Nokea
To help relax the anal sphincter during the insertion of a suppository the nurse should ask the patient to __.
Correct Answer: exhale
Rationale: Exhaling will help relax the anal sphincter.
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The nurse cautions a patient taking an anticoagulant that he should avoid taking aspirin because one drug may increase the action of the other drug. What is the correct term for this effect?
- A. Compatibility
- B. Antagonism
- C. Synergism
- D. Cooperation
Correct Answer: C
Rationale: When one drug increases the action of another drug, it is called synergism.
What is 3/8 divided by 1/4?
- A. 11/2
- B. 11/3
- C. 13/4
- D. 12/3
Correct Answer: B
Rationale: Write the problem down correctly, invert the second number, and multiply. 3/8 divided by 1/4 = 3/8 ? 4/1 = 12/8 = 3/2 or 1 1/3
The nurse administered a sedative to an older adult who was having difficulty sleeping. Later the patient was walking the halls and becoming agitated. What is this drug response known as?
- A. Expected
- B. Untoward
- C. Idiosyncratic
- D. Hypersensitive
Correct Answer: C
Rationale: An unexpected response to a medication is termed idiosyncratic.
When giving a subcutaneous injection to a very thin patient how does the nurse alter the injection technique?
- A. Using a 23-gauge needle
- B. Spreading the skin before injection
- C. Pinching up the skin and inserting the needle at a 45-degree angle
- D. Injecting the medicine quickly to reduce pain
Correct Answer: C
Rationale: The subcutaneous technique changes when injecting a thin patient. The selection of needles is the same (-in needle of 27 or 28 gauge), the site selection is the same, but the technique changes to pinch up the skin and inject at a 45-degree angle.
What landmarks are used for the administration of an intramuscular injection into the gluteal site?
- A. The tip of the coccyx and the greater trochanter
- B. Between the center of the gluteus and the iliac spine
- C. Between the posterior iliac crest and the greater trochanter
- D. On an imaginary line between the center of the gluteus and the greater trochanter
Correct Answer: C
Rationale: The gluteal site is marked by the greater trochanter and the posterior iliac crest.