clarify before administering the medication? Provided rationale for your answer, and rewrite the order so that it follows the ISMP current medication order safety guidelines. 1 Timoptic .25% solution 1 drop BID 2 Metoprolol 12.50 mg QD 3 Insulin Glargine 6 u SC twice a day 4 Enalapril 2.5 mg PO three times a day, hold for systolic blood pressure <100

1-There should be a 0 before the decimal making it 0.25% 2- There should be no trailing 0 making it 12.5 mg 3- u should be written out in full as units 4- < should be written as less than

Book Review #1 It is important to take precautions to prevent medication errors. A nurse is administering an oral tablet to a patient. Which of the following steps is the second check for accuracy in determining the patient is receiving the right medication? 1 Logging on to the automated dispensing system (ADS) or unlocking medicine drawer or cart. 2 Before going to the patient's room, comparing the patient's name and name of the medication on the label of prepared drugs with MAR. 3 Selecting correct medication from ADS, unit-dose drawer, or stock supply and comparing the name of the medication on the label with MAR or computer printout. 4 Comparing MAR or computer printout with names of medications on medication labels and the patient's name at the patient's bedside.

2

What is the equivalent of 480 mL using a household measurement? 1 1 cup 2 2 cups 3 3 cups 4 4 cups

2

Which injection is given to a patient receiving a tuberculin screening test? 1 Intrathecal 2 Intradermal 3 Intravenous 4 Subcutaneous

2

Which nursing intervention is beneficial while administering a bitter medication to a child? 1 Reducing the dose of the medication 2 Offering the child a frozen juice bar 3 Replacing the medication with another medication 4 Mixing the medication in the child's favorite food

2

Which route of drug administration is most economical and convenient? 1 Oral 2 Topical 3 Parenteral 4 Inhalational

2

Which site is frequently recommended for administering heparin injections? 1 Thigh 2 Abdomen 3 Upper arm 4 Dorsal gluteal area

2

Which statement about various routes of drug administration requires correction? 1 Chemotherapeutic agents are administered through the intrapleural route. 2 Intradermal injections deposit the medication just below the dermis of the skin. 3 Intraosseous administration of drugs is most commonly used in infants and toddlers. 4 Patients taking medication through the sublingual route are instructed not to drink water until the tablet dissolves.

2

Which statement describes the role of state Nurse Practice Acts (NPAs) in nursing? 1 Controlling sales and distribution of medicines 2 Defining the scope of nurses' professional functions 3 Ensuring safe and effective medications to the general population 4 Establishing the individual policies to meet federal, state, and local regulations

2

Which statement is true regarding an inhaler containing rescue medication? 1 Rescue medication is long acting. 2 Rescue medication provides immediate relief. 3 The effects of rescue medication last for a long period. 4 Rescue medication is used on a daily schedule.

2

Which statement is true regarding dry powder inhalers (DPIs)? 1 They require more manual dexterity. 2 The medication in them may clump in a humid climate. 3 They require good coordination of puffs with inhalation. 4 They use a chemical propellant to push the medication out of the inhaler.

2

Which statement is true regarding the use of the deltoid muscle site in parenteral administration? 1 The deltoid muscle site is used to administer heparin. 2 The deltoid muscle site is used to administer the hepatitis B vaccine. 3 The deltoid muscle site is used to administer medications that have large volumes. 4 The deltoid muscle site is used to administer medications that are viscous and irritating.

2

Which term indicates the use of tampons that are treated with medication? 1 Ear instillation 2 Nasal instillation 3 Rectal instillation 4 Vaginal instillation

2

Book Review # 5 A nurse is administering ophthalmic ointment to a patient. Place the following steps in the correct order for the administering of the ointment. 1 Clean eye, washing from inner to outer corner. 2 Assess the patient's level of consciousness and ability to follow instructions. 3 Apply a thin ribbon of ointment evenly along the inner edge of the lower eyelid on the conjunctiva. 4 Have the patient close their eye and rub lightly in a circular motion with a cotton ball. 5 Ask the patient to look at the ceiling, and explain the steps to the patient.

