Explore key aspects of medication and IV administration in 'Medication and I. V. Administration (Part 2)'. This quiz assesses understanding of opioid scheduling, medication reconstitution, telephone order accuracy, injection site reactions, drug cross-tolerance, and drug synergism, essential for nursing professionals.
Expiration date of the order
Strength of the medication
Route of administration
Prescriber's name
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Repeat the order to the prescriber.
Repeat the order to the nursing supervisor.
Wait for the physician to sign the order before administering the drug.
Insist that the nursing supervisor monitor the call.
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Applying a cold compress to decrease swelling
Applying a warm compress to dilate the blood vessels
Massaging the area to promote absorption of the drug
Instructing the client to tighten his gluteal muscles to promote better absorption of the drug
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One drug that can prevent withdrawal symptoms from another drug.
An allergic reaction to a class of drugs.
One drug reduces response to another drug.
One drug increases another drug's potency.
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Tolerance.
Antagonism.
Hyporeactivity.
Synergism.
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Weakness
Irregular pulse
Hyperactive bowel sounds
Decreased muscle tone
Potassium level of 3.1 mEq/L
Ventricular arrhythmias
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The number of milliliters in one drop.
The number of drops in one milliliter.
The number of drops per minute to be infused.
The number of drops per hour to be infused.
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Giving syrup of ipecac to induce vomiting.
Administering activated charcoal every 4 hours for 24 hours.
Giving large boluses of enteral saline.
Lavaging the stomach with a small-gauge gastric tube.
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Lorazepam (Xanax).
Acetaminophen (Tylenol).
Insulin.
Prednisone (Deltasone).
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Discontinue the I.V. infusion.
Apply a warm, moist compress to the I.V. site.
Check the I.V. infusion for patency.
Apply an ice pack to the I.V. site.
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Assess the client's understanding of the PCA pump.
Tell the physician that the ordered dose isn't sufficient for pain control.
Press the dose delivery button to give the client an immediate dose of the drug.
Push the "Flush" button on the PCA pump to make sure the I.V. line isn't infiltrated.
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0.5 ml
0.6 ml
1 ml
1.6 ml
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Vegetarian diets can cause more adverse drug reactions than diets containing meat.
The number of calories a client consumes can alter a drug's metabolism.
Dietary intake can alter the effectiveness of some drugs.
High-sodium diets can increase the half-life of some drugs.
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Mix the medication into the client's food without his knowledge.
Document that the client refused his medication.
Address the client's concern about the medication by clarifying its purpose.
Leave the medication with the client in case he decides to take it at a later time.
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Abnormally low blood pressure
Irregular pulse
Increased respiratory rate
Decreased respiratory rate
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Pulse
Respirations
Temperature
Blood pressure
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Investigate and correct the discrepancy, if possible, before proceeding.
Immediately report the discrepancy to the nurse-manager, nursing supervisor, and pharmacy.
Document the discrepancy on an incident report.
Document the discrepancy on a opioid-inventory form.
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Stating the client's name when entering the room and asking if the name is correct
Matching the client's identification bracelet to the medication-administration record
Asking the client's roommate to identify the client
Asking the client to state his name
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Recap the needle and discard it in any medical waste container.
Recap the needle and discard it in a puncture-proof container.
Discard the uncapped needle in a puncture-proof container.
Break the needle and discard the needle and syringe in any medical waste container.
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Cause him to vomit the ingested drug.
Stimulate bowel motility so he excretes the drug rapidly.
Bind with the ingested drug.
Neutralize the ingested drug.
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Anonymously inform her family member of the spouse's diagnosis so that he or she may seek necessary treatment.
As legally required, inform the family member of the client's diagnosis.
Encourage the client to speak with the family member about the diagnosis if he or she hasn't already done so.
Provide the local Board of Health with the family member's name so they can contact him or her with information about the client's diagnosis.
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¼ ml
½ ml
1 ml
2 ml
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Decrease in arterial oxygen saturation (SaO2) when measured with a pulse oximeter
Increase in systemic blood pressure
Runs of ventricular tachycardia on a cardiac monitor
Increase in intracranial pressure (ICP)
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Albuterol (Ventolin).
Metaproterenol (Alupent).
Racemic epinephrine (Racepinephrine).
Ipratropium bromide (Atrovent).
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Adverse effects.
Route of excretion.
Peak concentration time.
Steady-state duration of action.
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Hypercalcemia
Hypernatremia
Hyperglycemia
Hyperkalemia
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Nursing assistant.
Pharmacy technician.
Pharmacist.
Student nurse.
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100 units of regular insulin in normal saline solution
100 units of neutral protamine Hagedorn (NPH) insulin in normal saline solution
100 units of regular insulin in dextrose 5% in water
100 units of NPH insulin in dextrose 5% in water
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15 mg
30 mg
60 mg
120 mg
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Administer the suppository 15 minutes after the diarrhea stops.
Withhold the suppository and notify the client's physician.
Tell the client you'll give him the suppository when he's finished in the bathroom.
Substitute 325-mg aspirin by mouth.
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5 ml
2 ml
2.5 ml
3.8 ml
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¼ ml
½ ml
¾ ml
1¼ ml
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Giving the client the preoperative analgesic at the scheduled time
Asking the client to sign the consent form
Notifying the surgeon that the client hasn't signed the consent form
Canceling the surgery
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20G, 1″
20G, 1½″
22G, 1″
22G, 1½″
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The client
The prescriber
The nurse's lawyer
The risk manager
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Staying with the client for 15 minutes after starting the infusion
Starting an I.V. infusion of 5% dextrose in saline solution before hanging the blood bag
Starting the infusion through a 22G I.V. catheter
Allowing the blood to warm to room temperature before infusing
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Zinc.
Sodium.
Potassium.
Magnesium.
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Removing the suppository from the refrigerator 30 minutes before insertion
Applying a lubricant to the suppository
Dissolving the suppository in 3 ml of warm water
Instructing the client to bear down during insertion
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Stir the liquid with a sterile applicator.
Invert the vial and let it stand for 2 to 3 minutes.
Shake the vial vigorously.
Roll the vial gently between her palms.
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Check the client's medication-administration record for clarification of the medication.
Contact the pharmacist for information about this medication.
Refer to a reliable nursing drug handbook to verify the action, usual dosage, adverse effects, and nursing considerations for this medication.
Ask another nurse on the unit who is familiar with the medication for information about it.
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The adult therapeutic level for digoxin is 2 to 3 mg/ml.
Although serious, digoxin toxicity isn't life-threatening.
Digoxin shouldn't be administered if the client's heart rate is below 100 beats/minute.
Liquid digoxin should be carefully measured with a calibrated dropper or syringe.
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Encourage the client to hire a visiting nurse.
Give all instructions at least three times.
Lengthen the intervals in the administration schedule.
Devise the simplest possible medication schedule.
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Deficient knowledge
Poor vision
Dementia
Confusion
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Insert the needle at a 45-degree angle.
Wipe the needle immediately after injection.
Pull the skin laterally toward the injection site.
Simultaneously withdraw the needle and release the skin.
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Insert the needle at a 45-degree angle.
Wipe the needle immediately after injection.
Pull the skin laterally toward the injection site.
Use the Z-track technique.
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Floor stock
Unit-dose
Individual prescription
Automated
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Within 1 month
Within 3 months
Within 6 months
Within 12 months
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Serum potassium level.
Serum glucose level.
Partial thromboplastin time (PTT).
Serum creatine level.
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