Chapter 4 Flashcards
When calculating the dose of a drug to be given to a child, Clark’s rule is used. What measure
is Clark’s rule based upon?
a. The age of the child
b. The weight of the child
c. One-half of the adult dose
d. The international standardized ratio
b. The weight of the child
- An elderly patient is scheduled to take six drugs each morning. What action should you take
when giving these drugs?
a. Allow extra time to give all the drugs.
b. Crush all the drugs before giving them.
c. Allow the patient to take only the drugs she can swallow.
d. Leave the drugs at the bedside so the patient can take them slowly.
a. Allow extra time to give all the drugs.
You have just finished giving a 72-year-old male patient with a nasogastric (NG) tube
connected to suction his morning drugs.
What action is appropriate to take next?
a. The NG tube is clamped for 10 minutes and then reconnected to suction.
b. The NG tube is clamped for 30 minutes and then reconnected to suction.
c. The NG tube is immediately reconnected to the suction.
d. The NG tube is disconnected for 4 hours, and then reconnected to suction.
b. The NG tube is clamped for 30 minutes and then reconnected to suction.
A patient in your care is suddenly experiencing a life-threatening emergency. Which route
would you expect that emergency drugs may be given during this situation?
a. IV route
b. IM route
c. Rectal route
d. Subcutaneous route
a. IV route
The LPN/LVN is about to prepare an intramuscular injection for a patient containing a
nonsteroidal anti-inflammatory drug for pain. Which is the correct needle gauge for giving an
intramuscular (IM) injection?
a. 18 G, 1-inch needle
b. 20 G, 1/2-inch needle
c. 25 G, 2-inch needle
d. 21 G, 11/2-inch needle
d. 21 G, 1 1/2-inch needle
Which principle of drug administration will you include in the teaching plan of a patient who
will be giving his own subcutaneous injections?
a. Rotate sites among the upper arm, abdomen, and anterior thigh.
b. Avoid injecting within 3 inches of a previous injection site.
c. Insert the needle at a 30-degree angle to the skin.
d. Use a 22-gauge, 5/8-inch needle.
a. Rotate sites among the upper arm, abdomen, and anterior thigh.
What physical assessment findings would you observe when an IV becomes infiltrated?
a. Pallor and pain
b. Pallor, warmth
c. Pain, warmth, and burning Downloaded at Knoowy -
d. Pain, swelling, and redness
d. Pain, swelling, and redness
Which correct step should you take when giving a Z-track injection?
a. Draw up the exact amount of the drug adding 0.5 mL of air.
b. Do not massage the injection site after giving the drug.
c. Use the deltoid site for this injection.
d. Pull the tissue upward and away.
b. Do not massage the injection site after giving the drug.
What step should be taken when applying a topical nitroglycerin ointment to a patient?
a. Squeeze the nitroglycerine ointment onto the applicator paper and place it on the skin.
b. Apply the nitroglycerine ointment to the medial aspect of the thigh.
c. Massage the nitroglycerine ointment thoroughly into the skin.
d. Shave the skin before application.
a. Squeeze the nitroglycerine ointment onto the applicator paper and place it on the skin.
- You are preparing to give a drug by the transdermal route to a patient. Which safety
precaution should you use when giving this type of drug?
a. Always wear gloves when giving transdermal drugs.
b. To maintain blood levels, do not clean the skin.
c. Remove all patches before showering.
d. Keep all prior patches on the skin.
a. Always wear gloves when giving transdermal drugs.
- You are preparing to teach a teenage patient with asthma about using a metered-dose inhaler.
What instruction would be appropriate in teaching this patient?
a. Never shake the inhaler drug before use.
b. Hold the head back while inhaling the drug.
c. Exhale while squeezing the canister to deliver the drug.
d. Sit upright, exhale, then activate the inhaler as the next inhalation begins.
d. Sit upright, exhale, then activate the inhaler as the next inhalation begins.
You are instructing a clinic patient on how to use an inhaler during an asthma attack. Which statement is most important about the use of an inhaler during an asthma attack?
a. The drug must be delivered into the back of the nose.
b. The drug must be delivered directly into the throat.
c. The drug must be delivered into the lungs.
d. The drug must be delivered onto the tongue.
c. The drug must be delivered into the lungs.
A patient with pneumonia has been ordered to receive an antibiotic to be given by the
intravenous (IV) route. The nurse uses her understanding of drug preparation and administration
to complete this task.
The nurse first before preparing the drug. Once the drug is prepared, the nurse———
a. checks the drug order and the patient’s allergy history; identifies the patient per institution
policy and explains what drug is being given
b. returns expired drugs to the pharmacy and the patient’s allergy history; uses betadine to prepare
the IV site for injection and explains what drug is being given
c. reports adverse reactions and the patient’s allergy history; obtains a 25-gauge needle and
prepares the skin for injection
d. gives the drug and disposes of the glass vial in the trash; reports adverse reactions and checks
the patient allergy history
a. checks the drug order and the patient’s allergy history; identifies the patient per institution
policy and explains what drug is being given
You are caring for a patient with Parkinson’s disease who has been ordered to receive an oral
capsule of the drug rivastigmine.
Which actions represent the proper procedure for giving an oral capsule?
a. Crush and dilute the capsule contents in warm water.
b. Tell the patient to swallow the capsule whole.
c. Open the capsule and mix the drug with soft foods. Tell the patient to chew the capsule
completely.
d. Pierce the capsule with a needle and squeeze the contents into the mouth.
e. Remain at the patient’s bedside until the drug is swallowed.
b. Tell the patient to swallow the capsule whole.
