MEDICATION AND IV ADMINISTRATION EXAM GRADED A+.

MEDICATION AND IV
ADMINISTRATION EXAM GRADED
A+.
Ayclientyhasybeenyprescribedydigoxin.yWhichysymptomyshouldytheynurseytellytheyclie
ntytoyreportyasyaypotentialyindicationyofydigoxinytoxicity?y-yCORRECTyANSWER-
visualydisturbances

Theyphysicianyhasyprescribedyamiodaroneyforyayclientywithycardiomyopathy.yTheynu
rseyshouldymonitorytheyclient'syrhythmytoydetermineytheyeffectivenessyofytheymedica
tionyinycontrolling:y-yCORRECTyANSWER-Life-threateningyventricularydysrhythmias.

Theynurseyisypreparingytoyadministeryaypreoperativeymedicationythatyincludesyaysed
ativeytoyayclientywhoyisyhavingyabdominalysurgery.yWhatyshouldytheynurseydoyfirst?y-
yCORRECTyANSWER-Haveytheyclientyemptyytheybladder.



AyclientywillyreceiveyIVymidazolamyhydrochlorideyduringysurgery.yWhichyfindingyindi
catesyaytherapeuticyeffect?y-yCORRECTyANSWER-amnesia

Foryayclientywithyribyfracturesyandyaypneumothorax,ytheyhealthycareyprovidery(HCP)y
prescribesymorphineysulfate,y1ytoy2ymg/h,ygivenyIVyasyneededyforypain.yTheynursingy
careygoalyisytoyprovideyadequateypainycontrolysoythatytheyclientycanybreatheyeffective
ly.yWhichyfindingyindicatesytheygoalyhasybeenymet?y-yCORRECTyANSWER-
painyratingyofy0yonyayscaleyofy0ytoy10ybyytheyclient

Theynurseyisypreparingytoyadministery4yunitsyofyregularyinsulinytoyayclientywithytypey
1ydiabetesymellitus.yWhichyofytheyfollowingyequipmentydoesytheynurseyneedytoyperfo
rmytheyinjection?ySelectyallythatyapply.y-yCORRECTyANSWER-
Medicationyadministrationyrecord
y27-gauge,y½"yneedle



Whichystatementyindicatesythatyaynewygraduateynurseyunderstandsycentralyvenousyp
ressurey(CVP)ymeasurementywhenyusedyonyayclient?y-yCORRECTyANSWER-
"Theytestywillyassessypressureyandyvolumeychangesyinytheyrightyatrium."

AyclientyhasysustainedyayheadyinjuryyandyisytoyreceiveymannitolybyyI.V.ypush.yInyevalu
atingytheyeffectivenessyofytheydrug,ytheynurseyshouldyexpectytoyfind:y-
yCORRECTyANSWER-decreasedycerebralyedema.

,Aynurseyisypreparingytoyadministeryintravenousycefazoliny1ygramyiny50ymLyofynorma
lysalineyovery30yminutes.yHowymanyymLsyperyhourywillytheyclientyreceive?yRecordyyo
uryansweryusingyaywholeynumber.y-yCORRECTyANSWER-100

Theynurseyisypreparingytoyadministeryaychemotherapyyinfusionytoyayclientywithyesop
hagealycancer.yTheyclientyhasyanyimplantedyportythatywasylastyaccessedy7ydaysyago.yT
heyinsertionysiteyisycleanyandydryyandywithoutyerythema.yWhichyisytheyappropriateya
ctionybyytheynurse?y-yCORRECTyANSWER-AccessytheyportyusingyayHuberyneedle.

Ayclientyisyscheduledyforysurgeryyaty8ya.m.(0800).yWhileycompletingytheypreoperativ
eychecklist,ytheynurseyseesythatytheysurgicalyconsentyformyisn'tysigned.yIt'sytimeytoyad
ministerytheypreoperativeyanalgesic.yWhichynursingyactionytakesytheyhighestypriority
yinythisysituation?y-yCORRECTyANSWER-

notifyingytheysurgeonythatytheyclientyhasn'tysignedytheyconsentyform

Whenyassessingyayclient'syI.V.yinsertionysite,yaynurseynotesynormalycoloryandytemper
atureyatytheysiteyandynoyswelling.yHowever,ytheyI.V.ysolutionsyhaven'tyinfusedyatythey
orderedyrate;ytheyflowyrateyisyslowyevenywithytheyrolleryclampywideyopen.yWhenythey
nurseylowersytheyI.V.yfluidybag,ynoybloodyreturnsytoytheytubing.yWhatyshouldytheynurs
eydoyfirst?y-yCORRECTyANSWER-
Checkytheytubingyforykinksyandyrepositionytheyclient'sywristyandyelbow.

Ayclientyisytoybeydischargedyonydailyymedicationydeliveredybyyaytransdermalydisk.yW
hichystatementyindicatesytheyneedyforyfurtherymedicationyteaching?y-
yCORRECTyANSWER-"I'llyplaceytheydiskyonytheysameyspotyeachyday."



