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Questions and Answers
What is the best way to minimize discomfort caused by the instillation of ear medication?
What is the best way to minimize discomfort caused by the instillation of ear medication?
Which instruction would help ensure the maximum therapeutic response when a patient self-administers ear medication?
Which instruction would help ensure the maximum therapeutic response when a patient self-administers ear medication?
Which statement or question best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in the instillation of ear medications?
Which statement or question best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in the instillation of ear medications?
After instructing a patient in the self-administration of antibiotic eardrops, what must come first in the nurse’s assessment?
After instructing a patient in the self-administration of antibiotic eardrops, what must come first in the nurse’s assessment?
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To ensure proper distribution of ear medication after instillation, what will the nurse instruct an adult patient to do?
To ensure proper distribution of ear medication after instillation, what will the nurse instruct an adult patient to do?
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What is the best way for the nurse to minimize the risk of contaminating the patient’s eye during the instillation of eye drops?
What is the best way for the nurse to minimize the risk of contaminating the patient’s eye during the instillation of eye drops?
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Which instruction should be given to a patient to ensure safety when self-applying an antibiotic ointment?
Which instruction should be given to a patient to ensure safety when self-applying an antibiotic ointment?
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Which statement or question best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in the instillation of eye medications?
Which statement or question best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in the instillation of eye medications?
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After instructing a patient in the self-administration of antibiotic eye drops, what is the nurse's highest priority assessment?
After instructing a patient in the self-administration of antibiotic eye drops, what is the nurse's highest priority assessment?
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When placing an intraocular disk, the nurse recognizes that it is in the correct position by assessing what?
When placing an intraocular disk, the nurse recognizes that it is in the correct position by assessing what?
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Which instruction reflects the nurse’s correct understanding of the role of nursing assistive personnel (NAP) in caring for a patient receiving an intravenous (IV) antibiotic medication by piggyback?
Which instruction reflects the nurse’s correct understanding of the role of nursing assistive personnel (NAP) in caring for a patient receiving an intravenous (IV) antibiotic medication by piggyback?
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When administering an IV piggyback medication to infuse by gravity, how can the nurse ensure that the medication will flow properly?
When administering an IV piggyback medication to infuse by gravity, how can the nurse ensure that the medication will flow properly?
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What is the best way to protect a patient from an IV site injury when giving an antibiotic medication by piggyback?
What is the best way to protect a patient from an IV site injury when giving an antibiotic medication by piggyback?
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What is the best way to prevent infection and conserve resources when terminating an IV piggyback medication infusion in a patient who also has a primary fluid infusion?
What is the best way to prevent infection and conserve resources when terminating an IV piggyback medication infusion in a patient who also has a primary fluid infusion?
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Which nursing intervention is most important in ensuring safe infusion of a medication delivered by IV piggyback through a saline lock?
Which nursing intervention is most important in ensuring safe infusion of a medication delivered by IV piggyback through a saline lock?
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How might the nurse safely administer an extended-release capsule to a patient with dysphagia?
How might the nurse safely administer an extended-release capsule to a patient with dysphagia?
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The nurse is preparing to administer several oral medications when the patient says he would like to take his pills with orange juice. What is the nurse’s best response?
The nurse is preparing to administer several oral medications when the patient says he would like to take his pills with orange juice. What is the nurse’s best response?
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Which statement or question best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in administering oral medications?
Which statement or question best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in administering oral medications?
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The nurse has provided a patient with a PRN oral analgesic that may be repeated as needed every 6 to 8 hours. What is the most appropriate follow-up action to ensure appropriate pain management?
The nurse has provided a patient with a PRN oral analgesic that may be repeated as needed every 6 to 8 hours. What is the most appropriate follow-up action to ensure appropriate pain management?
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A patient with a history of nighttime confusion is to receive several oral medications at bedtime. What is the best way for the nurse to ensure that the patient has swallowed the medication?
A patient with a history of nighttime confusion is to receive several oral medications at bedtime. What is the best way for the nurse to ensure that the patient has swallowed the medication?
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The nurse is preparing to apply a topical oil-based medication to a patient’s forearms. What should the nurse do to minimize the risk of contamination during the application?
