Med-surg - Medications srudy guide PDF

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Question 1 A client has been prescribed nasal medication. What care should the nurse take to avoid potential complications due to the administration of this medication? Correct response: review the client's medication, allergy, and medical history Question 2 A nurse needs to administer an intradermal injection to a client. What is the most common site for administering an intradermal injection? Correct response: forearm Question 3 A nurse is using an 18-gauge needle to administer medication to a client. The nurse knows that, when compared with a 27-gauge needle, an 18-gauge needle has which feature? Correct response: larger diameter Question 4 Which contains all the components of a valid order? Correct response: John Smith, atenolol 50 mg, twice a day, by mouth Question 5 The nurse is preparing to give medications to a client with anxiety. The order indicates that the client is to have bupropion, 7.5 mg by mouth twice daily. What is the appropriate nursing action? Correct response: Contact the health care provider for order clarification. Question 6 A nursing student is teaching the client regarding insertion of a central line catheter. Which statement by the student would cause the nurse to intervene? Correct response: “The risks are the same for a central line as they are for peripheral lines.” Question 7 Which statement by a client indicates to the nurse that teaching was effective regarding the different parts of a syringe? Correct response: "The plunger is the part of the syringe that moves back and forth to withdraw and instill medication." Question 8 The nurse is assessing a client with diabetes who has poor vision. Which feature of the insulin pen makes it beneficial for this client? Correct response: Each unit of insulin is accompanied by a clicking sound in the pen. Question 9 During a teaching session on self-administration of insulin, the client asks the nurse why it is necessary to bunch the skin before inserting the needle. What is the nurse's best response? Correct response: “Bunching your skin facilitates the placement of the needle in the subcutaneous tissue.” Question 10 The nurse is preparing to administer a tuberculin test. Which route will the nurse select to administer this injection? Correct response: intradermal Question 1 To which client would the nurse be most likely to administer a p.r.n. medication? Correct response: a client who is reporting pain near the surgical site Question 2 A client with chronic obstructive pulmonary disease (COPD) has been prescribed an inhaled bronchodilator. Which technique should the nurse implement in order to ensure safe and complete delivery of the prescribed medication? Correct response: Use a spacer or extender with the metered-dose inhaler. Question 3 When instructing a client regarding sublingual application, the nurse should inform the client that which action is contraindicated when administering the drug? Correct response: swallowing the medication Question 4 After administering medication to a client subcutaneously, the nurse removes the needle at the same angle at which it was inserted. Which explains the nurse's action? Correct response: minimizes tissue trauma to the client Question 5 Drugs known to cause birth defects are called: Correct response: teratogenic. Question 6 Children's medication dosages are most often calculated using the child's body surface area and: Correct response: Weight Question 7 A nurse is administering insulin to a diabetic client. When should the nurse check the label before administration? Select all that apply. Correct response: • when reaching for the container or unit dose package • after retrieval from the drawer and compared with the CMAR • when replacing the container to the drawer or shelf

