fundamentals ch. 33,34,35
Narcotic orders are good for
2 days
Check medication for accuracy of dose
3 times
for an Allergic reaction, the best nursing intervention would be to monitor for
30mins for an allergic reaction
A med given IM can be
3ml max per muscle
Best angle for a subcutaneous injection is a
45-degree angle
Nurse is aware that medication that you Don't put down feeding tube or crush are
Enteric coated, sublingual, buccal, or sustained release
Steps for mixing insulin
Inject air into cloudy, air into clear, withdrawal the clear, withdrawal the cloudy
Best location for subcutaneous heparin is the
abdomen
a patient has received medication via oral and is vomiting, you would want to
acquire an order to administer via rectally or parental route IV
a patient is receiving an initial dose of penicillin for pneumonia, the nurse should be alert and monitor for
an allergic reaction, A systemic allergic reaction for penicillin is hives, or nausea, dizziness.
Filter needles should be used when medication is being withdrawn from
an ampule to trap the glass particles
When administering a med with a feeding tube, dissolve med in 30 mls of water
and use 15-30 of water to flush
The nurse administering a nitro glycerin ointment paste will
apply with gloves or tongue blade
the nurse is administering an enteric coated oral medication to a patient who is unable to swallow tablets. The best nursing intervention would be to
ask the primary care provider if he can prescribe a liquid form
Before a nurse administer a liquid medication to an 83yr old male patient
assess the swallowing the reflex by offering a sip of water
The nurse is going to administer a med which needs to be crushed, the nurse would best
best mix it in apple sauce or in soft food
To reduce systemic absorption of eyedrops, you want to
block the lacrimal drop and apply slight finger pressure under the lacrimal duct
Before administering digoxin (Lanoxin) the nurse should assess and
check the apical heart rate for 1 min
The nurse is checking the EMAR and finds that the order for antibiotics is 8 days old, the nurse should
contact the medical provider for a new order
When you have an order for 2 IM injections in the same syringe, you should initially
determine if the medication Is compatible in the same syringe
A patient is attempting to put pills in the mouth and drops them on the bed sheet, the nurse should
discard the pill and get another from the med pack
Call the pharmacy for a new medication, if the medication is
expired
To ensure proper administration of a tb skin test you should inject slowly to
form a bleb
How to find the Ventrogluteal site is the
head of the trochanter, anterior iliac spine
Stop and withhold the medication order, if the patient says
her medications look different
A nurse is administering a med to an older adult patient who is normally highly protein bound, the nurse would be concerned for
increased drug activity and possible toxicity, if the pt lab value shows low albumin levels.
if you are taking care of an elderly patient in a SNF building, they are prescribed a medication to lower their BP, the best nursing intervention would be to
instruct the resident to rise slowly when getting up to get into bed or chair
When giving medications it is most important to record the fluid intake on
intake record
A patient of a Cambodian culture reports that the new medication is not adequate for treatment because
it is smaller than the old one
Narcotics and controlled substances should be kept under
lock and key
A patient with liver disease, is beginning a medication therapy which is being metabolized in the liver, the nurse should give a
lower than normal dose
Properly giving the suppository includes
lubricant the end of the suppository at the end
When administering several medications via feeding tube, you should
mix them individually
In the event of the narcotic count has less than what it is supposed to be, discrepancy, between the days shift and the evening, the day nurse
must stay till the discrepancy is resolved
Complete drug order must contain
name of the patient, name of the drug, and how it is supposed to be given, the dosage to be given
We know that when instructing a patient who self-injects the insulin, we should educate them
on rotating injections sites
the licensed nurse is responsible for doing the narcotic count for the
oncoming shift with the next nurse
For an adult pt who has an order to receive an Otic medication, the nurse should
plan to administer by pulling the pinna, up and back
rectal suppository
position in left sims position
IV is the fastest route for
post-op pain medications
Z track is given to
prevent tissue irritation
An older patient is having trouble swallowing an enteric coated tab for which there is no liquid form available, to help swallow the dose more easily the nurse should
request that the patient tilt his chin down and try to swallow
A pt has an order for nitro glycerin transdermal patch, best way to ensure proper administration
rotate the sites to avoid skin irritation
A nurse is educating on an obese patient how to administer a subcutaneous injection
she would suggest a longer needle because of his weight
the nurse has an order to administer a scheduled drug, the nurse knows that her responsibility is to
sign out the drug on a narcotic controlled inventory sheet
To Decrease discomfort always use the
smallest gauge needle that is appropriate for the site
Nasal spray inhalers, you should have the patient to
squeeze the bottle while inhaling
Medications that should never be crushed are
sublingual, enteric coated, sustained release
A nurse is administering meds to a group of patients, the nurse knows the best way to identify these patients is to check
the name and id band and compare to the MAR
A patient in a long-term care receives the wrong meds, the nurse instructs which nurse to document?
the nurse who finds the error
An older patient visits an outpatient clinic is being seen for hypertension, the nurse finds that the patient has not been taking his bp meds for the last 10 days
the nurse would say that the medication will help keep his medication in a safe range.
the nurse explains that a drug may have several names, the trade name is
the only name that can be trademarked
The patient is going to be discharged with a variety of medication, the best way to assess the patient with meds is to
to assist the patient with arrangement of a user-friendly pill organizer
Nitropaste
topical drug
a 4yr old child, the best site to use is the
vastus lateralis
An older adult male with arthritis has been taking anti-inflammatory drugs for the past 5 years
watch the patient for GI bleeds, and anemia
a CNS depressant: a nurse is reinforcing instructions, the nurse cautions the patient to not drink alcohol because
we know that the alcohol mixed with the drug, will increase the CNS effect
before administering a medication to a patient, determine
why the patient needs the medication and why they are admitted and Check the medical history of the patient
The nurse is providing instructions on how to use a meter inhaler with a spacer, you instruct to
wrap your lips around the meter inhaler between the teeth, and seal the lips around it completely and completely exhale though the nose
if a patient is being given an antibiotic drug, it is important that you give the scheduled on time and not late because
you can decrease you can decrease the minimum concentration level. Keep it above the minimum concentration level
To administer a drug be sure to have the
-right drug -right dose -right route -right time -right patient -right documentation