skills test study level 1
______________ is characterized by the inflammation of mucous membranes lining the nose. This inflammation causes swelling along with clear, watery discharge
Insulin is administered by injection rather than orally because
the gastrointestinal (GI) tract breaks down and destroys insulin if it is taken orally
How many drops are in a ML
Most pediatric doses are rounded to the nearest
10th -- to avoid overdose
During discharge teaching, the nurse gives the patient prescriptions to have filled at the local pharmacy. Which section of the medication prescription should the nurse check before giving the patient the prescription for a controlled substance?
Drug Enforcement Agency (DEA) number
Inserting the needle at a 5- to 15-degree angle from the surface of the skin without puncturing subcutaneous tissue indicates the_____________ route of administration.
The needle is inserted at an angle of 30 to 45 degrees into the vein when the ___________ route is used.
The needle is inserted at the angle of 90 degrees from the skin surface when the ____________ route is used.
One should maintain a 45- or 90-degree angle to administer medication through the ___________ route.
___________ administration is preferred in infants and toddlers who have poor vascular access in an emergent situation. It is preferred when intravenous (IV) access is impossible.
_____________ administration is preferred when long-term medication administration is required.
The medication will be directly administered into the pleural space when __________ administration is performed. Chemotherapeutic medications are commonly administered through this route.
Chemotherapeutic agents, insulin, and antibiotics are administered through the ___________ route.
Assessments for aspiration
cough, gag reflex, and ability to swallow
Which anesthetic drug is contraindicated in patients with allergy to soy products?
STAT orders are prescribed in emergencies when a patient's condition changes suddenly. Apresoline is administered in this condition. Cetrizine is an over-the counter medicine that does not require such emergency prescriptions. Vancomycin is prescribed in a now order prescription; a now order prescription is prescribed when the patient needs a medication quickly, but not right away. Paracetamol is also an over-the-counter medication that does not require an emergency prescription.
Nursing students cannot take medication orders of any kind, and so their initials do not have to appear on the order because they won’t have taken it. The primary health care provider must countersign the telephone order given by that provider at a later time, usually within 24 hours after giving it. This type of prescription order given by the primary health care provider is referred to as a telephone order. The nurse should sign on the telephone order and indicate the time and the name of the health care provider who gave the order. The nurse should document the telephone order given by the primary health care provider.
Hydralazine is an emergency drug that should be administered as per the STAT order of prescription that is written in emergencies when a patient's condition changes suddenly. Lorazepam is an example of a drug that is administered following a one-time prescription order. A single order prescription necessitates the administration of medication at one specific time. A prn order prescription necessitates the administration of medication only when a patient requires it.
A STAT order indicates that the single dose of medication should be given immediately and only once. When a patient with high blood pressure is admitted to an emergency unit, then a STAT order is used by the primary health care provider. A now order is used when the patient requires the medication within the next 90 minutes, but not immediately. A single order is used for preoperative medications or medications given before diagnostic examinations; these medications are given at once in a specified time. A standing order is an order that is carried out until the primary health care provider cancels it.
An abbreviation of the medication should not be mentioned in the medication documentation; rather the complete name of the drug should be written. Standard terminology should be used in the medication documentation. If there are any doubts during documentation, the primary health care provider should be consulted for clarification. The full name of the patient with other demographic data should be entered in the medication documentation.
Vancomycin is an antibiotic. When taken by mouth it fights bacteria in the intestines. Vancomycin is used to treat an infection of the intestines caused by Clostridium difficile, which can cause watery or bloody diarrhea.
A now order prescription is given when the drug should be administered to the patient within 90 minutes, but not right away. A single order prescription necessitates the administration of medication at one specific time. A prn order is prescribed when the drug should be administered to the patient as required. A STAT order prescription is given when the drug should be administered to the patient immediately, as in emergency conditions.
The primary health care provider prescribes lorazepam (Ativan) 1 mg IV to a patient who is about to undergo an MRI scan. Which type of prescription order has been given by the primary health care provider?
lorazepam, an anti-________ agent
One teaspoon is equal to ________ mL in the metric system.
___________ drops of medication is equal to 1 mL
Which anesthetic drug is contraindicated in patients with allergy to soy products?
A ___________ is a semisolid preparation containing alcohol, oil, or soapy emollient that is applied to the skin.
A is a ________________ encased in a gelatin shell.
A clear fluid containing water and/or alcohol is an ____________ the route of administration is oral.
A ___________ is a medication dosage mixed with gelatin and shaped in the form of a pellet for insertion into a body cavity (rectum or vagina).
___________ injections are used for skin testing. If the site bleeds after medication administration, the medication might have been administrated into the subcutaneous tissue. Such circumstances would result in invalid test results.
Which type of syringe is used to administer a small and precise amount of medication subcutaneously in infants and newborns?
