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Advanced nursing 1 questions & actual answers.
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Advanced nursing 1 questions & actualanswers.
How often does the FDA update and disseminate the Approved Drug List (ADL) to hospitals
and related industries. ANS - Annually
What is a disadvantage to IV medications? ANS - quick onset also means adverse effects will
occur rapidly.
What is the MAR used for? ANS - Track the schedule of taking each medication
Document new orders that have been given
Show medications that have been discontinued
What are the 6 rights? ANS - Right: Medication, dose, patient, route, time, documentation
What must be documented when a medication has been administered? ANS - Name of
medication
Dose
Route
Exact time of administration
Signature/initials of administering individual
Site of any injections per local protocol
How must eye medication be kept? ANS - Sterile
For children younger than 3 what should you ensure when administering otic medication?
ANS - The ear lobs is pulled downward to straighten the ear canal.
In children older than four and in adults what should you ensure when administering otic
medication? ANS - pull the pinna up and outward.
How do you ensure correct medications are being given and that medication won't
adversely interact with other medications the patient may currently be taking? ANS - Very
any contraindications with the MAR.
How do you dispense liquid medication? ANS - Observe the medication at eye level and fill
to the desired level on scale. The scale should be even with the fluid level at the base of the
meniscus.
How should the patient be positioned when administering oral medication? ANS - High-
Fowler position, if not contraindicated by his/her condition, or side-lying position (side-lying
is preferable if sitting is contraindicated by his/her condition; decreases risk for aspiration)
, How long should the patient be monitored for any possible adverse or allergic reactions in
respond to the mediation administered? ANS - 5-15 minutes, if found notify the nurse or
provider immediately.
What is the typical size syringe used for IM and SC injections? ANS - 1 to 3 mL
What are the components that make up stainless steel needles? ANS - Hub, shaft, and bevel
What is the range for needle gauges? ANS - 14 (largest) to 31 (smallest)
What must you ensure when injecting? ANS - The bevel is up. This creates a narrow slit into
the tissue that rapidly closes when the needle is removed. This prevents leakage of
medication and minimizes blood loss.
What is the angle of insertion for SC injections? ANS - Typically 45 degrees but the length of
the needle along with the patient's size determines the angle of administration.
Regardless of the site, SC injections should be administered how? ANS - by pinching the
tissue to create a skin fold before injection to allow for easier access to SC tissue.
What areas are commonly used for IM injection in adult patients? ANS - Deltoid, vastus
lateralis, and the ventrogluteal.
What is recommended area for IM injections in infants and children? ANS - Vastus lateralis
What type of needle will be required when drawing mediation from the ampule into the
syringe? ANS - Filter needle
To protect from possible contamination when drawing medication what must you never do?
ANS - inject excess medication back into the vial once the needle has been removed.
What needs to be written on a multi-dose vial once the first dose has been drawn and
administered? ANS - write the date it was opened and 28 days form the first dose; however,
follow manufacturer's guidelines or MTF's policy.
Weight/mass is measured in what? ANS - Grams
Length is measured in what? ANS - Meters
Volume is measured in what? ANS - liters
medical personnel use what interchangeably for measurement? ANS - cubic centimeters (cc)
and milliliters (ml)
Pelvic examinations or vaginal examinations are used to diagnose what? ANS -
intraabdominal pathology in the female patient with abdominal pain, vaginal discharge,
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