Deck 64: Normal Pregnancy

Question 1

The nurse is administering an injectable medication for a client who is unconscious and unable to swallow oral medications. What are other reasons that injectable medications may be ordered? Select all that apply.

A) The medication is more effective by injection.
B) The client needs the desired action to occur slowly.
C) The medication is not available by any other route.
D) The client must obtain the entire dose.
E) The digestive system absorbs the drug too quickly.
F) The client is nauseated or vomiting.

Answer 1

The medication is more effective by injection.
The medication is not available by any other route.
The client must obtain the entire dose.
The client is nauseated or vomiting.

Question 2

The nurse is teaching a student nurse how to draw medications into a syringe. In what part of the syringe would the medications be drawn?

A) Tip
B) Barrel
C) Plunger
D) Needle

Answer 2

Barrel

Question 3

The nurse is choosing the gauge and length of a needle for a subcutaneous injection of ^{vitamin B}12 ^{for a client who has pernicious anemia. Which type of needles would be the} best choice?

A) 25-G, 3/8 in
B) 23-G, 1 in
C) 18-G, 3/8 in
D) 18-G, 2 in

Answer 3

25-G, 3/8 in

Question 4

Which guideline is recommended to prevent needlestick injuries when injecting clients?

A) If using a safety syringe, following an injection, the nurse should push in the sheath and twist until it clicks.
B) If using a safety syringe with an articulated type sheath, following an injection the nurse should use the thumb to push the sheath over the needle.
C) If using a safety syringe, the nurse should recap the needle using the "scoop method" in which the fingers do not touch the needle.
D) If a safety syringe is not available, the needle can be injected into a special cap, the Point-Loc device, which locks the tip of the needle in place.

Question 5

A nurse injecting a client diagnosed with HIV/AIDS is accidentally stuck with the needle. What action is included in the protocol when this type of incident occurs?

A) The employer must be notified in writing within 3 days.
B) An incident report must be filed immediately.
C) The nurse must receive treatment for the infection within 1 week.
D) Blood tests for the nurse should be repeated in 3 months.

Question 6

The nurse is giving an IM corticosteroid injection to a client with rheumatoid arthritis. What type of syringe and needle would the nurse use for this injection?

A) 2- to 3-mL syringe with 1- to 2-in needle
B) 1-mL tuberculin syringe with 3/8-in bevel
C) ^{2- to 3-mL syringe with 1- to 11/}2^{-in needle}
D) 1- to 2-mL syringe with 3/8- to 1-in needle

Question 7

A nurse is preparing to administer medication is packaged in an ampule. What should the nurse do with the unused portion of the medication?

A) Prepare a second injection for the second use.
B) Cap the ampule and keep refrigerated for the next injection.
C) Label the ampule with client ID and place in medication cart.
D) Discard any unused portion of the lidocaine in the ampule.

Question 8

The nurse is preparing a syringe using medication from a vial. Which guideline is recommended for this procedure?

A) Remove the cover from the vial and clean with soapy water.
B) Draw an amount of air into the syringe equal to medication needed.
C) Insert needle through side of stopper and draw medication into the barrel.
D) Pull back on the syringe's plunger and fill the barrel completely with the medication.

Question 9

The nurse is administering a tuberculin test (PPD skin test) to a client. What method of injection should the nurse use for this type of testing?

A) Intradermal
B) Subcutaneous
C) Intramuscular
D) Intravenous

Question 10

What guidelines should the nurse follow when performing an allergy skin test?

A) Choose an injection site that is taut and heavily pigmented.
B) Withdraw the needle at the same angle at which it was inserted.
C) Place the needle, bevel down, on the skin surface at about a 45-degree angle.
D) Ask the client to rub the insertion site after withdrawing the needle.

Question 11

A client is ordered heparin following open heart surgery. What method would the nurse use to administer this medication?

A) Intradermal
B) Subcutaneous
C) Intramuscular
D) Intravenous

Question 12

A nurse is administering an IM injection of diphtheria-tetanus with pertussis (DTaP) to a 4-month-old infant. What would be the appropriate site for this injection?

A) Dorsal gluteal
B) Ventrogluteal
C) Deltoid
D) Vastus lateralis

Question 13

The nurse is administering an iron medication to a client via the Z-track method. Which guidelines/steps are recommended for this procedure? Select all that apply.

A) Use the Z-track method only in the deltoid site.
B) Pinch the skin of the injection site to raise the site.
C) Insert the needle, aspirate, and inject the medication.
D) Quickly remove the needle after injecting the medication.
E) Do not massage the injection site.
F) Allow the skin to return to its original position slowly, while removing the needle.

Question 14

Which client would be the best candidate for the insertion of a peripherally placed catheter?

