Herzing University NSG 223 Med Surg II Final Exam
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1. A nurse instructs a client to close the eyes gently after
administration of eyedrops. Which rationale for this
instruction should the nurse explain to the client? -
Answer-3 - Disperses the medication over the eyeballs :
Closing the eyes moves the medication over the
conjunctiva an eyeball and helps ensure an even
distribution of medication
1. A nurse is preparing to reconstitute a medication in a
multiple dose vial. Which is the most essential step in the
preparation of this medication? - Answer-- 1 - instilling an
accurate amount of dilutant into the vial : The required
amount of the dilutant must be followed exactly in a
multiple dose formulation to ensure accurate dosage
preparation. The diluted for a single dose formulation also
must be measured exactly so the medication is diluted
enough not to injure body tissues.
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- Answer-- 4 - 90 degree angle of insertion : 1/2 inch
length needle inserted at 90 degree angle will ensure that
the heparin is inserted into the subcutaneous tissue.
1. A home care nurse observes the spouse of a client
inserting a rectal Suppository into the client. Which
behavior indicates that the nurse must provide further
teaching about the Suppository administration? - Answer--
3 - insert the Suppository while the client bears down :
Bearing down increases intra- abdominal pressure which
impedes the insertion of the Suppository. The client should
be instructed to relax and breathe deeply and slowly while
the Suppository is inserted.
1. A Primary Health care provider prescribes a medication
that must be administered via intramuscular route Which
side should the nurse eliminate from consideration
because it has the highest potential for injury when
administering an intramuscular injection? - Answer-- 4 -
dorsogluteal : The dorsogluteal site has the highest risk for
injury because of the close proximity or the sciatic Nerve,
blood vessel, and bone.
1. Which information about the parenteral medication
indicates that the nurse should use a filtered needle when
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preparing the medication? - Answer-- 2 - is supplied in an
ampule : The top of an ampule must be snapped off at its
neck to access the fluid. A filtered needle prevents glass
particles from being drawn into the syringe.
1. What should the nurse use when administering a
subcutaneous injection? - Answer-- 2 - 25 gauge needle :
Subcutaneous injection should use a 25 to a 29 gauge
needle, which minimizes tissue trauma. The diameter of
the needle is referred to as a gauge which ranges from 28
(small) to 14 (large).
1. When the nurse brings a pill to a client, the client is
unable to hold the paper Cup with the medication. Which
should the nurse do? - Answer-- 1 - use the Cup to
introduce the pill to the client's mouth : The client needs
assistance. Keeping medication in the Cup, rather than
touching it with the hands, maintains medical asepsis.
1. Which route is inappropriate for a topical medication? -
Answer-1 - intradermal : In intradermal injection is inserted
below, not on top of, the epidermis