Nurse Patient Medication Teaching
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Questions and Answers

What is the most effective way to ensure consistent absorption of daily insulin injections?

  • Injecting the medication in different sites within the same leg (correct)
  • Taking the injection with food
  • Taking the injection at the same time every day
  • Injecting the medication in the same spot every time

    • When should a patient stop taking antibiotics?

  • After skipping a few doses
  • When they start feeling better
  • Based on the provider's orders except in extenuating circumstances (correct)
  • When they feel tired of taking them

    • What should a patient do if they are 30 minutes late taking their medication?

  • Take it at any time during the day
  • Skip that dose
  • Double the dose the next time
  • Take it within the 60-minute window of the scheduled time (correct)

    • In which situation would a nurse use the Z-track method for an injection?

    <p>When the last shot irritated the skin around the site</p> Signup and view all the answers

    Why is rotating injection sites important when administering medications?

    <p>To ensure consistent absorption of the medication</p> Signup and view all the answers

    What could happen if a patient does not complete their full course of antibiotics?

    <p>They risk having a relapse of infection</p> Signup and view all the answers

    Why does a nurse aspirate the syringe before injecting medication?

    <p>To ensure the needle is in the muscle and not in the vascular system</p> Signup and view all the answers

    What should a nurse do if blood return is noticed in the syringe upon aspiration during an injection?

    <p>Withdraw the needle and prepare the injection again</p> Signup and view all the answers

    At what angle should a nurse insert a 27-gauge-inch needle for a tuberculin test?

    <p>15 degrees</p> Signup and view all the answers

    What physiological change in older adults requires close monitoring for medication toxicity?

    <p>Reduced kidney functioning</p> Signup and view all the answers

    Who is ultimately responsible for a medication error when a dose is incorrectly administered?

    <p>Nurse</p> Signup and view all the answers

    How does holding the feeding for at least 30 minutes after administering a proton pump inhibitor through an NG tube ensure effective absorption?

    <p>Hold feeding for at least 30 minutes after medication administration</p> Signup and view all the answers

    What action will the nurse take to help a patient eliminate a gaseous medication like nitrous oxide?

    <p>Encourage the patient to cough and deep-breathe</p> Signup and view all the answers

    What should a nurse do when wasting a portion of a narcotic medication?

    <p>Have another nurse witness the wasted medication</p> Signup and view all the answers

    How should buccal medications be taken by a patient?

    <p>Let the medication dissolve completely on the side of the cheek</p> Signup and view all the answers

    What is the nurse’s priority action to protect a patient from medication error?

    <p>Reading medication labels at least three times before administering</p> Signup and view all the answers

    What should a new nurse do when asked to give a medication prepared by another nurse?

    <p>Refuse to give medication</p> Signup and view all the answers

    Which medication route is the fastest for absorption?

    <p>Intravenous (IV)</p> Signup and view all the answers

    Where does an acidic drug get absorbed in the body?

    <p>Stomach</p> Signup and view all the answers

    What position should patients with NG tubes be placed in to prevent aspiration?

    <p>At least 30-degree angle</p> Signup and view all the answers

    Which patient condition would be inappropriate for aspirin administration?

    <p>7-year-old with a bleeding disorder</p> Signup and view all the answers

    What indicates that an idiosyncratic event is occurring with a central nervous system stimulant?

    <p>Falls asleep during daily activities</p> Signup and view all the answers

    How much water should be used to flush between medications in a patient with NG tube?

    <p>15-30 mL</p> Signup and view all the answers

    What should a nurse do if unsure about a medication order's clarity or completeness?

    <p>Call the health care provider to clarify the order</p> Signup and view all the answers

    Which medication would be most appropriate for immediate pain relief for a severe headache?

    <p>Hydromorphone 4 mg IV</p> Signup and view all the answers

    What does it mean when a patient experiences an idiosyncratic event with medication?

    <p>The patient exhibits opposite effects to the medication's normal effects.</p> Signup and view all the answers

    What would a nurse anticipate when administering acidic medication in terms of absorption?

    <p>Rapid absorption through the stomach.</p> Signup and view all the answers

    What should the nurse do first if they realize they did not check the identification of a patient before administering medication?

    <p>Return to the room to check and assess the patient</p> Signup and view all the answers

    In a scenario where two patients have the same last name, which right of medication administration is the priority to reduce the chance of an error?

    <p>Right patient</p> Signup and view all the answers

    What should a nurse prioritize to manage a patient who prefers not to take their allergy pill due to drowsiness?

    <p>Change the time the medication is taken to minimize drowsiness</p> Signup and view all the answers

    When preparing to administer medication from a vial, what should be the correct order of steps for a nurse?