The nurse is preparing to apply a topical oil-based medication to a patient’s forearms. What should the nurse do to minimize the risk of contamination during the application?
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Which of the following discharge instructions would be most important in ensuring the safety of a patient who will need to apply a dermal patch daily at home?
Which of the following discharge instructions would be most important in ensuring the safety of a patient who will need to apply a dermal patch daily at home?
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Which of the following is not taken into consideration when determining the appropriate amount of a topical medication to be applied to the skin?
Which of the following is not taken into consideration when determining the appropriate amount of a topical medication to be applied to the skin?
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The nurse is preparing to discharge a patient after instructing her in self-application of a topical medication. What is the best way for the nurse to ensure that the patient understands the instructions?
The nurse is preparing to discharge a patient after instructing her in self-application of a topical medication. What is the best way for the nurse to ensure that the patient understands the instructions?
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The nurse is applying a topical antibiotic and dressing to a burn on the hand of a patient being treated as an outpatient. What is the most important thing the nurse can do to minimize the risk of infection?
The nurse is applying a topical antibiotic and dressing to a burn on the hand of a patient being treated as an outpatient. What is the most important thing the nurse can do to minimize the risk of infection?
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A nurse is preparing to help a patient administer a bronchodilator using a nebulizer. What will the nurse do first in order to evaluate the medication’s effectiveness?
A nurse is preparing to help a patient administer a bronchodilator using a nebulizer. What will the nurse do first in order to evaluate the medication’s effectiveness?
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What should the nurse do first if the patient or family express concerns about the accuracy of a nebulized medication?
What should the nurse do first if the patient or family express concerns about the accuracy of a nebulized medication?
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The nurse needs to administer a nebulized medication to an older adult who is too weak hold the nebulizer mouthpiece. Which intervention should the nurse implement?
The nurse needs to administer a nebulized medication to an older adult who is too weak hold the nebulizer mouthpiece. Which intervention should the nurse implement?
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Why should the nurse tap the nebulizer medication cup during and near the end of the treatment?
Why should the nurse tap the nebulizer medication cup during and near the end of the treatment?
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Severe bronchospasm occurs during nebulizer treatment. What action should the nurse take?
Severe bronchospasm occurs during nebulizer treatment. What action should the nurse take?
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A female nurse is preparing to administer a rectal suppository to a male patient. The patient says, “This is so embarrassing. Is this really necessary?” What is the most appropriate response?
A female nurse is preparing to administer a rectal suppository to a male patient. The patient says, “This is so embarrassing. Is this really necessary?” What is the most appropriate response?
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The nurse is preparing to administer a rectal suppository to an elderly patient. Which step best protects the patient’s safety?
The nurse is preparing to administer a rectal suppository to an elderly patient. Which step best protects the patient’s safety?
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Which statement made by a nurse best illustrates an understanding of the role of nursing assistive personnel (NAP) in administering a rectal suppository?
Which statement made by a nurse best illustrates an understanding of the role of nursing assistive personnel (NAP) in administering a rectal suppository?
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After administering a rectal suppository for constipation, the nurse will monitor for all of the following responses except which one?
After administering a rectal suppository for constipation, the nurse will monitor for all of the following responses except which one?
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The nurse should question a provider’s order to insert a suppository into the rectum of a patient with which condition?
The nurse should question a provider’s order to insert a suppository into the rectum of a patient with which condition?
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Which example reflects effective documentation of medication administration by a nurse?
Which example reflects effective documentation of medication administration by a nurse?
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What is the best way for the nurse to ensure that a patient receives the correct dose of a medication?
What is the best way for the nurse to ensure that a patient receives the correct dose of a medication?
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Which statement best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in documenting medication administration?
Which statement best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in documenting medication administration?
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The patient refuses a scheduled dose of an antibiotic, saying that the medication makes him feel nauseated. What it the nurse’s best response?
The patient refuses a scheduled dose of an antibiotic, saying that the medication makes him feel nauseated. What it the nurse’s best response?
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While reviewing a new medication order, the nurse notes that the frequency of administration has been omitted. What is the nurse’s best response?
While reviewing a new medication order, the nurse notes that the frequency of administration has been omitted. What is the nurse’s best response?
