Quiz 8 Retake

B. Use the abbreviation "V.O." at the end of the order.

A nurse is caring for a client who has undergone surgery. When the client regains consciousness, the nurse telephones the physician to update the client's health status. What care should the nurse take when taking telephone orders? A. Record the drug order on the client's medical record. B. Use the abbreviation "V.O." at the end of the order. C. Write out numbers in words rather than numerals to avoid misinterpretation. D. Leave space after the order for the prescriber's signature.

A. Client's Name

A nurse is caring for a client with pneumonia 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? A. Client's Name B. client's age C. client's diagnosis D. client's signature

A nurse is caring for an elderly client with a vaginal yeast infection. Which actions should the nurse perform when instilling the medication in the client's vagina? A. Apply the medication before the client goes to sleep. B. Apply local anesthesia before applying the cream. C. Avoid lubricating the applicator tip. D. Apply the topical cream gently with a finger.

A. Apply the medication before the client goes to sleep.

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? A. Help the client into a Fowler position. B. Check for drug allergies in the client's history. C. Add diluted medication to the syringe. D. Administer the medication over several minutes.

A. Help the client into a Fowler position.

A nurse at a health care facility administers a prescribed drug to a client and does not record doing so in the medical administration record. The nurse who comes during the next shift, assuming that the medication has not been administered, administers the same drug to the client again. The nurse on the previous shift calls to inform the health care facility that the administration of the drug to this client in the earlier shift was not recorded. What should the nurse on duty do immediately upon detection of the medication error?

A. Report the incident to the physician. B. Report the incident to the supervising nurse. C. Check the client's condition. D. Fill in the accident report sheet. A: C

A nurse needs to combine two different prescribed drugs in a syringe and then administer them to a client with influenza. Which precaution should the nurse take when combining drugs? A. Withdraw exact amounts of each drug from each container. B. Mix the two drugs together thoroughly before administering. C. Shake the two drug containers before withdrawing. D. Expel both the drugs separately in a vial before use

A. Withdraw exact amounts of each drug from each container.

A nurse is reviewing the previous medical history of a new client and is cross-referencing the client's pre-admission medication regimen with the current medication orders.The nurse reads that the client was taking ginseng on a regular basis, but another nurse adamant that this is not considered to be a "medication". The nurse should be aware that a medication is defined as

A. a substance that affects health status. B. any physical substance that the client ingests in any form. C. a non-nutritional substance that is taken for health purposes. D. a chemical substance that changes body function. A: D

A nurse is using an IV port when administering medication to a client. Which IV administration has the greatest potential to cause life-threatening changes? A. bolus administration B. electronic infusion device C. continuous administration D. secondary administration

A. bolus administration

A group of nursing students is learning about the rationale for intravenous (IV) drug and fluid administration as well as the various methods of delivering these parenterally. The intravenous (IV) route of administration delivers drugs or fluids directly into which structures? Select all that apply. A. central veins B. capillaries C. arterioles D. central arteries E. peripheral veins

A. central veins E. peripheral veins

A nurse is assessing the reading on a volume-control set when administering an IV drug to a client. Which of the following functions is performed by a volume-control set? A. eliminates the need for an additional bag of fluid B. administers a large volume of solution C. allows instant access to the venous system D. holds solution from a smaller container

A. eliminates the need for an additional bag of fluid

A nurse is administering an injection to a client at a 15-degree angle. The client has a venous access port. Which injection can be administered at this angle? A. intradermal B. subcutaneous C. intramuscular D. intravenous

A. intradermal

When instructing a client regarding sublingual application, the nurse should inform the client that which action is contraindicated when administering the drug? A. swallowing the medication B. taking the medication on an empty stomach C. talking when taking the medication D. performing physical activities

A. swallowing the medication

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

A. tuberculin syringe

A nurse is caring for a client undergoing IV therapy. The nurse knows that intravenous administration of medication is appropriate in which situation? A. when the client has disorders that affect the absorption of medications B. when the drug needs to act on the client very slowly C. when the client wants to avoid the discomfort of an intradermal injection D. when the drug needs to be administered only once

A. when the client has disorders that affect the absorption of medications

A client has been prescribed metoprolol 12.5 mg po b.i.d. At the small, rural hospital where the client is being treated, this drug is only available in 50 mg tablets. How many tablets will the client receive in any given 24-hour period? A. 2 tablets B. 4 tablets C. 1/2 tablet D. 1 tablet

C. 1/2 tablets

A nurse needs to administer an intramuscular injection to a client. The site that the nurse has chosen contains the sciatic nerve. Which action should the nurse perform first to locate the appropriate landmarks and avoid damaging the sciatic nerve? A. Palpate the sciatic nerve before proceeding with the injection. B. Divide the buttock into four imaginary quadrants. C. Place one hand above the knee and the other at the top of the thigh. D. Palpate the lower edge of the acromion process.

B. Divide the buttock into four imaginary quadrants.

A nursing supervisor is reviewing a clinical incident in which a client received a double dose of a prescribed anticoagulant. The incident occurred because a nurse was unaware that the trade name and the generic name refer to the same drug. Which statement is true of generic drug names? A. The names of generic drugs are usually capitalized. B. Generic names often refer to the chemical makeup of the drug. C. Generic names vary widely between jurisdictions and markets. D. A generic drug name is more reliable than the trade name.

