Question 1

The nurse is performing tuberculin testing on a patient. Which action by the nurse is correct?&#10;A) Insert the needle, bevel up, at a 30-degree angle.&#10;B) Massage the area gently after the injection.&#10;C) Measure the diameter of the area of erythema when reading the result.&#10;D) Use a 25-gauge, 1/4&#34; needle.

Accepted Answer

A 25-gauge, 1/4" needle is appropriate for intradermal injections like the tuberculin test.

Question 2

The nurse is assisting the parent of a 6-month-old infant to administer an oral liquid medication. The parent asks why the medication can't be given in a bottle of formula to make it taste better. How will the nurse respond?

A) "Adding a medication to the formula will cause the formula to curdle."
B) "Formula and medications can form toxic compounds if mixed together."
C) "The infant may not always take the entire bottle of formula."
D) "This may cause the infant to refuse formula in the future."

"The infant may not always take the entire bottle of formula."

Accepted Answer

The primary concern is ensuring the infant receives the entire dose of medication. If the medication is mixed with a large volume of formula and the infant does not finish the bottle, the infant will not receive the full dose of the medication. This can lead to under-dosing and ineffective treatment.

Question 3

The nurse is teaching a patient about using sublingual nitroglycerin at home. Which statement by the patient indicates understanding of the teaching?&#10;A) &#34;I may put the tablet in food if I don't like the taste.&#34;&#10;B) &#34;I may take a sip of water after placing the tablet in my mouth.&#34;&#10;C) &#34;I will place the tablet between my cheek and gum.&#34;&#10;D) &#34;I will place the tablet under my tongue and let it absorb.&#34;

Accepted Answer

Sublingual nitroglycerin tablets should be placed under the tongue and allowed to dissolve and absorb. Food and water should not be consumed with the tablet, as it may affect its absorption. Placing the tablet between the cheek and gum is not recommended, as it may not be absorbed properly.

Question 4

A patient asks the nurse why the provider has ordered a transdermal form of a medication. How will the nurse respond?&#10;A) &#34;The patch can always be cut when dosage adjustments are needed.&#34;&#10;B) &#34;Drug levels fluctuate less with the patch.&#34;&#10;C) &#34;There are fewer systemic side effects with transdermal patches.&#34;&#10;D) &#34;There is less risk of toxicity when using a patch.&#34;

Accepted Answer

Transdermal patches provide a steady release of medication over time, leading to more stable drug levels in the bloodstream compared to other forms of administration.

Question 5

The nurse is preparing to start an IV line in a preschool-age child. After applying a eutectic mixture of local anesthetics, what will the nurse do to prepare the child?&#10;A) Describe what the IV line will feel like and how long it will be in place.&#10;B) Explain the purpose of the procedure.&#10;C) Give the child equipment to handle and practice on a doll.&#10;D) Reassure the child that the pain will only last a few minutes.

Accepted Answer

Giving the child equipment to handle and practice on a doll can help alleviate anxiety and increase the child's understanding of the procedure. This is a common technique used to prepare children for medical procedures. The other choices may also be helpful, but allowing the child to practice on a doll is the best option out of the choices given.

Question 6

A patient asks the nurse if an enteric-coated tablet can be crushed and put in pudding to make it easier to swallow. How will the nurse respond to the patient?&#10;A) &#34;Crushing the medication can possibly lead to administration of a toxic medication dose.&#34;&#10;B) &#34;Crushing the medication is safe and can prevent gagging on pills.&#34;&#10;C) &#34;The tablet may be crushed if a small amount of pudding is used.&#34;&#10;D) &#34;The tablet may be dissolved in liquid but not crushed and put in food.&#34;

Accepted Answer

Enteric-coated tablets are designed to dissolve in the intestine, not the stomach, to prevent stomach irritation or to ensure proper absorption of the medication. Crushing an enteric-coated tablet can destroy this protective coating, leading to the medication being released too early, potentially causing harm or reducing the medication's effectiveness.