    <p>3, 1, 6, 2, 5, 4</p> Signup and view all the answers

    What is the most appropriate nursing action to minimize the risk of aspiration for a patient?

    <p>Have the patient self-administer the medication</p> Signup and view all the answers

    When a patient refuses medication, what should be the nurse's first action?

    <p>Explore the reasons for not wanting to take the medication with the patient</p> Signup and view all the answers

    When should a nurse advise a patient to refill an inhaler that contains 200 puffs and is administered two times daily?

    <p>Six weeks from the start of using the inhaler</p> Signup and view all the answers

    If a nurse is watching others prepare medications, which action would require immediate intervention?

    <p>Prepares NPH insulin to be given intravenously (IV)</p> Signup and view all the answers

    Which statement regarding insulin administration is correct?

    <p>Regular insulin is the only type that can be given intravenously</p> Signup and view all the answers

    Which patient would a nurse closely monitor for an unintended synergistic effect?

    <p>The 50-year-old who is prescribed a second blood pressure medication</p> Signup and view all the answers

    How should an IM injection be administered to minimize local skin irritation?

    <p>By using a Z-track method</p> Signup and view all the answers

    What is the purpose of the Z-track method in IM injections?

    <p>To minimize local skin irritation</p> Signup and view all the answers

    What action should the nurse take when administering eardrops to a 2-year-old child?

    <p>Pull the auricle down and back</p> Signup and view all the answers

    Which syringe should the nurse use to administer 0.3 mL of U-500 insulin?

    <p>Tuberculin syringe</p> Signup and view all the answers

    How many tablets of hydrochlorothiazide will the nurse administer if the order is for 12.5 mg and each tablet is 25 mg?

    <p>1/2 tablet</p> Signup and view all the answers

    When should a trough level be scheduled for a patient receiving phenytoin at 0900?

    <p>0830</p> Signup and view all the answers

    What is the priority physiological function for nurses to assess in a patient receiving vancomycin?

    <p>Hearing</p> Signup and view all the answers

    How many tablets of lorazepam 0.5 mg should the nurse administer if the order is for 1 mg orally twice daily?

    <p>2 tablets</p> Signup and view all the answers

    Which needle size and length are recommended for an intramuscular injection into an adult deltoid muscle?

    <p>25 gauge x 1 inch</p> Signup and view all the answers

    Why does a nurse aspirate when administering an intramuscular corticosteroid injection?

    <p>To ensure proper placement of the needle.</p> Signup and view all the answers

    What is the correct order of steps when preparing medication from a vial?

    <p>Firmly wipe the surface of the rubber seal, draw air into the syringe, inject air into the vial, invert the vial, fill the syringe, tap the syringe barrel</p> Signup and view all the answers

    What should a nurse do if a child refuses to take oral medication in the presence of a parent?

    <p>Prepare and offer the medication again for the parent to administer</p> Signup and view all the answers

    Which statement best describes what a nurse should do if air bubbles are present in a syringe during medication preparation?

    <p>Carefully tap the syringe barrel to dislodge the air bubbles before administering</p> Signup and view all the answers

    What should a nurse do to minimize potential discomfort when administering injections to patients?

    <p>Rotate injection sites and administer at a slow, steady pace</p> Signup and view all the answers

    Why is it important for nurses to involve parents in medication administration to children?

    <p>To ensure parents are aware of their child's health condition</p> Signup and view all the answers

    Which patient is most likely to experience polypharmacy?

    <p>A 72-year-old with left-sided hemiparesis using a dry powder inhaler</p> Signup and view all the answers

    What is the nurse's priority when a 40-kg child is prescribed 25 mg of medication four times a day?

    <p>Notify the healthcare provider that the prescribed dose is below the therapeutic range</p> Signup and view all the answers

    Which action would cause the supervising nurse to intervene?

    <p>A nurse first draws up the NPH insulin when mixing short-acting and intermediate-acting insulin</p> Signup and view all the answers

    In which scenario would a spacer be most beneficial for an inhaler patient?

    <p>A 25-year-old with limited coordination of the extremities</p> Signup and view all the answers

    What should a nurse do when caring for a patient with a red streak at an IV site that is warm and tender to the touch?

    <p>Do not administer the pain medication</p> Signup and view all the answers

    What could happen if a child weighing 40 kg receives 25 mg of medication four times a day outside the therapeutic range?

    <p>The child may experience toxic effects</p> Signup and view all the answers

    Why is it important for a nurse to follow correct insulin mixing procedures?

    <p>To prevent contamination of insulin types</p> Signup and view all the answers

    Which insulin preparation method would warrant immediate intervention by the supervising nurse?