2,1,5,3,4

Which factor helps determine the need for changing the needle of a syringe? Select all that apply. One, some, or all responses may be correct. 1 Syringe size 2 Age of the patient 3 Size of the patient 4 Route of administration 5 Amount of medication to be administered

2,3,4

Which statement is true regarding the topical route of medication administration? Select all that apply. One, some, or all responses may be correct. 1 It has more side effects. 2 It primarily provides local effect. 3 It is a painless route of administration. 4 Medications are absorbed through skin rapidly. 5 Patients with skin abrasions are at risk of systemic effect.

2,3,5

Book Review # 7 A nurse is administering a metered-dose inhaler (MDI) and spacer to a patient with chronic obstructive pulmonary disease. Place the steps of the procedure in the correct order. 1 Insert MDI into the end of the spacer. 2 Perform a respiratory assessment. 3 Remove the mouthpiece from the MDI and spacer device. 4 Place the pacer mouthpiece into the patient's mouth, and instruct the patient to close lips around the mouthpiece. 5 Depress the medication canister, spraying 1 puff into the spacer device. 6 Shake the inhaler for 2-5 seconds. 7 Instruct the patient to hold their breath for 10 seconds. 8 Instruct the patient to breathe in slowly through the mouth for 3 -5 seconds.

2,3,6,1,4,5,8,7

Which body cavity is accessed while administering nasal drops by tilting the head of the patient back over the edge of the bed? Select all that apply. One, some, or all responses may be correct. 1 Frontal sinus 2 Ethmoid sinus 3 Maxillary sinus 4 Sphenoid sinus 5 Posterior pharynx

2,4

Which is an example of the direct application of topical medications? Select all that apply. One, some, or all responses may be correct. 1 Eardrops 2 Eyedrops 3 Nose drops 4 Swabbing the throat 5 Inserting medicated packing into the vagina

2,4

Book Review # 6 The nurse is administering an IV push medication to a patient who has a compatible IV fluid running through intravenous tubing. Place the following steps in the appropriate order. 1 Release tubing and inject medication within the amount of time recommended by agency policy, pharmacist, or medication reference manual. 2 Select the injection port of IV tubing closest to the patient. Whenever possible, the injection port should accept a needleless syringe. Use IV filter if required by medication reference or agency policy. 3 After injecting medication, release the tubing, withdraw the syringe, and recheck the fluid infusion rate. 4 Connect the syringe to the port of IV line. Insert needleless tip or small-gauge needle of a syringe containing the prepared drug through the center of the injection port. 5 Clean injection port with an antiseptic swab. Allow to dry. 6 Occlude IV line by pinching tubing just above the injection port. Pull back gently on the syringe plunger to aspirate blood return.

2,5,4,6,1,3

The health care provider advises a patient to dissolve the prescribed drug in his mouth for a long time without swallowing. Which form of medication is prescribed for this patient? 1 Elixir 2 Capsule 3 Lozenge 4 Enteric-coated tablet

3

The health care provider has prescribed naloxone STAT to a patient. Which statement describes the timing of this prescription? 1 The medication should be given as desired. 2 The medication should be given every day. 3 The medication should be given immediately. 4 The medication should be given whenever it is needed.

3

Which parenteral route of administration uses the Z-track method? 1 Intravenous route 2 Intradermal route 3 Intramuscular route 4 Subcutaneous route

3

Which patient can be safely administered oral medication? 1 Patient with dysphagia 2 Patient with mouth lesions 3 Patient with skin abrasions 4 Patient with esophageal strictures

3

Which route is generally preferred for the administration of anesthetic agents during abdominal surgery? 1 Topical 2 Sublingual 3 Inhalational 4 Transdermal

3

Which route of administration mainly uses medication in the form of aerosol sprays? 1 Oral 2 Buccal 3 Inhalational 4 Transdermal

3

Which statement about dry powder inhalers requires correction? 1 The medication inside a dry powder inhaler can clump if exposed to humid climate. 2 Few patients cannot inspire fast enough to administer the entire dose of the medication. 3 All dry powder inhalers require patients to load a single dose of medication into the inhaler with each use. 4 A dry powder inhaler is activated with the patient's breath, so there is no need to coordinate puffs with inhalation.

