EL quizzes week 3-4
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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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. | show 🗑
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show | A synergistic effect.
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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 it is correct according to the health care provider’s order.
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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: | show 🗑
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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: | show 🗑
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show | 10
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show | 15 mL.
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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? | show 🗑
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According to the medication label, the trade name is: | show 🗑
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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? | show 🗑
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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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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- | show 🗑
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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? | show 🗑
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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? | show 🗑
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show | Assess the patient's condition.
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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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show | 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).
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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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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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What is the purpose of massaging the tragus of the ear after eardrop instillation? | show 🗑
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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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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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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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A patient is on a fluid restriction. When giving oral medications, which of the following considerations are needed? | show 🗑
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show | A scored tablet of Lanoxin (digoxin).
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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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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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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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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 | show 🗑
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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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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 | show 🗑
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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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show | 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,
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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. | show 🗑
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How far should the nurse insert a rectal suppository in an adult? (Select all that apply.) | show 🗑
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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 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
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Created by:
iobraztsov