chapter 20 craven questions

A nurse should read the instructions stated on a vial container before reconstituting it and administering it to a client. Which instructions are stated on the label of a vial container? -type of needle to be used for withdrawal -directions for administering the drug -best site for administering the drug -amount of diluent to be added

amount of diluent to be added

A nurse is administering a subcutaneous injection to a client. What is the common maximum volume of a subcutaneous injection? -3 mL -0.01 mL -1 mL -0.05 mL

1 ml

A medication is prescribed for a pediatric client. The nurse is ensuring the dosage is correct. What factor would the nurse use to calculate the dosage is correct for this client? -age -Developmental level -Ethnicity -Body surface area (BSA)

Body surface area

The nurse is preparing supplies for a tuberculosis screening. The nurse should choose which syringes and needles? -10-mL syringe; 3-inch (8-cm), 18-gauge needle - 5-mL syringe; 2-inch (5-cm), 20-gauge needle - 1 mL syringe; ½-inch (1.25-cm), 26-gauge needle -insulin syringe; 1-inch (2.5-cm), 16-gauge needle

- 1 mL syringe; ½-inch (1.25-cm), 26-gauge needle

The nurse is providing discharge teaching about multiple medications to a client with mild dementia. Which nursing intervention is appropriate? Select all that apply. -Obtain referral for skilled nursing visits at home. - Teach family members about medication administration. -Recommend the use of a medication dispenser. -Tell the client that taking medication is a personal responsibility. -Refrain from teaching the client since information will not be retained.

-Obtain referral for skilled nursing visits at home. - Teach family members about medication administration. -Recommend the use of a medication dispenser.

The nurse is caring for a client with a yeast infection. Which medication does the nurse anticipate will be prescribed? -oxymetazoline -miconazole -bisacodyl -timolol

-miconazole

What would be considered a "right" of drug administration? Select all that apply. -right drug -right documentation -right class -right dose - right client

-right drug -right documentation -right dose -right client

The nurse is preparing to administer insulin to an older client who is frail and has failure to thrive. At what angle will the nurse plan to insert the needle into the client? -10 to 15 degrees -20 to 30 degrees -45 degrees -90 degrees

45 degree

The nurse is preparing to administer insulin to an obese client. At what angle will the nurse plan to insert the needle into the client? -10 to15 degrees - 20 to 30 degrees - 45 degrees - 90 degrees

90 degrees

A nurse educator is teaching a student nurse how to choose the correct needle for an injection. Which guidelines for needle selection might they discuss? -When looking at a needle package, the first number is the length in inches and the second number is the gauge or diameter of the needle. -As the gauge number becomes larger, the size of the needle becomes smaller. -When giving an injection, the amount of the medication directs the choice of gauge. -The size of the syringe is directed by the viscosity of the medication to be given.

as the gauge number becomes larger the size of the needle becomes smaller

A nurse at the health care facility needs to administer an otic application for a client with an earache. What should the nurse do after instilling the prescribed eardrops in the client's ear? -Place a cotton ball in the ear to absorb excess medication. -Instill the medication in the opposite ear if prescribed. -Ask the client to maintain the position for some time. - Briefly postpone the application in the second ear.

ask the client to maintain the position for some time

A nurse is caring for a client in the nursing unit when the physician, during the rounds, prescribes a medication for the client. What appropriate action should the nurse take to ensure the accuracy of the verbal medication order? -Ask the physician to repeat the dosage. -Ask the physician to spell out the medication name. -Ask a second nurse to listen for accuracy. - Ask the physician to write out the order.

ask the physician to write out the order

A nurse is caring for a client who is being tube fed. What care should the nurse take when administering medications through an enteral tube? -Add medications to the formula. -Mix all the medications together in 15 mL of water. -Use cold water when mixing powdered medications. -Avoid crushing sustained-release pellets.