3

Which statement is true regarding insulin syringes? 1 They are 3 to 5 mL in size. 2 The needles each have two parts, the hub and shaft. 3 They are designed for use with U-100 strength insulin. 4 They are marked in 0.01 (hundredths) for doses less than 1 mL.

3

Which topical medication contains a soapy emollient? 1 Paste 2 Lotion 3 Liniment 4 Ointment

3

Who can legally use a pill-splitting device to split tablets in half? 1 Patient 2 Caregiver 3 Pharmacist 4 Nursing student

3

Which position is suitable for administering intramuscular medications in the ventrogluteal muscle site? Select all that apply. One, some, or all responses may be correct. 1 Prone 2 Sitting 3 Supine 4 Lateral 5 Standing

3,4

Book Review # 8 A patient is to receive medications through a small-bore nasogastric feeding. Which nursing actions are appropriate? Select all that apply. 1 Verifying tube placement after medications are given. 2 Mixing all medications together to give all at one time. 3 Using an enteral tube syringe to administer medications. 4 Flush tube with 30-60 mL of water after the last dose of medication. 5 Checking for gastric residual before giving the medications. 6 Keeping the head of the bed elevated 30-60 minutes after the medications are given.

3,4,5,6

For which reason would the nurse wear disposable gloves while removing and applying a transdermal patch for a patient? 1 To prevent contracting infection from the patient 2 To prevent contamination of the patch being applied 3 To prevent contact with the body fluids of the patient 4 To prevent medication from being absorbed into the nurse's skin

4

How does the nurse pull the ear of an 8-year-old patient when administering eardrops? 1 Outward 2 Back 3 Upward and back 4 Upward and outward

4

Which form of medication used topically releases the medication slowly over a long period? 1 Paste 2 Liniment 3 Ointment 4 Transdermal patch

4

Which form of topical medication is applied over a long period and should be removed before administering another dose? 1 Lotion 2 Liniment 3 Ointment 4 Transdermal patch

4

Which route is most often used for administering regular insulin? 1 Intravenous 2 Intradermal 3 Intramuscular 4 Subcutaneous

4

Which route provides the most rapid absorption of a medication? 1 Oral administration 2 Topical administration 3 Intradermal administration 4 Intravenous (IV) administration

4

Which statement about medical legislation and standards requires correction? 1 The first American law to regulate medications was the Pure Food and Drug Act. 2 The current monitoring body for maintaining the standards of medications is the US Food and Drug Administration. 3 MedWatch enables health care personnel to report any adverse effects of medicines. 4 MedWatch ensures all medications on the market undergo rigorous testing before they are sold.

4

Which statement is true regarding a disadvantage of the parenteral route of medication administration? 1 The parenteral route causes discoloration of the teeth. 2 The parenteral route can only be given to unconscious patients. 3 The parenteral route is contraindicated before some tests or surgery. 4 The parenteral route may place the patient at a higher risk of reactions.

4

Which statement is true regarding parenteral medications? 1 Parenteral medications are medicated disks absorbed slowly through the skin. 2 Parenteral medications are dissolved in a sugar solution. 3 Parenteral medications are semi-liquid suspensions that usually protect, cool, or cleanse the skin. 4 Parenteral medications are sterile preparations that contain water with one or more dissolved compounds.

4

Which statement is true regarding the advantage of parenteral medication administration? 1 "The parenteral route is easy to administer." 2 "The parenteral route rarely causes anxiety in patients." 3 "The parenteral route provides rapid relief for local respiratory problems." 4 "The parenteral route provides medication to patients with poor peripheral perfusion."

4

Which type of syringe is used to administer a small and precise amount of medication subcutaneously in infants and newborns? 1 5-mL syringe 2 3-mL syringe 3 Insulin syringe 4 Tuberculin syringe

4

Which medication form is commonly prepared for administration by parenteral routes? Select all that apply. One, some, or all responses may be correct. 1 Elixir 2 Troche 3 Extract 4 Powder 5 Solution

4,5