CCRI Nursing 1010 Exam #3 Questions And Answers Graded A+

• A client has a bleeding tendency due to hemophilia. What route of drug administration is appropriate for this client? - The route of administration appropriate for a client with a bleeding tendency is the oral route, as it does not involve the use of needles. Any mode of administration that uses needles may increase the risk of bleeding. Therefore, intradermal, intramuscular, and subcutaneous routes should be avoided in this client's case to prevent bleeding. • A client has to be given a bladder irrigation with 100 ml of medicated solution with 1/1000 dilution. How much of the medication should the nurse dissolve in 100 ml of solvent? Record your answer using a whole number. ___ mg. - A: 1/1000 solution means presence of 1 gram of the medication in 1000 ml of solution. This means that each ml of the solution contains 1 mg of the medication. Since the nurse has to prepare 100 ml of the solution, the nurse should dissolve 100 mg of medication in 100 ml of solvent. • A client is prescribed a sublingual nitroglycerin drug. What instructions should the nurse provide to the client? Select all that apply: - Do not swallow the medication; Place the medication under the tongue. When administering medications through the sublingual route, the medication has to be placed under the tongue until it fully dissolves. The medication should not be swallowed. Swallowing can make the medication ineffective. The medication should not be spit out to prevent irritation; however, it may be spit out if the desired therapeutic effect is attained. The medication should not be taken with water, as this can alter its effectiveness. Sublingual medication should be administered under the tongue, not between the tongue and cheeks. • A client is taking albuterol through a pressurized metered-dose inhaler (pMDI) that contains a total of 200 puffs. The client takes 2 puffs every 4 hours. How many days will the pMDI last? Record your answer using a whole number. _____ days: - Two puffs × 6 times a day = 12 puffs per day; 200 puffs/12 puffs per day = 16.67 days, or about 16 days. This cannot be rounded up since the inhaler will not last a total of 17 days. • A diabetic client has been switched from oral antidiabetic drugs to insulin. What information would help the client to ensure correct self-administration of insulin? Select all that apply. - Insulin is given as a subcutaneous injection for slower absorption. The rate of absorption of insulin differs in various sites. The abdomen has the quickest absorption. The recommended sites of insulin injection include upper arms, anterior and lateral part of thighs, buttocks, and abdomen. These sites have appropriate amount of subcutaneous tissue for absorption of insulin. The injection site should not be chosen again for a month. The injection site should be rotated with each injection. Repeated injection at the same site may lead to lipodystrophy.What should be emphasized during patient teaching with regards to antibiotics? - • A full prescription of antibiotics should be completed to ensure the therapeutic effect. An incomplete course of antibiotics may worsen the condition being treated, and also lead to development of resistance to the antibiotic. Treatment has to be taken fully even if the client attains early symptomatic relief. If the client's condition does not improve with full treatment, then treatment should be discontinued.