Administration of drugs
The nurse needs to administer an intradermal medication to a client. Which type of angle should the nurse use during administration?
10 degrees
Which medication order is correctly written?
Aspirin 325mg by mouth daily
Digoxin .5mg by mouth every am
MS 2mg IV now
Insulin 2 U Q.D.
Aspirin 325mg by mouth daily
The nurse is listening to the lung sounds of a client having an asthma attack and hears a squeaking sound on inspiration. How should the nurse document this finding?
wheezing
The client tells the nurse, “I take an all natural herbal supplement to help me sleep.” Which is the nurse’s best response?
“Natural herbal products are regulated by the government.”
“All natural herbal products are safe.”
"Thank you for letting me know, it is important for the healthcare provider to have this information to ensure that it is safe to take with your other medications."
“All herbal products are dangerous and you must stop taking them immediately.”
"Thank you for letting me know, it is important for the healthcare provider to have this information to ensure that it is safe to take with your other medications."
The LPN is assisting the RN with a patient receiving IV vancomycin. The LPN knows that Vancomycin needs to be infused over a minimum time of?
60 minutes
The nurse needs to give an infant an intramuscular vaccination. Which is the best site for this client?
Vastus lateralis
The nurse is preparing to administer medications. Which type of order allows the nurse to determine when to administer a medication?
PRN order
The nurse is caring for a client with asthma. Which can be a trigger for an asthma attack?
Smoke
Pet dander
Exercise
The nurse is administering a medication that is an agonist. The nurse understands this drug will have which action?
Stimulate a receptor to produce a therapeutic response
The nurse is caring for a client being treated for tuberculosis (TB) who reports orange colored urine. Which medication often causes a reddish orange discoloration of the urine and other body fluids?
Rifampin
The nurse needs to give a client an intramuscular injection. Which would be an appropriate needle to use?
20 gauge
The nurse is preparing to administer a medication. Which items should the nurse check before giving the medication to the client?
Doctors name
Pharmacy name
Client identification
Correct time of administration
Proper dosage of medication
Client identification
Correct time of administration
Proper dosage of medication
The nurse is reinforcing teaching for a client with a cough and thick sputum. Which instruction should the nurse include?
Increase fluids
A client is taking part in a Phase 2 clinical trial for a new medication. The nurse understands that which is the goal of a Phase 2 trial?
See whether the medication is effective
A client with a history of atrial fibrillation who is taking warfarin has mild to moderate pain. The nurse understands which medication would be most appropriate for this client?
Acetaminophen (Aspirin would be contraindicated because it can cause gastric irritation. Ibuprofen would be inappropriate because NSAIDs increase the action of warfarin and can cause gastric irritation. Celecoxib is inappropriate because it should be used cautiously with any client with a cardiac condition. Acetaminophen would be appropriate.)
The nurse needs to apply a transdermal patch to a confused client. Which would be the preferred location for the patch?
Upper Middle Back
A registered nurse has delegated to the licensed practical nurse (LPN) administration of medication to a client. The LPN is not familiar with one of the client’s scheduled medications. Which is the LPN’s best action?
Look up the med
A client has a non-productive cough. Which prescription does the nurse anticipate?
Antitussive
The nurse is reinforcing teaching for the medication sulfasalazine. Which information should the nurse include?
Get 20 minutes of direct sunlight each day
Take medication on an empty stomach
Drug may change color of urine
Drink plenty of fluids
Take medication with food
Drug may change color of urine
Drink plenty of fluids
Take medication with food
The nurse is caring for a client who is prescribed antidiarrheal medications. What would be an adverse reaction for this group of medication?
Excessive Thirst
Ringing in the ears
Dizziness
Hypertension
Dizziness
The nurse is administering a new medication to a client. On review, the nurse notes that another of the client’s medications interacts with the new medication and is antagonistic. The nurse understands this will have which effect on the new medication?
Decreases effectiveness of medication
The nurse has determined that a client is a kinesthetic learner. When reinforcing teaching about insulin injections, which would be the best method to use?
Have the patient do return demonstration
The nurse is administering an enterically coated medication to a client. The nurse understands that this medication will dissolve in which location?
small intestine
The nurse wants to demonstrate cultural competency while caring for an Asian client. Which would be the best action for the nurse to do?
Treat the client the same as other previous Asian clients
Ask the client which traditional practices he/she observes
Treat the client the same as all other clients
Read a book about the Asian culture
Ask the client which traditional practices he/she observes
The nurse is caring for a female client with a urinary tract infection. The healthcare provider (HCP) prescribes a sulfonamide. Which is not a contraindication for Sulafonamide?
Pregnant patient near due date.
Ulcerative Colitis.
Group A beta-hemolytic strep infection.
Hypersensitivity to sulfonamide.
Ulcerative Colitis