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Concepts of Nursing

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show Gender, number of medications, renal failure diagnosis, depression, new medication, her age, and smoking habit.  
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show Synergistic effect. Two meds working together to produce a greater result.  
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show Side effect.  
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Which of the following patients is at highest risk for a toxic medication effect?   show
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show 30 minutes before administering the vancomycin.  
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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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show After meals.  
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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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show Immediately after the medication is given.  
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show The right time.  
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show "I will shut the door of the medication room when I am preparing medications."  
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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?   show
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How can the nurse determine a patient's history of allergies? (Select all that apply.)   show
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The nurse brings the patient's meds but patient refuses to take them, stating, "I'll take them later. Right now my stomach feels a little upset. Could you please bring me some crackers?" What is best action the nurse should take? (Select all that apply.)   show
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show The right medication, dose, patient, route, time, and documentation.  
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The patient who is to receive a medication BID will receive the medication:   show
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What is the best way for nurses to prevent medication errors?   show
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show Document the reason for refusal in the patient's health record. Determine the reason for refusal. Notify the health care provider.  
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Which of the following patients are at risk for developing drug toxicity? (Select all that apply)   show
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The patient is to receive 120 mg of IV Lasix. You calculate that this will be 12 mL. The drug book states that the usual dosage is 20 to 40 mg. What steps should the nurse take to avoid medication errors in this situation? (Select all that apply.)   show
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The home care nurse is reviewing the patient's prescribed medications. The patient reports he doesn't take his antihypertensive (blood pressure) medication anymore. What is the best response by the nurse?   show
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The health care provider has ordered amoxicillin 250 mg PO q8h. The drug label states 125 mg amoxicillin per 5 mL. Based on this information, which of the following would be correct actions by the nurse? (Select all that apply.)   show
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show Nausea/vomiting. Postoperative after gastrointestinal surgery. Inability to swallow. Continuous gastric suction.  
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show "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."  
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The nurse is administering medication to a patient when the patient accidentally drops the tablet on the floor. What should the nurse do?   show
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show Allow the patient to take medications with a small amount of water and document the amount of the patient's record.  
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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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show Gastric test strip. MAR. Water. Appropriately sized medication syringe. Graduated container and straw.  
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show “It is used to verify correct placement of the feeding tube in the stomach.”  
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The nurse is giving report to another nurse regarding a patient who receives meds through a feeding tube. The nurse states that preventive measures need to be continued. The nurse knows this would include which of the following?   show
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show Hold the drug and notify the health care provider.  
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show Is very mobile and receiving a drug in low concentration.  
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show On the upper back in an area that is free of hair.  
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What should the nurse do to maximize the effectiveness of medicated lotions and/or ointment?   show
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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?   show
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The nurse is going to administer eye drops into the eye of a confused elderly patient. What safety precautions should the nurse take?   show
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show 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.  
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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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show Up and back.  
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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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At what temperature should the solution be when eardrops are instilled?   show
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show It can create too much pressure within the canal with subsequent injury to the eardrum.  
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What additional instruction should you include for the patient who is receiving steroids via an MDI? The patient:   show
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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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What position should the patient assume for insertion of a rectal suppository?   show
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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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Which medication administration activity can be delegated to nursing assistive personnel (NAP)?   show
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show Downward and back.  
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show So the patch will adhere well to the patient's skin. So the medication dosage will remain unchanged.  
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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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A patient has been prescribed eye drops for the treatment of glaucoma. The nurse is observing the patient self-administer the eye drops. Which action by the patient requires further teaching?   show
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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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The NAP reports the patient is complaining of dizziness and nausea after the administration of eardrops. What is the most likely cause of the dizziness?   show
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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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show Failed to apply clean gloves after performing hand hygiene.  
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A 65-year-old, 61-kg patient is ready for her annual flu vaccine, which is delivered intramuscularly. What size needle would the nurse use to administer this intramuscular (IM) injection in the deltoid muscle of this patient?   show
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Nurse just completed giving a patient an injection and turns to deposit syringe and uncovered needle into sharps container. Suddenly patient’s daughter runs between nurse and sharps container. Nurse sticks child with the needle. What should the nurse do?   show
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show Where the head of the plunger touches the sides of the barrel of the syringe.  
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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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show Disposable gloves. 25- to 27-guage needle. Needle for withdrawing. 1-mL syringe. 3/8- tp 5/8 inch needle.  
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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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Identify the remaining equipment needed to deliver a total volume of 1.4 mL IM injection to an average-size adult from two vials. (Select all that apply.)   show
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show Provide a sharper needle for a less painful injection. Prevent medication from tracking through tissues.  
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The nurse is preparing to give an injection for allergy testing; what would be the best needle gauge to use?   show
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The nurse is giving a tuberculosis test injection; at what angle does the nurse insert the needle?   show
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The nurse has just given an intradermal injection; what does the nurse expect to see?   show
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show Because it will disperse the medication into the underlying tissues.  
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show Prepare to give epinephrine subcutaneously or an antihistamine such as diphenhydramine (Benadryl) according to health care provider's orders and/or agency protocol. Observe patient. Take vital signs.  
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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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show Tissue damage.  
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show 90 degrees.  
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The nurse has the medication administration record, the vial of medication, and alcohol swabs. Identify the remaining equipment needed to deliver 0.3 mL of medication subcutaneously from a liquid vial to an average-size adult. (Select all that apply.)   show
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show Inserting the needle quickly. Do not massage the site following administration.  
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show Slower.  
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show Vastus lateralis muscle.  
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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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show IM.  
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A patient is in severe pain. The nurse has an order for morphine sulfate 5 mg intramuscularly or subcutaneously. What is the nurse’s best nursing action?   show
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show Choose a 21-guage, 0.5- to 1-inch needle and administer the injection with the Z-track technique at a 90-degree angle.  
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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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Nurse has MAR, vial of medication, alcohol swabs, and med label. Choose remaining equipment that nurse will need to administer 1 mL of medication, which first has to be reconstituted, as an IM injection to an average-size adult. (Select all that apply.)   show
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show "A fast injection rate of the medication reduces pain and tissue trauma." "The needle should be removed after the skin is released."  
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Which of the following accurately describes how to locate the ventrogluteal site?   show
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Which of the following is a correct sequence for the description of medication preparation? (Assume that an alcohol swab is being used when appropriate.)   show
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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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show Reporting if the patient is exhibiting signs of hypoglycemia.  
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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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