Podcast
Questions and Answers
Which hypothesis is the nurse addressing when the patient is assessed for urticaria, itching, and rash after administration of a medication?
Which hypothesis is the nurse addressing when the patient is assessed for urticaria, itching, and rash after administration of a medication?
Which descriptors would the nurse use in summarizing changes in a patient’s condition after a medication interaction?
Which descriptors would the nurse use in summarizing changes in a patient’s condition after a medication interaction?
Which hypothesis is the nurse addressing by using aseptic technique as an intervention?
Which hypothesis is the nurse addressing by using aseptic technique as an intervention?
Which types of medication cannot be administered to patients who have difficulty swallowing and require medications to be crushed? Select all that apply.
Which types of medication cannot be administered to patients who have difficulty swallowing and require medications to be crushed? Select all that apply.
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Which direction would be given to a patient with a prescription for a swish-and-swallow medication?
Which direction would be given to a patient with a prescription for a swish-and-swallow medication?
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When using a dropper to give liquid medication to an infant, where should the medication be deposited in the mouth?
When using a dropper to give liquid medication to an infant, where should the medication be deposited in the mouth?
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When more than one medication must be instilled in the eye, the nurse waits a minimum of how many minutes between instillations? __minutes
When more than one medication must be instilled in the eye, the nurse waits a minimum of how many minutes between instillations? __minutes
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For which purpose does the nurse push on the tragus after instilling an otic medication?
For which purpose does the nurse push on the tragus after instilling an otic medication?
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Which instruction would the nurse give a patient when a nasal medication is being administered?
Which instruction would the nurse give a patient when a nasal medication is being administered?
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Which comment made by a patient wearing a transdermal patch requires further investigation by the nurse?
Which comment made by a patient wearing a transdermal patch requires further investigation by the nurse?
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The mother of a 2-year-old patient asks the nurse how far a rectal suppository prescribed for her child should be inserted. Which response by the nurse is accurate?
The mother of a 2-year-old patient asks the nurse how far a rectal suppository prescribed for her child should be inserted. Which response by the nurse is accurate?
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Which patient position is preferred for insertion of a vaginal suppository?
Which patient position is preferred for insertion of a vaginal suppository?
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Which sites are used to administer intradermal injections?
Select all that apply.
Which sites are used to administer intradermal injections? Select all that apply.
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Which action is required when using the zigzag (Z-track) method for intramuscular medication administration?
Which action is required when using the zigzag (Z-track) method for intramuscular medication administration?
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Place the parenteral methods of medication administration in order from fastest to slowest onset of action.
Place the parenteral methods of medication administration in order from fastest to slowest onset of action.
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Which concept is the major focus of nursing interventions designed to promote safe medication administration in the home?
Which concept is the major focus of nursing interventions designed to promote safe medication administration in the home?
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Which comment made by a patient before discharge alerts the nurse that further teaching regarding home medication administration is required?
Which comment made by a patient before discharge alerts the nurse that further teaching regarding home medication administration is required?
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Which pieces of information should patients know about any medication prescribed for them?
Select all that apply.
Which pieces of information should patients know about any medication prescribed for them? Select all that apply.
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For which patient would providing a weekly medication organizer be an appropriate intervention?
For which patient would providing a weekly medication organizer be an appropriate intervention?
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For how many minutes would a nurse monitor a patient for an immediate allergic reaction following medication administration? Record your answer as two whole numbers separated by a hyphen. ___minutes
For how many minutes would a nurse monitor a patient for an immediate allergic reaction following medication administration? Record your answer as two whole numbers separated by a hyphen. ___minutes
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The nurse instructs a patient for whom a transdermal patch has been prescribed to rotate sites of application. For which hypothesis is this instruction an intervention?
The nurse instructs a patient for whom a transdermal patch has been prescribed to rotate sites of application. For which hypothesis is this instruction an intervention?
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In response to a hypothesis of Lack of Knowledge of Medication Regime, the nurse teaches the patient about a newly prescribed medication, specifically the name, dose, route of administration, time, frequency, and special instructions. Which method would the nurse use to evaluate the effectiveness of the teaching?
In response to a hypothesis of Lack of Knowledge of Medication Regime, the nurse teaches the patient about a newly prescribed medication, specifically the name, dose, route of administration, time, frequency, and special instructions. Which method would the nurse use to evaluate the effectiveness of the teaching?
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A newly admitted patient tells the nurse “I can’t swallow medicines; they all need to be crushed.” Based on this statement, the nurse would contact the health care provider about a prescription for which form of medication?
A newly admitted patient tells the nurse “I can’t swallow medicines; they all need to be crushed.” Based on this statement, the nurse would contact the health care provider about a prescription for which form of medication?
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A patient has a prescription for 2.5 mL of a liquid medication to be administered orally. In accordance with best practice guidelines, which device would the nurse use when preparing this medication?
A patient has a prescription for 2.5 mL of a liquid medication to be administered orally. In accordance with best practice guidelines, which device would the nurse use when preparing this medication?
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Which statement made by a patient who self-administers medications through a gastrointestinal (GI) tube indicates the need for further instruction about the process?
Which statement made by a patient who self-administers medications through a gastrointestinal (GI) tube indicates the need for further instruction about the process?
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When administering an otic medication to an adult, which action would the nurse take to facilitate the spread of the medication to the entire ear canal?
When administering an otic medication to an adult, which action would the nurse take to facilitate the spread of the medication to the entire ear canal?
