Nursing Essentials: Medication and Care Practices

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Questions and Answers

What is the correct term for the injection of medications into the body?

Sublingual

Parenteral (correct)

Buccal

Topical

What does the abbreviation AC stand for in the context of medication administration?

As needed

Before meals (correct)

At any time

After meals

What is the first action to take before administering buccal medication?

Check for allergies

Administer with water

Ensure patient is fasting

Inspect the oral mucous membrane (correct)

Which injection site is appropriate for administering medication into a large muscle?

Vastus lateralis Signup and view all the answers

What vital sign finding would indicate holding administration of sedatives or hypnotics?

One or more vital signs outside normal range Signup and view all the answers

What is the primary method by which passive drains operate?

Gravity Signup and view all the answers

Which type of IV fluid is classified as hypotonic?

0.45% saline Signup and view all the answers

What is a common risk associated with taking sedatives or hypnotics?

Respiratory distress Signup and view all the answers

What is the process of injecting medications into the body?

Parenteral Signup and view all the answers

What does the abbreviation AC stand for in medication administration?

Ante Cibum Signup and view all the answers

Before administering buccal medication, what action should be taken?

Inspect the oral mucous membrane. Signup and view all the answers

Which large muscle is a common injection site for medication?

Vastus lateralis Signup and view all the answers

When drawing up two types of insulin, what is the correct technique?

Draw up clear insulin first, then cloudy insulin. Signup and view all the answers

What drink can deter sleep?

Alcohol Signup and view all the answers

What is a risk associated with taking sedatives or hypnotics?

Respiratory distress Signup and view all the answers

What is the recommended time frame for taking sleep medications?

Short period of time (less than 2 weeks) Signup and view all the answers

Which population group is most at risk for over-sedation with sedatives or hypnotics?

Older population (gerontology) Signup and view all the answers

What vital sign finding would require holding sedative or hypnotic administration ?

One or more vital signs outside normal range. Signup and view all the answers

What is the method that active drains use to work, and how does it differ from the method used by passive drains?

Active drains work by suction, while gravity drives passive drains. Signup and view all the answers

What are the stages of wound healing?

Inflammatory, proliferation, and maturation stages. Signup and view all the answers

What is the first action to take if a client's wound has "given way"?

Lay the client in a supine position. Signup and view all the answers

What type of debridement is painful, can cause bleeding, and is performed by a provider?

Sharp debridement. Signup and view all the answers

What type of dressing should NOT be used with wound drainage?

Hydrocolloid dressing. Signup and view all the answers

What type of solution is 0.45 saline IV fluid?

Hypotonic. Signup and view all the answers

Why is it important to flush an intermittent (saline lock) IV catheter?

Ensure catheter patency. Signup and view all the answers

What type of IV fluid solutions are Lactated Ringers and Normal Saline?

Isotonic. Signup and view all the answers

What are some signs of IV infiltration?

Swelling, edema, cool skin, fluid leaking from the site. Signup and view all the answers

What are some signs of fluid overload?

Tachycardia, lung sounds of crackles, dyspnea, moist cough, increased BP, distended neck veins, dependent edema. Signup and view all the answers

What is the average amount of fluid an adult requires per day?

1500-2000 ml Signup and view all the answers

What is the best way to assess for the need for tracheal suctioning?

Listen to lung sounds. Signup and view all the answers

What solution should be used to clean and rinse tracheostomy inner cannula?

Half-strength peroxide and saline to clean, saline to rinse. Signup and view all the answers

Describe the process for administering a metered-dose inhaler to patients?

Shake, exhale, inhale slowly, press down and breathe in, and hold breath for 10 seconds. Signup and view all the answers

How many days does an endotracheal tube need to be replaced with a tracheostomy tube?

10 days Signup and view all the answers

Study Notes

Medication Administration

Parenteral administration is the process of injecting medications into the body.
Medications should be administered before dinner (AC).
Inspect the oral mucous membrane before administering buccal medications.
The vastus lateralis muscle is a common site for intramuscular injections.
Draw up clear insulin first, then cloudy insulin.

Sleep

Alcohol is a drink that deters sleep.
Risks of taking sedatives/hypnotics include respiratory distress.
Ideally, sleep medications should be taken in a short period, usually less than two weeks.
Older adults are more at risk for over-sedation from sedatives/hypnotics.
Vital signs outside the normal range are a reason to hold sedative/hypnotic administration.

Wound Care & Assisted Feeding

Active drains use suction, passive drains use gravity.
Wound healing stages are inflammatory, proliferation, and maturation.
Lay the client in a supine position if their wound "gives way."
Sharp debridement is a painful wound debridement performed by a provider.
Hydrocolloid dressings are not suitable for wound drainage.

Intravenous Therapy

0.45 saline is a hypotonic solution.
IV catheters are flushed to maintain patency.
Isotonic solutions include Lactated Ringers and Normal Saline.
Signs of IV infiltration include swelling, cool skin, and fluid leakage.
Signs of fluid overload include tachycardia, crackles, dyspnea, moist cough, increased blood pressure, and distended neck veins.

Oxygenation

Adults typically require 1500-2000 ml of fluid daily.
Lung sounds provide a basis for assessing the need for tracheal suctioning.
Half-strength peroxide and saline are used to clean a tracheostomy inner cannula, and saline is used to rinse.
A metered-dose inhaler is used by shaking the canister, exhaling, inhaling slowly, pressing down, breathing in, and holding breath for 10 seconds.
An endotracheal tube should be replaced with a tracheostomy tube after 10 days.

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Description

Test your knowledge on key nursing practices related to medication administration, sleep management, and wound care. This quiz covers essential protocols and considerations for effective patient care. Prepare to enhance your understanding of these critical nursing topics.