Fundamental Nursing 2

Fundamental Nursing 2

Total Questions : 25

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Question 1: View

Directions: Refer to the diagram of the syringe provided to answer the following question The nurse needs to withdraw 0.65 mL of medication into a syringe. The nurse fills the medication to which area on the syringe?

Explanation

Area 3 corresponds to 0.65 mL

Area 1 corresponds to 0.3 mL

Area 2 corresponds to 0.5 mL

Area 4 corresponds to 0.75 mL


Question 2: View

Which of the following is not considered a unique when establishing the identification of a client?

Explanation

Room number of the client is not considered unique when establishing the identification of a client.

While a room number may be used to identify the physical location of a client within a healthcare facility, it is not a unique identifier for the client themselves. The other options listed (medical record number, full name, date of

birth) are all considered unique identifiers and are commonly used in healthcare settings to establish a client's identity.


Question 3: View

A nurse is administering a medication at the bedside. Which of the following actions should be the first priority?

Explanation

Establish the identity of the client should be the first priority when a nurse is administering a medication at the bedside.

It is essential to verify the identity of the client before administering any medication to ensure that the medication is being given to the right person. This can be done by asking the client to state their name and verifying it with their medical record or identification band. Once the nurse has established the client's identity, they can proceed to administer the medication.

Documenting the administration of the medication is important but should not take priority over verifying the client's identity. Rechecking the medication label is also important but can be done after the nurse has established the client's identity and is preparing to administer the medication. Obtaining orange juice for the client to take with the medication is not a priority action and can be done after the medication has been administered.


Question 4: View

The "six rights” of medication administration are:

Explanation

These are important principles that nurses follow to ensure that medications are given safely and accurately to clients. The six rights are:

1. Right medication: ensuring that the medication being administered is the correct one prescribed for the client.

2. Right dose: ensuring that the correct amount of medication is given to the client.

3. Right route: ensuring that the medication is given via the correct route (oral, topical, intravenous, etc.). 4. Right time: ensuring that the medication is given at the correct time as per the prescribed schedule. 5. Right client: ensuring that the medication is given to the correct client/patient by verifying their identity. 6. Right documentation: ensuring that the medication administration is accurately documented, including themedication name, dose, route, time, and any adverse reactions or other pertinent information. The other answer choices do not accurately represent the six rights of medication administration.


Question 5: View

The generic name for this medication is:



Explanation

The generic name for a medication is the official or non-proprietary name of the drug, which is not owned by any specific drug manufacturer. It is a simple name given to a medication that describes its active ingredient and chemical structure, and is used worldwide by healthcare professionals.

The generic name for the medication Ancef is cefazolin. Ancef is a brand name for the antibiotic medication cefazolin, which is used to treat various bacterial infections.

For example, the generic name of Tylenol is acetaminophen, the generic name of Advil is ibuprofen, and the generic name of Aspirin is acetylsalicylic acid.


Question 6: View

When a verbal order is received by an authorized individual, the individual must do the following:

Explanation

The Joint Commission (TJC) requires healthcare organizations to use the read-back method when taking verbal or telephone orders to ensure accurate communication between healthcare professionals. The authorized individual receiving the order should first write it down, then read it back to the prescriber to confirm that it is accurate, and finally receive confirmation from the prescriber that the order has been received and recorded correctly. This process helps to prevent medication errors and ensure the safety of the clients receiving the prescribed treatment.


Question 7: View

What would be the appropriate interpretation for the following order? Demerol 50 mg IM stat

Explanation

The appropriate interpretation for the following order "Demerol 50 mg IM stat" is: Demerol 50 mg IM immediately.

The term "stat" means immediately or without delay. Therefore, the order is requesting the administration of Demerol 50 mg intramuscularly as soon as possible.


Question 8: View

Which of the following correctly indicates the order below:

Explanation

The correct way to indicate the order "Administer Colace 100mg by mouth three times a day" is:

A) Colace 100 mg p.o. t.i.d.

"p.o." means by mouth, "t.i.d." means three times a day, so the correct order is "Colace 100 mg by mouth three times a day."

B) Colace 100 mg p.o. b.i.d. - This would mean "Colace 100 mg by mouth twice a day." "b.i.d." stands for "bis in die," which is Latin for "twice a day."

C) Colace 100 mg p.o. q.i.d. - This would mean "Colace 100 mg by mouth four times a day." "q.i.d." stands for "quater in die," which is Latin for "four times a day."


Question 9: View

A nurse who administers a medication that is unsafe is liable for the error

Explanation

As a healthcare professional, a nurse has a legal and ethical responsibility to ensure that medication administration is safe and effective for the patient. If a nurse administers medication that is unsafe, they can be held liable for the error. It is important for nurses to follow medication administration protocols, verify medications before administering them, and report any errors or concerns to the appropriate parties.


Question 10: View

The nurse can safely administer medications that are prepared by another nurse

Explanation

It is important for the nurse to personally prepare and verify the medication before administering it to the patient to ensure accuracy and safety. Nor is it acceptable practice to administer a medication that another has prepared. The reasons for this strict rule are numerous. First and foremost, because preparation and administration are fraught with potential for error, relying on another nurse to prepare a medication that you administer is dangerous at best. Ultimately, the responsibility for safe medication administration falls on the administering nurse, regardless of who prepared the medication.


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