Test bank for pharmacology a nursing process approach 7th by kee

Pharmacology A Nursing Process Approach 7th Edition – Kee Pharmacology A Nursing Process Approach 7th Edition – Kee Link download full: https://getbooksolutions.com/download/test-bank-for-pharmacology-anursing-process-approach-7th-by-kee Sample Kee: Pharmacology, 7th Edition Chapter 4: Medication Administration Test Bank MULTIPLE CHOICE The nurse is preparing to administer an intramuscular injection to an infant What is the most accurate site for the nurse to select for this administration? a Ventrogluteal b Vastus lateralis c Dorsogluteal d Deltoid ANS: B The vastus lateralis is the most appropriate site to utilize for an IM injection in an infant DIF: Cognitive Level: Comprehension REF: p 44 TOP: Nursing Process: Intervention/Implementation MSC: CONTENTCATEGORY:PhysiologicalIntegrity:Pharmacologicaland Parenteral Therapies What is an appropriate nursing intervention to use to meet the psychiatric needs of a hospitalized infant? a Move slowly while conducting care b Explain procedures carefully c Use the oral route for medications d Allow the child to express feelings ANS: A The nurse should move slowly and maintain a nonthreatening attitude in order to prevent stranger anxiety from developing in the infant DIF: Cognitive Level: Application REF: p 45 TOP: Nursing Process: Intervention/Implementation MSC: CONTENTCATEGORY:PhysiologicalIntegrity:Pharmacologicaland Parenteral Therapies During administration of eye drops, the nurse should teach the client to prevent systemic absorption of the drug by performing which action? a Use the ointment form of the drug b Apply the drug directly on the cornea c Have the client look straight ahead d Gently press on the lacrimal duct ANS: D Copyright © 2012, 2009, 2006, 2003 by Saunders, an imprint of Elsevier Inc Test Bank 4-2 By applying pressure on the inner canthus of the eye, the medication is less likely to be systemically absorbed DIF: Cognitive Level: Application REF: p 37 TOP: Nursing Process: Intervention/Implementation MSC: CONTENTCATEGORY:PhysiologicalIntegrity:Pharmacologicaland Parenteral Therapies A nurse is preparing to administer a deep IM injection to a client Which site is suited for a deep IM injection? a Abdomen b Dorsogluteal c Deltoid d Vastus lateralis ANS: B The dorsogluteal site is suited for deep IM or Z-track injections DIF: Cognitive Level: Comprehension REF: p 44 TOP: Nursing Process: Intervention/Implementation MSC: CONTENTCATEGORY:PhysiologicalIntegrity:Pharmacologicaland Parenteral Therapies A nurse administers an injection using the Z-track method The nurse instructs the patient that the Z-track technique is designed to accomplish what? a Allow the client to accept at least mL of medication b Prevent medication from leaking into subcutaneous tissue c Decrease the possibility of “self-sticks.” d Take less time to administer ANS: B The Z-track method displaces the tissue during medication injection and replaces the tissue when withdrawn This prevents leaking DIF: Cognitive Level: Comprehension REF: p 44 TOP: Nursing Process: Intervention/Implementation MSC: CONTENTCATEGORY:PhysiologicalIntegrity:Pharmacologicaland Parenteral Therapies A nurse is applying nitroglycerin ointment to a client When applying medication topically, what is the highest priority nursing intervention? a Apply medication liberally b Avoid contact of the medication with the nurse’s skin c Massage the area d Have client apply medication ANS: B Copyright © 2012, 2009, 2006, 2003 by Saunders, an imprint of Elsevier Inc Test Bank 4-3 Because this medication is topically absorbed, contact with the nurse’s skin may cause the nurse to feel the effects of the medication DIF: Cognitive Level: Application REF: p 37 TOP: Nursing Process: Intervention/Implementation MSC: CONTENTCATEGORY:PhysiologicalIntegrity:Pharmacologicaland Parenteral Therapies A nurse prepares to administer an ear medication to a 2-year-old child What is the correct action by the nurse? a Position the child with the ear down on the bed b Pull the ear upward and backward c Put the child in high-Fowler’s position d Pull the ear downward and backward ANS: D This is the correct method for a child younger than years For a child older than years, the ear is pulled up and back DIF: Cognitive Level: Application REF: p 38 TOP: Nursing Process: Intervention/Implementation MSC: CONTENTCATEGORY:PhysiologicalIntegrity:Pharmacologicaland Parenteral Therapies The nurse is teaching the client how to administer a sublingual tablet in the home setting What is the highest priority instruction? a Take nothing by mouth for one hour