Nokea
How can you be certain that the medication dose for an infant or child is correct before you administer it?
- A. Call the pharmacist each time you administer a medication to confirm the dose.
- B. Double-check the amount of an appropriate pediatric dosage.
- C. Use an oral syringe because it offers more accurate dosing.
- D. Give the child a frozen juice bar before you administer medications.
- E. Have another nurse check the medication dose with you.
Correct Answer: B,C,E
Rationale: Double-checking the dose (B), using an oral syringe for accuracy (C), and having another nurse verify (E) ensure safety. Calling the pharmacist each time (A) is impractical, and juice bars (D) are irrelevant.
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You are pouring a liquid medication. Which actions will you take?
- A. Set the medication cup on top of the medication case and stoop to eye level to pour
- B. Hold the bottle so the label is in the palm of your hand to avoid spills on the label.
- C. For elderly patients, use a calibrated dropper or syringe to measure the medication.
- D. Measure the amount of liquid in a medication cup at the lowest level of the meniscus.
Correct Answer: B,D
Rationale: Holding the bottle with the label in the palm prevents spills from obscuring the label (B). Measuring at the meniscus ensures accuracy (D). Option A is incorrect because stooping to eye level is impractical, and C is not universally required.
Which are included in the oral route of administration?
- A. Swallowing
- B. Sublingual
- C. Inhaling
- D. Buccal
- E. Nasal
Correct Answer: A,B,D
Rationale: The oral route of administration includes methods where medications are taken by mouth, such as swallowing (A), placing under the tongue (sublingual, B), and placing against the cheek (buccal, D). Inhaling (C) and nasal (E) are not oral routes.
What is the preferred way of disposing of oral narcotics that must be wasted?
- A. Crush the extra medication and rinse it down the sink in front of a witness.
- B. Flush the extra medication down the toilet in front of a witness.
- C. Dispose of the extra medication in a chemical waste container in front of a witness.
- D. Place the unused portion of the narcotic back in the narcotic drawer in front of a witness.
Correct Answer: C
Rationale: Disposing of narcotics in a chemical waste container ensures safe and secure disposal, preventing diversion or environmental contamination.
You are teaching a male patient to apply a nitroglycerin transdermal patch. You know the patient needs more teaching when he states
- A. I will be sure I remove the previous patch prior to putting on a new one.
- B. I will put the patch on a place without much body hair.
- C. I will not cut the patch to make it fit a smaller area.
- D. I will place the new patch in the same place as the previous one.
Correct Answer: D
Rationale: Patches should be rotated to different sites to prevent skin irritation. The other statements are correct.
Prefilled vaginal applicators are generally used for
- A. The treatment of localized yeast infections.
- B. The treatment of systemic yeast infections.
- C. The treatment of vaginitis.
- D. The treatment of septicemia.
- E. Contraception when containing a spermicide.
Correct Answer: A,C,E
Rationale: Vaginal applicators treat localized yeast infections (A), vaginitis (C), and provide contraception with spermicides (E). Systemic infections (B) and septicemia (D) require systemic treatments.