avoid crushing sustained release pellets

The nurse observes an order for a client to receive furosemide, 20 mg once daily, and records the specific date and time of the order. What is the appropriate nursing action? -Administer the drug. - Cosign the order. - Call the health care provider for order clarification. -Show the order to the nurse manager.

call the health care provider for order clarification

A nurse is administering an intramuscular injection to a client using the Z-track method. Which action should the nurse perform to prevent leaking and ensure sealing of medication in the subcutaneous and dermal layers of tissue? -Withdraw the needle and release taut skin immediately after injection. -Manipulate the plunger with the help of the thumb. -Apply pressure and massage the site immediately. -Insert the needle at a 90-degree angle into the tissue.

withdraw the needle and release taut skin immediately after injection

The nurse manager is reviewing medication order protocols with staff nurses. Which teaching will the nurse include? Select all that apply. -Refrain from using abbreviations. -IU and U are acceptable abbreviations to use. -Orders can be carried out without provider signatures. - Nurses and health care providers are accountable for drug safety. -Be mindful of look-alike and sound-alike drugs.

- Nurses and health care providers are accountable for drug safety. -Refrain from using abbreviations. -Be mindful of look-alike and sound-alike drugs.

When administering oral medications, which practices should the nurse follow? Select all that apply. -Dispense multiple liquid medications into a single cup to reduce the number of containers the client must handle. - Perform hand hygiene before and after medication administration. -Stay at the bedside until the client has swallowed all the medications. - Store the client's MAR at the bedside at all times to ensure safe identification. -Verify the client's response to the medication 30 minutes after administration or as appropriate for the drug.

- Perform hand hygiene before and after medication administration. -Stay at the bedside until the client has swallowed all the medications. -Verify the client's response to the medication 30 minutes after administration or as appropriate for the drug.

Which medication interaction illustrates a synergism? - A client is taking doxycycline, an antibiotic, for rosacea. She takes this with her morning vitamins, which includes calcium carbonate. She has not noticed a change in her symptoms. - A client is taking metoprolol for her blood pressure and metformin for her diabetes. Her provider has told her that these are safe to take together. -A client was told not to take tretinoin topical if she is pregnant because it may be teratogenic. -A client takes acetaminophen to help her sleep. She also takes an oxycodone for pain related to recent hip surgery, which makes her even more drowsy.

-A client takes acetaminophen to help her sleep. She also takes an oxycodone for pain related to recent hip surgery, which makes her even more drowsy.

The nurse is providing discharge teaching about multiple medications to a client with mild dementia. Which nursing intervention is appropriate? Select all that apply. -Obtain referral for skilled nursing visits at home. -Teach family members about medication administration. -Recommend the use of a medication dispenser. -Tell the client that taking medication is a personal responsibility. -Refrain from teaching the client since information will not be retained.

-Obtain referral for skilled nursing visits at home. -Teach family members about medication administration. -Recommend the use of a medication dispenser.

When administering oral medications, which practices should the nurse follow? Select all that apply. -Dispense multiple liquid medications into a single cup to reduce the number of containers the client must handle. -Perform hand hygiene before and after medication administration. -Stay at the bedside until the client has swallowed all the medications. -Store the client's MAR at the bedside at all times to ensure safe identification. -Verify the client's response to the medication 30 minutes after administration or as appropriate for the drug.

-Perform hand hygiene before and after medication administration. -Stay at the bedside until the client has swallowed all the medications. -Verify the client's response to the medication 30 minutes after administration or as appropriate for the drug.

The nurse is teaching a client about insulin. What teaching will the nurse include? Select all that apply. -Insulins should never be mixed together in a syringe. - Mix glargine, a long-acting insulin, with intermediate-acting insulin. -Rapid-acting insulin and short-acting insulin are often combined with intermediate-acting insulin. -Most types of insulin are combined at least an hour before administration. - Humulin 50/50 contains equal amounts of intermediate-acting and short-acting insulin.

