Podcast
Questions and Answers
What is the first action a nurse should take when a client’s oxygen saturation is 85%?
What is the first action a nurse should take when a client’s oxygen saturation is 85%?
When measuring oxygen saturation on a client with edema and thickened toenails, where should the nurse place the pulse oximeter probe?
When measuring oxygen saturation on a client with edema and thickened toenails, where should the nurse place the pulse oximeter probe?
Which criterion for applying restraints should a nurse ensure is included in the in-service presentation?
Which criterion for applying restraints should a nurse ensure is included in the in-service presentation?
What should the nurse do if a new unlicensed assistive personnel (UAP) washes her hands for less than the recommended time?
What should the nurse do if a new unlicensed assistive personnel (UAP) washes her hands for less than the recommended time?
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Which description best fits how oxygen is delivered via a nasal cannula?
Which description best fits how oxygen is delivered via a nasal cannula?
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When assessing a client's irregular radial pulse, what is the most appropriate next step?
When assessing a client's irregular radial pulse, what is the most appropriate next step?
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What is the nurse's role in performing the final check of medication administration?
What is the nurse's role in performing the final check of medication administration?
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What is an essential practice when preparing to administer a subcutaneous injection?
What is an essential practice when preparing to administer a subcutaneous injection?
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What action should a nurse take if a patient states he does not take metoprolol before administration?
What action should a nurse take if a patient states he does not take metoprolol before administration?
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Which action should a nurse take to correctly identify the right patient?
Which action should a nurse take to correctly identify the right patient?
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What is the appropriate action for a nurse when administering medications?
What is the appropriate action for a nurse when administering medications?
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What is the correct way to pour liquid medication?
What is the correct way to pour liquid medication?
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What household measurement should a nurse recommend for 30 mL of medication?
What household measurement should a nurse recommend for 30 mL of medication?
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Which action demonstrates correct use of a metered-dose inhaler without a spacer?
Which action demonstrates correct use of a metered-dose inhaler without a spacer?
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What is an appropriate action when preparing oral medications for administration?
What is an appropriate action when preparing oral medications for administration?
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What is the maximum volume typically tolerated for an intramuscular injection in a thin elderly patient?
What is the maximum volume typically tolerated for an intramuscular injection in a thin elderly patient?
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Which step should a nurse prioritize before administering medications via a nasogastric (NG) tube?
Which step should a nurse prioritize before administering medications via a nasogastric (NG) tube?
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When teaching a family member how to administer a subcutaneous insulin injection, which instruction is essential?
When teaching a family member how to administer a subcutaneous insulin injection, which instruction is essential?
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What is the proper method to prepare a syringe for a pediatric injection of 0.45 mL of medication?
What is the proper method to prepare a syringe for a pediatric injection of 0.45 mL of medication?
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Which instruction should be included when teaching a patient about using low-molecular-weight heparin?
Which instruction should be included when teaching a patient about using low-molecular-weight heparin?
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Which statement indicates that a patient understands how to use a flow-oriented incentive spirometer?
Which statement indicates that a patient understands how to use a flow-oriented incentive spirometer?
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What should be the position of the eyedropper when administering eyedrops to a patient?
What should be the position of the eyedropper when administering eyedrops to a patient?
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What is the best technique for administering medications to ensure proper absorption in an obese patient during subcutaneous injections?
What is the best technique for administering medications to ensure proper absorption in an obese patient during subcutaneous injections?
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Study Notes
Medication Administration
- Right Patient: Always ask the patient their name and birthday before administering medication.
- Right Medication Check: Before administering any medication, review the client’s medication list. If the patient disagrees with the medication list, withhold medication and contact the physician.
- Right Documentation: If a patient refuses medication, the nurse should document this refusal and the reason for the refusal in the patient’s chart.
- Right Technique: Always use sterile technique for parenteral medication administration.
- Medication Storage: Do not leave medication at the bedside when the patient is not present.
- Medication Preparation: When preparing liquid medication, use a medication cup and hold it at eye level. Ensure the medication is poured at the bottom of the meniscus.
- Medication Administration: For oral medications, only cut scored tablets and never crush capsules or enteric-coated medications.
- Eye Drops: When administering eyedrops, place the drops in the conjunctival sac and instruct the patient to close their eye for 1 minute after administration.
- Nasogastric Tube Medication: Always check for correct placement of the NG tube before administering medications.
- Syringe Size and Needle: When administering medication by injection, select the correct syringe and needle based on the medication volume and patient size.
- Subcutaneous Injections: Rotate injection sites between the abdomen, thighs, and upper arms. Avoid massaging the injection site after giving a subcutaneous injection.
- Low-Molecular-Weight Heparin: When administering low-molecular-weight heparin, ensure the needle is inserted at a 90-degree angle and apply gentle pressure to the injection site for 30-60 seconds.
- Intramuscular Injection: The maximum volume tolerated for an intramuscular injection for older, thinner adults is 1 mL.
- Incentive Spirometry: Encourage the patient to take slow, deep breaths while using an incentive spirometer and to hold their breath at the end of an inhalation for at least 3 seconds.
Oxygen Saturation
- Oxygen Saturation Level: 85% oxygen saturation is insufficient and requires prompt intervention.
- Oxygen Delivery Methods: Nasal cannulas deliver a low concentration of oxygen.
- Pulse Oximeter Placement: When assessing oxygen saturation, use the finger, earlobe, or toe if the client has edema in the hands or thick toenails.
Pulse Assessment
- Irregular Pulse: If the nurse identifies an irregular pulse, immediately assess the apical pulse for one full minute.
Infection Control
- Contact Precautions: Healthcare workers should wear gowns when entering rooms of patients requiring contact precautions.
- Standard Precautions: Wear gloves for emptying urinary drainage devices.
- Airborne Precautions: Healthcare workers should wear a respiratory (N-95) mask when entering a room of a patient requiring airborne precautions.
- Hand Hygiene: Always wash hands for a minimum of 20 seconds.
Restraints
- Restraint Criteria: Restraints require a physician order and should only be used when alternative measures have failed and the patient’s safety is a concern.
- Restraint Orders: Physician orders for restraints should be renewed every 8 hours.
- Legal Considerations: Nurses are responsible for knowing the legal guidelines and facility policies regarding the use of restraints.
Oxygen Therapy
- Nasal Cannula: Nasal cannulas deliver a low concentration of oxygen through two prongs placed in the patient’s nostrils.
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Description
Test your knowledge on the essential guidelines for safe medication administration. From ensuring the right patient to proper documentation and storage, this quiz covers key aspects to avoid medication errors. Perfect for nursing students and healthcare professionals.
