MEDICAL ADMINISTRATION PREP U

The nurse is administering furosemide IV to a client. How soon after administration does the nurse expect diuretic effects to peak?

30 minutes

The nurse is preparing to administer an allergy test intradermally. At what angle will the nurse plan to insert the needle into the client?

10 to 15 degrees

The nurse is preparing to administer a tuberculin test. At which angle is the nurse expected to instill the drug?

15-degree angle

A health care provider orders an infusion of 250 mL of NS in 100 minutes. The set is 20 gtt/ml What is the flow rate?

50 gtt/min

The nurse is preparing to administer insulin to a client with excess weight (has a 2-inch tissue fold when bunched). At what angle will the nurse plan to insert the needle into the client?

90 degrees

The client asks the nurse how to administer medication purchased over the counter for relief of arthritis pain. The nurse reviews the medication and determines that it is to be applied topically. Which instructions should the nurse provide?

Apply the medication to clean, dry skin of the affected area using gloves.

A nurse at the health care facility needs to administer an otic application for a client with an earache. What should the nurse do after instilling the prescribed eardrops in the client's ear? Clean the external ear of drainage with cotton balls moistened with water or normal saline solution. Straighten the auditory canal by pulling the cartilaginous portion of the pinna up and back. Ask the client to remain lying down for at least 5 minutes. Immediately repeat the application in the second ear if prescribed.

Ask the client to remain lying down for at least 5 minutes.

The nurse is teaching the parents of a school-aged child who is to receive medication therapy. What instructions should the nurse include?

Tell your health care provider about all the medicines that your child is taking."

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 administer two IV medications. What is the appropriate nursing action?

Consult a current drug reference book for IV compatibility.

A pregnant client received fentanyl for pain management at 1145. The client gave birth at 1204, and ocytocin is running at 15 mUnits/min. At the time of the birth, what is the nurse's priorityintervention?

Count respiratory rate of the newborn.

client is experiencing iron toxicity. Which agent would the nurse expect to be given?

Deferoxamine

A nurse is administering an adult client's ordered antipsychotic drug intramuscularly. What would be the most appropriate site for administration?

Deltoid

An emergency room nurse is ordered to administer nitroglycerin to a client being treated for acute pulmonary hypertension. Which means of drug administration would the nurse use to achieve rapid results in this emergency situation?

IV Infusion

The nurse is preparing to administer a nasal spray. Place the nurse's actions in order, from first to last.

Identify the client using two identifiers and verify any allergies. Offer the client a tissue and ask the client to blow the nose. Insert the tip of the nasal spray into one nostril and close the other nostril with a finger. Compress the nasal spray while the client breathes in through the nose. Remove the tip of the spray from the client's nostril and release the compression. Instruct the client to not blow the nose for 5 to 10 minutes.

The nurse is preparing to administer prescribed intravenous antibiotics to a client. While assessing the medication lock, the nurse notes that there is resistance when administering the saline flush solution. What would be the best action by the nurse?

Insert a new IV medication lock and remove the old one.

As the nurse prepares to administer a medication to a preschooler, the nurse realizes that the child is extremely underweight for age. What action would the nurse take?

Measure the child's height and weight, and check whether the dose is correct for the child.

A client who just underwent hip replacement surgery reports pain at a 10 on a scale of 0 to 10 and receives 4 mg of morphine. A nurse on the orthopedic unit enters the client's room and finds that the client has a respiratory rate of 7 breaths/min. The client is groggy and hard to arouse. What could be contributing to the client's findings?

Opiates, which may cause hypoventilation

A client taking a diuretic twice daily for treatment of hypertension reports being awakened often by a full bladder. What teaching regarding the diuretic will the nurse provide?

Take it before 6:00 p.m. at night.

A child who is receiving TPN has developed the need to have insulin injections. The child's mother questions this and states that her child does not have diabetes. What is the appropriate response by the nurse?

The feedings are high in sugar and insulin is needed to manage this."

During assessment, a nurse asks a client about any chronic conditions that might have an impact on the client's prescribed drug therapy. What issue, if reported by the client, would alert the nurse to a possible problem?

kidney disease diagnosed 2 years ago