Question 8 What is the best response by the nurse when a client asks about the side effects of using nasal spray? Correct response: “Long-term use of nasal sprays can cause rebound nasal congestion.” Question 9 What is the best explanation from the nurse as to why a client must return to the unit in 48 hours after having a tuberculin skin test intradermal? Correct response: to determine the extent to which the client responded to the drugs Question 10 The nurse is preparing to administer an allergy test via an intradermal injection. Which injection site would be most appropriate in this situation? Correct response: Inner surface of the forearm Question 1 A nurse is providing care for a client who has a history of dementia. Which method should the nurse use in order to determine the client's identity prior to medication administration? Correct response: Check the client's identification band. Question 2 A nurse is administering a subcutaneous injection to a client. What is the common maximum volume of a subcutaneous injection? Correct response: 1 mL Question 3 Which client is likely to have altered metabolism of medications? Correct response: older adult Question 4 The nurse is reviewing a client's newly written medication order and is unable to read the prescriber's handwriting. Which action by the nurse is most appropriate? Correct response: Contact the prescriber to clarify the order. Question 5 Nurse A is having difficulty logging into the automated medication-dispensing system, and asks Nurse B to log in momentarily so that Nurse A is not delayed in administering client medications. What is Nurse B’s appropriate response? Correct response: “I will get the hospital’s information system's phone number for you.” Question 6 The nurse is teaching a nursing student regarding safety of chemotherapeutic medication. Which statement by the nurse is correct? Correct response: “Antineoplastic drugs can be absorbed through the skin.” Question 7 The nurse is preparing to administer a tuberculin test. At which angle is the nurse expected to instill the drug? Correct response: 15-degree angle Question 8 The nurse observes a prescription written for a client for a medication that does not correlate with the client's diagnosis or comorbid factors. What is the best action for the nurse to take? Correct response: Call the provider to obtain a rationale for the use of the medication for the client Question 9 A client with chronic obstructive pulmonary disease has been prescribed a bronchodilator to be administered by small-volume nebulizer. The nurse should ensure that the client: Correct response: breathes through his or her mouth until all the medication has been inhaled. Question 10 The client is prescribed ear drops to be given in both ears. After administering the ear drops in one ear, how long would the nurse wait before administering the ear drops in the other ear? Correct response: 5 minutes Question 1 Which situation accurately describes a recommended guideline when administering oral medications to clients? Correct response: If a child refuses to take medication, crush the medication, if allowable, and add to a small amount of food. Question 2 Which action describes buccal medication administration? Correct response: placing a medication underneath the upper lip or in the side of the mouth Question 3 The nurse is creating a professional development presentation about medication orders. Which teaching will the nurse include? Select all that apply. Correct response: The health care providers must sign all orders. • Be extra cautious with look-alike and sound-alike drugs. Question 4 Which technique should the nurse employ when instilling otic medication in an adult ear? Correct response: Pull the client’s ear up and back.

Question 5 A health care provider who just arrived on the unit gives a verbal order to the nurse regarding a nonemergent client situation. What is the nurse’s appropriate response? Correct response: Tactfully request the provider to input the order into the computerized provider order system. Question 6 The nurse has received a telephone order for a client from a health care provider. How will the nurse indicate in the documentation that the order was received via telephone? Correct response: Record “T.O.” at the end of the order. Question 7 The nurse is preparing to administer a bolus of an intravenous medication. How should the medication be administered? Correct response: all at once Question 8 The charge nurse has just completed an inservice with a group of nursing students. One nurse student asks, "Why do I have to know how to give medications in different ways. I thought the unlicensed assistive personnel (UAP) performs those skills?" What is best response by the charge nurse? Correct response: "Entry-level nurses will perform basic skills appropriate to the scope of practice and that includes administering medications through various routes." Question 9 The nurse prepares to administer an antihypertensive medication at 0900 for a client who has problems swallowing and has a blood pressure of 88/50 mm Hg. Which action should the nurse perform when administering the medication? Correct response: Do not administer the medication with blood pressure 88/50 mm Hg. Question 10 A nurse is administering an adult client's ordered antipsychotic drug intramuscularly. What would be the most appropriate site for administration? Correct response: Deltoid Question 1 An acute care facility follows the unit dose supply method to supply medication to the clients. What is meant by the unit dose supply method? Correct response: self-contained packets that hold one tablet or capsule for individual clients Question 2 A nurse brings a client the prescribed dose of medication and finds that the client is not in the unit. What shouldthe nurse do in this case? Correct response: Return the medication to the medication cart or medication room. Question 3 A nurse is explaining to a client the correct method of using a metered-dose inhaler when selfadministering a prescribed dose of medication. What is a feature of a metered-dose inhaler? Correct response: It is a canister that contains pressurized medication. Question 4 A client is ordered to receive an intramuscular injection of medication. When preparing to administer the injection, the nurse selects the ventrogluteal site based on which reason? Correct response: The area is free of major blood vessels and fat. Question 5 A nurse is administering a hepatitis B shot intramuscularly. What would be the appropriate site for administration? Correct response: Deltoid Question 6 A client has an intermittent infusion device inserted for the administration of antibiotic therapy every 6 hours. The nurse would expect to flush the device at which frequency? Correct response: before and after each medication administration Question 7 The nurse is preparing to administer an allergy test intradermally. At what angle will the nurse plan to insert the needle into the client? Correct response: 10 to 15 degrees Question 8 Which statement best describes the nurse's rationale for selecting the ventrogluteal site when using the Z-track technique for administering an injection? Correct response: The ventrogluteal site provides a location with the capacity for depositing and absorbing the drug. Question 9 A client who has been receiving a secondary infusion of a new antibiotic for several minutes reports itching and a sensation of throat tightness. What is the priority nursing intervention? Correct response: Stop the infusion of the antibiotic. Question 10 When preparing to administer a second dose of a prescribed vaginal suppository, the client reports discomfort in the vaginal area. What should the nurse do next?

