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Which action(s) will the nurse perform when preparing to administer a topical medication? (Select all that apply.) - ANSWERWear gloves during the application process Wash hands before and after administration Which potential complication will the nurse expect in patients with a venous access device? - ANSWERInfection What is the rationale for the nurse
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Which action(s) will the nurse perform when preparing to administer a topical medication? (Select all that apply.) - ANSWERWear gloves during the application process Wash hands before and after administration Which potential complication will the nurse expect in patients with a venous access device? - ANSWERInfection What is the rationale for the nurse applying gentle pressure to the inner corner of the eyelid after instilling eyedrops? - ANSWERPrevents systemic effects The nurse is preparing to administer a medication in tablet form to a patient. In administering this medication, the nurse will encourage the patient to: - ANSWERkeep the head forward while swallowing The nurse cleansing the skin surface of a patient prior to injection will start at the: - ANSWERinjection site and work outward in a circular motion Which principle(s) is/are correct for mixing insulin? - ANSWERWithdraw the shorter- acting insulin first Insulin orders and calculations must be checked with another nurse The nurse must verify the compatibility of the insulin types What is the appropriate nursing action when administering a vaginal suppository? - ANSWERAsk the patient to urinate prior to insertion Which nursing action is accurate when administering an IM injection using the Z- track method? - ANSWERAdd 0.5 mL of air to the syringe Which effect would be important for the nurse to address when teaching a patient about the overuse of nose drops? - ANSWERRebound Which lab test(s) would be used to assess liver and/or renal function before administering medications? - ANSWERLDH, Cr5, ALT, BUN A 65-year-old man who weighs 180 lb (81.8 kg) is to receive 1.5 mL of a viscous antibiotic by intramuscular (IM) injection. Which needle and syringe will be used? - ANSWER1 1/2 inch, 21-gauge needle with 3 mL syringe Which action by the nurse is most accurate when administering an intradermal injection? - ANSWERInject 0.1 mL The nurse is instructing a patient to use a corticosteroid inhaler. Which statement by the patient indicates the need for further teaching? - ANSWER"I will use this when I'm lying in bed in the morning."
Which patient assessment finding(s) suggest(s) extravasation of an IV solution? - ANSWERRedness at the site, Coolness, Pain at venipuncture site, Edema The nurse is preparing to administer insulin. What does U 100 indicate? - ANSWER100 units/mL Which action will the nurse perform when doing a wet to dry dressing every 4 hours on a patient with a deep wound? - ANSWERUse Montgomery tapes or a binder to secure the dressing Following the insertion of a central venous access device, the nurse notes a weak, thready pulse and decreased blood pressure. The patient complains of shortness of breath and palpitations. Which action will the nurse take first? - ANSWERPlace the patient on the left side Which dressings would be appropriate to use for treating wounds with exudates? - ANSWERKaltostat, Sorbsan, AlgiDERM The nurse administers B12 IM to a patient in a long-term care facility. After administering this medication, the nurse will: - ANSWERdispose of the used needle according to policy apply a small bandage to the site Which condition would the nurse expect to be treated with an isotonic solution? - ANSWERHemorrhagic shock The nurse determines that a prescribed medication has not been administered as ordered on the previous shift. What action will the nurse take? - ANSWERComplete an incident report Which is true regarding the unit dose drug distribution system? - ANSWERThe use of single dose packages of drugs dispensed to fill each dose requirement as it is ordered The operating room (OR) nurse is preparing medications for use in a sterile field during a surgical procedure. While preparing these medications, the nurse will: - ANSWERread the label aloud for verification against the order from the surgeon The nurse is educating a patient about diabetes. Based on recommendations from the American Diabetes Association, which statement by the nurse is best regarding site rotation? - ANSWER"It is important to rotate injection sites systematically within one area before progressing to a new site for injection." Which site is identified by the posterior superior iliac spine and greater trochanter? - ANSWERDorsogluteal A patient is admitted with hypovolemia resulting from lack of fluid intake and requires an infusion of isotonic fluids. Which IV solution will the nurse administer? - ANSWER0.9 NS