NUR 230 Maternal Exam 1 | Galen College of Nursing
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,QUESTIONS AND ANSWERS FROM UNCLEAR SCREENSHOTS
The nurse observes an order for a client to receive furosemide, 20 mg once daily, and records
the specific date and time of the order. What is the appropriate nursing action?
a. Administer the drug.
b. Cosign the order.
c. Show the order to the nurse manager.
d. Call the health care provider for order clarification.
Call the health care provider for order clarification
A nurse is administering a prescribed intramuscular injection to a client by the Z-track method.
Which action ensures that the medicine remains sealed?
a. inserting the needle at a 90-degree angle
b. releasing the displaced skin as soon as the needle is inserted
c. pulling the tissue laterally until the tissue is taut
d. avoiding applying pressure but massaging the injection site pulling the tissue laterally until
the tissue is taut
At what point should the nurse perform the first of the three checks of medication
administration?
a. as the nurse reaches for the drug package or container
b. after retrieving the drug from the drawer of a drug cart
c. at the beginning of a shift
d. when reviewing the client’s medication administration record (MAR) as the nurse reaches for
the drug package or container
The nurse is preparing to instill eye medication for a client with bacterial conjunctivitis. Which
intervention will the nurse include? Select all that apply.
a. instructing the client to keep eyes open while the drops absorb
b. resting the eyedropper on the inner canthus for stability
c. wiping the eye from the nose to the outer canthus
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, d. donning gloves
e. asking the client to look toward the ceiling wiping the eye from the nose to the outer
canthus asking the client to look toward the ceiling donning gloves
There have been an increase of needlestick injuries in the intensive care unit. When preparing
to address this occurrence in a staff meeting, what should the nurse manager include in an
education presentation to prevent needlestick injuries? Select all that apply.
a. Using needleless adapters for medication administration
b. using self-retracting safety needles
c. recapping all needles after use
d. wearing gloves for performing venipuncture
e. disposing of used needles in biohazard container Using needleless adapters for medication
administration using self-retracting safety needle disposing of used needles in biohazard
container
The nurse is providing education for a client with frequent constipation about the use of
bisacodyl to improve defecation. What statements made by the client indicate that the
teaching is effective? Select all that apply.
a. "I should increase my fluid intake to help with my bowel movements.
b. "It will improve defecation by increasing motility."
c. "Bisacodyl will cause irritation of the intestinal mucosa and increase water in the stool."
d. "This will help add bulk to my stools to ease defecation."
e. "This will help soften the stool but won’t stimulate motility."
"Bisacodyl will cause irritation of the intestinal mucosa and increase water in the stool."
"It will improve defecation by increasing motility."
"I should increase my fluid intake to help with my bowel movements.
Which actions would the nurse perform when administering a subcutaneous injection
correctly? Select all that apply.
a. If blood appears when aspirating, withdraw the needle and reinject it at another site.
b. Remove the needle cap with the dominant hand, pulling it straight off.
c. If using the outer aspect of the upper arm, place the client’s arm over the chest with the
outer area exposed.
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,QUESTIONS AND ANSWERS FROM UNCLEAR SCREENSHOTS
The nurse observes an order for a client to receive furosemide, 20 mg once daily, and records
the specific date and time of the order. What is the appropriate nursing action?
a. Administer the drug.
b. Cosign the order.
c. Show the order to the nurse manager.
d. Call the health care provider for order clarification.
Call the health care provider for order clarification
A nurse is administering a prescribed intramuscular injection to a client by the Z-track method.
Which action ensures that the medicine remains sealed?
a. inserting the needle at a 90-degree angle
b. releasing the displaced skin as soon as the needle is inserted
c. pulling the tissue laterally until the tissue is taut
d. avoiding applying pressure but massaging the injection site pulling the tissue laterally until
the tissue is taut
At what point should the nurse perform the first of the three checks of medication
administration?
a. as the nurse reaches for the drug package or container
b. after retrieving the drug from the drawer of a drug cart
c. at the beginning of a shift
d. when reviewing the client’s medication administration record (MAR) as the nurse reaches for
the drug package or container
The nurse is preparing to instill eye medication for a client with bacterial conjunctivitis. Which
intervention will the nurse include? Select all that apply.
a. instructing the client to keep eyes open while the drops absorb
b. resting the eyedropper on the inner canthus for stability
c. wiping the eye from the nose to the outer canthus
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, d. donning gloves
e. asking the client to look toward the ceiling wiping the eye from the nose to the outer
canthus asking the client to look toward the ceiling donning gloves
There have been an increase of needlestick injuries in the intensive care unit. When preparing
to address this occurrence in a staff meeting, what should the nurse manager include in an
education presentation to prevent needlestick injuries? Select all that apply.
a. Using needleless adapters for medication administration
b. using self-retracting safety needles
c. recapping all needles after use
d. wearing gloves for performing venipuncture
e. disposing of used needles in biohazard container Using needleless adapters for medication
administration using self-retracting safety needle disposing of used needles in biohazard
container
The nurse is providing education for a client with frequent constipation about the use of
bisacodyl to improve defecation. What statements made by the client indicate that the
teaching is effective? Select all that apply.
a. "I should increase my fluid intake to help with my bowel movements.
b. "It will improve defecation by increasing motility."
c. "Bisacodyl will cause irritation of the intestinal mucosa and increase water in the stool."
d. "This will help add bulk to my stools to ease defecation."
e. "This will help soften the stool but won’t stimulate motility."
"Bisacodyl will cause irritation of the intestinal mucosa and increase water in the stool."
"It will improve defecation by increasing motility."
"I should increase my fluid intake to help with my bowel movements.
Which actions would the nurse perform when administering a subcutaneous injection
correctly? Select all that apply.
a. If blood appears when aspirating, withdraw the needle and reinject it at another site.
b. Remove the needle cap with the dominant hand, pulling it straight off.
c. If using the outer aspect of the upper arm, place the client’s arm over the chest with the
outer area exposed.
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