Exam 2 Study Guide for Nursing

Questions and Answers

What is the primary purpose of sublingual administration of medication?

To enhance the taste of the medication

To allow for rapid absorption directly into the bloodstream (correct)

To provide a delayed-release effect of the medication

To promote faster absorption through the intestine

What angle is recommended for intramuscular injections?

90 degrees (correct)

30 degrees

45 degrees

15 degrees

Which of the following types of insulin has the quickest onset of action?

Rapid acting insulin (correct)

Long acting insulin

Short acting insulin

Intermediate acting insulin

Which medication is classified as a biological and is used for immunotherapy?

Vaccines and toxoids Signup and view all the answers

To ensure patient comfort and safety during a subcutaneous injection, which needle angle is typically used?

45 degrees Signup and view all the answers

Which class of medications is primarily used in palliative care to manage pain?

Palliative medications such as fentanyl Signup and view all the answers

Which insulin type is primarily used for long-term glucose control and has a prolonged duration?

Long acting insulin Signup and view all the answers

When teaching a patient about home-administered drugs such as fertility medications, what is an important consideration?

Only use medications as prescribed by a medical professional Signup and view all the answers

What is the primary goal of patient teaching techniques in medication management?

To enhance adherence and understanding of medication regimens Signup and view all the answers

Which of these medications would generally not be used as a treatment for diabetes?

Heparin Signup and view all the answers

What is the primary purpose of nebulizer therapy?

To turn liquid medications into a mist for inhalation. Signup and view all the answers

Which action should be taken if a patient experiences severe bronchospasm during nebulizer treatment?

Discontinue the medication and notify the healthcare practitioner. Signup and view all the answers

When preparing to administer a subcutaneous injection, which is the most important first step?

Verify the healthcare provider’s order for medication. Signup and view all the answers

What is a key consideration when administering insulin to patients?

Different insulin types vary in onset time and duration of action. Signup and view all the answers

What should a nurse do if a patient expresses concern about the accuracy of their medication dosage?

Explore the patient's concern, notify the practitioner, and verify the order. Signup and view all the answers

What effect does performing hand hygiene have on patient safety during medication administration?

It helps prevent the transmission of infections to patients. Signup and view all the answers

Which statement accurately describes how to approach a patient prior to medication administration?

Ensure privacy and perform hand hygiene before introducing yourself. Signup and view all the answers

Which type of pain is characterized by a response to noxious stimuli?

Nociceptive pain. Signup and view all the answers

What should a nurse ensure before administering any medication to a patient?

The healthcare provider's order is verified and the correct patient is identified. Signup and view all the answers

Which factor should be considered when using alternative therapies in patient care?

They may interact with prescribed medications and should be reviewed. Signup and view all the answers

What is the purpose of performing a third check at the patient's bedside during medication administration?

To prevent medication errors before administration Signup and view all the answers

Which step is crucial when preparing the nebulizer for a patient who will use it at home?

Demonstrating the nebulizer's assembly and use Signup and view all the answers

When administering a nebulizer treatment, why is it important to monitor the patient's pulse?

To detect potential adverse effects from bronchodilators Signup and view all the answers

What should be done if a patient is dyspneic during nebulizer treatment?

Encourage them to breathe normally with deep breaths when able Signup and view all the answers

Which of the following steps is NOT part of the Six Rights of Medication Administration?

Right dosage form Signup and view all the answers

What should be done immediately after nebulization of steroids?

Instruct the patient to rinse and gargle with warm water Signup and view all the answers

Which action should be taken if the nebulizer cup shows residual medication at the end of treatment?

Tap the cup to release clinging droplets Signup and view all the answers

In what situation should a facemask be used instead of a mouthpiece during nebulizer treatment?

When the patient is an infant or unable to follow instructions Signup and view all the answers

What initial action should be taken after confirming the time for medication administration?

Ensure that hand hygiene practices are followed Signup and view all the answers

Which assessment should be completed before administering medication via nebulizer?

Perform a complete patient assessment related to the medication Signup and view all the answers

What is the correct procedure for cleaning a nebulizer after use?

Disassemble, rinse, dry, and store in a clean bag. Signup and view all the answers

Which of the following is the most accurate statement regarding subcutaneous injections?