    <p>Preparing NPH insulin for IV administration</p> Signup and view all the answers

    Why is correction insulin preferred to manage elevated blood sugar in patients?

    <p>It provides a dose based on the patient's blood glucose level</p> Signup and view all the answers

    In a polypharmacy scenario, what risk does the patient face if multiple medications interact unintentionally?

    <p>Potentiation of medication effects</p> Signup and view all the answers

    Why should glargine (Lantus) be administered separately and not mixed with other medications?

    <p>It is incompatible with other medications</p> Signup and view all the answers

    Which patient is most likely to be affected by polypharmacy?

    <p>An elderly individual seeing multiple specialists</p> Signup and view all the answers

    What is the rationale behind rolling, not shaking, an insulin vial?

    <p>To avoid frothing or air bubbles in the insulin</p> Signup and view all the answers

    What is the best approach for a nurse when a child refuses to take oral medication in the presence of a parent?

    <p>Let the parent try administering the medication under supervision</p> Signup and view all the answers

    For an older-adult patient needing an intramuscular injection, which site is preferred and safest?

    <p>Ventrogluteal</p> Signup and view all the answers

    When preparing an intravenous (IV) piggyback infusion, what is the correct order of steps?

    <p>1, 5, 3, 4, 2, 6</p> Signup and view all the answers

    What action should a nurse take when administering oral medications to patients?

    <p>Place all medications in one cup without assessments</p> Signup and view all the answers

    Which patient condition would NOT indicate the need for a spacer when using an inhaler?

    <p>A 15-year-old with a repaired cleft palate who is alert</p> Signup and view all the answers

    What should a nurse do if a 40-kg child is prescribed 100 mg of medication per day, and the therapeutic range is 200 to 400 mg?

    <p>Notify the healthcare provider that the prescribed dose is below the therapeutic range</p> Signup and view all the answers

    Which action by a nurse observing other nurses would require immediate intervention?

    <p>Drawing up NPH insulin before short-acting insulin in mixing insulin types</p> Signup and view all the answers

    What should a nurse do first when assessing a patient with redness, warmth, and tenderness at an IV site?

    <p>Do not administer the pain medication</p> Signup and view all the answers

    Why should a nurse not change a prescribed dose without consulting the prescriber?

    <p>Changing doses can lead to serious consequences</p> Signup and view all the answers

    What is the rationale for not aspirating when administering vaccines according to current recommendations?

    <p>To decrease the risk of injection site infection</p> Signup and view all the answers

    'Polypharmacy' refers to:

    <p>Using multiple medications at once to treat different conditions</p> Signup and view all the answers

    'Blood return' is significant during IV administration because it helps to:

    <p>Confirm proper needle placement in the vein</p> Signup and view all the answers

    'Phlebitis' at an IV site can indicate:

    <p>'Blood return' failure and potential complications</p> Signup and view all the answers

    'Synergistic effect' of medications implies that their combined effect is:

    <p>&gt;100% more than when taken separately</p> Signup and view all the answers

    What is the correct procedure for administering a corticosteroid inhaler to reduce the risk of fungal infection?

    <p>Have the patient rinse mouth with water after inhalation</p> Signup and view all the answers

    Why should needles never be forced into a sharps disposal container?

    <p>For the safety of healthcare workers</p> Signup and view all the answers

    When administering incompatible IV medication, what should the nurse do before and after giving the medication?

    <p>Flush with sterile water before and after administration</p> Signup and view all the answers

    What is the recommended action for a nurse to reduce needlestick injuries when disposing of used needles?

    <p>Use needleless devices whenever possible</p> Signup and view all the answers

    What should a nurse do before and after administering incompatible IV medication?

    <p>Flush with normal saline or sterile water</p> Signup and view all the answers

    Which patient action can help reduce the risk of fungal infection after using a corticosteroid inhaler?

    <p>Rinse mouth with water after inhalation</p> Signup and view all the answers

    Why should needles never be recapped after use?

    <p>To prevent needlestick injuries</p> Signup and view all the answers

    What should be the nurse's first priority when an error occurs during medication administration?

    <p>Return to the room to check and assess the patient</p> Signup and view all the answers

    In a situation with two patients having the same last name, which right of medication administration is the priority to reduce the chance of an error?

    <p>Right patient</p> Signup and view all the answers

    A patient refuses to take a daily allergy pill due to drowsiness. What should the nurse do?

    <p>Change the time the pill is taken to 9 PM to manage drowsiness</p> Signup and view all the answers

    In which order should a nurse perform steps when preparing medication from a vial?

    <p>Clean with alcohol, inject air, pull back plunger, invert vial, fill syringe, tap for air bubbles</p> Signup and view all the answers

    What should a nurse prioritize when administering medication to reduce errors?

