Funds Success Med Adm Flashcards
The instructions with a medication states to use the Z-track method. What should the nurse do that is specific to this procedure?
- pinch the site throughout the procedure
- massage the site after the needle is removed
- remove the needle immediately after the medication is injected
- change the needle after the medication is drawn into the syringe
*4
A nurse instructs a patient to close the eyes after the administration of eye drops. What rationale for this instruction should the nurse explain to the patient?
- limits corneal irritation
- squeezes excess medication from the eyes
- disperses the medication over the eyeball
- prevents medication from entering the lacrimal duct
*3
Which route is unrelated to the parenteral administration of medications?
- buccal
- z-track
- intracenous
- intradermal
*1
How often should “docusate sodium (Colace) 100 mg b.i.d.” to be given?
- three times a day
- two times a day
- every other day
- at bedtime
*2
Which intervention is uniquely related to the administration of an intradermal injection?
- using the air bubble technique
- pinching the skin during needle insertion
- inserting the the needle with the bevel upward
- massaging the area after the fluid is instilled
*3
A nurse is preparing to reconstitute a medication in a multiple- dose vial. What is the most essential step in the prep of this medication?
- instilling an accurate amount of diluent into the vial
- using a filtered needle when drawing up the medication from the vial
- instilling air into the vial before withdrawing the reconstituted solution
- wiping the rubber seal of the vial with alcohol before and after each needle insertion
*1
Which characteristic is associated with a subcutaneous injection of 5000 units of heparin?
- 3- ml syringe
- 22 gauge needle
- 1.5 inch needle length
- 90 degree angle of insertion
*4
A nurse is assessing a patient for the appropriateness of administering a medication via the oral route. What clinical manifestation indicates that the nurse should ask the practitioner for a change in route?
- nausea
- unconsciousness
- gastric suctioning
- difficulty swallowing
*2
A home care nurse observes the spouse of a patient inserting a rectal suppository. What behavior indicates that the nurse must provide teaching about suppository administration?
- lubricates the tip of the suppository
- inserts the suppository while wearing a glove
- inserts the suppository while the patient bears down
- place the suppository a finger length into the rectum
*4
A practitioner prescribes nose drops to be administered twice a day. What should the nurse do when instilling nose drops?
- place the patient in the supine position with the head tilted backward
- pinch the nares of the nose together briefly after the drops are instilled
- instruct the patient to blow the nose 5 mins after the drops are instilled
- insert the drop applicator 1/8 inch into the nose toward the base of the nasal cavity
*1
When the nurse brings pills to a patient, the pt is unable to hold the paper cup with the medications. What should the nurse do?
- crush the pills and mix it with applesauce
- have the practitioner prescribe the liquid form of the drug.
- use the paper cup to introduce the pills into the patients mouth
- put the pills into the patients hand and have the patient self- administer the pills
*3
A nurse teaches a patient how to self- administer a corticosteroid via a metered- dose inhaler with an extender. Which behavior indicates to the nurse that the patient understands the teaching?
- rinses the mouth with water after the treatment
- rolls the canister between the hands slowly before using the inhaler
- positions the mouthpiece directly in front of the mouth while inhaling
- assumes the semi- fowlers position with the head supported on a pillow
*1
What route in inappropriate for a topical medication?
- intradermal
- bladder
- rectum
- vagina
*1
A nurse holds a bottle with the label next to the palm of the hand when pouring a liquid medication. What is the rationale for this action?
- conceal the label from the curiosity of others
- prevent soiling of the label by spilled liquid
- ensure the accuracy of the measurement of the dose
- guarantee the label is read before pouring the liquid
*2
A practitioner prescribes a medicated powder to be applied to a patient’s skin. What is the most essential for the nurse to do when applying the medicated powder?
- apply a thin layer in the direction of the hair growth
- protect the patients face with a towel
- dressing area with dry sterile gauze
- ensure that the skin surface is dry
*4
A nurse must administer a medication in the ear of an adult. What should the nurse do to limit patient discomfort when administering ear drops?
- warm solution to body temperature
- place the patient in a comfortable position
- pull the pinna of the ear upward and backward
- instill fluid into the center of the auditory canal
*1
A nurse instructs a patient to inhale deeply and hold each breath for a second when using hand-held nebulizer. the patient asks, “Why do I have to hold my breath?” The nurse responds, “This technique will:
- prolong treatment
- limit hyperventilation
- disperse the medication
- prevent bronchial spasms
*3
Which abbreviation indicates that the practitioner wants a medication administered before meals?
- pc
- qh
- po
- ac
*4
Where is medication absorbed when the nurse administers a suppository?
- ear
- nose
- mouth
- rectum
*4
A home care nurse is helping a patient with short term memory loss how to remember to take multiple drugs throughout the day. What should the nurse do when teaching this patient?
- suggest that patient wear a watch with an alarm
- ask a family member to call the patient with the medications are to be taken
- design a chart of the medications the patient take each day during the week
- instructed patient to put medication in a weekly organizational pill container
*4
A nurse is to administer an eye irrigation to a patient’s right eye. What should the nurse do?
- direct the flow of the solution from the inner to the outer canthus
- irrigate with an asepto syringe several inches from the eye
- Don sterile gloves before beginning the procedure
- position the patient in a right lateral position
*1
A nurse must reconstitute a powdered medication. What should the nurse do?
- keep the needle below the initial fluid level as the rest of the fluid is injected
- instill the solvent that is consistent with the manufacturer’s directions
- score of the neck of the ampule before breaking it
- shake the vile to dissolve the powder
*2
A nurse is preparing to administer a tablet to a patient. When should the nurse remove the medication from the unit dose package?
- outside the door to the patient’s room
- at the patience bedside
- in the medication room
- at the medication cart
*2
Which nursing action is most appropriate when administering an analgesic?
1 reasses drug effectiveness every 8 hours
- follow the prescription exactly for the first 24 hours
- ask the practitioner to include a medication prescription for breakthrough pain
- seek a new prescription after two doses that do not achieve a tolerable level of relief
*4
The practitioner prescribes a troche. The nurse should administer it by placing it in the pt’s:
- ear
- eye
- mouth
- rectum
*3
A pt has a prescription for 2 puffs of a bronchodilator via a metered-dose inhaler. What should the nurse teach the pt to do when self-administering the medication?
- start breathing in while compressing the canister
- hold the inspired breath for several seconds
- deliver 2 puffs with each inspiration
- inhaled slowly for 8 to 10 seconds
*1
A nurse teaches a pt about taking a sublingual nitroglycerin tablet. The nurse evaluates that the pt understands the teaching when the pt states, “I should place it:
- on my skin
- inside my cheek
- under my tongue
- in my eye on the lower lid
*3
A practitioner prescribes a rectal suppository for an adult pt. What should the nurse do when administering the rectal suppository?
- lubricate the medication before insertion
- warm the medication to body temperature
- insert the medication just inside the rectum’s external sphincter
- place the pt in the prone position to administer the medication
*1
What should a nurse use when placing a cream into a pt’s vaginal canal?
- a finger
- a gauze pad
- an applicator
- an irrigation kit
*3
A practitioner prescribes a medication that must be administered transdermally. The nurse determines that a drug administered transdermally is:
- inhaled into the respiratory tract
- dissolved under the tongue
- absorbed through the skin
- inserted into the rectum
*3
A nurse is interviewing a newly admitted client in the process of completing a nursing admission history and physical. What information should be included in a medication reconciliation. (select all that apply)
- vitamins
- drug allergies
- food supplements
- over the counter herbs
- prescribed medications
*1, 3, 4, 5,
