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.
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What action is most important to minimize tissue damage when administering subcutaneous heparin?
- A. Insert the needle at the appropriate angle
- B. Select the needle length based on the patient's weight
- C. Ensure that there is no hair on the injection site
- D. Rotate the injection site regularly
Correct Answer: D
Rationale: The nurse should rotate the injection sites to minimize the damage caused to the tissue. Inserting the needle at the proper angle and selecting the needle length based on the patient's weight will not significantly help in minimizing tissue damage if the same site is repeatedly injected. It is not necessary to avoid injection sites that have hair as long as the drug is administered in the upper arms, the upper abdomen, and the upper back.
How many times should the student compare the drug label with the MAR when preparing an oral drug for administration?
- A. 2
- B. 3
- C. 4
- D. 5
Correct Answer: B
Rationale: The proper procedure is to compare the drug label with the MAR three times: (a) when the drug is taken from its storage area, (b) immediately before removing the drug from the container, and (c) before administering the drug to the patient.
At what angle should the nurse insert the needle for an intradermal injection?
- A. 15 degrees
- B. 30 degrees
- C. 45 degrees
- D. 90 degrees
Correct Answer: A
Rationale: When giving an intradermal injection, the needle is inserted bevel up at a 15-degree angle. The nurse would insert the needle at a 90-degree angle for an intramuscular injection or for a patient who is obese and requires a subcutaneous injection. Typically a subcutaneous injection is given at a 45-degree angle.
When ensuring the right drug is being administered, what should the nurse compare? Select all that apply.
- A. Medication
- B. Container label
- C. Medication record
- D. MAR
- E. Nursing notes
Correct Answer: A,B,C,D
Rationale: The nurse compares the medication, container label, and medication record and then the MAR as the item is removed from the cart and before the actual administration of the drug.
A nurse's responsibility when a drug is prescribed for a client includes which of the following? Select all that apply.
- A. Administering the drug to the client
- B. Monitoring for therapeutic response
- C. Checking for drug?drug interactions
- D. Reporting adverse reactions
- E. Teaching the client information needed to administer drugs safely at home
Correct Answer: A,B,D,E
Rationale: When a drug is prescribed to a client, the nurse is responsible for the administration of the drug, monitoring for therapeutic effects, reporting adverse drug reactions, and teaching the client information needed to administer the drug safely at home. A pharmacist checks for drug?drug interactions prior to dispensing a drug for administration.
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