Med Admin

Question 1

ID location

Answer 1

below scapula, forearm

Question 2

ID length

Answer 2

1/4-1/2

Question 3

ID gauge

Answer 3

25-27

Question 4

ID angle

Answer 4

5-15*

Question 5

ID amount

Answer 5

0.5mL

Question 6

SQ location

Answer 6

abdomen, thigh, tricep

Question 7

SQ length

Answer 7

3/8-5/8

Question 8

SQ gauge

Answer 8

25-30

Question 9

SQ angle

Answer 9

45-90*

Question 10

SQ amount

Answer 10

1mL

Question 11

IM location

Answer 11

deltoid, vastus lateralis, ventrogluteal ( dived leg into 1/3)

Question 12

IM length

Answer 12

3/8-1 1/2

Question 13

IM gauge

Answer 13

18-25

Question 14

IM angle

Answer 14

72-90*

Question 15

IM amount

Answer 15

4mL, 1mL in deltoid

Question 16

Topical eye

Answer 16

conjuctival sac 
must be sterile
ointment (inner or outer)
close eyes after
move eyes around to spread ointment
Might temp blurr vision
DO NOT RUB

Question 17

Topical ears

Answer 17

if swollen insert wick to help it travel to canal
clean with NS
pull up and back on pinna
allow drops to fall into side of canal
push on tragus 
wait five min before switching ears

Question 18

Topical nose

Answer 18

first blow nose
sit up with head tilted neck
hold tip of nose
place 1/3 in of applicator into nose
close 1 nostril while pt inhales while spray is inserted
repeat on other side
DO NOT BLOW NOSE 5-10min

Question 19

Topical vagina

Answer 19

use application plunger
supp are refrigerated
have pt void first
pt is laying back with knees flex
maintain privacy with good lighting. 
supine knees bent 2 feet apart

Question 20

Topical rectal

Answer 20

Sims position/ lift side lying (helps distribute solution to lower intestine tract)
lubricate rounded end and index finger
have pt breath slowly and deeply
insert 3-4 inches
keep pt side lying for 5 min
25-45 for laxative

Question 21

Topical lung MDI and w/o MDI

Answer 21

remove mouthpiece and shake
attacher spacer
breath normally through spacer
release 1 puff
inhale slowly and deeply
hold breath for 5-10 seconds
exhale slowly through pursed lips
wait 1-5 minutes before next puff
pt should gargle and rise with tap h2o

w/o MDI deep breath, exhale, hold 1-2 inches away, inhale

Question 22

Topical lung DPI

Answer 22

same as MDI but without spacer
breath fro 2-3 seconds
hold for 5-10
then exhale

Question 23

Topical lung nevulizer

Answer 23

place pre measure med in bottom section of cup
add fluid to dilute
screw on cap
attach tube to oxygen source/air compressor
see a fine mist then have pt put mouthpiece in mouth
take slow deep breath for about 15 min
s&s

Question 24

The nurse is providing care to a client who has a Groshong catheter inserted. When irrigating the catheter, the nurse would use which solution?

Answer 24

NS

Question 25

A home health care nurse is educating a client and caregivers on how to administer an enteral feeding. Which teaching points are appropriate? Select all that apply.

Answer 25

• Check for leaking of gastric contents around the insertion site (e.g., Is the guard too loose or balloon not filled adequately?).
• Clean around the gastric tube with soap and water, making sure it is adequately rinsed.
• Keep the head elevated while delivering a gastric feeding and for approximately 1 hour after the feeding.

Question 26

The nurse is caring for a client who refuses most foods on the dietary tray. Which nursing intervention is appropriate?

Answer 26

Asses when client generally eats meal

Question 27

1oz=

Answer 27

30mL

Question 28

1kg=

Answer 28

2.2lbs

Question 29

1L=

Answer 29

1000mL

Question 30

1mL=

Answer 30

0.001L

Question 31

1mcg=

Answer 31

0.001mg

Question 32

1mg=

Answer 32

1000mcg

Question 33

1mg=

Answer 33

0.001g

Question 34

1g=

Answer 34

1000mg

Question 35

What happens when you combine long-acting insulin types or dilute them with any other insulin preparation.

Answer 35

The effects can be life threatening

Question 36

What do you do with cloudy insulin

Answer 36

gently roll between palms of hand to mix it before it is drawn up, DO NOT SHAKE

Question 37

what do you do if you over draw insulin

Answer 37

you can insulins mix instantly therefor you can not return overdrawn insulin to the vial

Question 38

4 important notes of mixing insulin

Answer 38

1) last injected is first drawn up
2) run fast first (reg) then slow (NPH)
3) clear to cloud
4) only same type should be mixed together (i.e. humulin to humulin)

Question 39

how can heparin be administered

Answer 39

IV or SubCut

Question 40

A nurse is administering medication to a patient via a gastric tube and finds that the medicine enters the tube and then the tube becomes clogged. What is the appropriate intervention in this situation?

Answer 40

Use a syringe to plunge the tube to try to dislodge the medication.

Question 41

Which pharmacologic considerations should the nurse contemplate before administrating parental medications

Answer 41

• The drug will not be filtered through the liver.
• The adverse effects of the drugs can be more pronounced.
• Older adults and children should be monitored closely for drug effects.

Question 42

Which anatomic site is recommended for intramuscular injections for adults?

Answer 42

ventrogluteal muscles

Question 43

A physician at a health care facility suggests the use of a metered-dose inhaler for an asthmatic client. Which describes the mechanism of a metered-dose inhaler?

Answer 43

a canister containing medication that is released when the container is compressed