-Rapid-acting insulin and short-acting insulin are often combined with intermediate-acting insulin. - Humulin 50/50 contains equal amounts of intermediate-acting and short-acting insulin.

A nurse needs to administer a prescribed heparin injection to a client subcutaneously. Which syringe ensures accuracy when administering heparin subcutaneously? -conventional syringe -insulin syringe syringe -calibrated in 0.2 mL -tuberculin syringe

-tuberculin syringe

The nurse is preparing medications for enteral tube administration. Which nursing action is appropriate? Select all that apply. -Use the liquid form of the drug if available. - Mix powdered drugs with hot water. - Pulverize enteric-coated medications. -Open the shell of capsules to release the powdered drug. -Add bulk-forming laxatives to the mix.

-use the liquid form of the drug if available -open the shell of capsules to release the powdered drug

The nurse is preparing to administer meperidine as an intramuscular injection in an adult client's deltoid site. Which needle should the nurse select for this injection? -1-inch; 22-gauge -5/8-inch; 24-gauge -1½-inch; 18-gauge - 2-inch; 18-gauge

1 inch 22 gauge

The nurse is preparing to administer dimenhydrinate 50 mg intramuscular to a client. Place in order, the steps the nurse will follow when using the Z-track technique to administer the drug? Use all options. -Fill the syringe with the prepared drug and then change the needle. -Withdraw the needle and apply pressure to the site. -Insert the needle at a 90-degree angle while continuing to hold the tissue laterally. -Select the ventrogluteal site. -Use the side of the hand to pull the tissue laterally about 1 inch (2.5 cm) until the tissue is taut. -Aspirate for blood return and instill the medication.

1. Fill the syringe with the prepared drug and then change the needle. 2. Select the ventrogluteal site. 3. Use the side of the hand to pull the tissue laterally about 1 inch (2.5 cm) until the tissue is taut. 4. Insert the needle at a 90-degree angle while continuing to hold the tissue laterally. 5. Aspirate for blood return and instill the medication. 6. Withdraw the needle and apply pressure to the site.

The nurse is educating a client on how to use an insulin pen. Which steps reflect recommended procedure? Select all that apply. -After administering injection, keep button depressed; count to 3 before removal. - Hold the pen upright and tap to force any air bubbles to the top. - Check that dose selector is at 2 before dialing units of insulin for the dose. - After administering the injection, push the button on the pen half-way in. - Dial the dose selector to 2 units to perform an "air shot" to get rid of bubbles. -Clean injection site and administer injection by holding pen like a dart.

Hold the pen upright and tap to force any air bubbles to the top. Dial the dose selector to 2 units to perform an "air shot" to get rid of bubbles. Clean injection site and administer injection by holding pen like a dart.

To which client would the nurse be most likely to administer a p.r.n. medication? -a client who is reporting pain near the surgical site - a client who requires daily medication to control hypertension - a client who is experiencing severe and unprecedented chest pain -a client whose asthma is treated with inhaled corticosteroids

a client who is reporting pain near the surgical site

The health care provider has given and signed an order for a specific client for zolpidem, 10 mg by mouth once daily at hour of sleep, and recorded the specific date and time of the order. What is the appropriate nursing action? -Administer the drug. -Cosign the order. -Call the health care provider for order clarification. -Show the order to the nurse manager.

administer the drug

A nurse needs to administer a subcutaneous heparin injection to a client. Which injection site is most suitable for heparin? -abdomen - back -upper chest - forearm

abdomen

A nurse has administered an injection to a client. Which intervention should the nurse perform to reduce discomfort and provide quick relief? -Massage the site following injection. -Numb the skin with an ice pack after the injection. - Apply pressure to the site during needle withdrawal. -Apply a eutectic mixture of local anesthetic to the site.

