QUESTION 2 Which of these statements regarding controlled substances made by the nurse intern reveal

QUESTION 2

  1. Which of these statements regarding controlled substances made by the nurse intern reveals the need for further teaching? Circle all that apply

When controlled medications drop on the floor they should be wasted with a witness present

Controlled substances of deceased people should be flushed in presence of a witness

Controlled substances of deceased people should be flushed in presence of a witness

Patients should be asked to rate their pain 1:10 both prior to and after giving analgesics

It is a DHS rule that med carts must be locked whenever the nurse is not watching them

The cart keys should be hidden in the MAR when the nurse goes to lunch

QUESTION 8

  1. Which of these statements made by the trained medication assistant reveals the need for further teaching? Circle all that apply

It is OK to crush medications in advance when batch prepping them at the station

When a patient has difficulty swallowing, even long acting medicines should be crushed

Suspensions should never be shaken before they are measured

Suspensions can be measured via syringe but should be given to elderly people in a med cup

Pills should never be touched during the preparation phase

Unused (remnant) half tabs of medication should be returned to the bottle for later use

Discarded medications should go into the sharps container

QUESTION 12

  1. Which of these statements made by the student nurse reveals the need for further teaching? Circle all that apply

Reasons for refusals do not need be documented on the MAR Refusal is a basic right

Pills can be hidden in food without MD and guardian consent whenever necessary

Meds may be documented before giving them because they can be circled if refused

Two patient identifiers should also be used in a long term care setting

Unopened insulin, eye drops, vaccines & suppositories should be stored at 35O—46OF

Food may be kept in refrigerators holding medications if it is dated

QUESTION 14

  1. A client who takes Theo-24 (theophylline) for asthma, is experiencing theophylline toxicity Which of these may be a contributing factor? (Select all that apply)

First pass effect

Forgetfulness (double dosing)

Chewing the capsule

Cirrhosis with Gallstones

Taking the medication with food

QUESTION 18

  1. Which of these factors might impair the absorption of and oral medication?

The presence of food in the stomach

Renal insufficiency

Hepatic insufficiency

High serum albumin

QUESTION 20

  1. A malnourished elderly client has a low albumin level What is the implication of this finding? (Select all that apply)

Less protein binding will occur Medication will be more free to bind with target receptors This may cause excessive effects

Blood brain barrier crossover will be impaired Albumin is a lipid More medicine will be needed

Low albumin levels will lead to receptor disintegration, so more medication will be needed

Protein insufficiency can lead to loss of metabolizing enzymes and consequential drug accumulation

Albumin insufficiency signifies impaired absorption Doses will need to be increased

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