Ryerson University CNUR 831 Exam Questions And Answers Graded A+ Latest Update
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Course
CNUR 831
Institution
CNUR 831
Ryerson University CNUR 831 Exam Questions And Answers Graded A+ Latest Update
CASE 1
• On a subsequent visit, Mr. Marsh complains that his arm feels itchy close to the insertion site of the saline lock. What should be Albert’s first action?
Options:Ryerson University CNUR 831 Exam Question...
Ryerson University CNUR 831 Exam Questions And
Answers Graded A+ Latest Update
CASE 1
On a subsequent visit, Mr. Marsh complains that his arm feels itchy
close to the insertion site of the saline lock. What should be Albert’s
first action?
Options:
A) Stop the infusion
B) Check a medication reference for side effects of the antibiotics
C) Check the labeling on the syringes to ensure the correct drug and
correct dose
D) Asses the insertion site
Correct Answer is: D
Explanation : 1.This may happen, depending on the observations
after the site is assessed. 2.Albert should research his drug
references after assessing the site. 3.This should have occurred prior
to the infusion of the antibiotics. 4.All options could be correct and
may occur, but remember the nursing process: the first action needs
to be an assessment of the insertion site to see if there are signs of
infiltration or tissue irritation.
Mr. Marsh has completed 7 days of antibiotics. The physician
determines that he will not require a 10-day course. Mr. Marsh has
six preloaded syringes left over and asks Albert what he should do
with them. What should Albert tell Mr. Marsh?
,Options:
A) You should throw the syringes in the garbage.
B) You should empty the syringes into a sink.
C) You should return the syringes to the pharmacy.
D) I will take them and dispose of them for you.
Correct Answer is: C
Explanation : 1.This is not safe. 2.Medications should not be
disposed of into the public water supply. 3.The syringes are the
property of Mr. Marsh. The appropriate method of disposal is
through the pharmacy. Pharmacies encourage the public to bring in
unused medications for safe disposal. 4.The medication is the
property of Mr.
Marsh, and it is his responsibility to dispose of it. If Mr. Marsh asks
Albert to take the drugs because he is not able to, Albert can
document this request and take the medication to the pharmacy.
Jack Marsh, age 82 years, has periorbital cellulites of his right eye
and requires IV antibiotics. He has a saline lock inserted in the
emergency department at his local hospital. Discharge services
arrange for him to have home nursing visits twice a day to infuse the
medication and monitor the cellulites. Albert is one of the nurses
assigned to visit Mr. Marsh.
QUESTIONS 1-7 refer to this case.
Albert is the first nurse who visits Mr. Marsh. After introducing
himself, what would be his next action?
,Options:
A) Wash his hands
B) Examine the saline lock
C) Check the medications
D) Check the physician orders
Correct Answer is: A
Explanation : 1.All the options are correct and must be performed by
Albert. Washing hands is the first actions in order to prevent
transmission of micro-organisms. Albert would subsequently
perform the other tasks. 2.See answer 1. 3.See answer 1. 4.See
answer 1.
The pharmacy has prepared preloaded syringes of the
antibiotics. What is Albert’s responsibility with the
administration of the preloaded syringes?
Options:
A) He must call the pharmacist to confirm the drug and dosage.
B) He is not permitted to administer syringes that another
healthcare provider has prepared.
C) He must perform the five rights.
D) He must confirm the labeling on the syringe with the physician
order.
Correct Answer is: C
Explanation : 1.This is not necessary. The pharmacist is preparing
the medications according to the physician order. The scope of
practice for pharmacists allows them to prepare and dispense
medications. 2.Nurses may administer medications that pharmacists
have prepared provided they have performed the five rights. Nurses
, may not administer medications another nurse has prepared. 3.The
five rights are what nurses must perform before administering any
medication. 4.This step is included in the five rights.
Mr. Marsh’s eye is quite swollen, irritated, and producing an
exudates that causes crusting. He asks Albert what he should do as
a comfort measure. What would Albert recommend?
Options:
A) Apply a cold compress every 4 hours
B) Apply a warm saline compress as necessary
C) Use over-the-counter “artifical tear” eye drops
D) Keep the eye patched at all times
Correct Answer is: B
Explanation : 1.Cold compress will not provide comfort although
they may help to reduce the swelling. 2.Moist heat provides comfort,
increase circulation to the area, and cleanses the exudates. 3.This is
not the most effective comfort measure. 4.Patching may provide
some comfort, but the patch should be removed at intervals to
cleanse the area assess the eye.
Mr. Marsh lives alone in his own home. The cellulites has affected
his vision, and he finds it difficult to see. What question should
Albert ask him?
Options:
A) Do you have family to help you?
B) Would you like a visiting homemaker to help with your daily
activities?
C) Are you able to cook your meals and clean the house?
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