B. Generic names often refer to the chemical makeup of the drug.

A nurse accidentally spills some powdered antineoplastic drugs on the floor when removing them from the storage cabinet. Which of the following actions should the nurse take to clear the drug spill? A. Display a warning sign in the spill area. B. Place a wet towel over the spill area. C. Use a vacuum cleaner to clear the spill. D. Wash the spill area with normal saline.

B. Place a wet towel over the spill area.

A client at a health care facility has been prescribed scopolamine, to be administered transdermally. Which statement describes transdermal application? A. drugs within a thick base applied, not rubbed, into the skin B. drugs bonded to an adhesive and applied to the skin C. drugs placed against the mucous membrane of the inner cheek D. drugs placed under the tongue and allowed to dissolve slowly

B. drugs bonded to an adhesive and applied to the skin

When performing a piggyback infusion, the nurse lowers the container of primary solution approximately 10 in (25 cm) below the height of the secondary solution. Which reason explains the nurse's action? A. instills secondary infusion within specified time B. uses gravity to infuse the secondary medication C. prevents backfilling with the primary solution D. prevents separation from the port

B. uses gravity to infuse the secondary medication

A nurse needs to administer a continuous medication drip to a client. The nurse knows that, for a continuous infusion, she will likely need to add medication to which volume of IV solution? A. 15 to 50 mL B. 150 to 250 mL C. 500 to 1,000 mL D. 50 to 100 mL

C. 500 to 1,000 mL

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

C. Apply pressure to the site during needle withdrawal.

A nurse needs to administer an injection to a client in the deltoid site. Which action should the nurse perform to avoid the risk of damaging the radial nerve and artery? A. Avoid asking the client to lie down or sit. B. Aspirate for blood return from the tissue. C. Draw an imaginary line at the axilla between the acromion and brachial vessels. D. Pull the tissue laterally until it is taut.

C. Draw an imaginary line at the axilla between the acromion and brachial vessels.

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? A. It is a battery-operated device that spins. B. It suspends finely powdered medication. C. It is a canister that contains pressurized medication. D. It has propellers that get activated during inhalation.

C. It is a canister that contains pressurized medication.

A nurse spills a bottle of antineoplastic drug on the unit floor. What should the nurse do to avoid self-contamination with the antineoplastic drug? A. Cover the drug spill with a disposable paper pad. B. Pour a disinfectant on the drug spill. C. Pour a 70 percent alcohol solution over the drug spill. D. Avoid cleaning the spill area with water.

C. Pour a 70 percent alcohol solution over the drug spill.

A nurse brings a client the prescribed dose of medication and finds that the client is not in the unit. What should the nurse do in this case? A. Inform the physician about the client's absence. B. Leave the medication on the client's bedside table. C. Return the medication to the medication cart or medication room. D. Inform the head nurse about the client's absence.

C. Return the medication to the medication cart or medication room.

A nurse is caring for a client at a health care facility who is undergoing nicotine withdrawal therapy and has been prescribed a nicotine patch. Which is true with regard to the application of a transdermal patch? A. The patch is mostly applied to lower parts of the body. B. A new patch is placed in exactly the same location as the previous one. C. The patch is applied to a skin area with adequate circulation. D. The drug becomes inactive immediately after the patch is removed.

C. The patch is applied to a skin area with adequate circulation.

A nurse needs to instill eye medication in a client with conjunctivitis. Which action should the nurse take to distribute the medication over the surface of the eye? A. gently rub the client's eyelids B. make a pouch in the lower eyelid C. ask the client to blink the eye D. instill medication drops in the upper eyelid

C. ask the client to blink the eye

A nurse needs to administer a prescribed dosage of antineoplastic drugs to a client with cancer. Which piece of medical equipment is used to administer antineoplastic drugs? A. tuberculin injection B. conventional syringe C. central venous catheter D. syringe with a large-bore needle

C. central venous catheter

A client with dry skin has been prescribed inunction. What should the nurse do to promote absorption of the ointment? A. shake the contents of the ointment B. apply inunction with a cotton ball C. rub the ointment into the skin D. warm the inunction before application

C. rub the ointment into the skin

When teaching a client to administer nasal drops, the nurse cautions the client against instilling more than the recommended amount of nasal medication. Which is a possible outcome of overdose? A. onset of pain in the nares and sinuses B. development of a sinus infection C. swelling of the nasal mucosa D. dryness of the nasal mucosa

C. swelling of the nasal mucosa

A nurse is administering a piggyback infusion to a client with partial-thickness or second-degree burns. Which describes the most important feature of a piggyback infusion? A. The primary IV solution is infused by gravity. B. Medication is given all at one time as quickly as possible. C. Medication locks are changed every 72 hours. D. A parenteral drug is given in tandem with an IV solution.

D. A parenteral drug is given in tandem with an IV solution.

A nurse should ead the int tinstites are stated on the label or reconstituting it and administering it to a client. Which instructions are stated on the label of a vial container? A. type of needle to be used for withdrawal B. directions for administering the drug C. best site for administering the drug D. amount of diluent to be added

D. amount of diluent to be added

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? A. to prevent needlestick injuries B. to ensure the accuracy of landmarking. C. to facilitate blood circulation at the injection site D. to avoid instilling medication within the muscle

D. to avoid instilling medication within the muscle