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NS520 - Exam 1 Material Questions With Complete Solutions
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NS520 - Exam 1 Material Questions With Complete Solutions
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NS520 - Exam 1 Material Questions WithComplete Solutions
4 Special considerations for administering meds to Elderly
patients Correct Answer 1. Go low and slow
2. Commonly have slower absorption and a prolonged duration
of action
3. Commonly have decreased liver and renal function which
may effect metabolism and excretion of drug
4. Remember to consider economics, social determinants of
health, health literacy
4 Special considerations for administering meds to Pediatric
Patients Correct Answer 1. Do not put medications in common,
necessary foods
2. Never refer to medication as candy
3. Acknowledge and assist with discomfort
4. Medications based on weight
4 special considerations for administering meds to Pregnant
Patients Correct Answer 1. Know the pregnancy category of
every drug you administer to a woman of child-bearing age
2. Be aware of which OTC and Px drugs are considered safe for
pregnancy
3. Know if patient is breastfeeding
4. Know if patient is sexually active, uses birth control, and
when last period was
6 Rights of Medication Administration Correct Answer Right:
1. Patient
,2. Drug
3. Dose
4. Route
5. Time
6. Documentation
A client who lives at high altitude may normally have an
increased Hgb and RBC count because:
1. High altitudes cause vascular fluid loss, leading to hemp
concentration
2. Hypoxia caused by decreased atmospheric O2 stimulates
erythropoietin
3. The function of the spleen in removing old RBCs is impaired
at high altitudes
4. Impaired production of platelets leads to proportionally higher
RBC counts Correct Answer Answer - 2
Air is "thinner" at high altitudes meaning there are fewer oxygen
molecules per volume of air - when O2 levels become low, the
kidneys release Erythropoietin (EPO), which triggers the
production of more RBCs to aid in oxygen delivery to the
muscles
A new graduate nurse is administering a rectal suppository as
ordered. The new graduate nurse has followed the appropriate
guidelines when they perform the following steps: Select all that
apply.
A. Identify the client using at least two patient identifiers
B. Apply lubrication to the suppository prior to administration
, C. Observe the client post administration for symptoms such as
a bowel movement or relief of nausea
D. Ensure that the lightening is adequate to visualize the anus
E. Review the medical history of the patient prior to
administration Correct Answer Answer: A, B, C, D, E
A nurse accidentally gives a patient the medications that were
ordered for the client's roommate. What is the nurse's first
priority?
A. Complete an incident (occurrence) report
B. Notify the health care provider
C. Inform the charge nurse of the error
D. Assess the Patient for adverse effects Correct Answer
Answer - D
Always Assess first
A nursing student is administering medications through a gastric
tube (G-tube). Which of the following actions by the nursing
student requires the instructor to intervene?
A. The nursing student places all meds in different medicine
cups
B. The nursing student evaluates each medication and holds the
feeding tube before administering a medication that needs to be
administered on an empty stomach
C. The nursing student flushes the tube with 30 mL of water
between each medication
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