Help
Options
Question
The nurse is caring for a 76-year-old patient being treated for depression, elevated cholesterol levels, and renal failure. She is placed on a new medication to lower her cholesterol as well as a low-fat diet.
click to flip
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't know
Question
When smaller doses of each are administered together, the effect is greater than if they were given separately. This effect is an example of which of the following?
Remaining cards (55)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
BSN 225
EL quizzes week 3-4
| Question | Answer |
|---|---|
| The nurse is caring for a 76-year-old patient being treated for depression, elevated cholesterol levels, and renal failure. She is placed on a new medication to lower her cholesterol as well as a low-fat diet. | Having a diagnosis of renal failure. Taking a new medication. Taking OTC medications and herbal remedies. Her age. Having a diagnosis of depression. The number of medications she takes. Her gender. |
| When smaller doses of each are administered together, the effect is greater than if they were given separately. This effect is an example of which of the following? | A synergistic effect. |
| The nurse is reviewing a patient's prescribed medications. The patient states that she quit taking her blood pressure medication because it made her "too weak and tired." What type of medication action was the patient most likely experiencing? | side effects |
| Which of the following patients is at highest risk for a toxic medication effect? | The patient who has liver and kidney problems and takes high doses of aspirin to relieve pain. |
| A patient has been taking vancomycin (Vancomycin HCl) for an infection. The health care provider has ordered a peak and trough level to be drawn. When should the nurse expect the phlebotomist to draw the patient’s blood for the trough level? | 30 minutes before the RN administers the vancomycin. |
| The nurse selects a medication according to the MAR for the correct drug name, dosage, and route. The nurse goes to the patient's room and compares the name and date of birth on the patient's ID bracelet to that information on the MAR. T | The right time. |
| The following medications are to be administered. Which patient receives medication the most often? The patient who: | Receives antibiotics q4h. |
| A patient has an order to receive nystatin oral suspension PC. When will the nurse administer this medication? | After meals. |
| The health care provider has ordered an antibiotic to be given 3 times in a 24-hour period. Which would be the best dosing schedule for this medication in order to maintain a therapeutic blood level? | q8h. |
| A nurse is administering daily medications when a patient states, “I never took a little yellow pill before.” What is the nurse’s best action? | Stop and recheck the medication that it is correct according to the health care provider’s order. |
| Look at the image and then answer the question. The health care provider has ordered 250 mg of cefprozil (Cefzil). The nurse is preparing to calculate the amount needed by using the following formula: | 125 |
| The health care provider has ordered morphine sulfate (Duramorph) 8 mg IM q6h prn pain. (Do not include unit dose in your answer, e.g., mL, tabs.) Drug available: | 0.8 |
| The health care provider has ordered ampicillin (Prinicpen) 0.5 g PO, q8h. (Do not include unit dose in your answer, e.g., mL, tabs.) | 10 |
| The patient has been taking 3 teaspoons of cough syrup. How many mL would this be? | 15 mL. |
| The health care provider’s order states to feed the infant 2 ounces every 4 hours. How many mL should the nurse prepare to feed the infant each time? | 60 mL. |
| According to the medication label, the trade name is: | Retrovir |
| The health care provider ordered levothyroxine (Levothroid) 0.1 mg PO daily. The drug available states 100 mcg per tab. How many tablets should the nurse administer? | 1 tab. |
| An alert patient has refused to take her prescribed medications, stating, "The medication isn't doing me any good!" What should the nurse do? | Assess further as to why the patient feels this way and notify the health care provider of the patient's refusal. |
| When should the nurse document medication administration? | Immediately after the medication is given. |
| The nurse finished administering medications at 1030 when the nurse realized that she gave a patient all of his medications at 1000, including some medications that should have been administered at 1200 and some at 1400 violated the- | right time |
| Fortunately, Mrs. Start's order stated she could receive pain medication every 4 hours, and 5 hours had elapsed since her last dose. Since neither patient was harmed by the error, why should the nurse complete an incident report? | The nurse should do so to determine why the mistake occurred and what can be done to avoid similar errors in the future. |
| A nurse manager is reviewing with the nurse measures used to prevent medication errors. Which of the following statements indicate a correct understanding of steps used to prevent medication errors? | "I will shut the door of the medication room when I am preparing medications." |
| The nurse finished administering medications to a patient when she realized she gave the medications to the wrong patient. What should the nurse do first? | Assess the patient's condition. |
| The nurse is going to administer eye drops into the eye of a confused elderly patient. What safety precautions should the nurse take? | Rest hand holding the eyedropper on the patient's forehead and hold the eyedropper 1 to 2 cm (0.4 to 0.8 inches) above the conjunctival sac. |
| ). The nurse applies gentle pressure to the lacrimal duct and asks the patient to close the eyes gently. The nurse discards the gloves, performs hand hygiene, and documents the procedure. What actions by the nurse, if any, were incorrect? | The method used to hold the patient’s eye open. Applying the eye drops onto the patient's cornea. Using the free hand to instill the drops at a distance of 2.5 to 5 cm (1 to 2 inches). |
| The nurse is administering eye medication. Which nursing action requires further intervention by the nurse? (Select all that apply.) | The patient blinks and the eye drop falls on the outer lid after instillation. The nurse applies the ointment along the inner edge of the lower eyelid from the outer to inner canthus. |
| The patient asks why the nurse applies the drops in the conjunctival sac. What is the nurse’s best response to the patient’s question? | “Applying drops to the conjunctival sac provides even distribution of medication across the eye.” |
| The nurse is going to administer eye ointment in the newborn’s eyes. Which action by the nurse is the correct procedure? | The nurse applies a ribbon of ointment along the lower eyelid on the conjunctiva from inner to outer canthus. |
