Nokea
What must be included in a primary health care provider's medication order? Select all that apply.
- A. Client's name
- B. Drug name
- C. Dosage form
- D. Route of administration
- E. Frequency of administration
Correct Answer: A,B,C,D,E
Rationale: A primary health care provider's order must include the client's name, the drug name, the dosage form and route, the dosage to be administered, and the frequency of administration.
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What is most important for the nurse to do before giving a drug for the first time?
- A. Obtain the patient's allergy history
- B. Obtain information about the drug
- C. Inquire if the patient has any objections to syringes
- D. Discuss the dosage with other nurses
Correct Answer: A
Rationale: Before giving any drug for the first time, the nurse should ask the patient about any known allergies as well as any family history of allergies. The nurse need not particularly obtain information about the drug as it has been prescribed by the physician, but needs to be aware of the adverse effects it may cause. There is also no need to discuss the dosage with other nurses or to find out if the client has any objections to syringes. However, the nurse should help allay the patient's fears by reassuring him or her about the administration.
When documenting, which abbreviations are appropriate for use in accredited healthcare organizations? Select all that apply.
- A. IU
- B. QD
- C. 0.2 mg
- D. Units
Correct Answer: C,D
Rationale: Always use a leading zero when writing decimals (i.e., 0.2 mg, not .2 mg) and leave off the trailing zero (i.e., 2 mg, not 2.0 mg). Always write out units, international units, and daily; do not use U, IU, or QD.
What gauge needles are appropriate for intradermal injections? Select all that apply.
- A. 26 gauge
- B. 28 gauge
- C. 29 gauge
- D. 25 gauge
- E. 27 gauge
Correct Answer: A,D,E
Rationale: A 1-mL syringe with a 25- to 27-gauge needle that is 1/4 to 5/8 inches long is best suited for intradermal injections.
What site is most appropriate for an IM injection in an 18-month-old toddler?
- A. Dorsogluteal site
- B. Deltoid muscle
- C. Vastus lateralis
- D. Ventrogluteal site
Correct Answer: C
Rationale: The vastus lateralis site is frequently used for infants and small children because it is more developed than the other intramuscular sites such as the dorsogluteal and deltoid muscle. Ventrogluteal sites may be used in children who have been ambulating for more than 2 years.
What types of orders for drug therapy might the nurse expect to find in a client's medical record? Select all that apply.
- A. Standing order
- B. STAT order
- C. Single order
- D. Alternate order
- E. PRN order
Correct Answer: A,B,C,E
Rationale: Common orders given by health care providers for drug therapy include the standing order, the single order, the PRN order, and the STAT order.