Other Meds Fluff and Suffs

The nurse is preparing to administer medications to the client. The client sees the nurse double checking each medication and asks the nurse what is occurring. What is the nurse's best response?

"Checking the medication again to ensure the right medication is given to you."

The nurse teaches the client about home use of a transdermal medication patch for pain. The nurse evaluates the teaching as effective when the client makes which statement?

"I can't use my heating pad in the same area as the patch."

The nurse is administering medications to the client. What does the nurse explain to the client who asks about the checks of medication administration?

"I check the label when taking medication from the storage area.", "I check the label before removing the medication from its container.", "I check the label of any medication before administering it to you."

The client overhears the nurse reviewing the rights of medication administration and asks, "Why are you saying, 'right medication, right client, right route, right dose'?" What is the nurse's best response?

"I review these to make sure your medications are accurate and correct."

The nurse administers a dry powder dose inhaler to a client. The nurse stops and teaches the client when the client makes which statement?

"My allergies are not bothering me. I do not need the inhaler." *you want to continue use of medication with or without symptoms

The nurse administers medication to a client. Which statement by the nurse is required to satisfy the three checks and rights of medication administration?

"Please tell me your name and date of birth."

The nurse is preparing to irrigate a 5-year-old client's ear. The nurse simultaneously teaches the parent how to perform ear irrigation. While demonstrating the proper technique, which statements made by the nurse would be correct?

"Position the child flat.", "Pull the pinna up and back.", "Position the child's head with affected ear up."

The nurse is caring for an adult client by inserting a rectal suppository. Which action would be most appropriate by the nurse?

"Remain in horizontal position for 10 to 20 minutes."

The client with chronic obstructive pulmonary disease uses an albuterol metered-dose inhaler at home. The client asks how to use the newly prescribed dry powder inhaler. What does the nurse explain to the client?

"The dry powder inhaler only delivers medication when you inhale."

The nurse is educating a preoperative client about gastric tubes. The client asks, "Why do I need to have a gastric tube?" How should the nurse respond?

"To help you consume sufficient nutrition."

The nurse is preparing to administer a rectal suppository to an adult client. How many inches (or centimeters) should the nurse plan to insert the suppository?

3 inches (7.5 cm)

The nurse is administering medications to a client via a gastric tube. After administering the last dose of medication, how much water should the nurse flush through the gastric tube?

30 to 60 mL

A nurse has just administered a medication to client via nasal spray. The nurse instructs the client to refrain from blowing the nose for a minimum of how long?

5 minutes

The client is to receive several medications via a gastric tube. How much water would the nurse flush the tube between the medications?

5 to 10 mL

The nurse is preparing to administer a transdermal medication. How should the nurse proceed?

Apply the medication directly to the skin.

When preparing to administer a second dose of a prescribed vaginal suppository, the client reports discomfort in the vaginal area. What should the nurse do next?

Assess the vaginal area.

The client completes use of the dry powder inhaler. What action must the nurse perform AFTER use of this medication?

Assist the client to rinse out the mouth.

The nurse has educated a client about the use of a prescribed metered-dose inhaler. What actions should the client learn to perform prior to inhaling the metered dose? Select all that apply. Blow the nose. Cough and deep breathe 5 times. Cough up respiratory tract secretions. Rinse the mouth. Drink 8 oz of water.

Blow the nose., Cough up respiratory tract secretions.

The health care provider writes a medication prescription for "saline irrigation O.D. twice daily." What action does the nurse take next?

Call the health care provider about this prescription.

The nurse is required to give a prescribed medication via a gastric tube. The medication is available in tablet form. What should the nurse do first?

Check the drug administration guide to see if the medication can be crushed.

The nurse is preparing to administer medications to a client with a gastric tube. What is the best way to determine which medications can be crushed?

Check the drug guide.

The nurse is to administer a medication to a client in isolation and the medication is in a multi-dose container. How will the nurse complete the third check of medication administration?

Check the multi-dose label before putting the container back in the drawer and label medicine cup with needed information.

The nurse is caring for a client who has a newly written prescription for "fluoxetine 20 mg by mouth daily for treatment of depression." The nurse is unfamiliar with this medication.

Consult a professional medication reference before preparing to administer the medication.

The nurse is educating a family of a client with a gastric tube about administering medications. What would be appropriate to include?

Delayed-response tablets cannot be ground., Enteric-coated tablets cannot be ground., Tablets must be ground to a fine powder., All ground powder must be mixed with tap water.

The nurse is preparing to irrigate a 2-year-old client's ear, and the nurse sees a bean that is occluding the ear. What is the nurse's most appropriate action?

Do not perform irrigation.

The nurse has just completed administering a nasal spray to a client. What should the nurse do next?

Evaluate client for medication effectiveness.

