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Nurs 311 Final Questions & Detailed Answers
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Nurs 311 Final Questions & Detailed Answers
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Nurs 311 Final Questions & Detailed AnswersA nurse is administering medication to a client with a GI tube. Which of the
following actions should the nurse perform when administering meds using this
route?
A. Crush meds to a fine powder (if allowable) and mix with 15-30mL of sterile
water
B. Administer 30-60mL water flush between each individual med
C. Use solid meds whenever possible
D. Avoid opening capsules to empty into liquid - ANS A. Crush meds to a fine
powder (if allowable) and mix with 15-30mL of sterile water
A nurse is selecting the correct needle to inject a client's anticoagulant. Which of
the following guidelines should inform the nurse's needle selection?
A. When looking at package, the first number is length in inches and second
number is gauge
B. As gauge number becomes larger, size of needle becomes smaller
C. The site of the syringe is dictated by the viscosity of the medication to be given
D. When giving an injection, the amount of medication directs the choice of needle
guage - ANS B. As gauge number becomes larger, size of needle becomes smaller
A nurse is administering a client's analgesic by the SQ route. Which of the
following should guide the nurse's action?
A. Inject at a 30-45 degree angle based on amount of SQ tissue present
B. Inject into adipose tissue layer just below epidermis and dermis
,C. Select a site on the inner surface of the forearm or the deltoid muscle
D. Pinch firmly if the client is obese - ANS B. Inject into adipose tissue layer just
below epidermis and dermis
A nurse is carrying out an order to administer a piggyback intermittent IV infusion
of a clients antiemetic. What action should the nurse perform when administering
this medication?
A. Using clean technique, remove the tubing spike cap and the cap on the port of
the medication container
B. Place the secondary bag lower than the primary solution container
C. Ask the physician to specify the correct infusion rate
D. Attach infusion tubing to the secondary bag by inserting the tubing spike into
the port with a firm push and twisting motion. - ANS D. Attach infusion tubing to
the secondary bag by inserting the tubing spike into the port with a firm push and
twisting motion.
A client with a new diagnosis of glaucoma has been prescribed a med that is to be
administered by an eye drop. Which of the following should the nurse perform?
A. Apply a few drops of normal saline into the eye to irrigate
B. Ensure that drops of the med fall on the client's conjunctival sac
C. Ask the client to close his eyes for 15-30 sec prior to admin
D. Cleanse the tip of the container with an alcohol swab - ANS B. Ensure that drops
of the med fall on the client's conjunctival sac
,A client with a new diagnosis of asthma has been prescribed a corticosteroid by
metered dose inhaler. What teaching point should the nurse include in health
education?
A. Avoid inhaling too deeply after you take a dose
B. Rinse your mouth with water after each dose
C. Avoid eating or drinking 15 min before you take a dose
D. Wait at least 15 sec before taking a second puff of your meds - ANS B. Rinse
your mouth with water after each dose
A nurse is applying vaginal cream to a client with a fungal infection. Which of the
following is a recommended guideline for this application?
A. Position the client in a left side-lying position
B. Cleanse area at vaginal orifice with washcloth and warm water
C. Wipe from the sacrum to the vaginal orifice upward (back to front)
D. Spread the labia with dominant hand and introduce the applicator gently with
the nondominant hand - ANS B. Cleanse area at vaginal orifice with washcloth and
warm water
T/F: A nurse is preparing to administer a client's meds via a peripheral venous
access device. Before administering the drug, the nurse should flush the device
with 2-3mL of normal saline. - ANS True
A nursing responsibility in managing IV therapy is to monitor the fluid infusions
and to replace the fluid containers as needed. Which of the following is an
accurate guideline for IV management that the nurse should consider?
, A. Provide ongoing verification of the IV solution and the infusion rate with the
physician's order.
B. Generally, change the administration sets of simple IV solutions every 48 hours.
C. As one bag is infusing, prepare the next bag so it's ready for a change when the
original container runs dry.
D. Use new tubing whenever attaching additional IV solutions. - ANS A. Provide
ongoing verification of the IV solution and the infusion rate with the physician's
order.
A nurse inspecting a client's IV site notices redness and swelling at the site. What
would be the most appropriate nursing intervention for this situation?
A. Discontinue the IV and relocate it to another site
B. Call the primary care provider to see whether anti-inflammatory drugs should
be administered
C. Cleanse the site with chlorhexidine solution using a circular motion and continue
to monitor the site every 15 minutes for 6 hrs before removing IV
D. Stop the infusion, cleanse the site with alcohol and apply transparent
polyurethane dressing over the entry site. - ANS A. Discontinue the IV and relocate
it to another site
A nurse is changing a client's peripheral IV dressing. Which of the following is a
recommended step in this procedure?
A. Observe clean technique to minimize the possibility of contamination.
B. Apply antiseptic solution, such as chlorhexidine to the site in order to disinfect.
C. Wipe or blot the site dry and allow it to dry completely before covering it.
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