Reference no: EM133894569
Questions
1. The nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure?
Insert the needle slowly and gently.
Aspirate for 5 to 10 seconds.
Use a 45 degrees angle of insertion.
Pull the skin 1.3 cm (1/2 inch) to the side.
2. The nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
Crushing is unsafe, as it destroys the ingredients in the medication."
"Crushing the medication is a good idea, and I can mix it in some ice cream for you."
"Crushing the medication would release all the medication at once, rather than over time."
"Crushing the medication might cause you to have a stomachache or indigestion."
3. A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?
"I've been taking an antacid to help with indigestion."
"I've lost 2 pounds since my appointment 2 weeks ago."
"The naproxen is easier to take when I crush it and put it in applesauce."
"I signed up for a swimming class."
4. A nurse is teaching a class about medication reconciliation. Which of the following information should the nurse include in the teaching?
Do not perform reconciliation for a client at discharge from a health care facility.
Provide a list of the client's current medications during the change of shift report.
Do not include over-the-counter medications in the medication reconciliation report.
Obtain a list of the client's current medications during admission to a health care facility.
5. A nurse is reviewing the medication administration records of clients who have a prescription for morphine PRN. Which of the following findings would require the nurse to hold the medication?
The client is experiencing a myocardial infarction.
The client who is 24 hr postoperative following hip arthroplasty.
The client who has bronchitis pleurisy.
The client has a paralytic ileus.
6. A patient who has advanced cancer is receiving opioid medications around the clock to keep him comfortable as he nears the end of his life. Which term best describes this type of therapy?
Maintenance therapy
Palliative therapy
Empiric therapy
Supplemental therapy
7. During a period of time when the computerized medication order system was down, the prescriber wrote admission orders, and the nurse is transcribing them. The nurse is having difficulty transcribing one order because of the prescriber's handwriting. Which is the best action for the nurse to take at this time?
Ask a colleague what the order says.
Wait until the prescriber makes rounds again to clarify the order.
Ask the patient what medications he takes at home.
Contact the prescriber to clarify the order.
8. During morning medication administration, the nurse discovered an error on the electronic MAR before the medication was given. Which action by the nurse is appropriate for this "near-miss"?
Correct the MAR error but say nothing because nothing happened.
Report the near-miss using the facility's recommended protocol, and correct the error on the MAR.
Notify the pharmacy about the error they almost caused.
Report the near-miss to the next shift before the next dose is due.
9. A 25-year-old woman is visiting the prenatal clinic and shares with the nurse her desire to go "natural" with her pregnancy. She shows the nurse a list of herbal remedies that she wants to buy so that she can "avoid taking any drugs." Which statement by the nurse is correct?
"It's important to remember that herbal remedies do not have proven safety ratings for pregnant women."
"Keep in mind that products from different manufacturers are required to contain consistent amounts of the herbal products."
"Most herbal remedies are not harmful and are safe for use during pregnancy."
"Please read each label carefully before use to check for cautionary warnings."
10. The patient wants to take the herbal product kava to help him rest at night. The nurse would be concerned about potential interactions if he is taking a medication from which class of drugs?
Digitalis
Anticoagulants
Sedatives
Immunosuppressants.