Nokea
The nurse is measuring 4 mL of a liquid cough elixir for a child. Which method is most appropriate?
- A. Using a teaspoon to measure and administer
- B. Holding the medication cup at eye level and filling it to the desired level
- C. Withdrawing the elixir from the container using a syringe without a needle attached
- D. Withdrawing the elixir from the container using a calibrated oral syringe
Correct Answer: D
Rationale: A calibrated oral syringe ensures accurate measurement of small liquid volumes, preventing dosing errors. Teaspoons and medication cups are less precise, and a syringe without a needle may risk aspiration or parenteral administration.
You may also like to solve these questions
The nurse is preparing to give an aqueous intramuscular (IM) injection to an average-sized adult. Which actions are appropriate? (Select all that apply.)
- A. Choose a 26- or 27-gauge, 1/4 to 1/2-inch needle.
- B. Choose a 20- to 25-gauge, 1- to 1 1/2-inch needle.
- C. Choose the dorsogluteal site, the preferred site for IM injections for adults.
- D. Insert the needle at a 45-degree angle.
- E. Insert the needle at a 90-degree angle.
- F. Before injecting the medication, withdraw the plunger to check for blood return.
Correct Answer: B,E,F
Rationale: For IM injections in adults, use a 20- to 25-gauge, 1- to 1 1/2-inch needle, insert at a 90-degree angle, and check for blood return to avoid intravascular injection. The dorsogluteal site is not preferred due to nerve risks; the ventrogluteal site is recommended. A 26- or 27-gauge needle is too small, and a 45-degree angle is for subcutaneous injections.
When adding medications to a bag of intravenous (IV) fluid, the nurse will use which method to mix the solution?
- A. Shaking the bag or bottle vigorously
- B. Turning the bag or bottle gently from side to side
- C. Inverting the bag or bottle one time after injecting the medication
- D. Allowing the IV solution to stand for 10 minutes to enhance even distribution of medication
Correct Answer: B
Rationale: Gently turning the IV bag or bottle from side to side ensures even mixing of the medication without causing bubbles or degradation. The other methods are insufficient or inappropriate.
The nurse is about to give a rectal suppository to a patient. Which technique would facilitate the administration and absorption of the rectal suppository?
- A. Having the patient lie on the right side, unless contraindicated
- B. Having the patient hold his or her breath during insertion of the medication
- C. Lubricating the suppository with a small amount of petroleum-based lubricant before insertion
- D. Encouraging the patient to lie on the left side for 15 to 20 minutes after insertion
Correct Answer: D
Rationale: Positioning the patient on the left side and using a water-soluble lubricant facilitates insertion and absorption of a rectal suppository. The patient should remain on the left side for 15-20 minutes. Petroleum-based lubricants are not used, and breath-holding is not necessary.
A patient says he prefers to chew rather than swallow his pills. One of the pills has the abbreviation SR behind the name of the medication. The nurse needs to remember which correct instruction regarding how to give this medication?
- A. Break the tablet into halves or quarters.
- B. Dissolve the tablet in a small amount of water before giving it.
- C. Do not crush or break the tablet before administration.
- D. Crush the tablet as needed to ease administration.
Correct Answer: C
Rationale: Sustained-release (SR) tablets must not be crushed or broken to maintain their controlled-release properties and prevent rapid absorption or gastrointestinal irritation.
After administering an intradermal (ID) injection for a skin test, the nurse notices a small bleb at the injection site. Which of these is the best action for the nurse to take at this time?
- A. Apply heat.
- B. Massage the area.
- C. Do nothing.
- D. Report the bleb to the physician.
Correct Answer: C
Rationale: A small bleb is an expected outcome after an intradermal injection for skin testing, indicating proper administration. No further action is needed.