Quiz #4

What type of order would a physician most likely write to treat a client whose pain levels vary widely throughout the day?

p.r.n.

A client with diabetes who requires the new placement of an insulin pump asks the nurse how it works. What teaching will the nurse provide?

"After eating, you can manually release an additional amount of insulin."

A severe allergic reaction from a medication requires:

Epinephrine

The nurse is caring for a client with pneumonia who requires administration of medications. When does the nurse document administration in the medication administration record (MAR)?

after completion of administration of each drug

A nurse is preparing the site for insertion of a peripheral venous catheter using chlorhexidine. Which actions would be appropriate for the nurse to do? Select all that apply.

rub in a side to side motion use a back and forth motion

The nurse is reviewing the plan of care for a client who a newly placed implanted catheter and is to be discharged home. What is a priority for the nurse to include in the plan of care?

signs of infection

The nurse recognizes which routes for parenteral medication administration? (Select all that apply.)

subcutaneous intramuscular intradermal intravenous

What is the best explanation from the nurse as to why a client must return to the unit in 48 hours after having a Tuberculin skin test intradermal?

to determine the extent to which the client responded to the drugs

Which anatomic site is recommended for intramuscular injections for adults?

ventrogluteal muscles

A nurse is administering a hospital patient's scheduled medication and tells the patient, "This is your furosemide; it helps your body to eliminate extra fluid." The patient states, "I don't usually take that. My family doctor has me on a water pill called Lasix." What is the nurse's best response?

"'Lasix' and 'furosemide' are two different names for the same drug."

During a teaching session on self-administration of insulin, the client asks the nurse why it is necessary to bunch the skin before inserting the needle. What is the nurse's best response?

"Bunching your skin facilitates the placement of the needle in the subcutaneous tissue."

The nurse is preparing to instill eye medication for a client with bacterial conjunctivitis. Which intervention will the nurse include? (Select all that apply.)

-donning gloves -wiping the eye from the nose to the outer canthus -asking the client to look toward the ceiling instructing the client to keep eyes open while the -drops absorb

A client is to take Demerol 35 mg IM. You have Demerol 50 mg per ml. How many ml will you administer?

0.7 ml

A nurse is administering a subcutaneous injection to a client. What is the common maximum volume of a subcutaneous injection?

1 mL

A nurse is preparing to administer IV therapy to a client and selects a catheter with a large lumen. Which catheter would have the largest lumen?

18 gauge

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?

As the gauge number becomes larger, the size of the needle becomes smaller

The nurse has inadvertently administered medication ordered for Client A to Client B. What is the appropriate nursing action? (Select all that apply.)

Assess Client B thoroughly. Complete an incident report. Contact the provider to report the error.

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.

The nurse is preparing to give medications to a client with anxiety. The order indicates that the client is to have bupropion, 7.5 mg by mouth twice daily. What is the appropriate nursing action?

Contact healthcare provider for order clarification.

The nurse is assessing a client with diabetes who has poor vision. Which feature of the insulin pen makes it beneficial for this client?

Each unit of insulin is accompanied by a clicking sound in the pen.

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

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 instruction. What intervention should the nurse follow in this case to ensure the client's safety?

Involve a second responsible person in the instruction.

The nurse has confirmed the client's identity and provided a client with oral medications to take. What is the next appropriate nursing intervention?

Stay with the client while medications are taken.

A nurse needs to administer a prescribed injection to a toddler. Which injection site is most suitable for the client?

Vastus lateralis site

The nurse is preparing to administer a Tuberculin test. Which route will the nurse select to administer this injection?

intradermal

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

miconazole

The nurse is caring for a client with diabetes. Which client statement reflects that nursing teaching has been effective?

"I will eat a meal within a half hour of taking my morning insulin."

Nurse A is having difficulty logging into the automated medication-dispensing system, and asks Nurse B to log in momentarily so that Nurse A is not delayed in administering client medications. What is Nurse B's appropriate response?

