Nokea
A nurse in a provider's office is instructing a parent of a toddler how to administer ear drops. Which of the following instructions should the nurse include? (Select one that does not apply.)
- A. Place the child on his unaffected side when you are ready to administer the medication.
- B. Warm the medication by gently rolling it between your hands for a few minutes.
- C. Gently shake medication that is in suspension form.
- D. Keep the child on his side for 5 minutes after institution of the ear drops.
Correct Answer: C
Rationale: Side position , warming , and keeping on side ensure proper administration and absorption.
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Common side effect of isoniazide:
- A. Hepatitis
- B. Ototoxicity
- C. Visual toxicity
- D. Hepatitis
Correct Answer: A
Rationale: Isoniazid (likely misspelled as Isoniazide) commonly causes hepatitis as a side effect due to its hepatotoxic potential, requiring liver function monitoring. Note: Option D repeats 'Hepatitis,' but A is intended.
Which of the following is a disadvantage of IM administration?
- A. Larger volumes can be used
- B. Can affect lab tests
- C. Painful
- D. B and C
Correct Answer: C
Rationale: Intramuscular (IM) administration is painful due to needle insertion, though larger volumes are an advantage; affecting lab tests is less specific, making C the primary disadvantage.
The physician has asked a nurse to administer a drug intravenously to a patient who is unresponsive. How can the nurse ensure that the drug is administered to the right patient?
- A. By waking him up to ask him his name
- B. By identifying the patient's room number
- C. By checking the patient's wristband
- D. By asking the nursing assistant for the patient's location
Correct Answer: C
Rationale: The nurse should identify a patient by checking his wristband, which has the patient's name. The nurse should not ask the patient to confirm his name, because some patients, particularly those who are confused or have difficulty hearing, may respond by answering yes. Additionally, this patient is unresponsive. The nurse can obtain the patient's location by asking any other member of the health care staff, but should verify the patient's identity by checking the wristband. The nurse should not rely on the patient's room number alone.
The nurse explains the Drug Enforcement Agency's (DEA's) schedule of controlled substances to the nursing assistant who asks, Do you ever get a prescription for Schedule I medications? What is the nurse's best response?
- A. Schedule I medications have no medical use so they are not prescribed.
- B. Schedule I medications have the lowest risk for abuse and do not require a prescription.
- C. Schedule I medications are only prescribed in monitored units for patient safety.
- D. Schedule I medications are found in antitussives and antidiarrheals sold over the counter.
Correct Answer: A
Rationale: Schedule I medications have no medical use and are never prescribed. Schedule V medications have the lowest risk for abuse and are found mostly in antitussives and antidiarrheals but they are not sold over the counter.
A prescription needs to be written for:
- A. Legend drugs
- B. Most controlled drugs
- C. Medical devices
- D. All of the above
Correct Answer: D
Rationale: Prescriptions are required for legend drugs (prescription-only), most controlled drugs, and certain medical devices , per regulatory standards.