Syringes usually come prepackaged with an attached needle. However, the nurse may change a needle based upon the ___________, ____________, ____________
age of the patient, the size of a patient, and the route of administration.
The nurse is mixing two types of insulin in one syringe. Which action is associated with the third accuracy check?
Showing insulin prepared in the syringe to another nurse to verify the correct dosage preparation
Arrange in order the steps to be followed while preparing injections from an ampule.
1.Tap the top of the ampule neck
2.Place a small gauze pad at the ampule neck
3.Snap the neck of the ampule quickly with the hands
4.Draw the medication into the syringe using a filter needle
The nurse uses a U-100 insulin syringe to inject insulin in the anterior and lateral parts of the thigh of the patient. Which nursing intervention would provide consistent absorption of the insulin?
Rotating the injections within the same body part.
Which site should the nurse use to administer a medication through intraosseous route?
______________ medications are injected directly into the pleural space through either a syringe and needle or a chest tube.
___________ medications are administered in the epidural space through a catheter.
___________ medications are administered through a catheter surgically placed in the subarachnoid space of the brain.
The nurse has been asked to administer a rectal suppository to a patient. In what position should the nurse place the patient?
Which site of injection for vaccines is preferred for infants and toddlers who are not yet walking?
The best _____________ injection sites are the anterior aspects of the thighs, posterior aspect of the upper arms, and abdomen from below the costal margins to the iliac crests.
Which action may cause the contamination of the solution during an injection?
Drawing up the medication slowly
A slow injection rate of _____seconds is appropriate for reducing bruising and pain.
Three interventions should the nurse perform when administering medications to a patient through a nasogastric tube?
Dissolve all the medications separately
Flush the tube before and after administration of the medication.
Contact the health care provider if the patient resists the administration.
The nurse takes a medication to a patient, and the patient refuses to take it and tells the nurse to take it away. What is the nurse’s next action?
Ask the patient the reason for the refusal.
AD in the prescription order indicates that the medication should be administered in the __________.
AS in the prescription order indicates that the medication should be administered in the _________.
OD indicates that the medication should be administered in the _____________.
OS indicates that the medication should be administered in the _____________.
An anal suppository should be placed against the rectum wall. How far in for adults? How far in for children?
10cm for adults
5cm for children
Which informatics technology helps scan the medication before administration?
The prescription order of a patient who is scheduled for a surgery contains "on call." When should the nurse administer the medication?
When the surgical staff is coming to get the patient.
A routine medication order or standing order is a type of prescription order that should be carried out until
the health care provider cancels it.
A prn order signifies that the medication is to be administered
whenever required by the patient.
A now order indicates that the medication can be given
within 90 minutes.
A one-time order is a type of prescription order that is to be given
once at a specified time
What are some examples of back channeling to use during an interview?
maintain good eye contact and show interest
________________ factors are the ones that worsen the primary symptom.
What should a clinical interview ideally focus on?
What is the reading level required for patient teaching reading materials?
When obtaining data for an assessment, the nurse must substantiate or confirm the accuracy of the information by using another source or another method. This is known as__________.
ex: ask patients family, ask patient, patients previous dr, physical assessment findings
A __________ symptom is a symptom that occurs along with a primary symptom
ex: feeling nauseated when you have a headache
Which route is considered a potential route of administration when oral medications are contraindicated?
The ________nroute is used to administer adrenaline to patients with cardiac arrest. This route is often used in emergencies when a fast-acting medication needs to be delivered quickly.
In order to inject medication in the ventrogluteal muscle site, the patient is placed into the supine or the lateral position.
The prone position is unsuitable for intramuscular injections at the ventrogluteal muscle site.
The sitting position is appropriate for vastus lateralis intramuscular injections. The standing position is suitable for intramuscular injections at the deltoid muscle site.
Which injection is most preferred for allergy skin testing?
Administration of eyedrops and swabbing the throat are examples of direct application of topical medications.
Administration of eardrops and nose drops are examples of instillation of fluids into a body cavity.
Inserting medicated packing into the vagina is an example of insertion of medication into a body cavity.
intramuscular injection sites?
the deltoid, ventrogluteal, and vastus lateralis.
The normal range of values of phosphate in human blood is
2.7 to 4.5 mg/dL.
The normal value of potassium is
3.5 to 5.0 mEq/L,
the normal value of ionized calcium is
4.5 to 5.3 mg/dL, and the
normal value of magnesium is
1.5 to 2.5 mEq/L.
Sleigh bells ring are you listenin'
Chest is tight
hypOkalemia (low potassium levels)
Synovial, peritoneal, and cerebrospinal fluids are examples of _________ fluids.
Respiratory alkalosis is an acid-base imbalance that can cause_________, a type of neurological disorder
paresthesia - median nerve in wrist is pinched resulting in numbness and pain