Reference no: EM133844125
Question
1. A client develops buccal irritation following the administration of a buccal medication for three days. What intervention should the nurse instruct the client to prevent this irritation?
a. swallow the medication
b. chew the medication
c. alternate the cheeks with each dose
d. take the medication with water
2. A client asks the nurse the rationale why the medication is given via Intramuscular injection (IM) instead of oral route. Which statement made by the nurse that needs to be corrected?
a. "Intramuscular injection is given when medication cannot be taken by mouth."
b. "Intramuscular injection is given when the lips are dry."
c. "Instramuscular injection is given if a client is vomiting, had oral surgery or kept on NPO ( nothing per orem )."
d. Intramuscular injection is given when a quick drug action is desired.
3. A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?
a. Use a 22-gauge needle to inject the medication.
b. Inject the medication into the abdomen above the level of the iliac crest.
c. Use a 1-inch needle to inject the medication.
d. Massage the injection site after administration of the medication
4. The nurse is preparing to administer an intramuscular medication. In determining which size needle and syringe to use to administer the medication, the nurse must consider which of the following? (Select all that apply.)
a. The volume of medication
b. Whether or not the syringe has a safety needle
c. The viscosity of the medication
D. The size and weight of the patient
5. A client is about to receive an anti-hypertensive medication via sublingual route. What should the nurse instruct the client?
a. "Place the table inside the mouth and chew it."
b. "Swallow the tablet immediately with 30 ml of water."
c. "Place the tablet under the tongue and let it dissolve completely"
d. "Crush the tablet and place it under the tongue."
6. A nurse gives an intradermal injection to a client who needs to receive a tuberculin test (PPD). What is the correct angle of inserting the needle?
a. 30 degree angle
b. 45 degree angle
c. 90 degree angle
d. 15 degree angle
7. A patient recovering from a leg fracture after a fall states that he has severe pain on the affected leg and rates it as a 8 on a 0 to 10 scale. The patient is not able to walk around in the room with crutches because of leg discomfort. What is the priority nursing intervention for this patient?
a. Consult physical therapy.
b. Administer PRN pain medication as ordered.
c. Obtain a walker for the patient.
d. Assist the patient to walk in the room with crutches.
8. A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus.The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?
a. "I will hold the inhaler with my non-dominant hand."
b. "I will tilt my head forward while inhaling the medication."
c. "I will wait 10 min between each inhalation."
d. "I will hold my breath for at least 10 seconds after inhaling the medication."
9. The nurse is applying a new nitroglycerin transdermal patch. Which action by the nurse is appropriate?
a. Applying the new patch to the same site as the previous patch
b. Cutting the patch in half when a change of dose is ordered
c. Instructing the patient to avoid heat sources over the patch
d. Instructing the patient to wear the patch 24 hours a day every day
10. This injection site is considered the safest to use for infant. What do you call this intramuscular injection site?
a. vastus lateralis
b. dorsogluteal muscle
c. ventrogluteal
d. deltoid muscle