NURSING 200
EXAM 2
QUESTIONS AND
ANSWERS
Factors that affect the actions of medications - Answers -- pregnancy
- body fat
- hormone levels
- nutritional consumption
- environmental factors
- psychological factors
TJC unapproved abbreviations - Answers -IU, use of trailing zero, microgram, HS
components of medication orders - Answers -- generic/trade name
- dosage with units
- route
- frequency
- reason if PRN
- patient's name
- date and time entered
- provider's signature & client's hospital identifying info
do not crush meds - Answers -XR/ER: extended release
CD: controlled delivery
CR: controlled release
EC: enteric coated
XL: extended length
SR: sustained release
intramuscular injection - Answers -onset of action is slower than IV with predictable rate
of absorption
, 20-22 gauge, 3 mL syringe max, 1 inch needle or longer
3 sites;
- deltoid: 3-5 cm below acromion process
- vastus lateralis: below greater trochanter, above lateral femoral condyle
- ventrogluteal: place palm on greater trochanter on opposite site for patient(left hand on
right hip and vice versa), align pointer finger with anterior superior iliac crest; space
between pointer and middle finger is injection site
subcutaneous injection - Answers -small gauge(25), 1 mL syringe max, 3/8-5/8 inch
needle
- multiple sites: anywhere with fat(back of arm, stomach, anterior thighs)
- slower than IM administration
intradermal injections - Answers -good for allergies(injected into the dermis; reduced
blood supply and slow absorption), 25-27 gauge
- 0.1 mL max volume
- insert at 15 degree angle with bevel up to form bleb
*for TB tests, induration(palpable like a mosquito bite) may indicate a positive result
administering eye drops - Answers -- put client in a comfortable position(usually lying
down)
- clean eyelid and eyelashes
- tell client to look up and approach from the side
- hold solution 1-2cm above the lower conjunctival sac
- place nondominant thumb over the client's cheekbone and gently pull the skin toward
the cheek
- instruct client to close their eye but not squeeze their eye shut
- press firmly on nasolacrimal duct for at least 30 seconds to prevent medication run out
administering ear drops - Answers -- clean the pinna of the ear and the meatus of the
ear canal(using clean washcloth or gauze)
- warm medication in hands or warm water prior to administration
- partially fill ear dropper with medication
- pull pinna upwards and backwards for clients over 4 years of age
- press gently but firmly a few times on the tragus of the ear
- lie on side for 5 minutes, afterwards, loosely insert piece of cotton for 15-20 mins after
how to give vaginal suppository - Answers -- ask client to void
- client should be in back-lying position with the knees flexed and the hips rotated
laterally
- clean perineal area prior to administration
- lubricate the rounded(smooth end of the suppository) and your gloved index finger
- expose vaginal orifice by separating the labia with your nondominant hand
- insert suppository about 8-10 cm along posterior wall of vagina
- ask client to remain lying in supine position for 5-10 minutes after insertion(hips may
also be elevated on a pillow)
EXAM 2
QUESTIONS AND
ANSWERS
Factors that affect the actions of medications - Answers -- pregnancy
- body fat
- hormone levels
- nutritional consumption
- environmental factors
- psychological factors
TJC unapproved abbreviations - Answers -IU, use of trailing zero, microgram, HS
components of medication orders - Answers -- generic/trade name
- dosage with units
- route
- frequency
- reason if PRN
- patient's name
- date and time entered
- provider's signature & client's hospital identifying info
do not crush meds - Answers -XR/ER: extended release
CD: controlled delivery
CR: controlled release
EC: enteric coated
XL: extended length
SR: sustained release
intramuscular injection - Answers -onset of action is slower than IV with predictable rate
of absorption
, 20-22 gauge, 3 mL syringe max, 1 inch needle or longer
3 sites;
- deltoid: 3-5 cm below acromion process
- vastus lateralis: below greater trochanter, above lateral femoral condyle
- ventrogluteal: place palm on greater trochanter on opposite site for patient(left hand on
right hip and vice versa), align pointer finger with anterior superior iliac crest; space
between pointer and middle finger is injection site
subcutaneous injection - Answers -small gauge(25), 1 mL syringe max, 3/8-5/8 inch
needle
- multiple sites: anywhere with fat(back of arm, stomach, anterior thighs)
- slower than IM administration
intradermal injections - Answers -good for allergies(injected into the dermis; reduced
blood supply and slow absorption), 25-27 gauge
- 0.1 mL max volume
- insert at 15 degree angle with bevel up to form bleb
*for TB tests, induration(palpable like a mosquito bite) may indicate a positive result
administering eye drops - Answers -- put client in a comfortable position(usually lying
down)
- clean eyelid and eyelashes
- tell client to look up and approach from the side
- hold solution 1-2cm above the lower conjunctival sac
- place nondominant thumb over the client's cheekbone and gently pull the skin toward
the cheek
- instruct client to close their eye but not squeeze their eye shut
- press firmly on nasolacrimal duct for at least 30 seconds to prevent medication run out
administering ear drops - Answers -- clean the pinna of the ear and the meatus of the
ear canal(using clean washcloth or gauze)
- warm medication in hands or warm water prior to administration
- partially fill ear dropper with medication
- pull pinna upwards and backwards for clients over 4 years of age
- press gently but firmly a few times on the tragus of the ear
- lie on side for 5 minutes, afterwards, loosely insert piece of cotton for 15-20 mins after
how to give vaginal suppository - Answers -- ask client to void
- client should be in back-lying position with the knees flexed and the hips rotated
laterally
- clean perineal area prior to administration
- lubricate the rounded(smooth end of the suppository) and your gloved index finger
- expose vaginal orifice by separating the labia with your nondominant hand
- insert suppository about 8-10 cm along posterior wall of vagina
- ask client to remain lying in supine position for 5-10 minutes after insertion(hips may
also be elevated on a pillow)
