week 5 ---ati hw & 42 & 51

Question 1

subcutaneous syringe

Answer 1

45 -90 degree (obese) angles

no more than 1.5mL

3/8 to 5/8 in. length

25-27 gauge
**28-31 gauge = insulin

pinch & rotate sites

*****uses insulin & heparin
*lipohypertrophy

Question 2

Intramuscular (IM) Syringe

Answer 2

90 degree angle

1&1/2 in. length

18-25 gauge

3 sites:
1) Ventrogluteal (3ml)
2) Deltoid (2ml)
3) Vastus Lateralis (1-3ml)

Question 3

Intradermal syringe

Answer 3

5 to 15 degree angle

1ml TB syringe

25-27 gauge

1/4 to 5/8 in. length

*bevel up
*small bleb
*never rub site
*forearm
*tuberculosis

Question 4

pharmacokinetics

Answer 4

study of absorption, metabolism, distribution, & excretion of drugs in body

Question 5

enteral routes

Answer 5

*slower
mouth, stomach, or intestines

Question 6

prodrugs

Answer 6

inactive chemicals that are activated through the metabolism to exert their effects

Question 7

first-pass effect

Answer 7

passage of oral meds from small intestine to liver before reaching systemic circulation

Question 8

pharmacodynamics

Answer 8

study of how a drug works (concentrations) & how the body responds

Question 9

peak
vs
trough

Answer 9

peak = medication is at its highest concentration–absorption complete

trough = lowest concentration level
**measured before next dose

Question 10

half-life

Answer 10

time it takes for drug to fall to half its strength through excretion

Question 11

Rights of Medicine

Answer 11

right CLIENT
right MEDICATION
right DOSE
right ROUTE
right TIME

Question 12

administering STAT vs ASAP time frames

Answer 12

STAT = within 30 min of order placed

ASAP = within 30min - 1hour

Question 13

8 things prescriptions must have

Answer 13

1. client name
2. date/time of prescription
3. medication name
4. dose
5. route
6. frequency
7. indication for use
8. provider signature

Question 14

Routes that bypass first-pass

Answer 14

sublingual
buccal

Question 15

administering medication in enteral feeding tubes

Answer 15

***liquid only
flush w/ water before & after (30ml)

Question 16

transdermal patch locations

Answer 16

**remove old one first
upper arms
upper torso
back
behind ears
chest

Question 17

apply ophthalmic drugs

Answer 17

applied to mucous membranes of eyes
**inward to out
**never on cornea directly

**nasolacrimal occlusion (pressure on corner of eye for 30-60 sec)

Question 18

applying otic meds

Answer 18

pinna UP & BACK
room temperature – not cold (causes dizziness & pain)

Question 19

parenteral routes

Answer 19

intradermal (ID)
intramuscular (IM)
subcutaneous
intravenous (IV)

Question 20

safety needle syringes

Answer 20

intramuscular (IM)
subcutaneous
intradermal (ID)

Question 21

Insulin syringe

Answer 21

*subcutaneous
28-31 gauge
UNITS
Orange
0.25 to 1 ml

Question 22

Mind-body therapy includes

Answer 22

acupncture
art therapy
breath work
guided imagery
meditation
tai-chi
yoga

Question 23

energy therapy includes

Answer 23

therapeutic touch
magnet therapy
reiki

Question 24

a nurse is caring for a client scheduled for abdominal surgery. The client reports being worries. Which of the following actions should the nurse take?

1. Offer info on a relaxation technique & ask the client if they are interested in trying it

2.Request a social worker see the client to discuss meditation

3. attempt to use biofeedback techniques with the client
4. tell the client many people feel the same way before surgery & to think of something else

Answer 24

1. Offer info on a relaxation technique & ask the client if they are interested in trying it

Question 25

A nurse is assessing a client as part of an admission history. The client reports drinking an herbal tea every afternoon at work to relieve stress. Tea include which of the following ingredients?

