NUR 155 Exam 4 questions and answers

The nurse prepares to administer an intramuscular injection to a 4-month old infant. The nurse selects which best site to administer the injection? *Ventrogluteal *Lateral deltoid *Rectus femoris *Vastus lateralis Vastus lateralis The nurse is preparing to administer eye drops. Which interventions should the nurse take to administer the drops? Select all that apply. *Wash hands *Put gloves on *Place the drop in the conjunctival sac *Pull the lower lid down against the cheekbone *Instruct the client to squeeze the eyes shut after instilling the eye drop *Instruct the client to tilt the head forward, open the eyes, and look down Wash hands, put gloves on, place the drop in the conjunctival sac, pull the lower lid down against the cheekbone A client is prescribed an eye drop and an eye ointment for the right eye. How should the nurse best administer the medications? *Administer the eye drop first, followed by the eye ointment *Administer the eye ointment first, followed by the eye drop *Administer the eye drop, wait 15 minutes, and administer the eye ointment *Administer the eye ointment, wait 15 minutes, and administer the eye drop Administer the eye drop first, followed by the eye ointment The nurse educator is orienting a new nurse to the pediatric unit and is including tips for medication administration. Which statement by the new nurse indicates that the teaching has been effective? *It helps to use magical thinking with the infant-age group *It helps to use magical thinking with the school-age group *It helps to use magical thinking with the toddler-age group *It helps to use magical thinking with the preschool-age group It helps to use magical thinking with the preschool-age group The nurse is providing medication instructions to a parent. Which statement by the parent indicates a need for further instruction? *I should cuddle my child after giving the medication *I can give my child a frozen juice bar after he swallows the medication *I should mix the medication in the baby food and give it when I feed my child *If my child does not like the taste of the medicine, I should encourage him to pinch his nose and drink the medication through a straw I should mix the medication in the baby food and give it when I feed my child The nurse is preparing to administer a tuberculin skin test to a client via the intradermal route. Which action should the nurse perform when administering this test to the client? *Inject the medication and place a pressure dressing over the medication site *Make a circular mark around the injection site after administration of the tubreculin test *Administer the injection with the needle bevel facing downward at a 10 to 15 degree angle *Massage the area with an alcohol swab after injection to ensure that the medication is absorbed Make a circular mark around the injection site after administration of the tuberculin test The nurse is preparing to administer an oral medication to an infant. In which position should the nurse place the infant? *Prone *Semi-Fowlers *Trendelenburg's *Dorsal recumbent Semi-Fowler's The nurse is preparing to administer medications to a client via a percutaneous endoscopic gastrostomy tube. Which medication prescription should the nurse question? *Furosemide 20 mg via PEG tube daily *Digoxin 0.25 mg via PEG tube daily *Isosorbide mononitrate 30 mg via PEG tube daily *Acetaminophen elixir 650 mg via PEG every 4 hours as needed for temperature 101 F Isosorbide mononitrate 30 mg via PEG tube daily The nurse is preparing medications for administration. In addition to the right medication, the nurse adheres to which additional rights of medication administration? Select all that apply *The right dose *The right route *The right time *The right client *The right staff member *The right documentation The right dose, the right route, the right time, the right client, right documentation A client is in the bathroom when the nurse arrives at his room with his scheduled medications. The client calls to the nurse, "Just leave my medication on the bedside table like the rest of the nurses, and I will take it when I get finished." What is the nurse's best action? *Tell the client that he or she will be back when he is finished *Leave the medication at the bedside as the client requested *Let another nurse who is not busy give the client his medication when he is finished *Tell the assistive personnel to give it to the client when he is finished Tell the client that he or she will be back when he is finished The nurse is preparing to administer an intramuscular injection of pain medication to a new postoperative client. When the nurse walks into the client's room, the client asks why he is receiving an intramuscular form of the medication instead of the oral form. What is the nurse's best response with regard to the absorption of the medication? Medications given this way are absorbed more quickly than by other routes The nurse is preparing to administer an intradermal medication. Which action should the nurse take before administering the medication? Cleanse the site of injection with an alcohol swab and wait for the alcohol to dry A client has a prescription to receive purified protein derivative, 0.1 mL, intradermally. The nurse should administer the medication by using a tuberculin syringe according to which guidelines? 