Medication Administration & Wound Care Quiz
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Questions and Answers

What should be inspected before administering IV medication?

  • The oral mucous membrane (correct)
  • The injection site for redness
  • The patient's heart rate
  • The temperature of IV fluids

What indicates that a client may be experiencing respiratory distress?

  • Normal lung sounds
  • Increased blood pressure
  • Flushed skin (correct)
  • Decreased temperature

What is the purpose of using isotonic solutions like Lactated Ringers?

  • To clean wounds
  • To maintain fluid balance (correct)
  • To reduce swelling
  • To induce sedation

Which population is most at risk for over-sedation during medical procedures?

<p>Elderly individuals (A)</p> Signup and view all the answers

What is the first action to perform when a wound is debrided?

<p>Clean with saline (B)</p> Signup and view all the answers

What signs indicate that an IV site has infiltrated?

<p>Increased pain at the site (B), Coolness of the skin (C)</p> Signup and view all the answers

What position should a client be placed in when experiencing short periods of time from medication?

<p>Supine position (D)</p> Signup and view all the answers

What is the solution used to clean and rinse a tracheostomy inner cannula?

<p>Normal saline and half-strength saline (D)</p> Signup and view all the answers

What does the term 'parenteral' refer to in medication administration?

<p>Injecting medication directly into the body (A)</p> Signup and view all the answers

What is the main risk associated with the use of sedatives and hypnotics?

<p>Potential for respiratory depression (C)</p> Signup and view all the answers

What are the stages of wound healing?

<p>Inflammation, reconstruction, maturation (D)</p> Signup and view all the answers

What is a reason for using intermittent saline locks with IV therapy?

<p>To allow for medication administration as needed (C)</p> Signup and view all the answers

The best method to assess for tracheal suctioning is by what means?

<p>Monitoring oxygen saturation levels (A)</p> Signup and view all the answers

What type of intravenous fluid is described as hypotonic?

<p>Fluids that cause cells to swell (D)</p> Signup and view all the answers

What fluid amount is typically required for an adult per day?

<p>1500-2000 ml (A)</p> Signup and view all the answers

Active drains function by which primary mechanism?

<p>Suction for active drains and gravity for passive drains (B)</p> Signup and view all the answers

What is the correct technique for drawing up two types of insulin?

<p>Draw up clear first, then cloudy. (B)</p> Signup and view all the answers

Which of the following is a vital sign finding that requires further evaluation?

<p>One vital sign outside normal range. (A)</p> Signup and view all the answers

What is the correct method of using an inhaler?

<p>Shake, exhale, inhale slowly, hold for 10 seconds. (C)</p> Signup and view all the answers

What is indicated by the presence of dependent edema?

<p>Fluid overload. (D)</p> Signup and view all the answers

What signs may suggest fluid overload in a patient?

<p>Increased blood pressure, cough, and distended neck veins. (C)</p> Signup and view all the answers

For how many days does an endotracheal tube typically need to be replaced?

<p>10 days. (C)</p> Signup and view all the answers

What is a characteristic of a hydrocolloid dressing?

<p>It provides a moist environment for healing. (B)</p> Signup and view all the answers

Which symptom is not typically associated with an adverse reaction to sedatives/hypnotics?

<p>Increased alertness. (D)</p> Signup and view all the answers

Flashcards

Parenteral medication administration

The process of injecting medications into the body.

Alcohol's effect on sleep

A drink that may deter sleep.

Wound care methods

Active drains use suction and passive drains use gravity to work.

0.45 saline IV solution

A type of intravenous fluid.

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Daily fluid requirements for adults

1500-2000 ml.

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Hypotonic solution

A specific type of solution used for intravenous fluids.

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Risk associated with sedatives/hypnotics

Potential risk to the patient for taking sedatives or hypnotics.

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Stages of wound healing

The steps involved in the healing process.

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IV fluid solution

A liquid used to administer fluids intravenously.

