Exam 2 N3632 Question and answers rated A+ Exam 2 N3632
A nurse administers a dose of an oral medication for hypertension to a patient who immediately vomits after swallowing the pill. What would be the appropriate initial action of the nurse in this situation?
a. Readminister the medication...
Exam 2 N3632
A nurse administers a dose of an oral medication for hypertension to a patient
who immediately vomits after swallowing the pill. What would be the
appropriate initial action of the nurse in this situation?
a. Readminister the medication and notify the primary care provider.
b. Readminister the pill in a liquid form if possible.
c. Assess the vomit, looking for the pill.
d. Notify the primary care provider. - correct answer ✔C
A nurse is administering phenytoin via a gastric tube to a patient who is
receiving tube feedings. What would be an appropriate action of the nurse in
this situation?
a. Discontinue the tube feeding and leave the tube clamped for required
period of time before and after medication administration.
b. Notify the primary care provider that medication cannot be given to the
patient at this time via the gastric tube.
c. Remove the tube in place and replace it with another tube prior to
administering the medication.
d. Flush the tube with 60 mL of water prior to administering the medication. -
correct answer ✔A
A nurse who is administering medications to patients in an acute care setting
studies the pharmacokinetics of the drugs being administered. Which
statements accurately describe these mechanisms of action? Select all that
apply.
,a. Distribution occurs after a drug has been absorbed into the bloodstream
and is made available to body fluids and tissues.
b. Metabolism is the process by which a drug is transferred from its site of
entry into the body to the bloodstream.
c. Absorption is the change of a drug from its original form to a new form,
usually occurring in the liver.
d. During first-pass effect, drugs move from the intestinal lumen to the liver by
way of the portal vein instead of going into the system's circulation.
e. The gastrointestinal tract, as well as sweat, salivary, and mammary glands,
are routes of drug absorption.
f. Excretion is the process of removing a drug, or its metabolites (products of
me - correct answer ✔A,D,F
A nurse who gives subcutaneous and intramuscular injections to patients in a
hospital setting attempts to reduce discomfort for the patients receiving the
injections. Which technique is recommended?
a. The nurse selects a needle of the largest gauge that is appropriate for the
site and solution to be injected.
b. The nurse injects the medication into contracted muscles to reduce
pressure and discomfort at the site.
c. The nurse uses the Z-track technique for intramuscular injections to prevent
leakage of medication into the needle track.
d. The nurse applies vigorous pressure in a circular motion after the injection
to distribute the medication to the intended site. - correct answer ✔C
A medication order reads: "K-Dur, 20 mEq po BID." When and how does the
nurse correctly give this drug?
a. Daily at bedtime by subcutaneous route
,b. Every other day by mouth
c. Twice a day by the oral route
d. Once a week by transdermal patch - correct answer ✔C
A nurse is preparing medications for patients in the ICU. The nurse is aware
that there are patient variables that may affect the absorption of these
medications. Which statements accurately describe these variables? Select all
that apply.
a. Patients in certain ethnic groups obtain therapeutic responses at lower
doses or higher doses than those usually prescribed.
b. Some people experience the same response with a placebo as with the
active drug used in studies.
c. People with liver disease metabolize drugs more quickly than people with
normal liver functioning.
d. A patient who receives a pain medication in a noisy environment may not
receive full benefit from the medication's effects.
e. Oral medications should not be given with food as the food may delay the
absorption of the medications.
f. Circadian rhythms and cycles may influence drug action. - correct answer
✔A,B,D,F
A health care provider orders a pain medication for a postoperative patient
that is a PRN order. When would the nurse administer this medication?
a. A single dose during the postoperative period
b. Doses administered as needed for pain relief
c. One dose administered immediately
d. Doses routinely administered as a standing order - correct answer ✔B
, A nurse is administering a pain medication to a patient. In addition to checking
his identification bracelet, the nurse correctly verifies the patient's identity by
performing which action?
a. Asking the patient his name and birthdate
b. Reading the patient's name on the sign over the bed
c. Asking the patient's roommate to verify his name
d. Asking, "Are you Mr. Brown?" - correct answer ✔A
The nurse is administering a medication to a patient via an enteral feeding
tube. Which are accurate guidelines related to this procedure? Select all that
apply.
a. Crush the enteric-coated pill for mixing in a liquid.
b. Flush open the tube with 60 mL of very warm water.
c. Use the recommended procedure for checking tube placement in the
stomach or intestine.
d. Give each medication separately and flush with water between each drug.
e. Lower the head of the bed to prevent reflux.
f. Adjust the amount of water used if patient's fluid intake is restricted. - correct
answer ✔C,D,F
A medication order reads: "Hydromorphone, 2 mg IV every 3 to 4 hours PRN
pain." The prefilled cartridge is available with a label reading "Hydromorphone
2 mg/1 mL." The cartridge contains 1.2 mL of hydromorphone. What should
the nurse do?
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