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Study Notes
Ear Medication Administration
- Minimize discomfort from ear medication instillation by warming the medication in hands prior to administration.
- To maximize therapeutic response, instruct patients to self-administer ear drops while tilting their head to the side of the affected ear.
- Nursing Assistive Personnel (NAP) role includes assisting patients with ear drop instillation without actually administering medication.
- After teaching self-administration of ear drops, the nurse should first assess the patient's understanding of the instructions provided.
- Instruct adult patients to keep the ear tilted for several minutes after instillation to ensure proper medication distribution.
Eye Medication Administration
- To prevent eye contamination during eye drop instillation, avoid contact between the dropper and the patient's eye.
- Advise patients to avoid touching their eye or eyelid when applying antibiotic ointment to enhance safety.
- NAP can assist in the preparation of eye medications but should refrain from instilling them.
- Following the self-administration of eye drops, the nurse's highest priority assessment is evaluating the patient's visual acuity and any adverse reactions.
- Correct positioning of an intraocular disk is confirmed by checking that it is centered in the conjunctival sac.
- NAP can help in preparing IV piggyback setups but should not administer the medication.
IV Medication Administration
- Ensure gravity flow of IV piggyback medications by checking for kinks in the tubing and maintaining appropriate height of the IV bag.
- Protect the patient's IV site by securing tubing and ensuring the patient stays still during administration.
- To prevent infection and conserve resources, use aseptic technique when terminating an IV piggyback infusion.
- The most critical intervention for safe IV piggyback infusion is continuous monitoring of the IV site for signs of infiltration or infection.
Oral Medication Administration
- Safely administer extended-release capsules to patients with dysphagia by opting for the capsule to be opened and contents mixed with food (if allowed).
- If a patient prefers to take pills with orange juice, the nurse should verify if any medications are contraindicated with citrus juice.
- NAP can assist in administering oral medications but should not modify medication preparation or dosages.
- For appropriate pain management follow-up, reassess the patient's pain level within the stipulated timeframe after taking PRN analgesics.
- To confirm the patient has swallowed medication, observe for swallowing actions and offer a liquid to wash it down.
Topical Medication Application
- Minimize contamination when applying oil-based topical medication by using gloves and avoiding touching the container tip to the skin.
- Discharge instructions for dermal patch application should include proper placement and frequency of change.
- Factors such as skin thickness and area size influence the amount of topical medication applied.
- Confirm patient understanding of topical medication instructions through teach-back methods.
- To reduce infection risk in outpatient treatment, maintain sterile technique and ensure proper dressing application after topical antibiotic use.
Nebulizer Treatment
- First step to evaluate bronchodilator effectiveness is assessing respiratory status and checking peak flow readings if applicable.
- Address concerns about nebulized medication accuracy by reviewing dosage and confirming the nebulizer's function.
- For weak patients unable to hold a nebulizer mouthpiece, utilize a spacer or provide support as needed.
- Tapping the nebulizer medication cup ensures medication delivery and prevents settling.
- If severe bronchospasm occurs during nebulization, cease treatment and administer appropriate rescue medication.
Rectal Suppository Administration
- When a patient expresses embarrassment about a rectal suppository, reassure them by explaining its necessity and the benefits.
- Protect patient safety during rectal suppository administration by using a water-soluble lubricant and proper positioning.
- NAP can assist with patient education about suppository use but should not administer it directly.
- Monitor for bowel movement within 30 minutes of administering a rectal suppository for constipation, except for potential adverse reactions like diarrhea.
- A nurse should question orders for rectal suppository use in patients with rectal surgery or severe hemorrhoids due to risks of exacerbation.
Medication Documentation and Response
- Ensure correct medication dosing by verifying against the medication order and double-checking calculations.
- NAP should document medication administration following policies, ensuring timely and accurate entries.
- Respond to a patient's antibiotic refusal empathetically, exploring their reasons and discussing possible alternatives.
- If a medication order is missing frequency of administration, the nurse should contact the prescriber for clarification before proceeding.
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Description
Administering Ear Medications Administering Eye Medications Administering IV Medications by Piggyback Administering Oral Medications Applying Topical Medications Administering Nebulized Medications Inserting Rectal Medication Documenting Medication Administration