| The nurse is going to instill eardrops in a 7-year-old child. In which direction should the nurse pull the pinna of the ear? | Up and back. |
| The mother of a 10-year-old child calls the doctor's office stating that she just administered eardrops to her child and the child is crying, stating that the ear hurts worse than it did before the eardrops were applied. | "I will notify the health care provider. It is possible the eardrum may have ruptured." |
| What is the purpose of massaging the tragus of the ear after eardrop instillation? | It helps move the medication inward. |
| At what temperature should the solution be when eardrops are instilled? | Body temperature |
| What is the primary danger associated with occluding the ear canal with the ear dropper during the administration of eardrops? | It can create too much pressure within the canal with subsequent injury to the eardrum. |
| Which of the following are contraindications to oral medication administration? (Select all that apply.) | Inability to swallow Nausea/Vomiting Postoperative after Continuous gastric suction |
| The nurse administers a sublingual tablet and instructs the patient to avoid swallowing the tablet but rather to allow it to dissolve. The patient asks why. The nurse’s best response is: | "It is designed to be absorbed through the vessels of the undersurface of the tongue, and if it is swallowed, the medication will be destroyed by the gastric juices." |
| The nurse is administering medication to a patient when the patient accidentally drops the tablet on the floor. What should the nurse do? | Discard the tablet and get another one. |
| A patient is on a fluid restriction. When giving oral medications, which of the following considerations are needed? | Allow the patient to take medications with a small amount of water and document the amount on the patient's record. |
| A patient states that she has difficulty swallowing pills and asks the nurse to crush them. Which of the following medications would it be okay to crush | A scored tablet of Lanoxin (digoxin). |
| A nurse is preparing to administer medication through a feeding tube. Which of the following supplies should the nurse include, besides the medication, to perform this procedure? (Select all that apply.) | -MAR. -Gastric test strip. -Water. -Appropriately sized medication syringe. -Graduated container and straw. |
| A family caregiver is observing a nurse preparing to administer medications through her father’s feeding tube. The caregiver asks, “What is the purpose of the pH paper?” Which of the following is the best response? | “It is used to verify correct placement of the feeding tube in the stomach.” |
| The nurse is giving report to another nurse regarding a patient who receives medications through a feeding tube. The nurse states that in order to prevent clogging of the tube, preventive measures need to be continued. | Administering 30 to 60 mL of tepid water following the last dose of medication. |
| A nurse is preparing medications to be administered through a patient’s feeding tube. The patient is to receive nifedipine XL. Which of the following would be a correct action by the nurse? | Hold the drug and notify the health care provider. |
| Which patient is at lowest risk for a systemic effect from a topical agent? A patient who: | is very mobile and receiving a drug in low concentration. |
| A patient has been hospitalized for several days after a motor vehicle accident. The patient has several fractured bones and has cuts and scratches across the chest area. Where should you apply the fentanyl (Duragesic) patch to treat the patient's pain? | On the upper back in an area that is free of hair. |
| You don clean gloves and measure the antianginal ointment onto dosage paper according to health care provider's orders. You rub the ointment off the paper directly onto the female patient's skin of the anterior chest and cover the area | You did not remove the previous dosage paper. You rubbed the ointment off the paper and covered with plastic wrap. You did not write the date, time, and initials on the paper wrapper. |
| What should the nurse do to maximize the effectiveness of medicated lotions and/or ointment? | First wash area with nondrying soap and water. |
| The hospice nurse comes to the home of a patient with terminal cancer. She discovers several fentanyl (Duragesic) pain patches on the patient’s body. What should the nurse do first? | Remove the patches except for the most recent and provide patient teaching. |
| A patient is demonstrating the use of an MDI (without a spacer device). The patient removes the mouthpiece cover and shakes the inhaler. The patient takes a deep breath and exhales, places the mouthpiece of the inhaler in the mouth, and depresses | Repeated the procedure in 10 seconds. Used the wrong method of exhalation after using the MDI. Replaced the mouthpiece cover when finished administering puffs. |
| What additional instruction should you include for the patient who is receiving steroids via an MDI? The patient: | should rinse the mouth after use of the MDI. |
| When should the patient depress the canister when using an MDI? | The patient should depress the canister simultaneously with slow inhalation. |
| You are planning to teach a patient about using an MDI without a spacer device. What are some points you should include in the teaching plan? (Select all that apply.) | Show the patient how the canister fits into the inhaler. Instruct the patient to shake the canister Instruct the patient how to time inhalation with the depression of the medication Warn the patient about overuse of the inhaler, |
| The nurse is going to insert a rectal suppository. The nurse provides privacy, performs hand hygiene, dons gloves, places the patient in the Sims' position, drapes the patient appropriately, and removes the suppository from its wrapper. | The suppository was inserted without additional lubricant. The blunt end of the suppository was inserted into the patient's rectum. The suppository was inserted into the patient's rectum until it was unabl The patient was assisted onto the back |
| How far should the nurse insert a rectal suppository in an adult? (Select all that apply.) | Just past the internal anal sphincter. Approximately 10 cm (4 inches). |
| What position should the patient assume for insertion of a rectal suppository? | Left Sims' position. |
| What can the nurse do to help the patient relax the anal sphincter before administering a rectal suppository? | Ask the patient to take slow, deep breaths through the mouth. |
| The nurse is instructing the patient on how to insert a vaginal suppository. Which statement if made by the patient indicates further instruction is needed? (Select all that apply.) | "I should warm the suppository to body temperature by putting it under warm running water while it is still in the wrapper." "I should insert the rounded end of the suppository along the side wall of the vagina approximately 1 inch or 2.5cm |
Created by:
iobraztsov