Ayclientyisytakingyironysupplements.yWhatyinformationyshouldytheynurseygiveytheyclie
nt?y-yCORRECTyANSWER-Theystoolsywillybecomeydarker.

Theynurseyadministersyanyintradermalyinjectionytoyayclient.yProperytechniqueyhasybe
enyusedyifytheyinjectionysiteyhasywhichyappearance?y-yCORRECTyANSWER-
evidenceyofyaybleb

Ayclientytakingyoralycontraceptivesyisyplacedyonyay10-
dayycourseyofyantibioticsyforyanyinfection.yWhichyinstructionyshouldytheynurseyinclud
eyinytheyteachingyplan?y-yCORRECTyANSWER-
"Useyaybarrierymethodyofybirthycontrolyforytheyrestyofyyourycycle."

Ayclientyreportsypainyinytheyrightyheelyandyisyrequestingymedication.yTheynurseyasses
sesytheyclientyandyadministersyanyanalgesic.yTheyclientyexperiencesynoypainyreliefyan
dystatesythatytheyheelypainyisyworse.yWhatyisyanyappropriateyinterventionybyytheynur
se?y-yCORRECTyANSWER-Callytheyphysicianytoyreportytheyfinding.

Aynurseyadministersymorphineysulfateytoyayclientyinytheyrecoveryyroom.yWithiny15ym
inutesyafteryreceivingytheydoseyofymorphine,ytheyclientyisyveryylethargic;yrespiratoryy

, rateyisy7ybreathsyperyminuteyandyshallow.yWhatyisytheyappropriateyactionyofytheynurs
e?y-yCORRECTyANSWER-Administerynaloxone.

Theynurseyisycaringyforyayclientywithyaybloodypressureyofy210/94ymmyHg.yTheyhealthy
careyprovideryprescribesyenalaprily20ymgyb.i.d.yWhichynursingyactionyisybestywhenyin
structingyonytheynewymedicationyregimen?y-yCORRECTyANSWER-
Stateytheynewymedication,yincludingyname,yuse,yandyreasonyforytheynewymedication.

Whileymonitoringyayclientyfollowingymoderateysedation,ytheynurseyadministersypainy
medicationyforyaypainyscoreyofy8youtyofy10.yTheyclientybecomesyhardytoyrouseywithyay
respiratoryyrateyofy7ybreaths/minute.yWhichymedicationyshouldytheynurseybeyprepar
edytoyadminister?y-yCORRECTyANSWER-naloxone

Aynurseyisyadministeringytwoydrugsytoyayclientyatytheysameytime.yTheynurseyknowsyth
eymostyprobableyreasonyforygivingytheydrugsytogetheryisy-yCORRECTyANSWER-
synergism.

Theymaximumytransfusionytimeyforyayunityofypackedyredybloodycellsy(RBCs)yisy-
yCORRECTyANSWER-4yhours.



Afteryinstructingyay20-year-
oldynulligravidyclientyaboutyadverseyeffectsyofyoralycontraceptives,ytheynurseydeterm
inesythatyfurtheryinstructionyisyneededywhenytheyclientystatesywhichyasyanyadverseyef
fect?y-yCORRECTyANSWER-ovarianycancer

Clientsywhoyareyreceivingyparenteralynutritiony(PN)yareyatyriskyforydevelopmentyofy
whichycomplication?y-yCORRECTyANSWER-fluidyimbalances

Theypostoperativeynursingyassessmentyofyayclient'syabilityytoyswallowyfluidsybeforeyp
rovidingyoralyfluidsyisybasedyonytheytypeyofyanesthesiaygiven.yWhichyclientywouldynot
yhaveydelayedyfluidyrestrictions?y-yCORRECTyANSWER-

ayrepairyofycarpalytunnelysyndromeyunderylocalyanesthesia.

Theynurseynotesygrapefruityjuiceyonytheybreakfastytrayyofyayclientywhoyisytakingyrepa
glinide.yWhatyshouldytheynurseydoynext?y-yCORRECTyANSWER-
Removeytheygrapefruityjuiceyfromytheyclient'sytrayyandybringyanotheryjuiceyofytheyclie
nt'sypreference.

Ayclientywhoyisy1ydayypostoperativeyisyusingyaymorphineypatient-
controlledyanalgesiay(PCA)ypump.yTheyclientyisyconfusedyandydisoriented.yWhatyisyth
eypriorityyinterventionybyytheynurse?y-yCORRECTyANSWER-
Checkyrespiratoryyrateyandydepthyasywellyasyoxygenysaturationylevels.

AyphysicianywritesyanyorderyforyaynurseytoyadministeryanyI.V.ymedicationywhich,yacco
rdingytoyhospitalypolicy,yisynotyaynursingyprotocol.yTheynurseyinformsytheyphysicianyt
hatyityisynotyaynursingyprotocol,yandytheyphysicianystates,y"Giveyit,yandyIywillycoveryyo