26-gauge, 5/8 inch needle inserted almost parallel to the skin, with the bevel side up The nurse is caring for a client who takes ibuprofen for pain. The nurse is gathering information on the client's medication history and determines it is necesssary to contact the PCP if the client is also taking which medications? Select all that apply Warfarin, Glimepiride, Amlodipine The clinic nurse is caring for a client who has been prescribed fentanyl, a potent opioid, for chronic pain. In what forms is it available for chronic pain administration in the at-home setting. Select all that apply intranasal spray, oral transmucosal lozenge, 72-hour transdermal patch, effervescet buccal oralets The nurse plans care for an older client admitted with a fractured hip. Which analgesic prescribed by the primary health care provider at standard doses and frequencies would the nurse question? Meperidine hydrochloride by IM route A client who had abdominal surgery is receiving epidural analgesia. The nurse monitors the client closely, knowing that which is a potential complication of this therapy? Dislodgment of the epidural catheter because the catheter is not sutured in place The nurse is preparing to administer medication using a client's nasogastric tube. Which actions should the nurse take before administering the medication? Select all that apply. check the residual volume, aspirate the stomach contents, turn off the suction to the nasogastric tube, test the stomach contents for a pH indicating acidity The nurse is preparing to administer medication through a nasogastric tube that is connected to suction. To administer the medication, the nurse should take which action? Clamp the nasogastric tube for 30 to 60 minutes following administration of the medication The nurse is preparing to administer eye drops. Which interventions should the nurse take to administer the drops? Select all that apply wash hands, put gloves on, place the drop in the conjunctival sac, pull the lower lid down against the cheekbone The nurse preparing a client for ear irrigation as prescribed by the pcp. Which action should the nurse take when performing the procedure? Warm the irrigating solution to 98.6 The nurse is providing instructions to a client who will be self-administering eye drops. To minimize systemic absorption of the eye drops, the nurse should instruct the client to take which action? Occlude the nasolacrimal duct with a finger after instilling the drops A client is prescribed an eye drop and an eye ointment for the right eye. How should the nurse best administer the medications? Administer the eye drop first, followed by the eye ointment The nurse is reviewing the instillation technique for both eye ointment and eye drops with the parent of a pediatric client diagnosed with bacterial conjunctivitis. Which statement made by the parents would indicate that learning has taken place? I will be careful not to touch the eye or eyelid during administration The nurse is teaching a mother to instill drops in her infant's ear. The nurse explains that to give the ear drops correctly, the mother needs to take which action? Pull down and back on the earlobe and direct the solution toward the wall of the canal Ear drops are prescribed for an infant with otitis media. Which is the most appropriate method to administer ear drops to an infant? Pull down and back on the pinna, and direct the solution toward the wall of the canal A client being discharged to home with a prescription for eye drops to be given in the left eye has received instructions regarding self-administration of the drops. The nurse determines that the client needs further instruction if, on return demonstration, the client takes which action? Lies supine, pulls up on the upper lid, and puts the drop in the upper lid The nurse teaching a mother how to administer ear drops to an infant tells the mother to pull the child's ear in which direction? down and back and direct the solution toward the wall of the canal The nurse is caring for a pediatric client who is going to receive a vaccination. Place the nursing actions for performing this procedure in order of priority verify prescription, assess for allergies, obtain parental consent, check lot number and expiration, select appropriate site and administer vaccine, provide vaccination record When communicating with a client who speaks a different language, which best practice should the nurse implement? Arrange for an interpreter to translate The nurse is preparing a plan of care for a client and is asking the client about religious preferences. The nurse considers the client's religious preference as being characteristic of a Jehovah's Witness if which client statement is made? I cannot have any food containing or prepared with blood