A nurse is preparing to administer a medication from a vial. In ...

[HCHenry]

A nurse is preparing to administer a medication from a vial. In which order will the nurse perform the steps, starting with the first step?
 
  1. Invert the vial.
  2. Fill the syringe with medication.
  3. Inject air into the airspace of the vial.
  4. Clean with alcohol swab and allow to dry.
  5. Pull back on the plunger the amount to be drawn up.
  6. Tap the side of the syringe barrel to remove air bubbles.
  a. 4, 1, 5, 3, 6, 2
  b. 1, 4, 5, 3, 2, 6
  c. 4, 5, 3, 1, 2, 6
  d. 1, 4, 5, 3, 6, 2

Question 2

A patient prefers not to take the daily allergy pill this morning because it causes drowsiness throughout the day. Which response by the nurse is best?
 
  a. The physician ordered it; therefore, you must take your medication every morning at the same time whether you're drowsy or not.
  b. Let's see if we can change the time you take your pill to 9 PM, so the drowsiness occurs when you would normally be sleeping.
  c. You can skip this medication on days when you need to be awake and alert.
  d. Try to get as much done as you can before you take your pill, so you can sleep in the afternoon.

[poopface]

Answer to Question 1

ANS: C
When preparing medication from a vial, the steps are as follows: Firmly and briskly wipe the surface of the rubber seal with an alcohol swab and allow to dry; pull back on the plunger to draw an amount of air into the syringe equal to the volume of medication to be aspirated from the vial; inject air into the airspace of the vial; invert the vial while keeping firm hold on the syringe and plunger; fill the syringe with medication; and tap the side of the syringe barrel carefully to dislodge any air bubbles.

Answer to Question 2

ANS: B
The nurse should use knowledge about the medication to educate the patient about potential response to medications. Then the medication schedule can be altered based on that knowledge. It is the patient's right to refuse medication; however, the nurse should educate the patient on the importance and effects of the medication. Asking a patient to fit a schedule around a medication is unreasonable and will decrease compliance. The nurse should be supportive and should offer solutions to manage medication effects.

[HCHenry]

Gracias!

[cici]

Excellent