with questions and answers written
correctly.
A nurse is teaching a patient about medications. Which statement from the patient indicates teaching is
effective?
a. "My parenteral medication must be taken with food."
b. "I will rotate the sites in my left leg when I give my insulin."
c. "Once I start feeling better, I will stop taking my antibiotic."
d. "If I am 30 minutes late taking my medication, I should skip that dose." - correct answer
<<<<<<<<<<<"I will rotate the sites in my left leg when I give my insulin."
For daily insulin, rotate site within anatomical area. Rotating injections within the same body part
(instrasite rotation) provides greater consistency in absorption of medication. Parenteral medication
absorption is not affected by the timing of meals. Taking a medication 30 minutes late is within the
60-minute window of the time medications should be taken.
A nurse is preparing to administer an injection to a patient. Which statement made by the patient is an
indication for the nurse to use the Z-track method?
a. "I am allergic to many medications."
b. "I'm really afraid that a big needle will hurt."
c. "The last shot like that turned my skin colors."
d. "My legs are too obese for the needle to go through." - correct answer <<<<<<<<<<<"The last shot
like that turned my skin colors."
,The Z-track is indicated when the medication being administered has the potential to irritate sensitive
tissues. It is recommended that, when administering IM injections, the Z-track method be used to
minimize local skin irritation by sealing the medication in muscle tissue. The Z-track method is not
meant to reduce discomfort from the procedure.
A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?
a. Pull the auricle down and back to straighten the ear canal.
b. Pull the auricle upward and outward to straighten the ear canal.
c. Sit the child up for 2 to 3 minutes after instilling drops in ear canal.
d. Sit the child up to insert the cotton ball into the innermost ear canal. - correct answer
<<<<<<<<<<<Pull the auricle down and back to straighten the ear canal.
Children up to 3 years of age should have the auricle pulled down and back, children 3 years of age to
adults should have the auricle pulled upward and outward. Solution should be instilled 1 cm (1/2 in)
above the opening of the ear canal. The patient should remain in the side-lying position 2 to 3 minutes.
If a cotton ball is needed, place it into the outermost part of the ear canal.
A patient has an order to receive 0.3 mL of U-500 insulin. Which syringe will the nurse obtain to
administer the medication?
a. 3-mL syringe
b. U-100 syringe
c. Needleless syringe
d. Tuberculin syringe - correct answer <<<<<<<<<<<Tuberculin syringe
Because there is no syringe currently designed to prepare U-500 insulin, many medication errors
result with this kind of insulin. To prevent errors, ensure that the order for U-500 specifies units and
volume (e.g., 150 units, 0.3 mL of U-500 insulin), and use tuberculin syringes to draw up the doses. A 3
mL and U-100 can result in inaccurate dosing. A needleless syringe will not be acceptable in this
situation.
, A patient has an order to receive 12.5 mg of hydrochlorothiazide. The nurse has on hand a 25 mg tablet
of hydrochlorothiazide. How many tablet(s) will the nurse administer?
a. 1/2 tablet
b. 1 tablet
c. 1 1/2 tablets
d. 2 tablets - correct answer <<<<<<<<<<<1/2 tablet will be given. The nurse is careful to perform
nursing calculations to ensure proper medication administration. The dose ordered is 12.5. The dose on
hand is 25. 12.5/25 = 1/2 tablet.
The patient is to receive phenytoin (Dilantin) at 0900. When will be the ideal time for the nurse to
schedule a trough level?
a. 0800
b. 0830
c. 0900
d. 0930 - correct answer <<<<<<<<<<<0830
Trough levels are generally drawn 30 minutes before the drug is administered
A patient is receiving vancomycin. Which function is the priority for the nurses to assess?
a. Vision
b. Hearing
c. Heart tones
d. Bowel sounds - correct answer <<<<<<<<<<<Hearing
A side effect of vancomycin is ototoxicity—hearing.