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Fundamentals > Quiz 4 > Flashcards

Quiz 4 Flashcards

1
Q

If the patient takes the wrong medication, what is the first thing the nurse should do?

A

assess the patient

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2
Q

If the prescription reflects that the dose is way too low or way too high, what should the nurse do?

A

Call the provider and question the order

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3
Q

Where are sharps placed?

A

Sharps container

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4
Q

If a nurse were to “waste” a narcotic, who can she waste it with?

A

Immediately with another nurse present to witness in the appropriate container

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5
Q

When will a nurse document medication taken?

A

after it is given/administered

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6
Q

What are important factors about transdermal patches?

A
  • make sure the skin is clean, dry, hairless, intact
  • rotate sites used
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7
Q

Where are buccal medications given? Why?

A

cheek

to be dissolved and absorbed

no water should be given

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8
Q

Who is at a higher risk for toxicity? Why?

A

older adults with renal impairment

due to decrease in glomerular filtration

pt will not be able to excrete

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9
Q

Which insulins cannot be mixed together?

A

long acting with any other insulins

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10
Q

Which insulins can you mix together?

A

regular insulin and acting-NPH

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11
Q

What are the steps for drawing insulin?

A

roll and clean
add air to cloudy
add air to clear
withdraw clear, then cloudy

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12
Q

With proton pump inhibitor (PPI) medications given through the NG tube, how long will the nurse hold feedings for?

A

30 min - 1 hour after administration

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13
Q

When dealing with kids, can the parent give the medication to the child?

A

yes, only medications that are easily able to be given

injections: nurse will draw and administer

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14
Q

What is the shortest length for an IM injection?

A

1 inch

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15
Q

What length is most appropriate for the deltoid?

A

1 inch

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16
Q

What should the nurse advise the patient when taking an extended release tablet or capsule?

A

don’t chew, crush, or open

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17
Q

If a patient has a tube and an ER tablet/capsule is ordered, what should the nurse do?

A

Call provider and get a different form ordered

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18
Q

In order for a prescription to be complete, it must have what?

A

client full name
date and time
name of med
route
strength
dosage
frequency
quantity
signature of provider

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19
Q

If a medication is ordered PO, how must it be given?

A

PO

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20
Q

If a medication is ordered sublingual, can it be given through a PEG tube?

A

no

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21
Q

When administering an IM injection and the nurse aspirates blood, what should they do?

A

discard and start over

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22
Q

How is a TB test administered?

A

anterior FA
clean with alcohol
bevel up 5-15 degree
bleb forms

do not massage

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23
Q

What meds can be given subcutaneously? What will be monitored?

A

lovenox
heparin

monitor for bleeding because these are blood thinners

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24
Q

What are common reactions for a patient with a tube feeding? What will the nurse do?

A

nausea
vomiting / regurgitation
diarrhea

keep the head of the bed up

25
Q

If giving an enema to a patient and they begin to have a cramp/abdominal pain, what will the nurse do?

A

stop the procedure

26
Q

When feeding a patient with an NG tube or a PEG tube, what is an adverse position? Why?

A

supine due to aspiration

27
Q

When giving an inhaler, what should the nurse do before administering?

A

shake the inhaler to agitate the powder

28
Q

When giving eye drops, what should the nurse do?

A

pull the lower lid

apply pressure to the nasolacrimal duct

29
Q

Define peak blood level

A

highest concentration of medication within the blood

30
Q

Define trough blood level

A

lowest concentration of medication within the blood

31
Q

When is the trough blood level measured?

A

before administering next dose

32
Q

What is the max amount that can be administered subcutaneously?

A

1.5 mL

33
Q

Subcutaneous

Needle size?
Gauge?

A

3/8 - 5/8 inches
25 - 27 G

34
Q

Subcutaneous

Angle?

A

45 - 90 degrees

35
Q

What angle will the nurse administer a subcutaneous injection for a patient who is obese?

A

90 degrees

36
Q

When injecting insulin, what needle gauge is preferred?

A

28 -31 G
insulin syringe

37
Q

What is the max amount that can be administered intramuscularly?

A

ventrogluteal: 3mL
deltoid: 2mL
vastus lateralis: 1-3mL

38
Q

What is the safest site for IM injections?

A

ventrogluteal

can be used for volumes more than 2mL

39
Q

What site is commonly used for immunizations?

A

deltoid

40
Q

What IM site is the best for infants 1 or younger?

A

vastus lateralis

41
Q

What syringe should be used for volumes less than 0.5mL?

A

tuberculin syringe

42
Q

Intramuscular

Needle size?
Gauge?

A

depends on client weight and size

1 - 1 1/2 inches
18 - 25 G

43
Q

Intramuscular

Angle?

A

90 degrees

44
Q

What are the two methods for administering IM injections?

A

Z track
- pull skin back 1 inch, inject, remove needle, release skin

Traditional
- forefinger and thumb pull skin taut

45
Q

Why is the Z track method used?

A

for medication that can be irritating

46
Q

What is the max amount that can be administered intradermally?

A

0.1 mL

47
Q

Intradermal

Needle size?
Gauge?

A

3/4 - 5/8 inches
25 - 27 G

48
Q

Intradermal

Angle?

A

5 - 15 degrees

49
Q

What syringe should be used for an intradermal injection?

A

1mL TB syringe

50
Q

Why would an IV be used?

A

to administer medications, fluids, and blood products

51
Q

What gauge should be used for IV?

A

16 G: clients with trauma

18 G: surgery and blood administration

22 - 24 G: children, older adults, and clients with medical issues/stable postop

52
Q

What sites are preferred for IV?

A

peripheral veins in arm or hand

ask client their preference

53
Q

What are the sites for IVs in newborns?

A

veins in head, lower legs, and feet

54
Q

What are the rights of medication administration?

A

right
- client
- medication
- dose
- time
- route
- documentation
- client education
- to refuse
- assessment
- evaluation

55
Q

If a patient is NPO and they need medication, what will the nurse do?

A

Question the order and ask provider for something different

56
Q

What should a nurse do before and after medication administration?

A

assess the patient

57
Q

What are complementary and alternative therapies (CATs)?

A

nonpharmacologic therapies and natural products

58
Q

If a patient is using complementary and alternative therapies (CATs), what should the nurse do?

A

assess the client and collect data on the use of CATs

promote safe usage

encourage patients to inform provider

Fundamentals (7 decks)

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