Exam 4

Question 1

Kubler-Ross’s Stages of Grieving: Acceptance

Answer 1

Comes to terms with loss

Question 2

What are signs and symptoms of local anesthetic toxicity?

Answer 2

metal taste in mouth, tinnitus, dizziness

Question 3

Can be identified by others and can arise either in response to or in anticipation of a situation is known as

Answer 3

Actual loss

Question 4

What direction should a patient look in when administering eye drops?

Answer 4

up towards the ceiling

Question 5

The loss experienced by a person that cannot be verified by others is known as

Answer 5

Perceived loss

Question 6

True/False: You must remove a transdermal patch before applying a new one.

Answer 6

FALSE!

Question 7

Coanalgesics are?

Answer 7

tricyclic antidepressants
anticonvulsants
topical local anethetic

Question 8

When should SR meds be given to a patient?

Answer 8

At the same time everyday to keep the therapeutic response consistent

Question 9

What size needles are used to administer medications subq?

Answer 9

24-26 gauge

Question 10

How do you administer ear drops to a client who is younger than 3?

Answer 10

Pull down

Question 11

Can inhalants be given to unconscious clients?

Answer 11

NO!

Question 12

Opioid analgesics for severe pain are?

Answer 12

fentanyl, Dilaudid, oxycodone, morphine, oxymorphone, methadone

Question 13

When do you use a filter needle?

Answer 13

When drawing meds from a glass container

Question 14

Describe how and where you would make a pouch to administer eye drops.

Answer 14

Make a pouch in the lower lid by pulling skin downward over the bony orbit

Question 15

What should you do if an IV site is infiltrated?

Answer 15

Switch to a different site, possible on a different extremity

Question 16

How do you administer ear drops to a client older than 3 years old?

Answer 16

Pull up & back

Question 17

Opioid analgesics for moderate pain are?

Answer 17

Hydrocodone, Codeine, Tramadol, Pentazocine

Question 18

Kubler-Ross’s Stages of Grieving: Anger

Answer 18

Client or family may direct anger at nurse or staff about matters that normally would not bother them.

Question 19

Kubler-Ross’s Stages of Grieving: Denial

Answer 19

Refuses to believe that loss is happening.

Question 20

What medication should be given with an opioid?

Answer 20

Laxative

Question 21

True/False: When pouring a liquid medication, the container you are pouring into must be on a flat surface.

Answer 21

TRUE!

Question 22

What are inhalants used for?

Answer 22

rapid localized response

Question 23

True/False: Clean/dry from outer to inner canthus

Answer 23

FALSE!

Question 24

True/False: You must instill in outer third of conjunctival sac when administering eye drops

Answer 24

TRUE!

Question 25

What does stat mean in terms of frequency of administration?

Answer 25

Immediately and only once.

Question 26

What vital sign must be monitored for a patient on an opioid?

Answer 26

Respiratory rate

Question 27

What are the five stages of Kubler-Ross's Stages of Grieving?

Answer 27

Denial, Anger, Bargaining, Depression, Acceptance

Question 28

Kubler-Ross's Stages of Grieving: Bargaining

Answer 28

Seeks to bargain to avoid loss

Question 29

What is end of life care?

Answer 29

Care provided at the end of the dying process.

Question 30

What do you do if a patient refuses their medication?

Answer 30

Educate on the benefits to taking the medication and the risks by not taking it. Then document!

Question 31

What is hospice's purpose?

Answer 31

Death and dying want to promote dignity & self esteem

Question 32

What is important to remember about applying topical medications?

Answer 32

Wear gloves and apply ointment to infected area

Question 33

What must be compared in terms of the MARS & Patient information?

Answer 33

Name, DOB and allergies

Question 34

Kubler-Ross's Stages of Grieving: Depression

Answer 34

Grieves over what has happened and what cannot be

Question 35

What step must be done before administering nose drops/sprays

Answer 35

Blowing nose

Question 36

What should you do if a patient is vomiting but has a medication that needs to be taken PO?

Answer 36

Ask for a different route! Do NOT skip dose!

Question 37

What duct is gently pressed after administering eye drops?

Answer 37

nasolacrimal

Question 38

Can SR medications be crushed?

Answer 38

NO!

Question 39

What are some physiologic responses to pain?

Answer 39

Increases BP, HR, RR Pallor Diaphoresis Pupil dilation

Question 40

What are some nonopioid analgesics and NSAIDS used for mild pain?

Answer 40

Tylenol, Aspirin, ibuprofen, Naprosyn, Toradol, Feldene, Aleve, Meloxican, Celebrex

Question 41

What steps are important to follow when taking a phone order?

Answer 41

Write the order down and read it back

Question 42

True/False: May be absent in people with chronic pain because of autonomic nervous system adaptation

Answer 42

TRUE!

Question 43

What is the first thing that you would do after administering the wrong medication?

Answer 43

Assess the patient and call the doctor.

Question 44

Who is always liable for for medication administration?

Answer 44

The person giving the medication

Question 45

What are the five medication rights?

Answer 45

``` Right patient Right medication Right dose Right time Right route ```

Question 46

Anticipatory loss is defined as

Answer 46

The experience of loss before the loss actually occurs

Question 47

Where is the "buccal" route?

Answer 47

up in the cheek

Question 48

What is Palliative Care?

Answer 48

An approach that integrates spiritual and psychology care into the dying process

Question 49

Describe what happens during the third check for medication administration.

Answer 49

Recheck label on container before Returning to its storage place OR check label against MAR before opening at bedside.

Question 50

What is an example of an unintended side effect?

Answer 50

rash

Question 51

What is an example of a Non-pharmacologic Invasive Techniques

Answer 51

Pain assessment

Question 52

Describe prejudice

Answer 52

a preconceived notion or judgement that is not based on sufficient knowledge

Question 53

"The thoughts communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups" can be described as what term?

Answer 53

Culture