Chapter 30: Medications
A patient receives an order in their EMAR...
Insulin Lispro 4 units, TID with meals.
The nurse notes that the order is missing a specified route. The knowledgeable nurse knows that most likely the insulin will be delivered...?
A. PO
B. Buccal
C. IV
D. SUBQ
D. SUBQ
What is the normal specific gravity of urine?
1.015 to 1.025
What is an ostomy? What does a normal ostomy site look like?
A surgically formed opening in an organ of the body. A normal stoma site should be beefy, red, and protrude roughly one to three centimeters.
Why might a patient be receiving an order for an expectorant?
To help treat thick secretions and eliminate productive coughs.
What is the normal lab value range for a patient's calcium level?
8.6 to 10.2
Drugs that work at different sites or have different mechanisms of action but have a greater effect when taken together are known as...?
A. Additive Effect
B. Antagonistic Effect
C. Synergistic Effect
D. Interference
C. Synergistic Effect
A patient is scheduled to undergo a twenty-four-hour urine specimen collection. The nurse knows that the ___ will be discarded and the ___ will be included in the recording of the urine output.
The knowledgeable nurse knows that the order of assessment for the GI and abdominal area is...?
A. Inspection, Auscultation, Percussion, Palpation
B. Inspection, Palpation, Percussion, Auscultation
C. Auscultation, Inspection, Palpation, Percussion
D. Palpation, Inspection, Percussion, Auscultation
A. Inspection, Auscultation, Percussion, Palpation
A ____ airway is inserted through the mouth and into the pharynx.
A. Nasopharynx
B. Endotrachial (ET Tube)
C. Tracheostomy
D. Oropharyngeal
D. Oropharyngeal
A patient has recently been prescribed a hypotonic solution to be infused over 6 hours. The nurse knows that a hypotonic solution will have what effect on the patient's cells?
A. Water will move into the cells, causing them to swell and burst.
B. Water will move out of the cells, causing them to shrink.
C. Water will not move because the cells are in equilibrium.
D. Water will flow in and out, making a consistent shift in fluid balance.
A. Water will move into the cells, causing them to swell and burst.
Name five of the eleven rights of medication administration.
Right Medication, Right Patient, Right Dosage, Right Route, Right Time, Right Reason, Right Assessment Data, Right Documentation, Right Response, Right to Education, and Right to Refuse.
What is a desirable post-void residual (PVR) that the nurse should gather from a bladder scan?
<50 mL
A patient reports to the emergency department with a chief complaint of thin, narrow, ribbon-like stool. The knowledgeable nurse knows that the patient may be experiencing this alteration in GI functioning due to...?
A. Cystic Fibrosis
B. GI Bleeding
C. Frequent Laxative Use
D. A Tumor
D. A Tumor
Do not smoke in a home where oxygen is in use.
Keep oils, grease, alcohol, and other liquids that can burn away from oxygen.
Keep oxygen at least six feet away from any source of fire.
Use caution with gas or electrical concentrations.
Notify the local fire department of the use of oxygen in the home.
Have working and regularly tested smoke detectors and fire extinguishers.
A patient with a peripherally inserted IV line is experiencing some phlebitis (inflammation of the vein) at the IV site. The patient reports pain at the site, and there is some distinguishable redness of the area. The nurse knows that, according to the phlebitis scale, this would be categorized as a...?
A. 0
B. 1
C. 2
D. 3
C. 2
The nurse educates a patient on the differences between IM, SUBQ, and PO medications. The knowledgeable nurse knows that ___ is absorbed the fastest, while ___ is absorbed the slowest in the body.
IM;PO
A nurse is seeing a 3-year-old and their family at the primary care office. The family expresses concern that the child has not been compliant with their attempts to toilet train. The nurse educates the patient's family regarding toilet training, including...? (Name Two)
The child has to indicate their wants and needs verbally.
They need to have the motor skills to sit on and rise from the potty chair.
They have to show an interest in going to the bathroom.
They have to have the ability to hold urine for some time.
They have to have a willingness to follow instructions.
A patient recently prescribed an antibiotic for a bacterial yeast infection complains of alterations to the color of their stool. The knowledgeable nurse knows that the patient will most likely report a stool color of...?
A. Red
B. Green or Gray
C. White Speckling
D. Black
B. Green or Gray
A nurse is assessing a patient's respiratory status. The nurse knows that the breath sounds heard over the trachea and larynx are known as ___, and are typically loud and high-pitched.
A. Bronchial
B. Bronchovesicular
C. Vesicular
D. Adventitious
A. Bronchial
You have run an ABG as prescribed for you patient, and are reviewing the result...
pH: 7.30
PaCO₂: 50 mmHg
HCO₃⁻: 24 mEq/L
You, as the nurse, know that the patient is currently in a state of...?
A. Respiratory Alkalosis
B. Metabolic Acidosis
C. Metabolic Alkalosis
D. Respiratory Acidosis
D. Respiratory Acidosis
pH and PCO2 = Acidic
HCO3 = Normal
A nurse is administering a flu vaccine for an adult. The knowledgeable nurse knows that ___ is the best site for injection.
A. Vastus Lateralis
B. Deltoid
C. Dorsolateral
D. Ventrogluteal
A patient was recently prescribed an iron compound for their recent diagnosis of iron deficiency anemia. The patient begins to express concerns regarding the color of their urine. The nurse knows that a normal color of urine for a patient receiving an iron compound is...?
Black or Brown
A patient with an ostomy is being educated on dietary recommendations to decrease the odor of the ostomy. The nurse would recommend what foods to the patient to help alleviate the odor of the ostomy? (Name Two)
Yogurt
Parsley
Buttermilk
Kefir
The knowledgeable nurse knows that their pediatric patient is most likely to develop asthma as a result of ___ in the home.
A. Exercise
B. Poor Food Choices
C. Good Hygiene
D. Secondhand Smoking
D. Secondhand Smoking
You have run an ABG as prescribed for you patient, and are reviewing the result...
pH: 7.31
PaCO₂: 32 mmHg
HCO₃⁻: 18 mEq/L
You, as the nurse, know that the patient is currently in a state of...?
A. Respiratory Alkalosis
B. Metabolic Acidosis
C. Metabolic Alkalosis
D. Respiratory Acidosis
B. Metabolic Acidosis
pH and HCO3 = acidic
PCO2 = basic