Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Skills- Chigozie > T2-Important Notes (based of document) > Flashcards

T2-Important Notes (based of document) Flashcards

1
Q

What do we do for liquid meds?

A

Nurse pours liquid med into medicine cup for accurate dispensing and lines up the meniscus to a predetermined line on the cup

The meniscus is the true level of liquid medication because surface tension draws liquid up to the sides of the med cup, distorting the level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How do we do ear drops for child younger than 3?

A

The nurse should pull the pinna down and back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How do we do ear drops for children and adults?

A

Pull the pinna upward and outward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ear drops: Why do we do those techniques for ear drop administration?

A

Doing them straightens the ear canal for proper channeling of the medication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Ear drops: What position is the person in when giving ear drops?

A

Side-lying position with appropriate ear facing before instillation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Buccal: What does the nurse instruct the client to do?

A

Hold the medication between the cheek and gums to administer a buccal med properly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is medication administered under the tongue?

A

Sublingual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where do buccal medications dissolve?

A

Between the cheeks and gums

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What position is the patient in for suppository?

A

The left side-lying Sim’s position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Why do we put the patient in left Sims for a suppository?

A

Exposes the anus and helps the patient to relax the external anal sphincter, while lessening the likelihood that the suppository or feces will be expelled

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Why does the nurse instruct the client to apply the new patch to a different site?

A

To prevent tissue irritation and to promote the intended rate of med absorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When is subcutaneous site appropriate?

A

Small amounts of injectable heparin and insulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the usual site for deep IM meds on adults?

A

Ventrol Gluteal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which IM site is no longer considered appropriate and why?

A

Dorsogluteal; sciatic nerve too close

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What IM injection is only suitable for small med volumes when other sites are inaccessible?

A

Deltoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the IM preferred site for children?

A

Vastus lateralis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

The recommendation for pediatric IM injection sites includes use of the vastus laterals for infants until the have been _____.

A

Walking for a year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What gauge and length needle is usually used for adults?

A

20-22; 1.5 in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What gauge and length needle is used for infants and young children?

A

22 gauge; 1 in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

A normal, well developed adult can safely tolerate ____ in larger muscles such as the ventrogluteal. Even though they can tolerate that much, it is unusual to administer more than ___ of medication in a single injection because the body does not absorbed it well

A

3-5 mL; 3 mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Elderly adults and thin patients often tolerate ___ mL in a single injection.

A

2 mL

22
Q

What does aspiration of blood indicate?

A

IV placement of the needle

23
Q

What happens if you aspirate blood?

A

Immediately stop injection
Remove needle
Prepare a new syringe of med for administration

24
Q

What route provides the most rapid absorption and why?

A

IV; because meds given this route are immediately absorbed into the systemic circulation

25
Q

If a client is obese, how do you insert a SQ injection?

A

90 degree angle

26
Q

Do we need to aspirate for SQ? Why or why not?

A

No; aspiration is unnecessary for SC injections because the tissue is avascular

27
Q

Should we or client massage the site after SC injection? Why or why not?

A

No, neither should. We want to avoid massaging the injection site after administering meds to prevent the formation of large hematoma and to decrease the risk of additional bleeding and tissue damage

28
Q

To minimize the pain and bruising associated with low-molecular weight heparin, it is given SC on the right or left side of the abdomen, at least ___ away from the umbilicus.

A

2 in

29
Q

Insulin: What is the order for putting in air and withdrawing med?

A

Air in cloudy, air in clear, withdraw clear, withdraw cloudy

30
Q

Why is it important to let the alcohol on wiped skin dry before injecting a med?

A

The drying kills the microorganisms

The needle can carry alcohol into the puncture, cause pain, and skew the results

31
Q

What is a glass container for a single dose of medication?

A

Ampule

32
Q

What must the nurse use for drawing up med out of an ampule?

A

Filter needle

MUST REMEMBER TO CHANGE AND DISCARD THE FILTER NEEDLE BEFORE ADMINISTERING TO PATIENT

33
Q

Why do we pull the clients skin before injection a needle using Z-track technique?

A

To prepare the seal for the medication after injection

When the skin is released after the needle is withdrawn, it assumes its original place and helps to contain the medication

34
Q

Do we aspirate with Z-track?

A

Yes

35
Q

Z-track:Why do we hold the needle in place 10 seconds after administration?

A

So med can disperse evenly

36
Q

A tuberculin skin tests indicating the presence of antibodies results in a ___, ___ area at the injection site greater than ___ mm in diameter for a recent immigrant from southeast asia because many immigrants from that area are exposed to TB.

A

Palpable, indurated

10 mm

37
Q

If a client is tested after receiving the TB vaccine, the ID skin test will be ____. (positive or negative)

A

Positive

38
Q

TB skin test: Clients with no known risk factors have a positive test with a __ mm induration

A

15 mm

39
Q

TB skin test: Clients who are immunocompromised have a positive test with a ___ induration

A

5 mm

40
Q

Documentation: The nurse records their name and administration time immediately after _____ to maintain an up0to-date and accurate client medical record

A

After medication administration

41
Q

Documentation: 4 steps

A
  1. Assess client
  2. Administration medication if indicated
  3. Documents the assessment with the administration
  4. Preforms post administration assessment
42
Q

What is the most important nursing assessment?

A

To check vital signs–especially BP and HR

43
Q

Why is BP and HR especially important VS to check?

A

The therapeutic response of an antihypertensive medication is a lower BP; as reflex action, the heart rate can increase the BP as the BP drops to compensate for the drop in CO

44
Q

What are narcotics?

A

Controlled substances

45
Q

Where are narcotics kept?

A

A double-locked med drawer for control of inventory

46
Q

Frequently used schedule II drugs, such as ibuprofen, are stored in the ____.

A

Stock supply

47
Q

Other prescribed meds may be stored in a ______ in the patients room or med cart

A

Locked cabinet

48
Q

To avoid needlestick injuries, the nurse should place the uncapped needle, pointing ____, directly into a specially marked, puncture proof container

A

Downward

49
Q

Recapping a needle should only be done when no other feasible alternative is available. If recapping is necessary, how do you recap?

A

One-handed scoop

50
Q

Where should drug allergies be listed on a MAR?

A

On each page

51
Q

What are the 3 places drug allergies should be made aware?

A

Every page of the MAR
Patients med record
Patient wear allergy bracelet

Skills- Chigozie (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions