The nurse is administering medications to several patients. Which ...

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The nurse is administering medications to several patients. Which action should the nurse take?
 
  a. Advise a patient after a corticosteroid inhaler treatment to rinse mouth with water.
  b. Administer an intravenous medication through tubing that is infusing blood.
  c. Pinch up the deltoid muscle of an adult patient receiving a vaccination.
  d. Aspirate before administering a subcutaneous injection in the abdomen.

Question 2

A patient is taking 1 tablet of hydrocodone bitartrate 5 mg and acetaminophen 500 mg (Vicodin) every 4 hours. The patient is also taking 2 tablets of acetaminophen (Tylenol) 325 mg every 12 hours.
 
  How many grams of acetaminophen is the patient taking daily? Record your answer using one decimal place. ______ g
 
  Fill in the blank with the appropriate word.

[SomethingSomething]

Answer to Question 1

ANS: A
If the patient uses a corticosteroid, have him or her rinse the mouth out with water or salt water or brush teeth after inhalation to reduce risk of fungal infection. Piercing a blood vessel during a subcutaneous injection is very rare. Therefore, aspiration is not necessary when administering subcutaneous injections. When giving immunizations to adults: to avoid injection into subcutaneous tissue, spread the skin of the selected vaccine administration site taut between the thumb and forefinger, isolating the muscle. Never administer IV medications through tubing that is infusing blood, blood products, or parenteral nutrition solutions.

Answer to Question 2

ANS:
3.3

The nurse should calculate the dosage taken via the first medication and add it to the daily intake of the second medication. Then, convert milligrams to grams.
500 mg  6 doses a day = 3000 mg/day + (2 tablets  325 mg)  2 doses a day = 1300 mg/day = 3300 mg/day total of acetaminophen; 3300 mg converted to grams = 3.3 grams.

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