After the client inhales a dose from a dry powder inhaler, which action does the nurse instruct the client to take NEXT?

Hold breath for 5 to 10 seconds.

The nurse is teaching a client how to use nasal spray. What will the nurse include in the teaching plan? Select all that apply. Tilt the head slightly forward. Blow the nose 1 minute after administering the spray. Insert the tip of the nose piece into one nostril. Sit up comfortably in the bed. Hold the breath for a few seconds after administering the spray.

Hold the breath for a few seconds after administering the spray., Insert the tip of the nose piece into one nostril., Sit up comfortably in the bed.

What instruction will the nurse include when teaching a client how to administer nasal drops?

Hold the dropper just above the nostril to administer the drops.

The client with a gastric tube is prescribed a delayed-release tablet. Which are appropriate actions for the nurse?

Hold the medication., Check the drug guide., Call the health care provider for prescription.

The nurse cares for a client with a gastric tube in place. Which actions does the nurse perform?

Insert a large syringe to decompress the stomach when the client reports nausea., Administer one can of nutritional formula every 4 hours as prescribed., Give liquid stool softener and crushed pain medication through the tube as needed.

The nurse uses a large volume of sterile solution to irrigate a client's eye after an injury. What technique does the nurse use?

Irrigate from the inner canthus and flush toward the outer canthus.

A client has had an accident with metal shavings. During the subsequent eye irrigation, the nurse sees a small piece of metal in the client's eye. What action does the nurse take?

Irrigate the client's eye with the prescribed solution.

Which actions by the nurse are appropriate when administering a vaginal cream?

Perform perineal care cleansing from just above the vaginal orifice downward., Insert the vaginal applicator directing it downward and backward., Keep the plunger applicator fully depressed until removed from the client.

A nurse has administered a pain medication to the client. What should the nurse do next?

Reassess the client.

The nurse is preparing to apply a new transdermal patch to a client's chest. What would the nurse do first?

Remove the old patch from the client's skin.

After administering an inhaled medication via a metered-dose inhaler, the nurse asks the client to take which action?

Rinse and gargle with water

The nurse is caring for a client with a gastrointestinal bleed who has a nasogastric (NG) tube. After administering the medications via the NG tube, what would the nurse do next?

Shut off nasogastric tube for 30 minutes.

During an eye irrigation, the client reports an urge to blink. What action does the nurse take?

Stop the irrigation so the client can blink.

What instruction will the nurse include in discharge teaching for a client who is prescribed a vaginal suppository?

Store this medication in its original container in the refrigerator.

Which client position will best aid the nurse in insertion of a vaginal cream?

Supine position with legs bent at the knees

The nurse is inserting a medication via a rectal suppository to a client. What would the nurse instruct the client to do?

Take slow, deep breaths.

The nurse administers a dry powder inhaler to a client. The client takes this medication at home. What action does the nurse take?

Teach the client how to use the inhaler using step-by-step instructions.

The nurse is initiating an ear irrigation on a client. Which finding causes the nurse to stop the irrigation procedure?

The medical record states the eardrum is punctured.

What should the nurse ask the client to do before inserting a vaginal cream medication?

Void or empty the bladder to lessen discomfort.

5 of 5 The nurse administers an irrigating solution into the client's ear. What actions does the nurse take?

Warm the solution to body temperature., Teach the client the purpose of the medication., Demonstrate the technique that will be used.

The nurse is preparing to administer medications to a client with a gastric tube. What equipment will the nurse gather to administer medications to the client?

Waterproof pad, Gloves, Tap water, Irrigation set

The nurse irrigates a client's ear. Which supplies does the nurse gather for this procedure? Select all that apply.

Waterproof pad, Saline or antiseptic, Emesis basin

The new nurse places a transdermal medication patch on a client. The preceptor stops the new nurse for which action?

Writes date on medication patch.

The nurse is preparing to irrigate a client's eye. Where would the nurse place the basin to catch the irrigant?

affected side

The nurse is teaching the client how to correctly use a metered-dose inhaler. Which client action displays understanding of the education?

holding the inhaler 2 cm (0.75 inches) away from the mouth

The nurse is caring for a client for whom the health care provider has prescribed a metered-dose inhaler medication and the client expresses concern about possible side effects. Which systemic effects would the nurse advise the client may occur with this medication? Select all the apply. irritation of mucous membranes palpitations tachypnea orthopnea tachycardia

irritation of mucous membranes, tachycardia, palpitations

The nurse is preparing to administer a transdermal medication. Which placement is appropriate?

posteriorly on the shoulder

When administering a rectal suppository, in which position would the nurse position the client?

side-lying

The nurse is preparing to administer medications to a client with a gastric tube. What information should the nurse check before administering any medication through the gastric tube?

whether tube feedings should be held, if medication should be given on full or empty stomach, client's allergies