before taking the medication b Avoid taking fluid with the medication c Gently place the tablet between the teeth and gums d Take the medication with food so as to avoid gastrointestinal irritation ANS: B Food and fluids should be avoided when taking a sublingual tablet to avoid moving the tablet from under the sublingual region DIF: Cognitive Level: Application REF: p 36 TOP: Nursing Process: Intervention/Implementation MSC: CONTENTCATEGORY:PhysiologicalIntegrity:Pharmacologicaland Parenteral Therapies A client has been using his inhaler at home He tells the nurse that “the medication doesn’t seem to work as well as it did.” What should the nurse assess for first? a Tolerance to the medication b Unhealthy drug-seeking behaviors c Physical addiction d Poor tolerance of pain ANS: A Overuse of the medication can lead to the development of tolerance Copyright © 2012, 2009, 2006, 2003 by Saunders, an imprint of Elsevier Inc Test Bank 4-4 DIF: Cognitive Level: Analysis REF: p 40 TOP: Nursing Process: Assessment MSC: CONTENTCATEGORY:PhysiologicalIntegrity:Pharmacologicaland Parenteral Therapies 10 A client with chronic angina is ordered to receive nitroglycerin via patch What is the highest priority nursing action regarding this method of administration? a Cut the patch to provide the correct dose of medication b Use sterile technique when applying the patch c Remove the old patch before applying the new patch d Cover the patch with an airtight dressing after application ANS: C The old patch must be removed before the new patch is applied in order to prevent overdosing the client and also to prevent irritation to the skin DIF: Cognitive Level: Application REF: pp 36-37 TOP: Nursing Process: Intervention/Implementation MSC: CONTENTCATEGORY:PhysiologicalIntegrity:Pharmacologicaland Parenteral Therapies 11 A nurse is administering an intradermal PPD to test for client exposure to the tuberculosis bacterium Which method is the correct one for administering this injection? a Use a 5-degree angle to insert a 20-gauge needle b Use a 10-degree angle to insert a 25-gauge needle c Use a 45-degree angle to insert a 26-gauge needle d Use a 90-degree angle to insert an 18gauge needle ANS: B This is the correct procedure for an intradermal injection DIF: Cognitive Level: Analysis REF: p 41 TOP: Nursing Process: Intervention/Implementation MSC: CONTENTCATEGORY:PhysiologicalIntegrity:Pharmacologicaland Parenteral Therapies 12 A client returns to the nursing unit from conscious sedation after having a fracture set and placed in a cast The client expresses pain hours after the procedure The choice of medication and route will be based on which information? a The client should not receive pain medication because of his previous sedation The client will need to void before receiving any pain medication in order to avoid urinary retention The client should receive intravenous medication only for pain because of the operative procedure The client’s ability to swallow should be evaluated before he or she receives oral medication Copyright © 2012, 2009, 2006, 2003 by Saunders, an imprint of Elsevier Inc Test Bank 4-5 ANS: D Before providing oral medication, it is essential for the nurse to evaluate the client’s level of consciousness and ability to swallow DIF: Cognitive Level: Analysis REF: p 36 TOP: Nursing Process: Analysis MSC: CONTENTCATEGORY:PhysiologicalIntegrity:Pharmacologicaland Parenteral Therapies 13 The nurse is preparing to administer a subcutaneous injection of morphine sulfate (MSO4) to a client The client’s height, weight, and muscle mass are within normal limits What are the appropriate needle size and angle for this injection? a 27-gauge needle, 10-degree angle b 20-gauge needle, 90-degree angle c 23-gauge needle, 20-degree angle d 25-gauge needle, 45degree angle ANS: D This is the correct angle and size for a subcutaneous injection DIF: Cognitive Level: Application REF: pp 41-42 TOP: Nursing Process: Intervention MSC: CONTENTCATEGORY:PhysiologicalIntegrity:Pharmacologicaland Parenteral Therapies MULTIPLE RESPONSE The nurse is preparing to administer an ointment to the client’s eye and is gathering the needed supplies What supplies are needed to complete this task? (Select all that apply.) a Clean gloves b Medication ointment c Sterile gauze d Sterile gloves e 30-mL syringe f 5-mLsyringe g Tissues ANS: A, B, C, G Although the eyes are considered sterile, clean gloves are all that are needed, and care should be taken to keep the medication sterile The syringes are not needed The sterile gauze is needed in case the eye must be touched The tissues allow for removal of excess medication