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Cards In This Set
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A nurse is caring for a client with an intravenous catheter. When administering medication through the intravenous port, the nurse pinches the tubing upstream from the port when instilling it with the drug. why does she do this?
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Pinching the tubing when instilling it with the drug ensures that the tube does not get backfilled and that the drug gets administered to the client. Piercing the port with the needle provides access to the inside of the tubing. Negative pressure is created by pulling back the plunger of the syringe. Pinching the tubing when instilling it with the drug does not validate that the IV catheter is in the vein, but the presence of blood in the tubing does. The nurse should gently instill a few tenths of a milliliter of medication to initiate the bolus administration.
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A nurse is performing a sensitivity test on a patient. What would be the best type of injection to use for this procedure?
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Intradermal
Intradermal injections are administered into the dermis, just below the epidermis. The intradermal route has the longest absorption time of all parenteral routes. For this reason, intradermal injections are used for sensitivity tests, such as tuberculin and allergy tests, and local anesthesia. The advantage of the intradermal route for these tests is that the body's reaction to substances is easily visible, and degrees of reaction are discernible by comparative study. |
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A nurse educator is teaching a student nurse how to choose the correct needle for an injection. Which of the following guidelines for needle selection might they discuss?
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As the gauge number becomes larger, the size of the needle becomes smaller.
The larger the gauge, the smaller the needle. The first number on a needle package is the gauge or diameter of the needle and the second number is the length in inches. When giving an injection, the viscosity of the medication directs the choice of gauge. The size of the syringe is directed by the amount of the medication to be given. |
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A nurse is providing care for a patient who has a history of dementia. Which of the following methods should the nurse use in order to determine the patient's identity prior to medication administration?
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Check the patient's identification band
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A nurse is bunching the tissue of a client when administering a subcutaneous injection to that client. The nurse knows that which of the following is the reason for bunching when injecting subcutaneously?
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Nurses bunch tissue between the thumb and fingers before administering the injection to avoid instilling medication within the muscle. Bunching does not prevent needle-stick injuries, it does not facilitate blood circulation at the injection site, nor does it ensure the accuracy of landmarking.
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A nurse is administering a prescribed dose of medication to a client through a medication lock. How often should the nurse flush the medication lock to maintain patency?
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Every 8-12 hours
To maintain patency, nurses usually flush medication locks every 8 to 12 hours with saline or heparin. Nurses do not flush medication locks every one or two hours, 36 to 48 hours, or every 72 to 96 hours to maintain patency. In fact, nurses change medication locks either when they change the IV site or at least every 72 hours. |
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A nurse at a health care facility administers a prescribed drug to a client and does not record doing so in the medical administration record. The nurse who comes during the next shift, assuming that the medication has not been administered, administers the same drug to the client again. The nurse on the previous shift calls to inform the health care facility that the administration of the drug to this client in the earlier shift was not recorded. What should the nurse on duty do immediately upon detection of the medication error?
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Check the client's condition
On detection of the medication error, the nurse should immediately check the client's condition. When medication errors occur, nurses have an ethical and legal responsibility to report them to maintain the client's safety. As soon as the nurse recognizes an error, he or she should check the client's condition and report the mistake to the prescriber and supervising nurse immediately. Health care agencies have a form for reporting medication errors called an incident sheet or accident sheet. |
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A nurse needs to use a moisturizer for an older adult client with dry skin. Why is the onset of the medication action atypical in an older adult client?
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Diminished subcutaneous fat
The onset of medication action is atypical for topical medications due to diminished subcutaneous fat, resulting in quicker absorption. Decreased appetite, diminished physical mobility, and decreased body temperature may not lead to atypical action with relation to the application of topical medication. |
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When instructing a client regarding sublingual application, the nurse should inform the client that which of the following is contraindicated when administering the drug?
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Swallowing the medication
When administering medication by sublingual application, the client should avoid swallowing or chewing the medication. Eating or smoking during administration is also contraindicated. Taking the medication on an empty stomach, talking, or performing physical activities may not be contraindicated when administering drugs sublingually. |
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A nurse needs to administer an intradermal injection to a client. Which of the following is the most common site for administering an intradermal injection?
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Forearm
The most common site for an intradermal injection is the inner aspect of the forearm. Intradermal injections are commonly used for diagnostic purposes. Examples include tuberculin tests and allergy testing. Small volumes, usually 0.01 to 0.05 mL, are injected because of the small tissue space. Other areas that may be used are the back and upper chest, not the stomach. |
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To which of the following patients would the nurse be most likely to administer a PRN medication?
a) A patient who requires daily medication to control hypertension b) A patient who is complaining of pain near her surgical site c) A patient whose asthma is treated with inhaled corticosteroids d) A patient who is experiencing severe and unprecedented chest pain |
A patient who is complaining of pain near her surgical site
A complaint of "breakthrough" pain, especially postsurgery, would likely require the nurse to administer a PRN analgesic. A new onset of chest pain would likely require a stat order, while longstanding treatment of hypertension and asthma would likely include standing orders for relevant medications. |
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To which of the following patients would the nurse be most likely to administer a PRN medication?
a) A patient who requires daily medication to control hypertension b) A patient who is complaining of pain near her surgical site c) A patient whose asthma is treated with inhaled corticosteroids d) A patient who is experiencing severe and unprecedented chest pain |
A patient who is complaining of pain near her surgical site
A complaint of "breakthrough" pain, especially postsurgery, would likely require the nurse to administer a PRN analgesic. A new onset of chest pain would likely require a stat order, while longstanding treatment of hypertension and asthma would likely include standing orders for relevant medications. |
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To which of the following patients would the nurse be most likely to administer a PRN medication?
a) A patient who requires daily medication to control hypertension b) A patient who is complaining of pain near her surgical site c) A patient whose asthma is treated with inhaled corticosteroids d) A patient who is experiencing severe and unprecedented chest pain |
A patient who is complaining of pain near her surgical site
A complaint of "breakthrough" pain, especially postsurgery, would likely require the nurse to administer a PRN analgesic. A new onset of chest pain would likely require a stat order, while longstanding treatment of hypertension and asthma would likely include standing orders for relevant medications. |
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To which of the following patients would the nurse be most likely to administer a PRN medication?
a) A patient who requires daily medication to control hypertension b) A patient who is complaining of pain near her surgical site c) A patient whose asthma is treated with inhaled corticosteroids d) A patient who is experiencing severe and unprecedented chest pain |
A patient who is complaining of pain near her surgical site
A complaint of "breakthrough" pain, especially postsurgery, would likely require the nurse to administer a PRN analgesic. A new onset of chest pain would likely require a stat order, while longstanding treatment of hypertension and asthma would likely include standing orders for relevant medications. |
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To which of the following patients would the nurse be most likely to administer a PRN medication?
a) A patient who requires daily medication to control hypertension b) A patient who is complaining of pain near her surgical site c) A patient whose asthma is treated with inhaled corticosteroids d) A patient who is experiencing severe and unprecedented chest pain |
A patient who is complaining of pain near her surgical site
A complaint of "breakthrough" pain, especially postsurgery, would likely require the nurse to administer a PRN analgesic. A new onset of chest pain would likely require a stat order, while longstanding treatment of hypertension and asthma would likely include standing orders for relevant medications. |
