NUR155 / NUR 155 EXAM 4 FOUNDATIONS
OF NURSING EXAM 4 | QUESTIONS AND
CORRECT ANSWERS RATED A+ |
2024/2025 GUIDE | GALEN
Define the 6 step process of administering meds:
- Correct Answer - 1.identify client
2. Inform client
3. Administer drug
4. Provide help if needed
5. Record drug administered
6. Evaluate clients response
What are the 3 med checks?
- Correct Answer - 1. Reading Mar and pulling meds
2. While prepping meds
3. At bedside
What are the 5 rights of medication administration?
- Correct Answer - 1. right patient
2. right drug
3. right dose
4. right route
5. right time
What does NPO mean?
,- Correct Answer - nothing by mouth
When we use a pill splitter, what do we need to do between each
medication/patient?
- Correct Answer - Clean it.
When we use a med cart to pass meds, what do we need to make sure
of before leaving cart unattended?
- Correct Answer - That the cart is locked!
What are your 2 patient identifiers?
- Correct Answer - Name and date of birth
What are some lifespan considerations we need to consider when giving
pts oral meds?
- Correct Answer - -can the client swallow and retain the drug in
stomach?
( give a drink if water)
When handling a syringe, the nurse may touch the outside of the barrel
and the handle of the plunger; must avoid what?
- Correct Answer - Plunger, needle and vial top
What is the scoop method?
- Correct Answer - Recapping the needle without hands on cap until
needle is inside cap
What is an ampule? What do we use to withdraw the med from an
ampule and why?
,- Correct Answer - -glass container designed to hold a single dose of a
drug.
-a filter needle, filter straw
What is a vial? What’s the difference between a multi-dose vial and a
single dose vial?
- Correct Answer - -small glass bottle with sealed rubber cap
-single dose doesn't increase volume
-multi-dose does increase volume
What is the term "clear before cloudy" related to?
- Correct Answer - Regular insulin is clear and NPH insulin is cloudy due
to proteins in insulin.
What is the term "start low, go slow" related to?
- Correct Answer - Older patients may require smaller doses of a drug
because the drug and its metabolites may accumulate in the body.
What angle do you give the following injections at?
ID, SUB-Q, IM?
- Correct Answer - ID- 5°-15°
SUB-Q- 45°-90°
IM- 90°
What is preferred site for IM?
- Correct Answer - Ventrogluteal
What is the most fluid you can give in ID, IM and SUBQ?
- Correct Answer - ID-0.1 mL
, IM- Deltoid=0.5- 1 mL/ Ventro=3mL
SUBQ- 0.5-1 mL
How much fluid can be given in the deltoid?
- Correct Answer - 0.5 - 1mL
What is the Z track method?
- Correct Answer - This is used for IM injections. Use nondominant hand
to pull skin laterally and hold it in position while giving injection. Release
skin immediately after withdrawing needle to seal off the injection site.
This prevents the medication from leaking through the more sensitive
subcutaneous tissue from the muscle. Done at the ventrogluteal or
dorsolateral sites.
What do we do if we get blood return when you aspirate on an IM
injection?
- Correct Answer - -Remove needle, discard, reprepare and administer
med.
What size gauge is used for intradermal?
What is it used for?
How long it is?
What angle is it given?
- Correct Answer - #25-27 gauge
Used for TB/allergy testing
1/4 - 5/8
5°-15°
What size gauge is used for SUBQ?
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