Test 4 Flashcards
(34 cards)
A client who has a nasogastric tube is prescribed a sublingual medication. Which of the following is an appropriate action:
A. administer the medication in a liquid form orally.
B. Administer the crushed medication through the NG tube.
C. Administer the medication dissolved in water through the NG tube.
D. Administer the medication under the client’s tongue.
D. Administer the medication under the client’s tongue.
A nurse realizes that a medication was administered to the wrong patient. Which of the following is the priority nursing action:
A. check the client’s vital signs
B. notify the client’s charge nurse
C. fill out an occurence form according to institutional policy
D. Administer the medication to the correct client
A. check the client’s vital signs
Which of the following nursing statements indicates the nurse understands when discharge planning should occur:
A. I will begin 48 hr before discharge
B. I will begin once the discharge order is written.
C. I will begin upon the patient’s admission to the facility
D. I will begin once the insurance company approves discharge coverage.
C. I will begin upon the patient’s admission to the facility
A nurse is collecting subjective and objective data about a toddler who has otitis media. The nurse’s observations of the child are likely to include:
A. tugging on the affected ear’s lobe
B. clear drainage from the affected ear.
C. pain when manipulating the affected ear’s lobe.
D. erythema and edema of the affected auricle.
A. tugging on the affected ear’s lobe
A nurse is instilling ear drops to a yound child and must straighten the ear canal by pulling the auricle of the ear. The nurse will pull the auricle in which directions:
A. down and backward
B. down and outward
C. upward and backward
D. upward and outward.
A. down and backward
The nurse notes that the dose of one medication is three times the usual dose of this medication. The nurse calls the provider but he is unavailable for several days. Which of the following actions should the nurse take:
A. Contact the pharmacy and confirm the dosage is sage to administer.
B. withhold the medication until the prescribing provider is available.
C. request to speak with the provider who is covering for the prescriber.
D. Inform the charge nurse and administer the usual dose of medication.
C. request to speak with the provider who is covering for the prescriber.
The nurse observes the date of expiration on a medication vial occurred two months ago. Which action should the nurse perform:
A. give the medication
B. discard the medication
C. notify the provider
D. return the medication to the pharmacy
D. return the medication to the pharmacy
Which of the following is an appropriate action when using the Z-track technique:
A. pull the skin 1.3 cm to the side
B. insert the needle slowly and gently.
C. use a 45 degree angle of insertion
D. aspirate for 5 to 10 seconds
D. aspirate for 5 to 10 seconds
A nurse is preparing to administer otic drops to an adult client. Which of the following actions should the nurse take:
A. hold the dropper against the ear canal and drip the medication slowly down the canal.
B. apply gentle pressure with a finger to the tragus of the ear.
C. chill the medication prior to adminstration
D. straighten the external auditory canal by pulling it down and back.
B. apply gentle pressure with a finger to the tragus of the ear.
An unpredictable reaction to a drug at first administration is called:
A. synergism
B tolerance
C potentiation
D idiosyncratic effect
D idiosyncratic effect
A client who is given routine meds develops swelling of the cheeks, lips, and eyelids. The nurse is correct if he or she interprets these symptoms as:
A peripheral edema
B angioedema
C cerebral edema
D dependent edema
B angioedema
The client was prescribed a drug to prevent disease. The nurse is correct to identify this as a(n):
A barium
B vaccine
C insulin
D analgesic
B vaccine
A drug company has just received approval to market a new drug. The name given to the drug at this time is the:
A trade name
B nonproprietary name
C proprietary name
D brand name
B nonproprietary name
The nurse is giving a drug to a pregnant woman. The nurse checks the FDA category and would know the drug is contraindicated if the category is:
A. A
B. C
C. B
D. X
D. X
To reduce the incidence of medication errors, the nurse would best:
A. improve his or her own knowledge about drugs used.
B. limit the use of oral solutions
C. question the use of scored tablets
D. double check drug calculations
A. improve his or her own knowledge about drugs used.
The client receiving an anti-infective drug has blood drawn for evaulation of drug serum levels just before the next dose is due. The LPN is correct to document that blood was drawn for:
A. toxic level
B. peak levels
C. trough levels
D. therapeutic index
C. trough levels
The drug ordered has a half-life of 6 hours. The LPN understands that half-life means the time:
A. it takes 50% of the drug to be distributed to cells
B. between administration and attaining peak levels
C. it takes for the body to eliminate 50% of the drug
D. it takes for half the drug to reach the target cells
C. it takes for the body to eliminate 50% of the drug
The nurse giving this drug form understands that it is designed to pass through the stomach and dissolve in the alkaline environment of the small intestine:
A. a tablet that disintegrates
B. milky suspension
C. troche
D. enteric-coated tablet
D. enteric-coated tablet
The best site to use for a deep intramuscular injection in an adult is the:
A. deltoid
B. vastus lateralis
C. ventrogluteal
D. dorsogluteal
D. dorsogluteal
A new drug introduced on the market is given its offical or nonproprietary name, known as the:
A. trade name
B. brand name
C. chemical name
D. generic name
D. generic name
The client on multiple medications has impaired liver function. The nurse knows the client is at risk for:
A. cumulative drug effects
B. dependent edema
C. drug tolerance
D. central nervous depression
A. cumulative drug effects
A common skin manifestation of an allergic reaction is:
A. urticaria
B. nodule
C. blister
D. pustule
A. urticaria
The client is experiencing an allergic reaction as a result of drug therapy. The LPN assisting the professional expects to help prepare:
A. adrenalin
B. dilantin
C. morphine
D. valium
A. adrenalin
A controlled substance that is classified as schedule 2 has:
A. a high potential for abuse
B. very little abuse potential
C. no accepted medical use
D. no significant effect in the body
A. a high potential for abuse
