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Quiz 4 Flashcards

1
Q

If the patient takes the wrong medication, what is the first thing the nurse should do?

A

assess the patient

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2
Q

If the prescription reflects that the dose is way too low or way too high, what should the nurse do?

A

Call the provider and question the order

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3
Q

Where are sharps placed?

A

Sharps container

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4
Q

If a nurse were to “waste” a narcotic, who can she waste it with?

A

Immediately with another nurse present to witness in the appropriate container

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5
Q

When will a nurse document medication taken?

A

after it is given/administered

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6
Q

What are important factors about transdermal patches?

A
  • make sure the skin is clean, dry, hairless, intact
  • rotate sites used
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7
Q

Where are buccal medications given? Why?

A

cheek

to be dissolved and absorbed

no water should be given

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8
Q

Who is at a higher risk for toxicity? Why?

A

older adults with renal impairment

due to decrease in glomerular filtration

pt will not be able to excrete

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9
Q

Which insulins cannot be mixed together?

A

long acting with any other insulins

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10
Q

Which insulins can you mix together?

A

regular insulin and acting-NPH

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11
Q

What are the steps for drawing insulin?

A

roll and clean
add air to cloudy
add air to clear
withdraw clear, then cloudy

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12
Q

With proton pump inhibitor (PPI) medications given through the NG tube, how long will the nurse hold feedings for?

A

30 min - 1 hour after administration

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13
Q

When dealing with kids, can the parent give the medication to the child?

A

yes, only medications that are easily able to be given

injections: nurse will draw and administer

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14
Q

What is the shortest length for an IM injection?

A

1 inch

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15
Q

What length is most appropriate for the deltoid?

A

1 inch

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16
Q

What should the nurse advise the patient when taking an extended release tablet or capsule?

A

don’t chew, crush, or open

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17
Q

If a patient has a tube and an ER tablet/capsule is ordered, what should the nurse do?

A

Call provider and get a different form ordered

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18
Q

In order for a prescription to be complete, it must have what?

A

client full name
date and time
name of med
route
strength
dosage
frequency
quantity
signature of provider

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19
Q

If a medication is ordered PO, how must it be given?

A

PO

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20
Q

If a medication is ordered sublingual, can it be given through a PEG tube?

A

no

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21
Q

When administering an IM injection and the nurse aspirates blood, what should they do?

A

discard and start over

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22
Q

How is a TB test administered?

A

anterior FA
clean with alcohol
bevel up 5-15 degree
bleb forms

do not massage

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23
Q

What meds can be given subcutaneously? What will be monitored?

A

lovenox
heparin

monitor for bleeding because these are blood thinners

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24
Q

What are common reactions for a patient with a tube feeding? What will the nurse do?

A

nausea
vomiting / regurgitation
diarrhea

keep the head of the bed up

25
If giving an enema to a patient and they begin to have a cramp/abdominal pain, what will the nurse do?
stop the procedure
26
When feeding a patient with an NG tube or a PEG tube, what is an adverse position? Why?
supine due to aspiration
27
When giving an inhaler, what should the nurse do before administering?
shake the inhaler to agitate the powder
28
When giving eye drops, what should the nurse do?
pull the lower lid apply pressure to the nasolacrimal duct
29
Define peak blood level
highest concentration of medication within the blood
30
Define trough blood level
lowest concentration of medication within the blood
31
When is the trough blood level measured?
before administering next dose
32
What is the max amount that can be administered subcutaneously?
1.5 mL
33
Subcutaneous Needle size? Gauge?
3/8 - 5/8 inches 25 - 27 G
34
Subcutaneous Angle?
45 - 90 degrees
35
What angle will the nurse administer a subcutaneous injection for a patient who is obese?
90 degrees
36
When injecting insulin, what needle gauge is preferred?
28 -31 G insulin syringe
37
What is the max amount that can be administered intramuscularly?
ventrogluteal: 3mL deltoid: 2mL vastus lateralis: 1-3mL
38
What is the safest site for IM injections?
ventrogluteal can be used for volumes more than 2mL
39
What site is commonly used for immunizations?
deltoid
40
What IM site is the best for infants 1 or younger?
vastus lateralis
41
What syringe should be used for volumes less than 0.5mL?
tuberculin syringe
42
Intramuscular Needle size? Gauge?
depends on client weight and size 1 - 1 1/2 inches 18 - 25 G
43
Intramuscular Angle?
90 degrees
44
What are the two methods for administering IM injections?
Z track - pull skin back 1 inch, inject, remove needle, release skin Traditional - forefinger and thumb pull skin taut
45
Why is the Z track method used?
for medication that can be irritating
46
What is the max amount that can be administered intradermally?
0.1 mL
47
Intradermal Needle size? Gauge?
3/4 - 5/8 inches 25 - 27 G
48
Intradermal Angle?
5 - 15 degrees
49
What syringe should be used for an intradermal injection?
1mL TB syringe
50
Why would an IV be used?
to administer medications, fluids, and blood products
51
What gauge should be used for IV?
16 G: clients with trauma 18 G: surgery and blood administration 22 - 24 G: children, older adults, and clients with medical issues/stable postop
52
What sites are preferred for IV?
peripheral veins in arm or hand ask client their preference
53
What are the sites for IVs in newborns?
veins in head, lower legs, and feet
54
What are the rights of medication administration?
right - client - medication - dose - time - route - documentation - client education - to refuse - assessment - evaluation
55
If a patient is NPO and they need medication, what will the nurse do?
Question the order and ask provider for something different
56
What should a nurse do before and after medication administration?
assess the patient
57
What are complementary and alternative therapies (CATs)?
nonpharmacologic therapies and natural products
58
If a patient is using complementary and alternative therapies (CATs), what should the nurse do?
assess the client and collect data on the use of CATs promote safe usage encourage patients to inform provider

Fundamentals (7 decks)

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