Medication absorption is slower than intramuscular injections. Signup and view all the answers

What is a crucial step in ensuring patient comfort after administering medication?

Help the patient into a comfortable position and provide personal items within reach. Signup and view all the answers

Which technique is recommended for teaching patients about their medication management?

Use the Teach Back method to gauge understanding and retention. Signup and view all the answers

How should the site for heparin injections be selected?

Select a site that is free from skin lesions and bony prominences. Signup and view all the answers

What patient safety measure should be taken after medication administration?

Raise the appropriate number of side rails and lower the bed. Signup and view all the answers

What is the appropriate action after using supplies for patient care?

Discard all used supplies properly and perform hand hygiene. Signup and view all the answers

What characteristic of insulin makes it important for managing diabetes?

Different types of insulin vary in their onset and duration of action. Signup and view all the answers

Which of the following is crucial to do after administering subcutaneous injections?

Monitor the patient for any immediate reactions or discomfort. Signup and view all the answers

Which of the following statements reflects appropriate patient teaching regarding nebulizers?

Patients should always ensure the nebulizer is thoroughly cleaned before next use. Signup and view all the answers

Study Notes

Exam Preparation Tips

Review all assigned chapters thoroughly for a comprehensive understanding.
Complete Essential Skills tests for Weeks 3 & 4 for hands-on knowledge.
Engage with ATI videos regarding vital signs, pain management, and medication administration.
Study PowerPoints from Week 3 & 4 and begin preparation at least a week and a half in advance.
Expect various question types on the exam: select all that apply, drop down, and multiple choice.
The exam consists of 61 questions with a total of 100 points.

Pain Types

Acute Pain: Sudden onset, usually linked to injury or illness; resolves with time.
Chronic Pain: Persists over a longer period, often without clear cause; can affect quality of life.
Cancer Pain: Often chronic, can arise from tumor pressure or treatment side effects.
Neuropathic Pain: Caused by nerve damage, often characterized by burning or tingling sensations.
Phantom Limb Pain: Chronic condition where individuals feel pain in a limb that has been amputated.

Pain Management

Understand the differences in opioid vs non-opioid medication education for patients.
Recognize signs of opioid toxicity, including respiratory depression and altered mental status.
Comprehend nociceptive pain, which arises from tissue damage, distinct from neuropathic pain.
Use the PQRSTU method for pain assessment: Provocation, Quality, Region, Severity, Timing, Understanding.

Vital Signs

Familiarize with normal ranges and acceptable variations for all vital signs.
Review clinical skills mini tests for accurate assessment techniques.

Medication Administration

Know the Six Rights of Medication Administration: right patient, right drug, right dose, right route, right time, right documentation.
Nebulizer Care: Educate on assembly and operation, ensure patient safety, follow appropriate steps, and monitor for side effects during treatment.
Instructions for nebulized medications: use a mouthpiece or facemask, encourage deep breathing, and ensure completion of treatment.

Injections

Subcutaneous (SQ) Injections: Administer in loose connective tissue; absorption is slower than intramuscular (IM) injections.
IM Injections: Use for certain antibiotics, hormonal agents, and vaccines; faster absorption due to increased blood supply.
Identify common medication types for each route; SQ for insulin and heparin; IM for vaccines.

Insulin Administration

Learn about different insulin types: rapid, short, long-acting; understand their onset, peak time, and duration for effective blood sugar management.

Medication Measurement

Conversions: Familiarize with medication calculations from mg to g and volume measures (tsp, oz, liter, quart).

Patient Education

Implement the Teach Back method to verify patient understanding of their treatment.
Always reassess and document care, patient response, and any teaching provided.

Safety Precautions

Always use two identifiers for patient verification during medication administration.
Discontinue medications and notify practitioners if adverse reactions like severe bronchospasm occur.
Ensure patient comfort and accessibility to personal items after treatment.

Clinical Guidelines

Maintain hygiene, ensure privacy, and respect the patient's concerns and preferences throughout care procedures.

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Description

Prepare for your Exam 2 in Nursing by reviewing all assigned chapters thoroughly. Complete the Essential Skills tests and engage with ATI videos related to vital signs, pain management, and medication administration. Don't leave your study until the last minute; start reviewing the PowerPoints from Weeks 3 and 4 to enhance your understanding.