Concepts of Nursing
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| Nurse is caring for 76yr. old patient being treated for depression, elevated cholesterol, renal failure. Placed on new medication to lower cholesterol. Takes nine different medications, sleep aids, herbal remedies, smokes. Which factors increase risk? | show 🗑
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| A health care provider has ordered Astramorph and Vistaril. 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? | show 🗑
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| 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? | show 🗑
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| Which of the following patients is at highest risk for a toxic medication effect? | show 🗑
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| 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? | show 🗑
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| show | The right time.
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| The following medications are to be administered. Which patient receives medication the most often? The patient who: | show 🗑
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| A patient has an order to receive nystatin oral suspension PC. When will the nurse administer this medication? | show 🗑
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| 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? | show 🗑
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| show | Stop and recheck the medication that is correct according to the health care provider's order.
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| show | Assess further as to why the patient feels this way and notify the health care provider of the patient's refusal.
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| When should the nurse document medication administration? | show 🗑
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| The nurse finished administering meds at 1030 when they realized that she gave all of his meds at 1000, including some that should've been administered at 1200 and some at 1400. Which of the six rights of medication administration did the nurse violate? | show 🗑
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| show | "I will shut the door of the medication room when I am preparing medications."
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| show | Assess the patient's condition.
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| show | By looking at the front of the chart of in the patient's electronic health record (EHR). By looking at the patient's allergy bracelet. By looking at the MAR. By asking the patient.
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| show | Offer the patient some crackers and see if the patient has any medications that could help relieve nausea. Lock the patient's medications up temporarily and document the incident.
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| Identify the 6 rights of medication administration. | show 🗑
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| show | Twice a day.
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| What is the best way for nurses to prevent medication errors? | show 🗑
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| If the patient refuses a medication, what should the nurse do? (Select all that apply) | show 🗑
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| show | 65-year-old male, who has been on high doses of antibiotics for 3 weeks. 75-year-old female who swallowed Caladryl lotion. 82-year-old male, who has renal disease. 43-year-old male with liver failure.
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| show | Double-check all calculations. Question unusually small or large doses.
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| show | "What is the reason you are no longer taking the blood pressure medication?"
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| show | Administer 10mL of amoxicillin per dose. Compare the patient's name and date of birth on the armband with the MAR.
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| Which of the following are contraindications to oral medication administration? (Select all that apply.) | show 🗑
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| 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: | show 🗑
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| show | Discard the tablet and get another one.
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| A patient is on a fluid restriction. When giving oral medications, which of the following considerations are needed? | show 🗑
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| 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? | show 🗑
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| 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) | show 🗑
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| 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? | show 🗑
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| show | Administering 30 to 60 mL of tepid water following the last dose of medication.
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| 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? | show 🗑
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| show | Is very mobile and receiving a drug in low concentration.
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| 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? | show 🗑
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| show | First wash area with nondrying soap and water.
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| show | Remove the patches except for the most recent and provide patient teaching.
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| show | 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.
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| The nurse is administering eye medication. Which nursing action requires further intervention by the nurse? (Select all that apply.) | show 🗑
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| 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? | show 🗑
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| show | The nurse applies a ribbon of ointment along the lower eyelid on the conjunctiva from inner to outer canthus.
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| 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? | show 🗑
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| show | "I will notify the health care provider. It is possible the eardrum may have ruptured."
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| show | It helps move the medication inward.
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| show | Body temperature.
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| What is the primary danger associated with occluding the ear canal with the ear dropper during the administration of eardrops? | show 🗑
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| show | Should rinse the mouth after use of the MDI.
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| show | The patient should depress the canister simultaneously with slow inhalation.
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| 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 🗑
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| show | Approximately 10 cm (4 inches). Past the internal anal sphincter.
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| show | Left Sims' position.
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| What can the nurse do to help the patient relax the anal sphincter before administering a rectal suppository? | show 🗑
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| show | “I should warm suppository to body temp by putting it under warm running water while it is still in the wrapper.” “I should insert rounded end of suppository along side wall of vagina approx. 1 inch or 2.5 cm (approx. to first knuckle of index finger).”
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| The nurse has obtained the patient's oral medications from the automated dispensing system. What should the nurse do with the medication prior to going to the patient's room? | show 🗑
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| show | "After crushing all medications, I will mix them together with 30 mL of tepid water."
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| show | Application of a skin barrier cream to the perineal area.
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| The ear canal should be straightened when instilling eardrops to provide direct access to deeper ear structures. In what direction should the auricle be pulled in an infant to straighten the ear canal? | show 🗑
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| Why is it important to hold a transdermal patch by the edge after it is removed from its protective covering? (Select all that apply.) | show 🗑
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| show | Diarrhea. Rectal bleeding. Recent rectal surgery.
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| The patient is to receive a transdermal patch, nitroglycerin (Nitrodisc) 0.4 mg/hr topically. The nurse has been teaching the patient about the medication. Which is accurate information to review with the patient? | show 🗑
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| show | The patient touches the conjunctival sac with the eyedropper to make sure she is in the correct location.
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| The nurse is teaching the patient how to use an MDI with a spacer device. Which statement, if made by the patient, indicates further teaching is required? | show 🗑
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| show | The medication was too cold when it was administered.
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| show | Lubricate and insert rounded end first. Place patient in left Sims' position. Insert the suppository past the internal sphincter.