A) A client who is receiving chemotherapy infusions for breast cancer
B) An unconscious client receiving TPN for the past 2 weeks
C) A client who is receiving fluids postoperatively
D) A client with end stage lung cancer who is receiving morphine for pain

Question 15

The nurse is explaining to the student nurse the purposes of IV administration. Which descriptions of this procedure are accurate? Select all that apply.

A) A primary infusion consists of one IV line plus a smaller bag.
B) In tandem infusion, the smaller bag is connected at the same level as the primary bag.
C) In nearly all cases, IV solutions are supplied in glass bottles.
D) Medications are absorbed more rapidly via the IV route than any other route.
E) Large quantities of a solution may be given IV by way of an infusion.
F) If blood is administered via IV, the procedure is referred to as a blood infusion.

Question 16

The nurse is preparing to administer an IV infusion to a client. Which step is recommended in this procedure?

A) Place the client in a side-lying position.
B) Invert the bag and spike it with the IV tubing.
C) Prime the tubing and squeeze the drip chamber until it is full of IV fluid.
D) When blood enters the venous access device, advance the needle to half its length.

Question 17

A nurse at a rehabilitation center is required to administer medications to clients via enteral and parenteral routes. Which should the nurse be aware of with reference to enteral and parenteral administration?

A) Parenteral administration means medication administration through the digestive tract.
B) Intradermal indicates an enteral method of medication administration.
C) Absorption rate of oral medications given via the enteral method is rapid.
D) Among parenteral injections, intravenous medications are most rapidly absorbed.

Question 18

A nurse is administering medication to a client using an intravenous (IV) infusion. What considerations should be kept in mind when using infusion pumps?

A) Infusion pumps use gravity to maintain the flow of IV fluids at a preset rate.
B) Infusion pumps are used in clients with kidney disease to prevent fluid overload.
C) Infusion pumps automatically regulate the rate and amount of IV fluid.
D) Infusion pumps do not pump fluids when the catheter is displaced from the vein.

Question 19

The nurse who is monitoring an IV site for a client receiving normal saline watches out for the signs and symptoms of infiltration. Which is a sign of this adverse condition?

A) Swelling
B) Skin hot to the touch
C) Feeling of softness in the area
D) No fluid evident around the catheter

Question 20

Which medication would not be delivered via patient-controlled analgesia (PCA) or portable pump?

A) Morphine
B) Fentanyl
C) Insulin
D) Vancomycin

Question 21

The nurse is ordered to infuse 1,000 mL of normal saline in 8 hours. What would the nurse calculate to be the number of drops to be delivered per minute?

A) 75
B) 100
C) 125
D) 150

Question 22

What is a recommended guideline when caring for the client receiving IV therapy?

A) If signs of infiltration exist, remove the device and use a new IV setup.
B) Be sure to replace IV bags before they are totally empty.
C) Irrigate the IV to determine patency.
D) Write on an IV bags with a felt tip marker or pen to label the date/time.

Question 23

A nurse is caring for several clients receiving fluids through central venous catheters. For which client could a Broviac-tunneled central venous catheter be used?

A) A client who needs a blood transfusion
B) A client who needs a saline infusion
C) A client who needs TPN
D) A client who is receiving CPN

Question 24

A nurse is caring for a client diagnosed with pancreatic disease. The client is receiving total parenteral nutrition (TPN) to help maintain adequate levels of carbohydrates, proteins, fats, vitamins, minerals, water, and electrolytes. Which measure should the nurse follow when providing TPN?

A) Perform insertion of a central line under aseptic conditions.
B) Check the client's vital signs for evidence of developing infection.
C) Avoid folding the tape over when securing the catheter.
D) Measure the blood glucose level at the end of the day.

Question 25

The nurse is converting a client's continuous IV infusion to a saline lock. Which guideline is recommended for this procedure?

A) Stop the infusion and unclamp the tube to allow air to flow out of the line.
B) Replace the primary IV tubing with a PICC line.
C) Flush the lock with 2 to 3 mL of heparin every 4 hours to prevent clogging.
D) Flush the lock with 2 to 3 mL of saline every 8 hours or as ordered.

Question 26

A client diagnosed with pneumonia has been prescribed an antibiotic that is to be administered rapidly. The client is also at risk for fluid overload. Which IV device would most likely be used for this client?

A) IV piggyback (IVPB)
B) Volume-controlled infusion
C) IV bolus
D) Saline lock

Question 27

The nurse is performing venipuncture on a client to obtain blood for ordered tests. Which guideline is recommended for this procedure?

A) Apply the tourniquet about 4 to 6 in above the proposed site.
B) Check for the presence of an apical pulse and locate a peripheral vein.
C) Ask the client to open and close the fist, ending with an open fist.
D) If a vein is difficult to access, raise the arm above the level of the heart.