week 6 PrepU quiz

When administering an intravenous medication, the nurse should explain which teaching points to the client? Select all that apply A. possible adverse effects B. manufacturer of the medication C. name of the medication D. purpose of the medication E. incompatibilities with other medications F. date the medication will expire

A. possible adverse effects C. name of the medication D. purpose of the medication

The nurse is administering the first dose of an intravenous infusion of an antibiotic. What action would the nurse take next? A. stay with the client during the first 15 minutes of infusion B. Instruct the client to report any difficulty breathing C. Document the total volume infused D. Assess the client after completion of infusion

A. stay with the client during the first 15 minutes of infusion Taylor, p. 848

The nurse is preparing to administer two IV medications . What is the appropriate nursing action? A. Prepare to administer through separate tubes B. Consult a current drug reference book for IV compatibility C. Hold one medication for an hour and administer it after the first medication D. Administer the drugs through the same tubing

B. Consult a current drug reference book for IV compatibility Taylor, p. 848

The nurse is caring for a client who just returned form the postanesthesia care unit and rates current pain ad "9 out of 10." Which prescribed medication would provide the fastest relief from pain? A. Oral acetaminophen and oxycodone B. Oral acetaminophen with codine C. Intramuscular ketorolac tromethamine D. Intravenous morphine sulfate

D. Intravenous morphine sulfate Taylor, p. 905-910

A nurse us preparing to administer a medication by intravenous piggyback. Where will the piggyback container be placed? A. below the level of the patient's heart B. lower than the primary solution container C. At an equal height with the primary solution container D. higher than the primary solution container

D. higher than the primary solution container Taylor, p.785

The client has vancomycin 250 mL intravenously prescribed daily. The vancomycin is to be administered over 90 minutes through an IV administration pump. How many mL/hr would the nurse set the IV administration pump to administer the vancomycin? Record your answer using a whole number.

167 Taylor, p. 1587-1588

The nurse has finished teaching a client about medications that have been prescribed for administration. Which client statement reflects that teaching about a piggyback infusion of antibiotics has been successful A. "When I am out of bed the small IV bag must be discontinued so I can take the large IV bag with me" B. "When I am out of bed the small IV bag must not be lower than the large IV bag" C. "When I am out of bed the large IV bag must be lower than the small IV bag" D. "When I am out of bed the large IV bag must be discontinued so I can tale the small IV bag with me"

B. "When I am out of bed the small IV bag must not be lower than the large IV bag" Taylor, p. 856

A nurse is preparing to administer diazepam 1 mg I.V. The available dose is diazepam 2 mg/mL vial. After drawing 0.5 mL of medication into a syringe, what is the next action by the nurse? A. Return 0.5mL to the client's medication drawer for later use B. Ask another nurse to witness 0.5mL medication waste into the sink C. Place the safety checks and administer the medication to the client D. Perform safety checks and administer the medication to the client

B. Ask another nurse to witness 0.5mL medication waste into the sink Diazepam is a controlled substance. Federal law requires close monitoring of all controlled substances to prevent diversion or misuse. After drawing up the ordered dose, the nurse would ask another nurse to witness the waste of the remaining medication into the sink or other approved waste container per the facility policy. Controlled substances are not placed in the sharps container to prevent diversion. Controlled substances require double-locked storage to prevent diversion and would not be stored in the client's medication drawer. The nurse would complete safety checks and administer the medication after another nurse witnessed waste of the remaining controlled substance.

A nurse who is administering a piggyback intermittent intravenous infusion of medication to a client observes that there is a cloudy, white substance forming in the IV tubing. Which actions should the nurse take in this situation? Select all that apply A. Check literature regarding incompatibilities of medications after administration B. Clamp the IV at the site nearest to the client C. Assess the IV site for signs of infiltration or phlebitis D. Stop the IV from flowing and stop administering the medication E. Replace tubing on primary and secondary infusions F. Prime the secondary tubing by "backfilling it"

B. Clamp the IV at the site nearest to the client D. Stop the IV from flowing and stop administering the medication E. Replace tubing on primary and secondary infusions Taylor, p. 910

The student nurse is planning to care for a peripheral intravenous (I.V.) site for a client receiving chemotherapy. Which outcome would demonstrate the the student understands the concepts of I.V. care? A. Monitor for redness, drainage, and swelling at the insertion site every 24 hours B. If extravasation is suspected, stop the infusion C. Clean the insertion site and change the dressing every 72 hours D. Periodically flush the catheter with heparin to maintain its flow of I.V. solution

B. If extravasation is suspected, stop the infusion Peripheral venous access devices are commonly used for clients receiving long-term chemotherapy, total parenteral nutrition, or frequent medication or fluids. These devices may remain in place for several weeks to more than 1 year if no complications develop. Extravasation, or infiltration of the drug into surrounding tissue, is an emergency, and the priority action is to stop the infusion. The site could be cleaned and dressing changed more often than every 72 hours depending on the type of dressing, patient's condition, and other factors. Heparin is not used to flush peripheral sites. Nurses monitor I.V. sites more frequently than every 24 hours; the site should be checked at least every 4 hours.

A nurse needs to administer a prescribed medication to a client using IV push. In which way is the medication being administers to the client? A. continuous drip B. bolus administration C. gravity infusion D. electronic infusion device

B. bolus administration Taylor, p. 905

The nurse administers medication by various routes of delivery. The nurse should use which route for a client who needs immediate effect of the medication? A. oral B. intravenous C. rectal D. transdermal

B. intravenous Taylor, p. 856

The nurse is preparing to administer a bolus of an intravenous medication. How should the medication be administered? A. in tandem with another medication B. over the duration of a 12-hour shift C. all at once D. Over 3 hours

C. all at once Taylor, p. 857