Senior Practicum Medication And I.V Administration
Institution
Senior Practicum Medication And I.V Administration
1. A nurse knows that patient education has been effective when the patient states
a.
I must take my parenteral medication with food.
b.
If I am 30 minutes late taking my medication, I should skip that dose.
c.
I will rotate the location where I give myself injections.
d.
Once I sta...
1. A nurse knows that patient education has been effective when the patient states
a.
I must take my parenteral medication with food.
b.
If I am 30 minutes late taking my medication, I should skip that dose.
c.
I will rotate the location where I give myself injections.
d.
Once I start feeling better, I will stop taking my medication. - ANS c.
I will rotate the location where I give myself injections.
ANS: C
Rotating injection sites provides greater consistency in absorption of medication. Parenteral
medication absorption is not affected by the timing of meals. Taking a medication 30 minutes
late is within the 60-minute window of the time medications should be taken. Medications should
be stopped based on the providers orders. With some medications, such as antibiotics, it is
crucial that the full course of medication is taken to avoid relapse of infection.
2. Which statement by the patient is an indication to use the Z-track method?
a.
Im really afraid that a big needle will hurt.
b.
The last shot like that turned my skin colors.
c.
,I am allergic to many medications.
d.
My legs are too obese for the needle to go through. - ANS B.The last shot like that turned
my skin colors.
ANS: B
The Z-track is indicated when the medication being administered has the potential to irritate
sensitive tissues. The Z-track method is not meant to reduce discomfort from the procedure. If a
patient is allergic to a medication, it should not be administered. If a patient has additional
subcutaneous tissue to go through, a needle of a different size may be selected.
3. A 2-year-old child is ordered to have ear irrigation performed daily. The nurse correctly
performs the procedure by
a.
Pulling the auricle down and back to straighten the ear canal.
b.
Pulling the auricle upward and outward to straighten the ear canal.
c.
Instilling the irrigation solution by holding the syringe just inside the ear canal.
d.
Holding the fluid in the canal for 2 to 3 minutes with a cotton swab. - ANS a.
Pulling the auricle down and back to straighten the ear canal.
ANS: A
Children up to 3 years of age should have the auricle pulled down and back, children 4 years of
age to adults should have the auricle pulled upward and outward. Irrigation solution should be
instilled 1 cm (1/2) above the opening of the ear canal. Irrigation solution should be allowed to
drain freely during instillation.
4. A patient has an order to receive 10 units of U-50 insulin. The nurse is using a U-100 syringe.
How many units should the nurse draw up in the syringe and administer?
a.
0.2 units
b.
2 units
c.
, 5 units
d.
20 units - ANS d.
20 units
ANS: D
The nurse is careful to perform nursing calculations to ensure proper medication administration.
U-50 insulin has 50 units of insulin in every milliliter, a U-100 syringe has 100 units in every
milliliter. Conversion equals 20 units.
5. A patient has an order to receive 20 units of U-50 insulin. The nurse is using a U-100 syringe.
How many units should the nurse draw up in the syringe and administer?
a.
0.04 mL
b.
0.4 mL
c.
4 mL
d.
10 mL - ANS b.
0.4 mL
ANS: B
The nurse is careful to perform nursing calculations to ensure proper medication administration.
U-50 insulin has 50 units of insulin in every milliliter, a U-100 syringe has 100 units in every
milliliter. Conversion equals 20 units.
6. The patient is to receive phenytoin (Dilantin) at 0900. The nurse knows that the ideal time to
draw a trough level is
a.
0800.
b.
0830.
c.
0900.
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