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Questions and Answers
What is an example of a client demonstrating health literacy?
What part of Medicare covers prescription medications?
What is the purpose of MDS forms in a long-term care setting?
What is an example of secondary prevention?
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Why is it important to review policies and procedures manuals?
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Who governs nursing programs in a state?
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What is the role of the FDA in medication safety?
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What is the main goal of reviewing policies and procedures manuals?
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A nurse is preparing to administer iron supplements to a client. Which of the following actions should the nurse take to promote absorption of the medication?
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A nurse is teaching a client about the use of a metered-dose inhaler (MDI). Which of the following instructions should the nurse provide?
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A nurse is caring for a client who requires otic medications. Which of the following actions should the nurse take to promote comfort during medication administration?
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Which of the following is a physiological change that occurs during non-rapid eye movement (NREM) sleep?
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A client is experiencing dry mouth as an adverse reaction to diphenhydramine. What intervention should the nurse prioritize?
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A nurse is preparing to lift a heavy object. Which of the following actions should the nurse take to reduce the risk of injury?
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Which of the following is a key aspect of promoting comfort for a client?
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A nurse is teaching a client about safe ergonomic practices. Which of the following should the nurse include in the teaching?
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A nurse is preparing to reposition a client in bed. Which of the following actions should the nurse take first?
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A nurse is caring for a client who has end-of-life dyspnea. Which intervention should the nurse prioritize?
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Which of the following is a key consideration for end-of-life organ donation authorization?
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A nurse is caring for a client who is receiving intravenous (IV) medications. Which of the following routes of medication administration has the fastest rate of absorption?
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A nurse is observing a client checking their radial pulse. Which of the following domains of learning is the client demonstrating?
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What is the primary purpose of washing the client's body during postmortem care?
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A client is diagnosed with obstructive sleep apnea (OSA). Which of the following is the most likely cause?
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A nurse is caring for a client with a diabetic diet. Which action demonstrates respect for the client's autonomy?
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Study Notes
Medication Administration
- Vitamin C, found in orange juice and other foods, enhances the absorption of iron supplements.
- Intravenous medication administration provides the quickest absorption rate, as it enters the circulatory system directly.
- Prior to using a metered dose inhaler (MDI), the nurse should vigorously shake it for 2 to 5 seconds to ensure proper aerosolization of the medication.
- Otic medications should be warmed by rolling the vial in the nurse's hands to room temperature for patient comfort before administration.
Mobility
- When lifting heavy objects, nurses should position themselves close to the object to minimize reaching and lower the risk of injury.
- Implementing safe ergonomic practices, including regular breaks, helps promote muscle recovery and reduces injury risk.
- To safely reposition a client in bed, nurses should first raise the bed height to align with their center of gravity for safer handling.
- Clients using assistive devices, like canes, should be classified under "minimal assist" activity levels to ensure appropriate support.
Client Education
- Observational assessments, such as checking a client's radial pulse, support physical coordination and movement development in the psychomotor learning domain.
- Privacy during preoperative teaching sessions is crucial to minimize distractions and enhance client learning.
- Acknowledging a client's understanding of daily blood glucose monitoring demonstrates their health literacy and knowledge of their health care information.
Health Care Delivery
- Medicare includes three main parts: Part A (inpatient care), Part B (outpatient services), and Part D (prescription medications).
- Medium Data Set (MDS) forms, completed by registered nurses in long-term care facilities, evaluate residents' cognitive and physical assessments; these documents ensure state compliance.
Health Promotion, Wellness, and Disease Prevention
- Secondary prevention aims for early disease detection, illustrated by a client with a family history of breast cancer undergoing a mammogram for timely identification.
Health Policy
- Familiarity with the policies and procedures manual before performing medical tasks, such as IV removal, ensures adherence to best practice guidelines and enhances safety.
- State boards of nursing regulate all nursing programs, ensuring compliance with educational and practice standards.
- The FDA enforces medication laws, ensuring all drugs, including prescriptions and over-the-counter medications, undergo rigorous testing prior to market release.
Comfort, Rest and Sleep
- Sleep physiology plays a critical role in memory consolidation, moving information from short-term to long-term storage.
- During non-rapid eye movement (NREM) sleep, physiological functions such as heart rate, respiratory rate, and body temperature experience a decrease.
- Enlarged tonsils can lead to obstructive sleep apnea (OSA), impacting respiratory function during sleep.
- Polysomnography is a diagnostic tool that records bodily functions during sleep to identify sleep disorders.
- Common adverse reactions to diphenhydramine include dry mouth, blurred vision, and urinary retention; clients should maintain oral hygiene to mitigate discomfort.
- Promoting client comfort involves providing information transparently and responding to inquiries to foster a caring relationship.
- Allowing clients to make informed choices regarding their dietary preferences, especially for conditions like diabetes, respects their autonomy and individuality.
End-of-Life Care
- For end-of-life dyspnea, administering an opioid narcotic as prescribed can alleviate anxiety and improve breathing through vasodilation.
- In cases of organ donation, the client or authorized surrogate can initiate the process if the client is incapacitated.
- During postmortem care, nurses should document the client's belongings meticulously and wash the body to uphold dignity and respect.
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Description
This quiz covers the principles of medication administration, including the effects of food and vitamins on absorption and the advantages of intravenous route. It also covers the proper use of metered dose inhalers.