1. Chamomile
2. Ginseng
3. Ginger
4. Echinacea

Answer 25

1. Chamomile

Question 26

A nurse is reviewing complementary & alternative therapies with a group of new nurses. Which of the following are mind-body therapies? sap

1. art therapy
2. acupressure
3. yoga
4. therapeutic touch
5. Biofeedback

Answer 26

1. art therapy
2. yoga
3. biofeedback

Question 27

A nurse is teaching a group of new nurses on complementary & alternative therapies they can incorporate into their practice w/o the need for specialized licensing or certification. Which of the following should the nurse encourage them to use? sap

1. Guided Imagery
2. Massage Therapy
3. Meditation
4. Music therapy
5. Therapeutic Touch

Answer 27

1. guided imagery
2. meditation
3. music therapy

Question 28

A nurse is planning to use healing intention w/ a client who is recovering from a lengthy illness. which of the following is the priority action to take before attempting this particular mind-body intervention?

1. tell the client the goal of therapy is to promote healing
2. ask whether the client is comfortable with using prayer

3.Encourage the client to participate actively for best results

4. instruct the client to relax during therapy

Answer 28

2. ask whether the client is comfortable with using prayer

Question 29

Complementary & Alternative Medicines

Answer 29

*whole medical systems
*body-based & manipulative methods
*biological & botanical therapies
*mind-body therapy
*energy therapy
*movement therapy

Question 30

homeopathic medicine

Answer 30

administering doses of substances that would produce manifestations of the disease state in a well person to ill clients to bring about healing

Question 31

gingko bilboa

Answer 31

improves memory

Question 32

gingseng

Answer 32

increases physical endurance

Question 33

valerian

Answer 33

promotes sleep & reduces anxiety

Question 34

garlic

Answer 34

inhibits platelet aggregation

Question 35

to promote adherence with medication self-administration, a nurse is making recommendations for an older adult client. Which of the following instructions should the nurse include? (sap)

1. adjust dosages according to daily weight
2. place pills in daily pill holder
3. ask for liquid forms if the client has difficulty swallowing pills
4. ask a relative to assist periodically
   5.request child resistant caps on medication containers

Answer 35

2. place pills in daily pill holder
3. ask for liquid forms if the client has difficulty swallowing pills
4. ask a relative to assist periodically

Question 36

A client in a provider’s office tells the nurse that, “I fast for several days each week to help control my weight.” the client takes several medications for various chronic issues. the nurse should explain to the client that which of the following mechanisms that results from fasting puts her at risk for medication toxicity?

1.Increasing the metabolism of the medications over time

2. Increasing the protein-binding response
3. Increasing the medications transit time through the intestines.

4.Decreasing the excretion of medication

Answer 36

2. Increasing the protein-binding response

Question 37

A nurse is preparing medications for a preschooler. Which of the following factors should the nurse identify as altering how a medication affects children? (sap)
1.Increased gastric acid production
2. Immature liver
3.higher body water content
4.Increased absorption of topical medications
5.Increased gastric emptying time

Answer 37

2. Immature liver
   3.higher body water content
   4.Increased absorption of topical medications

Question 38

A nurse is teaching a client who is lactating about taking medications. which of the following actions should the nurse recommend to minimize in the entry of medication into breast milk?

1. drink 8 oz of milk w/ each dose of medication
2. Use medications that have an extended half-life
3. take each dose right after breastfeeding
4. pump breast milk and feed it prior to feeding to the newborn

Answer 38

3. take each dose right after breastfeeding

Question 39

a nurse in an outpatient clinic is teaching a client who is in the first trimester of pregnancy. which of the following statements should the nurse make?
1. “you will need to get a rubella immunization if you haven’t had one prior to pregnancy.”
2. “you can safely take over-the counter- medications”
3. “you should avoid any vitamin preparations containing iron.”
4. “your provider can prescribe medications for nausea if you need it “

Answer 39

4. “your provider can prescribe medications for nausea if you need it “