NS 510 - Exam 1 TA Review

Medication Administration

The nurse is preparing to administer medication with the following order: 'Diphenhydramine 250 mg daily.' What should the nurse do?

• Verify the order with the provide
• Administer the medication by mouth
• Administer the medication as it was given last time
• Ask the client how this medication is usually given

A nurse is teaching a student about the six rights of medication administration. Which identifiers are most appropriate to determine the “right patient?” select all that apply

• Date of birth (DOB)
• Family member identifying patient
• Patient’s room number
• Medical Record Number (MRN)
• Patient name

Which teaching point should the nurse provide when administering an enteric-coated oral tablet to a client?

• "Swallow the tablet whole."
• "Chew the tablet before swallowing."
• "Break the tablet in half before swallowing."
• "Allow the tablet to be absorbed under the tongue."

A nurse explains to a client that they are due for their morning medications. The client says, “Leave them on my bedside table, I will take them when I am ready.” What is the most appropriate action for the nurse to do?

• Leave the medications and check on the patient in 15 minutes
• Watch the client take the medication
• Leave the medications with the client’s partner who is in the room
• Hold the medication until later in the day when the client is ready

The nurse teaches a client how to take a sublingual nitroglycerin tablet. Which statement by the client best demonstrates an understanding of the teaching?

• “I will swallow the tablet whole”
• “I will put the tablet inside my cheek.”
• “I will put the tablet under my tongue.”
• “I will chew the tablet”

What is the appropriate way to administer ear drops to a 2-year-old child with otitis media?

• Pull the auricle down and back
• Pull the auricle upward and forward
• Sit the child up for 2-3 min after instilling drops
• Place the child in the prone position

A nurse is completing discharge teaching for a client who has a new prescription for transdermal patches. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

• “I will clean the site with an alcohol swab before I apply the patch.”
• “I will rotate the application sites weekly.
• “I will apply the patch to an area of skin with no hair.”
• “I will place the new patch on the site of the old patch.”

Neuro

A nurse is teaching the community about the differences between dementia and delirium. Which of the following should be included in the presentation?

• Dementia has a sudden onset while delirium is slow and progressive.
• Delirium is chronic while dementia is acute and curable.
• Dementia is associated with hospitalizations and procedures while delirium is associated with neurodegenerative processes including Alzheimer's Disease.
• Delirium has an inconsistent course that can fluctuate while dementia is typically a slow, steady decline in functioning.