apply pressure to the site during needle withdraw

Which component of a syringe's needle does the nurse recognize that refers to width? -lumen - shaft - bevel - gauge

gauge

A nurse is administering an intramuscular injection of a viscous medication using the appropriate-gauge needle. What does the nurse need to know about needle gauges? - All needles for parenteral injection are the same gauge. -The gauge will depend on the length of the needle. -Ask the client what size needle is preferred. -Gauges range from 14 to 29, with 14 being the largest.

gauges range from 14-29 with 14 being the largest

A nurse receives orders from the physician to mix a client's insulin in a syringe with two other medications. What is the recommended guideline in this situation? -It cannot be done because it is not possible to mix more than two medications in one syringe. - Call the physician to determine the necessity of mixing the three drugs or to see if they are compatible. - Call the pharmacist to determine compatibility of the drugs. -Check with the nursing team before mixing and administering the drugs.

call the pharmacist to determine compatibility of the drugs

A nurse is providing care for a client who has a history of dementia. Which method should the nurse use in order to determine the client's identity prior to medication administration? -Check the client's identification band. -Ask the client his name prior to giving the drug -Cross-reference the MAR with the client's medical record. -Enlist the help of a colleague who is familiar with the client.

check the clients identification band

A nurse is caring for a client with typhoid at a health care facility. The nurse checks the medication order in the client's chart for the drugs prescribed to the client. Which component is a required component of the medication order? -client's name -client's age -client's diagnosis -client's signature

clients name

The nurse is preparing to administer a client's intramuscular injection and intends to use the technique shown. What potential benefit of this technique should the nurse describe? - less frequent administration of the medication -more rapid administration of the medication -decreased risk for infection -decreased irritation and pain in subcutaneous tissue

decreased irritation and pain in subcutaneous tissue

The nurse is preparing to administer a client's intramuscular injection and intends to use the technique shown. What potential benefit of this technique should the nurse describe? -decreased irritation and pain in subcutaneous tissue -less frequent administration of the medication -more rapid administration of the medication - decreased risk for infection

decreased irritation and pain in the subcutaneous tissue

What does the nurse expect to be included in the directions for reconstitution on a drug label? Select all that apply. -size of the client -type of diluent not to use -directions for storing the drug - amount of diluent to be added -dosage per volume after reconstitution

directions for storing the drug amount of diluent to be added dosage per volume after reconstitution

A nurse is administering an intradermal injection to a client for a skin allergy test. When the nurse is finished, there is no sign of a wheal or blister at the site of injection. What is the nurse's best action in this situation? - Choose another site and reinject the medication. -Prepare another syringe and administer it to the client at the same site. -Document the administration as correctly administered. -Document the administration and inform the primary care provider.

document the administration and inform the primary care provider

A nurse is preparing an injection by withdrawing the solution from a multidose vial. What is necessary to facilitate withdrawing a medication from the vial? -First, inject an equal amount of air into the vial. -Withdraw the liquid and then inject an equal amount of air. -Insert the needle and slowly withdraw the liquid. -Insert a separate needle to equalize the pressure.

first inject an equal amount of air into the vial

The nurse is caring for a client with diabetes. Which client statement reflects that nursing teaching has been effective? -"I will drink orange juice if I experience high blood glucose levels." -"I will test my blood glucose levels immediately after I eat." -"I will eat meals whenever I feel hungry." - "I will eat a meal within a half hour of taking my morning insulin."

i will eat a meal within a half hour of taking my morning insulin

The nurse assesses that a client uses accessory muscles, breathes shallowly, and has a pulse oximetry reading of 94%. Which nursing diagnosis will the nurse assign? -ineffective breathing patterns -impaired gas exchange - ineffective airway clearance - impaired spontaneous ventilation

ineffective breathing patterns

A nurse is using the Z-track technique to administer an injection to a client. Which injection route utilizes the Z-track technique? -intravenous -intramuscular -intradermal -subcutaneous

intramuscular

When educating an older adult client about the administration of medication during discharge, the nurse notes that the client is having difficulty comprehending the instructions. What intervention should the nurse follow in this case to ensure the client's safety? -Ask a second nurse to repeat the instructions. -Ask the client's physician to provide instructions. -Involve a second responsible person in the instructions. -Write discharge instructions on the medication containers.