Correct response: Assess the vaginal area. Question 1 A physician at a health care facility suggests the use of a metered-dose inhaler for an asthmatic client. Which describes the mechanism of a metered-dose inhaler? Correct response: a canister containing medication that is released when the container is compressed Question 2 A nurse is administering an injection to a client at a 15-degree angle. The client has a venous access port. Which injection can be administered at this angle? Correct response: intradermal Question 3 The nurse is preparing to administer a transdermal medication. How should this be accomplished? Correct response: The nurse should apply the medication directly to the skin. Question 4 A nursing responsibility in managing IV therapy is to monitor the fluid infusions and to replace the fluid containers as needed. What is an accurate guideline for IV management that the nurse should consider? Correct response: It is the responsibility of the nurse to provide ongoing verification of the IV solution and the infusion rate with the physician's order. Question 5 A nurse educator is teaching a student nurse how to choose the correct needle for an injection. Which guidelines for needle selection might they discuss? Correct response: As the gauge number becomes larger, the size of the needle becomes smaller. Question 6 To convert 0.8 grams to milligrams, the nurse should do which of the following? Correct response: Move the decimal point 3 places to the right. Question 7 The nurse is teaching a client with arthritis about taking medications at home. Which client statement indicates that nursing teaching has been effective? Correct response: “I will ask my pharmacist about an easy-to-open lid.” Question 8 Which nursing strategy should the nurse employ to assist a child who has difficulty coordinating inspiration with the use of a handheld inhaler? Correct response: The nurse should use a nebulizer to administer the medication. Question 9 The nurse is administering a client's scheduled intramuscular injection. What is the nurse's most appropriate action? Correct response:

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Question 10 The nurse administers the client’s scheduled morning medications. The previous dose of antihypertensive was held due to a blood pressure that was too low according the health care provider’s parameters. What does the nurse do with this scheduled unit-dose packaged antihypertensive medication? Correct response: Set the antihypertensive dose aside pending assessment. Question 1 A nurse is caring for a client who is being tube fed. What care should the nurse take when administering medications through an enteral tube? Correct response: Avoid crushing sustained-release pellets. Question 2 A nurse needs to administer a prescribed injection to a toddler. Which injection site is most suitable for the client? Correct response: vastus lateralis site Question 3 A nurse is administering a subcutaneous injection to a client. What is the common maximum volume of a subcutaneous injection? Correct response: 1 mL Question 4 A medication order has ac written after the medication dosage. What does ac stand for? Correct response: Before meals Question 5 When administering heparin subcutaneously, the nurse should:. Correct response: never aspirate.

