Medication Administration
These are the "Five Rights" of medication administration that help prevent errors.
right patient, right medication, right dose, right route, and right time
This popular herbal supplement is commonly used to boost the immune system and prevent colds.
echinacea
A patient recovering from a leg amputation expresses feelings of worthlessness and embarrassment. The nurse recognizes this as a disturbance in this aspect of self-concept.
body image
This is the most appropriate nursing action when a patient expresses concerns about changes in sexual function due to illness or medication.
to provide a private, nonjudgmental space to discuss the concerns and offer education or referral if needed?
This term refers to a person's search for meaning, purpose, and connection, which may or may not involve religious beliefs.
spirituality
Before giving digoxin, the nurse should assess this vital sign to ensure it's safe to administer.
the apical pulse
This herbal remedy is often used to treat depression but can interfere with many prescription medications, including antidepressants and birth control.
St. John’s wort
This component of self-concept involves a person's sense of their own competence and ability to achieve goals.
self-esteem
This acronym is commonly used in nursing assessments to address sexual health: it stands for Permission, Limited Information, Specific Suggestions, and Intensive Therapy.
the PLISSIT model
A nurse notices that a patient finds comfort in prayer and religious rituals during hospitalization. The nurse should document this as part of the patient’s:
spiritual or religious preference
This route of medication administration delivers drugs directly into the bloodstream and has the fastest onset of action.
the intravenous (IV) route
This herb, known for aiding memory, can increase bleeding risk, especially when taken with anticoagulants like warfarin.
ginkgo biloba
A nurse assesses a client who says, "I just don't know who I am anymore since I lost my job." This statement reflects a disturbance in this part of self-concept.
personal identity
A patient with a spinal cord injury expresses concern about their ability to be intimate with their partner. The nurse’s most appropriate response includes this nursing action.
providing education about adaptive strategies and offering emotional support or referral to a specialist
A patient expresses anger at their higher power after receiving a terminal diagnosis. The nurse recognizes this response as a possible sign of:
spiritual distress
The doctor orders 500 mg of a medication. The pharmacy supplies 250 mg tablets. How many tablets should the nurse administer?
2 tablets
Before surgery, patients are advised to stop taking herbal supplements at least this many days prior to avoid interactions with anesthesia or increased bleeding risk.
7–14 days
When a patient experiences a self-concept crisis due to illness or life changes, this is the first priority in nursing care.
establishing a therapeutic nurse-patient relationship
This age group often experiences hormonal changes that may lead to questions or concerns about body image and sexual identity, making open communication essential.
adolescence
When a nurse facilitates a chaplain visit for a patient who is anxious before surgery, this action demonstrates support for which nursing principle?
holistic care or spiritual care
A provider orders 1,000 mL of IV fluid to be infused over 8 hours. The IV tubing delivers 15 gtt/mL. What is the drip rate in gtt/min?
31 gtt/min
(1000 mL ÷ 8 hrs = 125 mL/hr; 125 mL/hr × 15 gtt/mL ÷ 60 = 31.25, rounded to 31 gtt/min)
Often used to relieve menopausal symptoms, this herbal supplement may mimic estrogen and should be used cautiously in patients with a history of hormone-sensitive cancers.
black cohosh
This is the term for the internal conflict that occurs when a person's behavior is inconsistent with their self-concept.
role conflict (or role strain)
When a patient from a conservative cultural background avoids eye contact and refuses to discuss sexual concerns, the nurse should respond using this culturally sensitive approach.
respecting the patient’s comfort level while offering written information or follow-up with a culturally appropriate provider
A nurse caring for a patient from a different faith tradition takes time to learn about their rituals and dietary restrictions. This nursing action best demonstrates which core professional value?
cultural competence or respect for patient autonomy and beliefs