involve a second responsible person in the instructions

A nurse is explaining to a client the correct method of using a metered-dose inhaler when self-administering a prescribed dose of medication. What is a feature of a metered-dose inhaler? -It is a battery-operated device that spins. -It suspends finely powdered medication. -It is a canister that contains pressurized medication. -It has propellers that get activated during inhalation.

it is a canister that contains pressurized medications

After administering medication to a client subcutaneously, the nurse removes the needle at the same angle at which it was inserted. Which explains the nurse's action? -verifies correct injection of the drug -minimizes tissue trauma to the client - prevents needlestick injuries - helps to control placement of the needle

minimizes tissue trauma to the client

The nurse is preparing to administer the second dose of ordered antibiotics to a client and notes that the first dose of medication is still in the automated medication-dispensing system. The medication administration record (MAR) does not show that the initial dose was given. What is the appropriate nursing action? -Give the first and second doses of antibiotics. -Call the pharmacy before notifying anyone else. -Notify the health care provider. -Proceed with the administration of the second dose.

notify the health care provider

Which medications are dropped into the ear to treat ear infections or to soften and remove ear wax? -otic -ophthalmic -parenteral -nasal

otic

The nurse is caring for a client with visual impairment who has been prescribed two different types of eye drops. Which nursing intervention will best assist the client in differentiating between the bottles of drops? -Write the names of the medications on the bottle. - Place a rubber band snugly around one of the bottles. -Color code the bottles with different colors of pens. -Teach the client to place bottles on different ends of the table.

place a rubber band snugly around one of the bottles

In preparing to administer a drug to a client, the nurse has pierced a multi-use vial of medication. What is the appropriate nursing action? -Discard the remaining drug. - Place the date on the vial and retain for future use. -Draw up the remaining medication to give at the next time of administration. -Send the vial with the remaining drug back to the pharmacy.

place the date on the vial and retain for future use

The nurse just completed a refresher course on parenteral drug administration. Which statement by the nurse indicates that teaching was effective? -"Reconstitution is a sealed glass cylinder of parenteral medication with an attached needle." -"Reconstitution is a glass or plastic container of parental medication with a self-sealing rubber stopper." -"Reconstitution is the process of adding liquid, known as diluent, to a powdered substance." - "Reconstitution is a sealed glass drug container that must be broken to withdraw the medication."

reconstitution is the process of adding liquid know as diluent to a powdered substance

A nurse is pouring a liquid medication into a medication cup and notices that there is an excess of medication in the cup for the ordered dose. Which action by the nurse would be most appropriate? -Pour the excess back into the medication bottle. -Remove the excess by pouring it into the sink. - Discard the medication, repouring a new dose. -Remove the excess with a paper towel.

remove the excess by pouring in into the sink

The nurse is preparing to apply nitroglycerin paste. After checking the order, washing hands, checking the client's identity, and applying gloves, which is the next nursing action? -removing prior application and any remaining residue from skin -covering application paper with plastic with transparent semipermeable dressing -squeezing prescribed amount of paste from tube onto application paper -using wooden applicator to spread paste over the paper

removing prior application and any remaining residue from skin

While administering a medication via a syringe, a client sharply moves and the nurse accidentally encounters a needlestick. What is the priority nursing action? -Request counseling on the potential for infection. -Document the injury. - Report the needlestick to the nurse manager. -Obtain the client's blood to be tested for HIV and HBV.

report the needlestick to the nurse manager

The nurse is preparing to administer nasal medication via a dropper to a client with severe congestion. Into which position will the nurse place the client? -prone - supine - oblique - lithotomy

supine

A client is ordered to receive an intramuscular injection of medication. When preparing to administer the injection, the nurse selects the ventrogluteal site based on which reason? -The site is in close proximity to the sciatic nerve. -The area is free of major blood vessels and fat. -There is a high possibility of injecting into subcutaneous fat. - The site lies close to the radial nerve.

