Nursing Essentials: Medication and Care Practices
33 Questions
2 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

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?

    <p>Vastus lateralis (A)</p> Signup and view all the answers

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

    <p>One or more vital signs outside normal range (C)</p> Signup and view all the answers

    What is the primary method by which passive drains operate?

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

    Which type of IV fluid is classified as hypotonic?

    <p>0.45% saline (B)</p> Signup and view all the answers

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

    <p>Respiratory distress (A)</p> Signup and view all the answers

    What is the process of injecting medications into the body?

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

    What does the abbreviation AC stand for in medication administration?

    <p>Ante Cibum</p> Signup and view all the answers

    Before administering buccal medication, what action should be taken?

    <p>Inspect the oral mucous membrane.</p> Signup and view all the answers

    Which large muscle is a common injection site for medication?

    <p>Vastus lateralis</p> Signup and view all the answers

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

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

    What drink can deter sleep?

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

    What is a risk associated with taking sedatives or hypnotics?

    <p>Respiratory distress</p> Signup and view all the answers

    What is the recommended time frame for taking sleep medications?

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

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

    <p>Older population (gerontology)</p> Signup and view all the answers

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

    <p>One or more vital signs outside normal range.</p> 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?

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

    What are the stages of wound healing?

    <p>Inflammatory, proliferation, and maturation stages.</p> Signup and view all the answers

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

    <p>Lay the client in a supine position.</p> Signup and view all the answers

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

    <p>Sharp debridement.</p> Signup and view all the answers

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

    <p>Hydrocolloid dressing.</p> Signup and view all the answers

    What type of solution is 0.45 saline IV fluid?

    <p>Hypotonic.</p> Signup and view all the answers

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

    <p>Ensure catheter patency.</p> Signup and view all the answers

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

    <p>Isotonic.</p> Signup and view all the answers

    What are some signs of IV infiltration?

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

    What are some signs of fluid overload?

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

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

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

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

    <p>Listen to lung sounds.</p> Signup and view all the answers

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

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

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

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

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

    <p>10 days</p> Signup and view all the answers

    Flashcards

    Parenteral injection

    Injecting medication into the body, not through the digestive system.

    AC (Ante Cibum)

    A time of medication administration that refers to taking it before a meal.

    Inspect oral mucous membrane before buccal medication

    Checking the inside of the person's mouth to be sure it's clear and healthy before administering a buccal medication.

    Vastus lateralis injection site

    A large muscle in the thigh used for injecting medications.

    Signup and view all the flashcards

    Clear then cloudy insulin draw

    The correct order to draw up different types of insulin—clear insulin first, then cloudy insulin second.

    Signup and view all the flashcards

    Hypotonic IV fluid example

    A saline solution with a lower concentration of salt than blood, which causes water to move into the cells from the blood.

    Signup and view all the flashcards

    Isotonic IV fluid examples

    IV fluids that have the same salt concentration as blood—e.g., Lactated Ringers and Normal Saline.

    Signup and view all the flashcards

    Holding sedatives/hypnotics in a client

    Do not administer sedatives or hypnotics to a client if one or more of their vital signs are outside of the normal range

    Signup and view all the flashcards

    What is parenteral?

    A route of medication administration that bypasses the digestive system, often involving injections or infusions.

    Signup and view all the flashcards

    What does AC mean?

    AC stands for 'Ante Cibum', Latin for 'before food', indicating medication administration before meals.

    Signup and view all the flashcards

    What should you do before administering buccal medication?

    Always inspect the oral mucous membrane for any signs of irritation, ulcers, or infection.

    Signup and view all the flashcards

    What is the vastus lateralis?

    A large muscle in the thigh, commonly used for intramuscular injections.

    Signup and view all the flashcards

    How do you draw up two types of insulin?

    Draw up the clear insulin first, then the cloudy insulin.

    Signup and view all the flashcards

    Why is alcohol a bad sleep aid?

    Alcohol disrupts sleep cycles and often leads to poor quality sleep.

    Signup and view all the flashcards

    What's a major risk with sedatives/hypnotics?

    Respiratory distress or depressed breathing, as these medications can suppress the respiratory system.

    Signup and view all the flashcards

    How long should you take sleep medications?

    It's recommended to use sleep medications for short periods, typically less than two weeks.

    Signup and view all the flashcards

    Who's at high risk for over-sedation?

    Older adults are more sensitive to sedatives/hypnotics and prone to over-sedation.

    Signup and view all the flashcards

    What vital sign change would you hold sedatives/hypnotics for?

    Hold the medication if you notice one or more vital signs outside of the normal range, like low heart rate, low blood pressure, or shallow breathing.

    Signup and view all the flashcards

    How do active drains work?

    Active drains utilize suction to remove fluid from wounds.

    Signup and view all the flashcards

    How do passive drains work?

    Passive drains rely on gravity to remove fluid.

    Signup and view all the flashcards

    Describe the stages of wound healing.

    Wound healing progresses through three distinct stages: 1. Inflammatory, 2. Proliferation, and 3. Maturation.

    Signup and view all the flashcards

    What do you do if a client's wound 'gives way'?

    Immediately lay the client flat on their back in a supine position to prevent further injury.

    Signup and view all the flashcards

    What is sharp debridement?

    A painful procedure where a provider removes dead tissue from a wound, potentially causing bleeding.

    Signup and view all the flashcards

    Which dressing to NOT use with drainage?

    Avoid hydrocolloid dressings for draining wounds, as they can trap moisture and increase the risk of infection.

    Signup and view all the flashcards

    What type of solution is 0.45 saline?

    0.45 saline is considered a hypotonic solution.

    Signup and view all the flashcards

    Why flush an IV catheter?

    Flushing ensures the catheter is patent (open and free of obstruction), maintaining its function.

    Signup and view all the flashcards

    What kind of fluids are Lactated Ringers and NS?

    Lactated Ringer's and Normal Saline are considered isotonic solutions.

    Signup and view all the flashcards

    What are the signs of an infiltrated IV site?

    Signs include swelling, edema, cool skin around the site, and possible leaking of fluids.

    Signup and view all the flashcards

    What are the signs of fluid overload?

    Fluid overload manifests as rapid heart rate, crackling lung sounds, shortness of breath, moist cough, increased blood pressure, distended neck veins, and swelling in the lower extremities.

    Signup and view all the flashcards

    How much fluid should an adult drink daily?

    A healthy adult should aim for 1500-2000 ml of fluids per day.

    Signup and view all the flashcards

    How do you know if you need to suction a trach?

    Listen to the client's lung sounds for signs of congestion, gurgling, or wheezing. This indicates a need for suctioning.

    Signup and view all the flashcards

    What solutions are used for trach care?

    Use half-strength peroxide and saline to clean the inner cannula, followed by rinsing with saline only.

    Signup and view all the flashcards

    How do you administer a metered-dose inhaler?

    Shake the inhaler, exhale completely, inhale slowly, press down and breathe in the medication, hold your breath for 10 seconds.

    Signup and view all the flashcards

    How long before you switch to a trach?

    An endotracheal tube should be replaced with a tracheostomy tube after 10 days.

    Signup and view all the flashcards

    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.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    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.

    More Like This

    Use Quizgecko on...
    Browser
    Browser