Melissa's Exam 2 Quiz

Before the nurse administers a liquid medication to an 83-year old male patient, the nurse should FIRST:

• Assess the swallowing reflex by offering a sip of water

• Ask the patient if he would prefer to give the medication to himself

• Mix thoroughly in applesauce or pudding

• Mark medication administration was "refused"

Answer explanation

b. ask the patient if he would prefer to give medication to himself -- that's nice but not the most correct answer (not the most IMPORTANT thing nurse should do. Maybe with a school-aged child)

c. Mix thoroughly in applesauce or pudding-- Assuming patient can't swallow or has trouble. Patient could be offended. Should never assume elderly are incapable

d. Mark medication administration as refused-- inappropriate

TRUE OR FALSE:

IF A PATIENT SWALLOWS SL MED IT DOES NOT EFFECT THE ABSORPTION

Answer explanation

Swallowing a SL mediation will alter the absorption of the drug. SL will not longer be effective!

When should the licensed nurse who is responsible​ for doing the narcotic count for the shift, count the medications?​

• When nurse is alone so she can concentrate

• when the CNA is available

• With another nurse on the same shift

• With a nurse COMING ON duty for the next shift

Answer explanation

Ch 34, p. 66

Reorder the following

• Check that medication is labeled "ophthalmic"

• Have patient tilt head slightly backward

• After administering drops, apply slight pressure over the lacrimal duct

• Have patient sit or recline

• Use a tissue covered finger to pull down conjunctival sac gently

Answer explanation

Ch 34, p. 674 (skills box)

a patient should ​ (a)   when taking a MDI with a spacer​

• sit/stand up
• lie down

Answer explanation

Ch 34 p. 676

The nurse should ____the cannister of an inhaler to mix medication

Answer explanation

Ch 34 p 676

MDI with spacer:

The patient needs to hold breath for at least __ seconds after inhaling the medication

Answer explanation

Ch 34 p 676

Select the spacer

Answer explanation

How should patient use this device?

Place mouthpiece of chamber in mouth between teeth and seal lips around it. Completely exhale from nose

Which of these positions makes it easier to insert a rectal suppository?

• 
• 
• 

Answer explanation

ch 34 p. 678

What are some ways we can help a patient swallow an enteric pill better?

Answer explanation

Fundamental Ch 34 p 669

• Difficulty swallowing- change to liquid form;

  • Take a sip of water, then swallow, another sip;

  • Place pill towards back of tongue;

  • Large sip of water, place tongue roof of mouth, chin tilted slightly downward, swallow, with more water