Nokea
When you are administering medications to elderly patients, which assessments will you make?
- A. Take a full set of vital signs before administering any medications.
- B. Monitor for increased neurological side effects, toxicity symptoms, and undesired effects frequently.
- C. Assess lung sounds and bowel sounds before administering any medications.
- D. Assess liver and kidney function tests for toxic effects of medications.
- E. Monitor for possible interactions of prescribed and over-the-counter medicines and supplements.
Correct Answer: B,D,E
Rationale: Elderly patients are prone to side effects and toxicity (B), require monitoring of liver/kidney function (D), and are at risk for drug interactions (E). Vital signs (A) and lung/bowel sounds (C) are not universally required.
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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.
Prefilled vaginal applicators are generally used for
- A. The treatment of localized yeast infections.
- B. The treatment of systemic yeast infections.
- C. The treatment of vaginitis.
- D. The treatment of septicemia.
- E. Contraception when containing a spermicide.
Correct Answer: A,C,E
Rationale: Vaginal applicators treat localized yeast infections (A), vaginitis (C), and provide contraception with spermicides (E). Systemic infections (B) and septicemia (D) require systemic treatments.
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.
A patient has an order for silver sulfadiazine (Silvadene) cream to be applied liberally to a burn on the forearm. How will you administer this medication?
- A. Use a tongue depressor to apply a thick coat of medication to the arm.
- B. Use a cotton-tipped applicator to apply a thin covering of medication to the arm.
- C. Place the tip of the medication tube against the burn and squeeze the tube until the burn is covered with the medication.
- D. Apply a thin coat of medication onto a gauze 4x4 and place it over the burn.
Correct Answer: A
Rationale: Silver sulfadiazine is applied liberally in a thick layer using a sterile tool like a tongue depressor to promote healing and prevent infection.
Which is not a form of oral medications?
- A. Tablets
- B. Creams
- C. Capsules
- D. Liquids
Correct Answer: B
Rationale: Creams are topical medications applied to the skin or mucous membranes, not taken orally. Tablets, capsules, and liquids are all forms of oral medications.