Nokea
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.
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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.
A patient is taking an albuterol inhaler as a bronchodilator and a steroid inhaler. You would know more teaching was needed when the patient states
- A. I will wait 5 minutes between using the inhalers.
- B. I will hold the inhalers 1 to 2 inches away from my mouth to use them.
- C. I will use the steroid inhaler first and then the albuterol inhaler.
- D. I will wait 1 full minute between each puff from the inhaler.
Correct Answer: C
Rationale: The bronchodilator (albuterol) should be used first to open airways, followed by the steroid. Other statements are correct.
Why is it necessary to flush a feeding tube with 30 to 60 mL of water before and 20 to 30 mL after administration of medications?
- A. To prevent interactions of medications with the formula in the tube
- B. To give the patient some much-needed fluid intake
- C. To prevent adherence of the drug to the tube
- D. To ensure fluid and electrolyte balance is maintained
- E. To prevent clogging of the tube
Correct Answer: A,C,E
Rationale: Flushing prevents medication interactions with formula (A), adherence to the tube (C), and clogging (E). Fluid intake (B) and electrolyte balance (D) are not primary reasons.
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.
You are preparing to administer a liquid suspension. What must you do first?
- A. Shake the bottle well to mix the medication with the liquid.
- B. Measure the medication and have it checked by another licensed person.
- C. Rotate the bottle carefully between the palms to mix it.
- D. Clean the lid of the bottle with an alcohol swab before opening it.
Correct Answer: A
Rationale: Liquid suspensions settle over time, so shaking the bottle well ensures the medication is evenly distributed before measuring.