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Inspect oral mucous membrane

Check the lining of the mouth for any issues.

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Short period of time

A duration less than two weeks.

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Lay client supine

Position the patient lying flat on their back.

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Isotonic

Having the same concentration of solute as another solution.

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Injection site for medication into a large muscle

Administering medication into a large muscle.

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Population most at risk for over-sedation

Group of individuals prone to excessive sedation.

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Signs that IV site has infiltrated

Indicators that the IV fluids are leaking into surrounding tissues.

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Vital sign outside normal range

A vital sign (like heart rate, blood pressure, or breathing rate) that is not within the typical expected range.

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Fluid overload signs

Symptoms like fast heartbeat, crackling lung sounds, shortness of breath, a cough, high blood pressure, swollen neck veins, and swelling in the legs.

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Hydrocolloid dressing

A dressing type used for wounds, often avoiding the need for drainage.

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Endotracheal tube replacement

Replacing an endotracheal tube after a set period (10 days in this context).

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Insulin injection technique

A specific technique: "Draw up clear first, then cloudy." This refers to drawing up different types of insulin into the same syringe.

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Tachycardia

A faster than normal heartbeat.

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Sharp debridement

A type of wound treatment that removes dead or damaged tissue by cutting it.

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Correct technique for drawing insulin

Drawing up clear insulin first and then cloudy insulin.

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Study Notes

Medication Administration

  • Medications are injected into the body.
  • "Parenteral" is a method of medication administration.
  • Medications are administered before dinner ("AC").

Sleep

  • Drinks that deter sleep are used.
  • Alcohol is one example.
  • Risk to patients taking sedatives/hypnotics is a factor.
  • Respiratory distress is a concern.
  • Sleep medication timing is important and usually a short period of time or less than 2 weeks.

Wound Care & Assisted Feeding

  • Active drains, using methods like suction, and gravity-assisted draining are used.
  • Wound healing has stages: inflammatory, proliferation, and maturation.
  • The first action for a client with a wound is to put the patient in a supine position.
  • 0.45 saline IV fluid is a hypotonic solution.
  • Lactated Ringers and Normal Saline are isotonic IV fluids.
  • Catheters are flushed to keep them patent.

Intravenous Therapy

  • Saline IV fluids can be intermittent.
  • There should be a reason fluid is administered (intermittent saline lock).
  • Patients should have their lung sounds listened to.
  • Cleaning and rinsing the inner cannula uses half-strength peroxide and saline solution.

Oxygenation

  • Fluid amount for adults is 1500-2000 mL.
  • Assessment of tracheal suctioning involves listening to lung sounds.

Injection/Medication Site

  • Vastus lateralis is a possible injection site.
  • Older adults and geriatric patients are potentially at higher risk for medication administration.

Painful Debridement

  • Sharp debridement is a technique to remove dead tissue from a wound.
  • Proper dressing techniques are important to avoid causing further bleeding after sharp debridement.

Fluid Overload

  • Symptoms such as tachycardia, lung crackles, dyspnea, moist cough, and increased blood pressure should be noted.
  • Distended neck veins and dependent edema are also potential signs of fluid overload.

Vital Signs

  • Vital signs are important to monitor for any abnormal findings.
  • Finding vital signs outside of the normal ranges should prompt further assessment.
  • Sedatives/hypnotics should be administered with caution, and the effect on vital signs should be considered.

Insulin Administration

  • Techniques may include drawing up clear insulin first followed by cloudy insulin.

Types of Dressings

  • Hydrocolloid dressings are not recommended for wounds with drainage.

Endotracheal Tubes

  • Endotracheal tubes may need to be replaced after a certain number of days.

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Description

Test your knowledge on medication administration, sleep aids, wound care techniques, and intravenous therapy. This quiz covers essential concepts, methods, and precautions necessary for safe patient care. Enhance your understanding of proper administration methods and the importance of monitoring patient responses.

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