Question 7

A patient who has asthma will begin taking an inhaled corticosteroid medication to be used with a spacer. The patient asks why the spacer is necessary. The nurse will explain that the spacer:&#10;A) allows a larger dose to be given safely.&#10;B) is used to enhance the delivery of medications when using a metered-dose inhaler.&#10;C) minimizes adverse effects of the steroid.&#10;D) prevents contamination of the metered-dose inhaler.

Accepted Answer

The spacer is used to enhance the delivery of medications when using a metered-dose inhaler. It helps to ensure that the medication is properly delivered to the lungs, rather than being deposited in the mouth or throat. The spacer also allows the patient to inhale the medication at their own pace, rather than needing to coordinate their breathing with the release of medication from the inhaler.

Question 8

The nurse is demonstrating the Z-track injection technique to a nursing student on a patient who is receiving iron dextran. Which statement by the student indicates understanding of the teaching?&#10;A) &#34;This is used when administering IM injections to help minimize local skin irritation.&#34;&#10;B) &#34;This technique allows slower, more sustained absorption.&#34;&#10;C) &#34;You may use the deltoid site when using this method.&#34;&#10;D) &#34;I should use a 27-gauge needle to minimize discomfort with this method.&#34;

Accepted Answer

The Z-track injection technique is used to minimize local skin irritation and prevent the medication from leaking back into the subcutaneous tissue.

Question 9

The nurse is teaching a parent to administer medications using a child's gastrostomy tube. The parent asks why it is necessary to give water after each medication. The nurse explains that the water is given for which purpose?

A) To decrease gastrointestinal upset
B) To dilute the medication and enhance absorption
C) To ensure that all medication is infused into the stomach
D) To improve overall hydration

Accepted Answer

The water is given after administering medication through a gastrostomy tube to ensure that all of the medication is flushed from the tube and infused into the stomach, preventing any medication from remaining in the tube where it would not be effective.

Question 10

The nurse is preparing to administer a rectal suppository antipyretic medication. Which action by the nurse is correct?&#10;A) Allowing the suppository to soften at room temperature before inserting&#10;B) Explain the administration procedures to the patient&#10;C) Having the patient remain flat or on one side for at least 30 minutes after insertion&#10;D) Using an oil-based lubricant such as petrolatum gel (Vaseline) to lubricate the medication

Accepted Answer

Having the patient remain flat or on one side for at least 30 minutes after insertion helps to prevent the suppository from being expelled.

Question 11

A patient is ordered to take an extended-release medication twice daily but has difficulty swallowing the tablet because of its size. The nurse will perform which action?&#10;A) Contact the provider to discuss an alternate form of the medication.&#10;B) Crush the tablet and put it in applesauce to help the patient swallow it.&#10;C) Cut the tablet in half so the patient can take it more easily.&#10;D) Dissolve the tablet in liquid.

Accepted Answer

The answer of A patient is ordered to take an...

Question 12

When administering topical medications, which is an important nursing action?&#10;A) Applying the medication liberally&#10;B) Cleaning skin with alcohol before applying&#10;C) Using sterile technique&#10;D) Wearing gloves

Accepted Answer

The answer of When administering topical medications, which is an...

Question 13

The nurse is preparing to administer an intramuscular injection to a 14-month-old toddler. To help with site selection for this injection, what will the nurse ask the child's parent?&#10;A) &#34;How long has your child been walking?&#34;&#10;B) &#34;How much does your child weigh?&#34;&#10;C) &#34;Is your child afraid to look at needles?&#34;&#10;D) &#34;Is your child right- or left-handed?&#34;

Accepted Answer

The answer of The nurse is preparing to administer an...

Question 14

The nurse is teaching a nursing student about giving liquid medications. Which statement by the student indicates understanding of the teaching?&#10;A) &#34;A suspension is a mixture in which drug particles are dissolved in solution.&#34;&#10;B) &#34;I will line up the bottom of the medication curve with the line in the syringe.&#34;&#10;C) &#34;I will need to shake an elixir before measuring the dose.&#34;&#10;D) &#34;I will never need to refrigerate liquids once they are reconstituted.&#34;

Accepted Answer

The answer of The nurse is teaching a nursing student...

Deck 10: Drug Administration