NURS 610 Exam 1 Study set Correct 100%

A patient is receiving an intravenous (IV) push medication. If the drug infiltrates into the outer tissues, the nurse: A. Continues to let the IV run B. Applies a warm compress to the infiltrated area C. Stops the administration of the medication and follows agency policy D. Should not worry about this because vesicant filtration is not a problem -ANSWER C. Stops the administration of the medication and follows agency policy If a patient who is receiving IV fluids develops tenderness, warmth, erythema, and pain and the site, the nurse suspects? A. Sepsis B. Phlebitis C. Infiltration D. Fluid overload -ANSWER B. Phlebitis The nurse is preparing to administer a medication via the intravenous push method. Which actions should the nurse take to ensure patient safety? (Select all that apply) A. Check the six rights of medication administration. B. Check compatibility of solutions. C. Educate the patient on safety concerns. D. Label the syringe with the appropriate information. E Rely on memory to determine the rate of administration. -ANSWER A. Check the six rights of medication administration. B. Check compatibility of solutions. C. Educate the patient on safety concerns. D. Label the syringe with the appropriate information. Which action can the nurse safely delegate to the unlicensed assistive personnel in regards to care of the patient receiving an intravenous push medication? A. Assess site for signs and symptoms of phlebitis. B. To report patients statement on coolness at IV site to RN. C. Ensure mini-infusion of intravenous push medication is complete. D. Obtain pain score from patient 30 minutes after Morphine administration. -ANSWER B. To report patients statement on coolness at IV site to RN. A nurse takes precautions to prevent undesirable outcomes when administering medications by the intravenous route. Which of the following actions would require correction in order to prevent an undesirable outcome? A. The nurse administers an IVP medication via a central line that has TPN infusing. B. The nurse verifies the prescribed dilution and rate of administration so that the medication is given over the appropriate amount of time in the appropriate concentration. C. The nurse verifies any high alert medications with another nurse and consults the pharmacist or manufacturer with medication concerns. D. The nurse assess IV site for signs of infiltration and phlebitis prior to administering medications to ensure patient safety. -ANSWER A. The nurse administers an IVP medication via a central line that has TPN infusing. Medication prescription: Narcan 0.2 mg, IV, STAT for respiratory rate less than 4 bpm. The pharmacy provides a vial of Narcan. The label reads Naloxone HCL injection, USP 400 mcg/ml (0.4 mg/mL). How many mL of the medication will you administer? A. 1 B. 2 C. 0.5 D. 0.2 -ANSWER C. 0.5 Morphine 10 mg, IV, NOW for chest pain. The morphine vial reads Morphine Sulfate injection, USP 5 mg/mL. How many mL of the medication will you administer? A. 1 B. 2 C. 0.5 D. 5 -ANSWER B. 2 A patient is admitted with severe lobar pneumonia. Which of the following assessment findings would indicate that the patient needs airway suctioning? A. Coughing up thick sputum only occasionally B. Coughing up thin, watery sputum easily after nebulization C. Decreased independent ability to cough D. Lung sounds clear only after coughing -ANSWER C. Decreased independent ability to cough Which of the following statements made by a student nurse indicates the need for further teaching about suctioning a patient with an endotracheal tube? A. "Suctioning the patient requires sterile technique." B. "I'll apply suction while rotating and withdrawing the suction catheter." C. "I'll suction the mouth after I suction the endotracheal tube." D. "I'll instill 5 mL of normal saline into the tube before hyperoxygenating the patient." -ANSWER D. "I'll instill 5 mL of normal saline into the tube before hyperoxygenating the patient." You are caring for a patient admitted with an exacerbation of asthma. After several treatments, the ABG results are