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Name the three types of injections.
What are intradermal, subcutaneous and intramuscular?
Name the six rights of medication administration.
What is right medication, right patient, right dose, right route, right documentation and right time?
MD writes an order for Colace 50 mg daily via PEG tube. Pharmacy dispenses you with 100 mg/ 15 ml. How many ml will you administer per dose?
A. 50 ml/dose
B. 7.5ml/dose
C. 15 ml/dose
D. 2.5 ml/dose
Correct answer: B. 7.5ml/dose
Choose what degree the head of the bed should be elevated to when a patient is receiving tube feeding.
1. lying flat
2. 15 degrees
3. 30 degrees
4. 90 degrees
What is 30 degrees?
The health care provider has ordered a sputum specimen to be collected on a patient. Which statement is appropriate teaching for this patient?
A) "We will have to wait for the respiratory department to help."
B) "Here is a cup, just spit in this."
C) "The sputum cannot contain any saliva."
D) "You cannot drink any fluid until the specimen is obtained."
What is C- "The sputum cannot contain any saliva."
State which 2 angles you can inject a SQ injection and why you would choose one over the other.
What are 45 and 90 degrees. You would do 45 degrees for a person without much fat.
Name two alternative routes (non-oral) of medication administration.
What is topical, transdermal, sublingual, eye/ear drops, nasal spray, inhalers, rectal suppository, vaginal suppository or creams and buccal, intravenous, subcutaneous.
MD writes an order for Ibuprofen 300 mg by mouth every 4 hours for pain. Pharmacy dispenses you with 50 mg/ 2.5 ml. How many ml will you administer per dose?
A. 17 ml/dose
B. 5 ml/dose
C. 15 ml/dose
D. 150 ml/dose
Correct answer: C. 15 ml/dose
Which of the following are indications for a NG tube. SATA
1. decompression
2. decreased appetite
3. enteral feeding
4. dehydration
5. gastric lavage
What are lavage, decompression and enteral feeding
Rank order the following instructions that the nurse would tell a female patient who needed to obtain a midstream urine specimen.
A) Start voiding directly into the toilet.
B) Discard the last of the stream of urine into the toliet
C) Perform hand hygiene before obtaining the specimen.
D) Clean the perineum by wiping from front to back.
E) Collect a small amount of urine in the container.
What is Hand hygiene, Wipe perineum, Toilet, Collect, Discard
Name the five sites for subcutaneous injections.
What are the back of the arm, the abdomen, the outer mid-thigh, the buttocks and below the scapula.
Explain how to administer a sublingual medication.
What is place medication under patients tongue and instruct them to allow it to dissolve?
MD writes an order for Dilantin 1000 mg by mouth daily. Pharmacy dispenses you with 0.5 gram per capsule of Dilantin. How many capsules do you administer per dose?
A. 2 capsules/dose
B. 0.5 capsules/dose
C. 0.2 capsules/dose
D. 3 capsules/dose
Correct answer: A. 2 capsules/dose
Which of the following are complications of enteral tubes? SATA:
1. aspiration
2. shortness of breath
3. diarrhea
4. tube occlusion
5. black tarry stools
6. chest pain
What are:
1. aspiration
3. diarrhea
3. tube occlusion
What is the next step performed by the nurse after a specimen has been obtained?
A) Check the order for specific prerequisites.
B) Properly identify it (patient label, date/time obtained)
C) Place it on ice.
D) Send it to laboratory.
What is Properly identify it?
Name the four sites for intramuscular injections.
What is vastus lateralis, deltoid and ventrogluteal and rectus femoris?
Explain how to use a spacer for an inhaler.
What is place spacer on inhaler and spray medication into chamber. Then have patient breath out and then inhale medication at a slow rate?
MD writes an order for Demerol oral suspension 50 mg by mouth every 6 hours for pain. Pharmacy dispenses you with 25 mg/ 2 ml. How many teaspoons will you give per dose?
A. 0.5 tsp/dose
B. 2 tsp/dose
C. 0.8 tsp/dose
D. 250 ml/dose
Correct answer: C. 0.8 tsp/dose
Put these steps for administering meds in a NG tube in order.
1. instill final flush of 30mL
2. inject first medication into tube
3. crush medications as able
4. resume tube feeding
5. flush tube with 30mL water
6. Check residual and placement through use of pH paper
7. instill 15mL water
8. stop tube feeding
9. inject second medication
What is: crush medications as able, stop tube feeding, Check residual and placement through use of pH paper, flush tube with 30mL water, inject first medication into tube, instill 15mL water, inject second medication, instill final flush of 30 mL water, then resume tube feeding
A patient has an indwelling urinary catheter. A sterile urine specimen has been ordered for culture and sensitivity. Which is the best method for the nurse to collect the urine specimen?
A) Obtain 60 mL of urine from the collection bag.
B) Remove the current catheter, have the patient void, and then recatheterize.
C) Disconnect the tubing from the catheter and drain 2 mL of urine.
D) Aspirate 10 mL of urine with a sterile syringe from the tubing port after cleaning with alcohol.
Aspirate 10 mL of urine with a sterile syringe from the tubing port after cleaning with alcohol.
Describe how to find the ventrogluteal site.
Place palm over greater trochanter with index finger towards the anterior iliac spine, make a v-shape with third finger by spreading it towards the posterior iliac crest and inject in triangle.
Explain how to give an otic medication to an adult and child.
What is have client turn head towards opposite ear, pull pinna up and back for an adult and down and back for a child.
Phenytoin (Dilantin), 0.1 g PO, is ordered to be given through a nasogastric tube. Phenytoin is available as 30 mg / 5 mL. How much would the nurse administer?
What is 16.7mL?
Your patient has a g/j tube, explain the difference between the two ports and why the j port would be used. (Where does the gastrectomy port go? Where does the jejunostomy port go?)
What is the g port (gastric port) enters directly to the stomach while the j port (jejunostomy port) bypasses the stomach and ends in the small intestine? This would be used to reduce the risk of aspiration.
Rank order the instructions that would be given to the patient who is to collect a 24-hour urine specimen.
A) Place the collection container on ice.
B) Discard the first voided specimen and then collect the total volume of each void.
C) Explain the importance of collecting all voiding.
D) Instruct the patient not to allow toilet tissue or stool to enter the collection container.
E) Collect each void in a urine hat and add to the larger collection container.
Explain, Instruct, Place, Discard, Collect