ANSWERS GRADED A+
A nurse is preparing to administer Xylocaine to a client. The medication is
packaged in an ampule. What should the nurse do with the unused portion of the
Xylocaine?
Discard any unused portion of the Xylocaine in the ampule.
A couple with young children asks the nurse about the factors that contribute to a
strong family unit. What instruction is of the highest priority for the nurse to
provide to the parents?
Participation from both parents in child rearing is important.
Know the differences between enteral and parenteral medication administration.
Enteral - by way of the GI tract, oral, G tube, NG tube, Buccally (inside the cheek),
Sublingual (under the tongue), Po (by mouth)
Parenteral (peripheries) -medication administration in any part of the body other
than the GI tract, vagina, eyes, ears respiratory tract, skin, and by injection
Which hormones are released by the adrenal medulla that mimics the action of the
sympathetic nervous system?
,Epinephrine fight or flight
Norepinephrine
Which pain medication classification would be appropriate for the nurse to
administer to the client with moderate to severe pain?
opioids/ narcotics for moderate to severe pain
non opioids for mild to moderate pain
What condition would lead inadequate erythropoietin production?
End-stage renal disease (ESRD)
AD
Which symptoms of circulatory overload should the nurse carefully monitor the
client during and after a tap water enema is administered?
Elevated blood pressure, bounding pulse, tachycardia, decreased oxygen saturation
Which technique is appropriate for the placement of a urinary catheter prior to
surgery into a client?
Surgical asepsis
, A nurse is explaining cognitive development in children to a client, with the help
of Piaget's theory of cognitive development. What would be the best explanation
by the nurse about the formal operations level of cognitive development?
After age 12, children can think in the abstract including complex problem solving.
The nurse is administering prescribed medication to an elderly client who tells the
nurse that "this is not the color of the pill I normally take." What action should the
nurse take in this situation?
Recheck the medication administration record (MAR), order, and medication prior
to dispensing it.
Many challenges face the older adult client. A client tells the nurse of concerns
about finances since retirement. The client shares difficulties that are being
experienced because of limited financial resources. Based on these data and the
challenges for older people, what data would be most accurate for incorporation of
a discussion about finances for the client?
Most older adults have to adjust to a fixed income.
Which is the correct sequence for bladder training with closed urinary drainage?
Explain procedure and position the client into supine.
Put on disposable gloves and clamp the catheter tubing for 1-2 hours.