Exam 2 Study Guide for Nursing

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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?

<p>Vaccines and toxoids (A)</p> Signup and view all the answers

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

<p>45 degrees (B)</p> Signup and view all the answers

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

<p>Palliative medications such as fentanyl (A)</p> Signup and view all the answers

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

<p>Long acting insulin (A)</p> Signup and view all the answers

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

<p>Only use medications as prescribed by a medical professional (B)</p> Signup and view all the answers

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

<p>To enhance adherence and understanding of medication regimens (B)</p> Signup and view all the answers

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

<p>Heparin (C)</p> Signup and view all the answers

What is the primary purpose of nebulizer therapy?

<p>To turn liquid medications into a mist for inhalation. (A)</p> Signup and view all the answers

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

<p>Discontinue the medication and notify the healthcare practitioner. (B)</p> Signup and view all the answers

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

<p>Verify the healthcare provider’s order for medication. (C)</p> Signup and view all the answers

What is a key consideration when administering insulin to patients?

<p>Different insulin types vary in onset time and duration of action. (C)</p> Signup and view all the answers

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

<p>Explore the patient's concern, notify the practitioner, and verify the order. (C)</p> Signup and view all the answers

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

<p>It helps prevent the transmission of infections to patients. (B)</p> Signup and view all the answers

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

<p>Ensure privacy and perform hand hygiene before introducing yourself. (B)</p> Signup and view all the answers

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

<p>Nociceptive pain. (A)</p> Signup and view all the answers

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

<p>The healthcare provider's order is verified and the correct patient is identified. (D)</p> Signup and view all the answers

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

<p>They may interact with prescribed medications and should be reviewed. (D)</p> Signup and view all the answers

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

<p>To prevent medication errors before administration (D)</p> Signup and view all the answers

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

<p>Demonstrating the nebulizer's assembly and use (A)</p> Signup and view all the answers

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

<p>To detect potential adverse effects from bronchodilators (B)</p> Signup and view all the answers

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

<p>Encourage them to breathe normally with deep breaths when able (D)</p> Signup and view all the answers

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

<p>Right dosage form (A)</p> Signup and view all the answers

What should be done immediately after nebulization of steroids?

<p>Instruct the patient to rinse and gargle with warm water (C)</p> Signup and view all the answers

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

<p>Tap the cup to release clinging droplets (D)</p> Signup and view all the answers

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

<p>When the patient is an infant or unable to follow instructions (A)</p> Signup and view all the answers

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

<p>Ensure that hand hygiene practices are followed (D)</p> Signup and view all the answers

Which assessment should be completed before administering medication via nebulizer?

<p>Perform a complete patient assessment related to the medication (C)</p> Signup and view all the answers

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

<p>Disassemble, rinse, dry, and store in a clean bag. (B)</p> Signup and view all the answers

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

<p>Medication absorption is slower than intramuscular injections. (B)</p> Signup and view all the answers

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

<p>Help the patient into a comfortable position and provide personal items within reach. (B)</p> Signup and view all the answers

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

<p>Use the Teach Back method to gauge understanding and retention. (D)</p> Signup and view all the answers

How should the site for heparin injections be selected?

<p>Select a site that is free from skin lesions and bony prominences. (A)</p> Signup and view all the answers

What patient safety measure should be taken after medication administration?

<p>Raise the appropriate number of side rails and lower the bed. (B)</p> Signup and view all the answers

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

<p>Discard all used supplies properly and perform hand hygiene. (B)</p> Signup and view all the answers

What characteristic of insulin makes it important for managing diabetes?

<p>Different types of insulin vary in their onset and duration of action. (A)</p> Signup and view all the answers

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

<p>Monitor the patient for any immediate reactions or discomfort. (D)</p> Signup and view all the answers

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

<p>Patients should always ensure the nebulizer is thoroughly cleaned before next use. (B)</p> Signup and view all the answers

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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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