Nurs 552 Exam #3 Review Questions and Correct Solutions

Nurs 552 Exam #3 Review Questions and Correct Solutions b (From Kozier & Erb.Rationale: If there is any doubt, the medication administration process should be interrupted until the question is clarified. Listen to the client. Find out any other information the client may have about that certain medication. For example, does he know the dosage of the medication taken at home? Do not administer the medication (option 1). Inform the client that you will check the chart first. Review the chart to make sure there is no discrepancy between the physician's order and the MAR. Review the physician's progress notes because the medication may have been increased or reduced as part of the treatment plan (option 3). Check with the pharmacist because sometimes a pill may be a different color or shape based on the pharmaceutical company. Do not leave medications at the bedside. Medications should never be left unattended (option 4). Inform the client of your findings. The client will appreciate that you took the time to make sure that he received the correct medication. While it takes time to check out the client's statement, you will be glad that you avoided a potential medication error.) A client tells the nurse, "this pill is a different color than the one that I usually take at home." Which is the best response by the nurse? a. go ahead and take your med b. I will recheck your med order c. maybe the doc ordered a different med d. I'll leave the pill here while I check with the doc b (pull the ear down and back) Proper administration of an otic med to a 2 yr old client includes which of the following: a. pull the ear straight back b. pull the ear down and back c. pull the ear up and back d. pull the ear straight upward ace (From Kozier & Erb. Rationale: Five milliliters is too large an amount to inject into one site. The nurse needs to divide the amount into two 2.5-mL injections. A 3-mL syringe could be used (option 1). The length of the needle will depend on the muscle development of the client. The nurse needs to assess the client. The presumption, based on the information provided, is that this client's muscle mass is within normal limits. The needle length would need to be 1 1/2 inches because the medication is ordered to be given "deep IM" (option 5). This also suggests that the medication should be given in the preferred site for IM injections—the ventrogluteal site—because it provides the greatest thickness of gluteal muscle. The gauge of the needle for an IM injection into the ventrogluteal muscle can range between #20 and#23 (option 3). The nurse needs to assess the viscosity of the medication. Smaller gauges (e.g., #23) produce less tissue trauma; however, viscous solutions may require a larger gauge (e.g., #20-#21).) The primary care provider prescribed 5 mL of a medication to be given deep intramuscular for a 40-yearold female who is 5′7″ tall and weighs 135 pounds. Which is the most appropriate equipment for the nurse to use? Select all that apply. a. Two 3-mL syringes b. One 5-mL syringe c. A #20-#23 gauge needle d. A 1-inch needle e. A 1 1/2-inch needle abce (from NURS 552 lecture)