"I will get the hospital's information systems' phone number for you."

Which statement by a relative indicates to the nurse that the teaching on the application of paste was effective?

"I will not apply the paste on a hairy skin."

What is the best response by the nurse when a client asks about the side effects of using nasal spray?

"Long-term use of nasal sprays can cause rebound nasal congestion."

A client who has been prescribed an inhaler points to the spacer and asks, "What is this for?" What is the appropriate nursing response?

"Medication stays in the chamber so you can continue to inhale it."

The nurse just completed a refresher course on parental drug administration. Which statement by the nurse indicates that teaching was effective?

"Reconstitution is the process of adding liquid, known as diluent, to a powered substance."

The nurse is reviewing the plan of care for several clients who have prescriptions for intravenous medications. The nurse understands that which client is at the highest risk for greater effect of the IV medication?

73-year-old client diagnosed with liver disease

A nurse is administering a hepatitis B shot intramuscularly. What would be the appropriate site for administration?

Deltoid

A nurse is administering medications through an enteral tube to a client with swallowing difficulties due to a cerebrovascular accident (CVA). Which action should the nurse perform to prevent gastric reflux?

Help the client into a Fowler's position.

Which medication would most likely be administered via a transdermal patch?

Hormonal medications

A nurse preparing medication for a client is called away to an emergency. What should the nurse do?

Lock the medications in a cart and finish them upon return.

To convert 0.8 grams to milligrams, the nurse should do which of the following?

Move the decimal point 3 places to the right.

The nurse is providing care to a client who has a Groshong catheter inserted. When irrigating the catheter, the nurse would use which solution?

Normal saline

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?

Notify the healthcare provider

If the dosage is inappropriate for a client, who is responsible?

Nurse

What is the name of the process by which a drug moves through the body and is eventually eliminated?

Pharmacokinetics

Which technique should the nurse employ when instilling otic medication in an adult ear?

Pull the client's ear up and back.

A client has been prescribed nasal medication. What care should the nurse take to avoid potential complications due to the administration of this medication?

Review the client's medication, allergy, and medical history.

What would be considered a "right" of drug administration. (Select all that apply.)

Right drug Right documentation Right dose Right client

Which "rights" are included in the "six rights for medication administration"? Select all that apply.

Right time Right dose Right route Right medication

The nurse transcribes an order that reads: Colace 100 mg PO daily. This is an example of which type of order?

Standing order

A client who has been receiving a secondary infusion of a new antibiotic for several minutes reporting itching and a sensation of throat tightness. What is the priority nursing intervention?

Stop the infusion of antibiotic.

A client is taking numerous eye drops to prepare for cataract surgery. Which teaching about ophthalmic application will the nurse provide?

Wait 5 minutes between instillation of different types of eye drops."

Children's medication dosages are most often calculated using the child's body surface area and:

Weight

A physician at a health care facility suggests the use of a metered-dose inhaler for an asthmatic client. Which describes the mechanism of a metered-dose inhaler?

a canister containing medication that is released when the container is compressed

To which client would the nurse be most likely to administer a prn medication?

a client who is reporting pain near the surgical site

The nurse is administering an intramuscular injection to a client. Which action made by the nurse could assess whether the needle is in the client's blood vessel or not?

aspirating for a blood return

A client with a central venous catheter develops a catheter-related bloodstream infection (CRBSI). The nurse understands that which route is the most common for causing this type of infection?

catheter tip contamination due to skin organisms encountered during insertion

Which assessment should be conducted by the nurse before the nurse administers Tuberculin intradermal injection?

checking for documented allergies to food or drugs

The nurse has given medications to four clients. Which client will the nurse monitor most closely for possible life-threatening changes should a reaction occur?

client with infection who received a bolus of Lactated Ringer's solution

Which component of a syringe's needle does the nurse recognize that refers to width?

gauge