    <p>Verifying the patient's identity before administration</p> Signup and view all the answers

    When a patient refuses medication due to side effects, what should a nurse do?

    <p>Educate the patient and consider adjusting the medication schedule</p> Signup and view all the answers

    What is crucial to ensure when two patients share the same last name in a healthcare setting?

    <p>Ensuring proper identification of each patient before any procedure</p> Signup and view all the answers

    What is a key step for a nurse to take when administering medications in a healthcare facility?

    <p>Following guidelines and ensuring accurate patient identification</p> Signup and view all the answers

    How can a nurse manage a patient's refusal of medication due to side effects effectively?

    <p>Educate the patient on potential side effects and collaborate on possible solutions</p> Signup and view all the answers

    Which therapy should a nurse recommend for a patient with excessive worry and work stress?

    <p>Meditation</p> Signup and view all the answers

    What interaction would cause a nurse to notify the healthcare provider in a patient taking warfarin and Ginkgo biloba?

    <p>Warfarin and G.biloba</p> Signup and view all the answers

    What is the purpose of biofeedback training for a teen with anxiety disorder?

    <p>Biofeedback will help with thoughts and physiological responses to stress.</p> Signup and view all the answers

    What did a nurse recommend for a patient practicing breathwork and yoga, in addition to energy field therapies?

    <p>Reiki therapy and therapeutic touch</p> Signup and view all the answers

    What should a nurse do if a newly admitted older adult patient brings medications that include lisinopril, hydrochlorothiazide, warfarin, aspirin, Ginkgo biloba, and echinacea?

    <p>Review warfarin and G.biloba potential interactions</p> Signup and view all the answers

    What technique would be most suitable for a patient who prefers nonmedical approaches for managing stress?

    <p>Yoga</p> Signup and view all the answers

    What would be the nurse's recommendation for a patient looking for a nonmedical approach to improve memory?

    <p>Consider Ginkgo biloba</p> Signup and view all the answers

    What should a nurse suggest for an individual wanting to manipulate energy fields for healing purposes?

    <p><code>The 'zone'</code> and reiki therapy</p> Signup and view all the answers

    What intervention would be most beneficial for a patient looking to develop awareness and voluntary control over physiological symptoms?

    <p>Biofeedback</p> Signup and view all the answers

    What would be appropriate for a patient interested in using mind-body therapies for stress management?

    <p>Yoga and meditation</p> Signup and view all the answers

    What is the main goal of acupuncture therapy?

    <p>Realigning the vital energy in the body</p> Signup and view all the answers

    In Latin American traditional healing, what is the primary focus of Curanderismo?

    <p>Classifying food and illnesses</p> Signup and view all the answers

    Which therapy involves transferring 'universal life energy' for healing purposes?

    <p>Reiki therapy</p> Signup and view all the answers

    What is a common characteristic of tribal traditional healing practices?

    <p>Use of sweating and purging</p> Signup and view all the answers

    Which type of nursing focuses on advancing health through caring-healing relationships?

    <p>Integrative nursing</p> Signup and view all the answers

    What is the priority goal when a nurse uses a holistic approach to care?

    <p>Incorporating the mind-body-spirit connection</p> Signup and view all the answers

    'Vitalism' is associated with which type of therapeutic approach?

    <p>Naturopathic therapeutics</p> Signup and view all the answers

    'Ayurvedic' medicine, practiced since the first century AD, originates from which region?

    <p>India</p> Signup and view all the answers

    Which therapy is more effective in treating physical ailments than in preventing stress-related disease or managing chronic illness?

    <p>Biomedicine</p> Signup and view all the answers

    In relaxation therapy, which cognitive skill involves learning to tolerate uncertain and unfamiliar experiences?

    <p>Receptivity</p> Signup and view all the answers

    What does an integrative medical clinic staffed by allopathic and complementary practitioners allow healthcare consumers to experience?

    <p>Integrative therapies</p> Signup and view all the answers

    During a relaxation therapy skills group, what technique involves slow, deep abdominal breathing while tensing and relaxing muscle groups?

    <p>Progressive relaxation training</p> Signup and view all the answers

    What does a therapeutic touch practitioner primarily scan a patient's body to identify?

    <p>Energy field obstructions</p> Signup and view all the answers

    Which therapy is indicated for stress-related illness and can help increase productivity and improve mood?

    <p>Meditation</p> Signup and view all the answers

    Which skill is essential for a relaxation therapy group that involves stopping unnecessary goal-directed and analytical activity?

    <p>Passivity</p> Signup and view all the answers

    What does acupuncture primarily redirect in the body's meridian energy lines to influence internal organs?

    <p>Vital energy (qi)</p> Signup and view all the answers

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