Solutions - Chapter 35 - Kozier Erb's Fundamentals Nursing - 10 Ed

 

10TYK. A nursing student is preparing to administer insulin to a client with diabetes. Indicate the correct order for the administration of this medication:
1.  Cleanse the site with alcohol.
2.  Insert the needle quickly into the subcutaneous tissue.
3.  Mix the insulins.
4.  Assess the skin for the injection.
5.  Pinch the skin lightly.
6.  Inject the medication.
7.  Count to five.
8.  Remove the syringe.
Correct sequence: 
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1CTC. Mr. Ketron is a 20-year-old client who just returned to the nursing unit from surgery after undergoing an emergency appendectomy. He is awake and complaining of mild incisional pain. His dressing is dry and intact, and he has an intravenous infusion of lactated Ringer’s solution running at 125 mL/h. He is to receive Ancef (a cephalosporin antibiotic) 1 g intravenously every 4 hours until he is able to tolerate fluids at which time he will be placed on oral Suprax (cefixime) 200 mg twice daily until discharged and for 1 week after returning home. He also has an order for morphine sulfate 2.5 mg to be given every 4 hours IVP as necessary for pain.
It Is always possible that a person receiving antibiotic drugs may experience side effects or an allergic reaction. How does an allergic reaction differ from a drug side effect?
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1TYK. A client tells the nurse, “This pill is a different color than the one that I usually take at home.” Which is the best response by the nurse?
1.  “Go ahead and take your medicine.”
2.  "I will recheck your medication orders.”
3.  “Maybe the doctor ordered a different medication.”
4.  “I’ll leave the pill here while I check with the doctor."
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2TYK. A client tells the nurse, “This pill is a different color than the one that I usually take at home.” Which is the best response by the nurse?
1.  “Go ahead and take your medicine.”
2.  "I will recheck your medication orders.”
3.  “Maybe the doctor ordered a different medication.”
4.  “I’ll leave the pill here while I check with the doctor."
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3CTC. Mr. Ketron is a 20-year-old client who just returned to the nursing unit from surgery after undergoing an emergency appendectomy. He is awake and complaining of mild incisional pain. His dressing is dry and intact, and he has an intravenous infusion of lactated Ringer’s solution running at 125 mL/h. He is to receive Ancef (a cephalosporin antibiotic) 1 g intravenously every 4 hours until he is able to tolerate fluids at which time he will be placed on oral Suprax (cefixime) 200 mg twice daily until discharged and for 1 week after returning home. He also has an order for morphine sulfate 2.5 mg to be given every 4 hours IVP as necessary for pain.
Mr. Ketron is complaining of pain and you have prepared his morphine. What assessments will you make before a pain morphine?
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3TYK. The primary care provider prescribed 5 mL of a medication to be given deep intramuscular for a 40-year-old female who is 57" tall and weighs 135 pounds. Which is the most appropriate equipment for the nurse to use? Select all that apply.
1. Two 3-mL syringes
2.  One 5-mL syringe
3.  A #20-#23 gauge needle
4.  A 1-inch needle
5.  A 1 1/2-inch needle
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4CTC. Mr. Ketron is a 20-year-old client who just returned to the nursing unit from surgery after undergoing an emergency appendectomy. He is awake and complaining of mild incisional pain. His dressing is dry and intact, and he has an intravenous infusion of lactated Ringer’s solution running at 125 mL/h. He is to receive Ancef (a cephalosporin antibiotic) 1 g intravenously every 4 hours until he is able to tolerate fluids at which time he will be placed on oral Suprax (cefixime) 200 mg twice daily until discharged and for 1 week after returning home. He also has an order for morphine sulfate 2.5 mg to be given every 4 hours IVP as necessary for pain.
What precautions should you take, if any, prior to administer Mr. Ketron’s intravenous antibiotic medication?
