Nokea
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.
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When a patient comes into the emergency department with a narcotic overdose the nurse anticipates that the patient will be treated with Narcan. What drug classification is Narcan?
- A. Enhancer
- B. Substitute
- C. Control
- D. Antagonist
Correct Answer: D
Rationale: An antagonist is a drug that will block the action of another drug, such as Narcan with Demerol.
A 150-lb man is to receive a medication based on milligrams/kilograms. He is to receive 1 mg/kg. What dosage should the nurse administer?
- A. 50 mg
- B. 68 mg
- C. 75 mg
- D. 80 mg
Correct Answer: B
Rationale: 2.2 lb equals 1 kg.
What should the nurse do with an injection of 2 mL of Demerol that the patient has refused?
- A. Independently waste the drug in a secure place.
- B. Record in the narcotic log that the drug was wasted.
- C. Chart in the patient's record the reason the medication was refused.
- D. Get any staff member to sign the narcotic log as witness to the drug being wasted.
- E. Confirm the count is correct on the narcotic log.
Correct Answer: B,C,E
Rationale: When a controlled substance is wasted, the actual wasting must be witnessed by a licensed person, the narcotic log must be signed by both the nurse wasting the drug and the witness, and the narcotic count is confirmed by both people.
The medication order reads "Ibuprofen 600 mg PO tid." The bottle is labeled "Ibuprofen 200 mg/tab." How many tablets should the nurse administer?
- A. 1
- B. 2
- C. 3
- D. 6
Correct Answer: C
Rationale: Desired dose over available dose times the unit. The unit is what the available dose is contained in.
Tylenol gr V is ordered. The available tablet is 0.3 g. What dosage should the nurse administer?
- A. 1 tablet
- B. 1.5 tablets
- C. 0.5 tablet
- D. 2 tablets
Correct Answer: A
Rationale: Gram to grain, multiply by 15, (0.3 ? 15 = 4.5 grains).