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| A medication label states, “For Parenteral Use Only.” What is the correct interpretation of this statement? | show 🗑
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| Nurse is administering flu vaccine. Nurse performs hand hygiene, locates site, swabs it with alcohol. Nurse allows alcohol to dry, uncaps needle, administers injection. Nurse disposes of syringe & needle. Which actions increased risk for infection? | show 🗑
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| show | 25-gauge, 1-inch needle.
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| show | Notify the supervisor, who will be responsible for helping the mother and child through the clinic's needlestick procedure.
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| Where is the correct dosage measured on a syringe? | show 🗑
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| Nurse is preparing an IM injection from a liquid vial. Nurse has selected a 25-gauge, 1.5-inch needle but is experiencing great difficulty withdrawing fluid from vial. Nurse notices that the solution in the vial is very thick. What should the nurse do? | show 🗑
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| While preparing a subcutaneous injection, the nurse accidentally touches the tip of the syringe while attaching the needle. What should the nurse do? | show 🗑
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| The instructor asks the student nurse what the purpose is for using a filter needle. The student’s correct response would be which of the following? | show 🗑
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| When withdrawing medication from a vial, why is it important to first inject air into the vial? | show 🗑
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| The nurse has the medication administration record, the ampule of medication, alcohol swabs, and a medication label. Identify the remaining equipment needed to deliver 0.6 mL of medication IM from an ampule. (Select all that apply.) | show 🗑
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| The nurse has the medication administration record, the vial of medication, alcohol swabs, and a medication label. Identify the remaining equipment needed to deliver 0.5 mL of medication subcutaneously from a liquid vial. (Select all that apply.) | show 🗑
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| Identify the remaining equipment needed to administer intramuscularly to an average-size adult 1 mL of medication from a vial that requires reconstitution. (Select all that apply.) | show 🗑
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| show | 3-mL syringe. Disposable gloves. Needle for withdrawing. 21- to 25-gauge needle. 1- to 1.5- inch needle.
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| show | Provide a sharper needle for a less painful injection. Prevent medication from tracking through tissues.
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| show | 25 or 27.
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| show | Bevel up, 5- to 15-degree angle.
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| show | A raised, fluid-filled bleb resembling a mosquito bite.
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| Why should the nurse avoid massaging the intradermal injection site? | show 🗑
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| Immediately after an allergy injection, the patient tells the nurse, "I feel funny." What are the nurse’s immediate actions? (Select all that apply.) | show 🗑
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| The nurse prepares to administer a subcutaneous injection to a normal-size adult on the upper left arm. The nurse chooses a needle: | show 🗑
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| After giving a subcutaneous injection of heparin, the nurse refrains from massaging the site so as to prevent: | show 🗑
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| At what angle should a subcutaneous injection be delivered in an obese adult? | show 🗑
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| show | 5/8-inch needle. Needle for withdrawing. 25- to 27-guage needle. 1-mL syringe. Disposable gloves.
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| show | Inserting the needle quickly. Do not massage the site following administration.
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| Generally with a subcutaneous injection, medication absorption is _______ than that of an IM injection. | show 🗑
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| A patient just underwent hip replacement surgery and has an abduction pillow. Provider has ordered an injection of 15 mg morphine intramuscularly. What would be the preferred site for administering an intramuscular (IM) injection to this patient? | show 🗑
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| While preparing an IM injection, the nurse withdraws the syringe needle from a multi-dose vial and touches the hub of the needle. What should the nurse do? | show 🗑
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| Of the three types of injections, intradermal, subcutaneous, and IM, which requires aspiration of the syringe before injecting the prepared pain medication? | show 🗑
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| show | Give the morphine intramuscularly because this route will allow it to be absorbed more rapidly.
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| An 81-year-old cachetic woman (weighting 40 kg) requires iron dextram 1 mL intramuscularly. How will the nurse administer this injection? | show 🗑
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| The nurse has to give a 1 month old the hepatitis B vaccine. Which is the best site for administration? | show 🗑
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| The nurse is administering a preoperative medication intramuscularly. As the nurse aspirates, the nurse sees blood return into the syringe. What should the nurse do next? | show 🗑
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| show | 1- to 3-mL syringe. Disposable gloves. 1- to 1.5-inch needle. 21- to 25-gauge needle. Needle for withdrawing. Diluent.
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| The nursing instructor is reviewing with the students the Z-track method for administering an IM injection. Which statement(s), if made by a student, indicates further instruction is needed? (Select all that apply.) | show 🗑
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| show | Place heel of hand over the patient’s greater trochanter, thumb toward the patient’s groin; index finger points to the anterior superior iliac spine, and middle finger extends back along the iliac crest.
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| show | Draw up air and inject it into the modified insulin vial, draw up air and inject it into the regular insulin vial, draw up regular insulin, and draw up modified insulin.
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| show | Wear clean gloves when administering the medication. Check the patient's allergies. Check the patient's name band and ask the patient to tell you his or her name.
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| The nurse is working with an NAP she knows has helped care for her diabetic mother. The nurse is busy with the admission of a new patient. What can the nurse delegate to the NAP? | show 🗑
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| The nursing student is giving an intramuscular injection. Which action would require correction? (Select all that apply.) | show 🗑
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Created by:
rissagibby