the area is free of major blood vessels and fats

The nurse is creating a professional development presentation about medication orders. Which teaching will the nurse include? Select all that apply. -Use abbreviations as much as possible. - The health care providers must sign all orders. - Be extra cautious with look-alike and sound-alike drugs. -U and IU are acceptable abbreviations to use. - The prescribing provider is the only person accountable for drug orders.

the health care provider must sign all orders be extra cautious with look alike and sound alike drugs

A client who is receiving medication via a metered-dose inhaler asks the nurse, "Why don't I put the inhaler mouthpiece in my mouth when I use the medication?" Which response by the nurse would be most appropriate? -"The medication is more easily trapped in the oropharynx." -"This helps you to ensure that you swallow the medication." -"The mist that forms is better inhaled into your airways." -"Your mouth would contaminate the inhaler and medication."

the mist that forms is better inhaled into your airways

The nurse is preparing to administer a transdermal medication. How should this be accomplished? -The nurse should apply the medication directly to the skin. -The nurse should inject the medication just below the dermis of the skin. - The nurse should ask the client to swallow the medication. -The nurse should inject the medication into a body cavity.

the nurse should apply the medication directly to the skin

The nurse is preparing to administer a transdermal medication. How should this be accomplished? -The nurse should apply the medication directly to the skin. -The nurse should inject the medication just below the dermis of the skin. -The nurse should ask the client to swallow the medication. -The nurse should inject the medication into a body cavity.

the nurse should apply the medication directly to the skin

Which statement by a client indicates to the nurse that teaching was effective regarding the different parts of a syringe? -"The barrel is the part of the syringe that resets the dose window to zero following an injection." -"The barrel is the part of the syringe to which the needle is attached." -"The plunger is the part of the syringe that moves back and forth to withdraw and instill medication." -"The plunger is the part of the syringe that holds the medication."

the plunger is the part of the syringe that moves back and forth to withdraw and instill medication

A client taking insulin has his levels adjusted to ensure that the concentration of drug in the blood serum produces the desired effect without causing toxicity. What is the term for this desired effect? -Peak level -Trough level -Half-life -Therapeutic range

therapeutic range

An older adult client has been prescribed a transdermal patch. Which client statement demonstrates the need for further teaching by the nurse? -"I will remove the patch before I have my MRI tomorrow." -"When changing patches, I will change the location of application." -"This medication is likely to work slower on me than on a younger person." -"I will close the adhesive edges of the patch before I dispose of it."

this medication is likely to work slower on me than on a younger person

A nurse is bunching the tissue of a client when administering a subcutaneous injection to that client. What is the reason for bunching when injecting subcutaneously? -to prevent needlestick injuries -to ensure the accuracy of landmarking -to facilitate blood circulation at the injection site -to avoid instilling medication within the muscle

to avoid instilling medication within the muscle

Which actions by the nurse will prevent injury while withdrawing medication from an ampule? Select all that apply. -using a gauze square to hold the ampule while breaking it -snapping the neck of the ampule away from his/her body - discarding the ampule in a puncture-resistant container -tapping the barrel of the syringe near the hub inverting the ampule

using a gauze square to hold the ampule while breaking it -snapping the neck of the ampule away from his/her body - discarding the ampule in a puncture-resistant container

A client is taking numerous eye drops to prepare for cataract surgery. Which teaching about ophthalmic application will the nurse provide? -"Rest the eye dropper on the inner canthus to make it easier to instill the drops." -"Wait 5 minutes between instillation of different types of eye drops." -"If you cannot instill these drops from the bottle, you will be unable to have surgery." -"Dispose of these medications every 7 days due to possible bacterial contamination."

wait 5 minutes between instillation of different types of eye drops