Urinary
Medication Admin 1
Medication Admin 2
Sensory
Pain Management
100

The nurse is caring for a client with a foley catheter, which interventions will help prevent infection?

Frequent peri care, maintaining the bag below the level of the bladder, monitoring for kinks in the tubing, and keeping the bag off the floor. 
100

The nurse is preparing medications for a client and doesn't know what the medication is. What resources does the nurse have?

Pharmacist, drug guide, more experience nurse. 

100
What is the maximum number of mL's that should be given for a subcutaneous injection?

1mL

100

A client with xerostomia has....

dry mouth
100

The nurse understands that pain is always _______ and we are responsible for reporting pain. 

subjective

200

At what age does a child have the ability to toilet train?

2 years old

200

At what angle will the nurse administer a subcutaneous injection?

45 degrees 

200

A client refuses a medication, what is the nurse's responsibility? 

Document, call the provider, and educate the client on why the mediation was ordered. 

200

You are caring for a patient with influenza, what nursing interventions might you perform for sensory deprivation?

Ask a volunteer to visit with the patient, have the chaplain visit with the patient, offer touch including a back rub. 
200

A patient with a pain level of 2 could be offered these interventions.

Acetaminophen, tylenol and/or nonpharmacological interventions. 

300

What does oliguria and anuria mean?

Oliguria-diminished urine output, anuria no urine output

300

One of the ways to prevent medication errors when obtaining medications is to...

be in a distraction free environment. 

300

These are considered examples of oral medications

buccal and sublingual tablets. 

300

What are some safety concerns in the home for those with sensory deficits?

Throw rugs, poor lighting, expired food, and fire safety. 

300

An example of nonpharmacological interventions includes... 

Reiki, heat and warm packs, massage, distraction, music, guided imagery 

400

A client who recently had surgery and is now experiencing incontinence after removal of the foley catheter would be considered which type of incontinence?

Transient (potentially reversible, caused by a medical procedure, medication, or procedure)

400
The nurse understands that medications are metabolized in the _____ and excreted in the _______.

Liver and kidneys

400

Children can receive the same amount of an injection as adults. 

False, infants and younger children have smaller volume amounts for injections. 

400

Your patient has hearing aids that are currently not working, how else could you communicate with them?

Communication board, sit facing the client when speaking, replace the batteries in the hearing aids. 

400
Patients receiving opioids are at risk for....

Constipation, respiratory depression, and falls.

500

The most common cause of urinary tract infections in the elderly is...

incontinence or improper cleaning. 

500

A patient on a PCA can have a family member press the button for them. T/F

False. Only the patient can press the button.

500
A nurse drawing a medication from a glass ampule should following these guidelines:

use a gauze to protect from a cut from the glass, draw the medication up using a filter needle. 

500

When guiding a patient with a visual impairment about the placement of objects, which technique is the best?

The clock method

500

A nurse must document this before administering pain medication. 

A complete pain assessment not just the pain rating. 

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