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The nurse directs a patient who needs two puffs of medication from a metered-dose inhaler to wait how many minutes between puff one and puff two? Record your answer as a whole number. ___ min
The nurse directs a patient who needs two puffs of medication from a metered-dose inhaler to wait how many minutes between puff one and puff two? Record your answer as a whole number. ___ min
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A patient is to have an ophthalmic ointment applied to both eyes. Which information would the nurse provide?
Select all that apply.
A patient is to have an ophthalmic ointment applied to both eyes. Which information would the nurse provide? Select all that apply.
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Which characteristic is an advantage of a transdermal patch?
Which characteristic is an advantage of a transdermal patch?
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Which action would the nurse take as part of the procedure for administering a vaginal suppository?
Which action would the nurse take as part of the procedure for administering a vaginal suppository?
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A patient preparing to insert her prescribed vaginal suppository is reviewing the procedure with the nurse. Which statement made by the patient alerts the nurse that further explanation is required?
A patient preparing to insert her prescribed vaginal suppository is reviewing the procedure with the nurse. Which statement made by the patient alerts the nurse that further explanation is required?
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Which statements are appropriate for the nurse to make to a patient who is about to receive pain medication by intravenous push?
Select all that apply.
Which statements are appropriate for the nurse to make to a patient who is about to receive pain medication by intravenous push? Select all that apply.
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Which actions apply to the administration of an intradermal injection?
Select all that apply.
Which actions apply to the administration of an intradermal injection? Select all that apply.
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A diagram of which injection site would be most helpful when teaching a patient how to use of an EpiPen?
A diagram of which injection site would be most helpful when teaching a patient how to use of an EpiPen?
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Which statement by a patient who has received instructions about self-administration of medications in the home indicates a misunderstanding of information?
Which statement by a patient who has received instructions about self-administration of medications in the home indicates a misunderstanding of information?
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An older, visually impaired but proudly self-sufficient adult patient has several prescribed medications to take at home. Which action would the nurse take to assist this patient in complying with the medication regimen?
An older, visually impaired but proudly self-sufficient adult patient has several prescribed medications to take at home. Which action would the nurse take to assist this patient in complying with the medication regimen?
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Which statement made by a nurse conducting discharge teaching indicates a review of patient education principles related to medication administration is needed?
Which statement made by a nurse conducting discharge teaching indicates a review of patient education principles related to medication administration is needed?
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Study Notes
Medication Administration and Patient Assessment
- Assess for urticaria, itching, and rash after medication administration to address possible allergic reactions.
- Summarize changes in a patient’s condition by noting specific symptoms, onset, duration, and intensity of reactions.
- Aseptic technique is used to prevent infection, addressing the hypothesis of risk for infection.
- Medications that cannot be crushed include enteric-coated tablets, extended-release formulations, and certain capsules.
Patient Instructions and Administration Techniques
- For a swish-and-swallow medication, instruct the patient to swish in the mouth for a specified duration before swallowing.
- When administering liquid medication with a dropper to an infant, deposit it in the side of the mouth between the gums and the cheek.
- Wait a minimum of 5 minutes between instillations of more than one eye medication.
- Push on the tragus after instilling otic medication to help facilitate medication distribution within the ear canal.
- Instruct the patient receiving nasal medication to breathe gently through the nose while using the spray.
Transdermal and Rectal Medications
- A transdermal patch requires further investigation if the patient comments about not attaching it properly or not rotating sites.
- For a 2-year-old, insert a rectal suppository about 1 inch.
- The preferred position for vaginal suppository insertion is the lithotomy position.
- Common sites for intradermal injections include the forearm and upper back.
Intramuscular and Home Medication Guidelines
- The Z-track method requires pulling the skin laterally before injection and releasing it afterward to seal the medication in the muscle.
- Medication administration methods ranked from fastest to slowest include intravenous, intramuscular, subcutaneous, and oral.
- The focus of nursing interventions for safe home medication administration includes patient education on proper usage and adherence.
Patient Discharge and Education
- Comments from a patient indicating doubts about understanding their medication regimen require further teaching.
- Patients should know the medication name, purpose, side effects, and interactions.
- A weekly medication organizer is suitable for patients on multiple medications needing help with adherence.
- Monitor patients for an immediate allergic reaction for a minimum of 30 minutes post-medication administration.
Teaching Effectiveness and Unique Cases
- Evaluate teaching effectiveness by asking patients to verbalize understanding of their medication regimen.
- For a patient unable to swallow medications, contact the healthcare provider about alternatives, such as liquid formulations.
- Use an oral syringe or calibrated device to prepare and administer a 2.5 mL liquid medication best.
- When administering an otic medication, position the ear upward and pull the ear gently to facilitate medication flow.
Additional Considerations
- Instruct patients to wait 1 minute between puffs when using a metered-dose inhaler.
- For ophthalmic ointment application, explain proper techniques such as positioning and avoiding contamination.
- Highlight transdermal patches’ long-lasting and constant delivery rate as advantageous characteristics.
- Teach proper insertion techniques for vaginal suppositories, emphasizing hand hygiene and comfort.
- Statements made to patients about intravenous pain medication should include explanations of action onset and monitoring post-administration.
- Emphasize the significance of visually impaired patients using clear verbal instructions or large print aids for medication compliance.
- Review patient education principles if any statements indicate misunderstandings about prescribed medications or administration techniques.
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Description
This quiz focuses on the nursing diagnosis related to patient reactions following medication administration, specifically addressing urticaria, itching, and rash. Test your understanding of the nursing process and the hypotheses involved in assessing adverse drug reactions.