Question 6 A nurse is caring for a client who has been prescribed codeine, a narcotic medication to relieve severe postoperative pain. Which responsibility does the nurse have to complete when handling narcotic medications? Select all that apply. Correct response: • Maintain an accurate account of the use of the medication. • Record each medication used from the stock supply. • Count each narcotic medication at the change of each shift. Question 7 Which client would most likely require placement of an implantable port? Correct response: a 58-year-old woman with stage 3 breast cancer requiring weekly chemotherapy Question 8 The nurse is assessing a client with diabetes who has poor vision. Which feature of the insulin pen makes it beneficial for this client? Correct response: Each unit of insulin is accompanied by a clicking sound in the pen. Question 9 The nurse is teaching a client how to take medications upon discharge. The client is alert and oriented but unable to articulate the teaching back to the nurse. What is the appropriate nursing action? Correct response: Give written instructions to the client and caregivers. Question 10 The nurse is teaching a client how to use nasal spray. What will the nurse include in the teaching plan? Select all that apply. Correct response: • Sit up comfortably in the bed. • Insert the tip of the nose piece into one nostril. • Hold the breath for a few seconds after administering the spray. Question 1 An acute care facility follows the unit dose supply method to supply medication to the clients. What is meant by the unit dose supply method? Correct response: self-contained packets that hold one tablet or capsule for individual clients Question 2 A nurse at the health care facility needs to administer an otic application for a client with an earache. What should the nurse do after instilling the prescribed eardrops in the client's ear? Correct response: Ask the client to maintain the position for some time. Question 3 If the dosage is inappropriate for a client, who is responsible? Correct response: Nurse Question 4 While injecting a needle into a client for an intramuscular injection, the nurse hits the client’s bone. What would be the appropriate initial response of the nurse to this situation? Correct response: Withdraw the needle, apply a new needle to syringe, and administer the injection in an alternate site. Question 5 What would be considered a “right” of drug administration? Select all that apply. Correct response: right drug right documentation right dose right client Question 6 The nurse is caring for a client with a yeast infection. Which medication does the nurse anticipate will be prescribed? Correct response: miconazole Question 7 Which nursing strategy should the nurse employ to enhance the teaching/learning process for a client who is noncompliant with inhalers? Correct response: The nurse should provide simple written instructions with each medication. Question 8 The nurse is reviewing the plan of care for several clients who have prescriptions for intravenous medications. The nurse understands that which client is at the highest risk for greater effect of the IV medication? Correct response: 73-year-old client diagnosed with liver disease Question 9 A nurse is administering an adult client's ordered antipsychotic drug intramuscularly. What would be the most appropriate site for administration? Correct response: Deltoid Question 10 A client with chronic obstructive pulmonary disease has been prescribed a bronchodilator to be administered by small-volume nebulizer. The nurse should ensure that the client: Correct response: breathes through his or her mouth until all the medication has been inhaled. Question 1 The primary reason for the Controlled Substances Act is:

Correct response: to prevent drug use and dependence. Question 2 Which situation accurately describes a recommended guideline when administering oral medications to clients? Correct response: If a child refuses to take medication, crush the medication, if allowable, and add to a small amount of food. Question 3 When administering a subcutaneous injection to a client, the needle pulls out of the skin when the skin fold is released. What would be the appropriate next action of the nurse in this situation? Correct response: Engage safety shield on needle guard and discard needle appropriately. Question 4 A nurse is administering a hepatitis B immunization injection to an adult clent. Which site would the nurse choose for this injection? Correct response: Deltoid muscle site Question 5 In preparing to administer a drug to a client, the nurse has pierced a multi-use vial of medication. What is the appropriate nursing action? Correct response: Place the date on the vial and retain for future use. Question 6 The nurse is preparing to administer an allergy test intradermally. At what angle will the nurse plan to insert the needle into the client? Correct response: 10 to 15 degrees Question 7 Which nursing strategy should the nurse employ to assist a child who has difficulty coordinating inspiration with the use of a handheld inhaler? Correct response: The nurse should use a nebulizer to administer the medication. Question 8 The nurse is administering an intramuscular injection to a client. Which action made by the nurse could assess whether the needle is in the client’s blood vessel or not? Correct response: aspirating for a blood return Question 9 A health care provider who just arrived on the unit gives a verbal order to the nurse regarding a nonemergent cl...