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4TYK. The nurse is to administer 0.75 mL of medication subcutaneously in the upper arm to a 300-pound adult client. The nurse can grasp approximately 2 inches of the client’s tissue at the upper arm. Which is the most appropriate for the nurse to use?
1.  A tuberculin syringe, #25-#27 gauge, 1/4-to 5/8-inch needle
2.  Two 3-mL syringes, #20-#23 gauge, 1 1/2-inch needle
3.  2-mL syringe, #25 gauge, 5/8-inch needle
4.  2-mL syringe, #20-#23 gauge, 1-inch needle
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5CTC. Mr. Ketron is a 20-year-old client who just returned to the nursing unit from surgery after undergoing an emergency appendectomy. He is awake and complaining of mild incisional pain. His dressing is dry and intact, and he has an intravenous infusion of lactated Ringer’s solution running at 125 mL/h. He is to receive Ancef (a cephalosporin antibiotic) 1 g intravenously every 4 hours until he is able to tolerate fluids at which time he will be placed on oral Suprax (cefixime) 200 mg twice daily until discharged and for 1 week after returning home. He also has an order for morphine sulfate 2.5 mg to be given every 4 hours I VP as necessary for pain.
Mr. Ketron will be placed on the oral antibiotic when he can ate food and oral fluids. What difference, if any, does It make is this drug is given before or after meals?
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6TYK. Mr. Ketron is a 20-year-old client who just returned to the nursing unit from surgery after undergoing an emergency appendectomy. He is awake and complaining of mild incisional pain. His dressing is dry and intact, and he has an intravenous infusion of lactated Ringer’s solution running at 125 mL/h. He is to receive Ancef (a cephalosporin antibiotic) 1 g intravenously every 4 hours until he is able to tolerate fluids at which time he will be placed on oral Suprax (cefixime) 200 mg twice daily until discharged and for 1 week after returning home. He also has an order for morphine sulfate 2.5 mg to be given every 4 hours I VP as necessary for pain.
Mr. Ketron will be placed on the oral antibiotic when he can ate food and oral fluids. What difference, if any, does It make is this drug is given before or after meals?
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7TYK. Mr. Ketron is a 20-year-old client who just returned to the nursing unit from surgery after undergoing an emergency appendectomy. He is awake and complaining of mild incisional pain. His dressing is dry and intact, and he has an intravenous infusion of lactated Ringer’s solution running at 125 mL/h. He is to receive Ancef (a cephalosporin antibiotic) 1 g intravenously every 4 hours until he is able to tolerate fluids at which time he will be placed on oral Suprax (cefixime) 200 mg twice daily until discharged and for 1 week after returning home. He also has an order for morphine sulfate 2.5 mg to be given every 4 hours I VP as necessary for pain.
Mr. Ketron will be placed on the oral antibiotic when he can ate food and oral fluids. What difference, if any, does It make is this drug is given before or after meals?
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8TYK. Mr. Ketron is a 20-year-old client who just returned to the nursing unit from surgery after undergoing an emergency appendectomy. He is awake and complaining of mild incisional pain. His dressing is dry and intact, and he has an intravenous infusion of lactated Ringer’s solution running at 125 mL/h. He is to receive Ancef (a cephalosporin antibiotic) 1 g intravenously every 4 hours until he is able to tolerate fluids at which time he will be placed on oral Suprax (cefixime) 200 mg twice daily until discharged and for 1 week after returning home. He also has an order for morphine sulfate 2.5 mg to be given every 4 hours I VP as necessary for pain.
Mr. Ketron will be placed on the oral antibiotic when he can ate food and oral fluids. What difference, if any, does It make is this drug is given before or after meals?
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9TYK. A primary care provider writes a prescription for 0.15 milligram of digoxin intravenously every day. The medication is available in a concentration of 400 micrograms per mL. How many mL will the nurse administer?
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Solutions - Chapter U10 - Kozier Erb's Fundamentals Nursing - 10 Ed

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