ATI final 3

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Gandrews
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77911
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ATI final 3
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2011-04-06 22:38:39
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ATI Final
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ATI final 3
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  1. Which route of drug admin are there no barriers to absorption?
    Intravenous
  2. An uncommon, unexpected, or individual drug response thought to result from a genetic predisposition is called ?
    an Indiosyncratic effect
  3. An adverse drug reaction caused by an excessive dose of a particular medication
    Drug toxicity/ a toxic effect
  4. Results when two medications combined potentiate, block, or alter the effets of either or both drugs when used separately
    A Synergistic effect
  5. you are giving a pt several PO meds to take. the pt tells you that she can only take one pill at a time. what should you do as the nurse?
    Remain at the bedside until you are sure the patient has taken all of the medications.
  6. Which of the following is the highest priority action for ensuring overall safety during medication administration?
    A)Teach the pt about possible adverse effects
    B)Confirm that the pt can swallow adequately
    C)Identify the pt by two acceptable methods
    C) Identify the patient by two acceptable methods
    (this multiple choice question has been scrambled)
  7. the name or names under which the drug is marketed is what?
    the trade, brand , or proprietary name.
  8. A drug's generic name is same as what?
    its nonproprietary name
  9. A pt who requires an increased dose of a med to achieve continued theraputic benefit is exhibiting what?
    Drug tolerance
  10. A pt who continues to take a med despite harmful effects is exhibiting what?
    a drug addiction
  11. A pt who exhibits signs of withdrawl when a medication is discontinue is exhibiting what
    Physical drug dependence
  12. When a pt develops an intense craving for a drug, the pt is exhibiting what?
    A drug reliance
  13. 1 pint = how many oz?
    16 fluid oz
  14. how many tablespoons equal 1 oz?
    2 tablespoons
  15. how many oz equal 1 cup?
    8 oz
  16. 1 oz = how many ml?
    30 ml
  17. When should all routinely ordered medications be given?
    within 60 min of the time ordered (30 min before or after the prescribed time)
  18. what is the correct method to administer eye drops?
    Pulling down pt's lower eyelid and drop the medication inside.
  19. For a dry powder inhaler (DPI) it is important for the nurse to make sure the pt can do what?
    Inhale deeply, because DPI have no propellant
  20. True of False. A metered dose inhaler does not contain a propellant.
    False, it does
  21. When a pt refuses to take their meds, what should the nurse do?
    Doc the reason for refusal along with the date and time in the pt's medical record
  22. Why is a spacer needed for an inhaler?
    More medication is delivered to the lungs when you use a spacer
  23. How should a nurse administer eard drops for a toddler
    pull the pt aurical down and back to open the canal
  24. how should you administer med for a pt who is receiving enteral feedings through a small bore nasogastric tube?
    Infusing each med by gravity and flushing with water before and after instillation.
  25. What type of syringe should you use when administering med through a small bore nasogastric tube?
    a Luer-Lok syringe
  26. To facillitate instillation of a med into a nasogastric tube, how far should you raise the syringe from the insertion sight?
    18 inches
  27. what should a nurse assess before administering medications through a nasogastric tube?
    Amt of residual volume left in the stomach
  28. Tympany and dullness by percussion of the abdomen assess for what?
    constipation and trapped gas in the intestines.
  29. Refers to a med given via the mucosa under the tongue?
    sublingual
  30. Refers to a medication given via the gastrointestinal tract
    Enteral
  31. Refers to a medication given via a skin patch?
    Transdermal
  32. Indicates that a medication is given by injection
    Parenteral
  33. According to ATI, what is the proper technique for administering an intradermal injection?
    Use a tuberculin syringe with a 3/8 to 5/8 inch, 25 to 27- guage needle
  34. What is the highest priority before a nurse gives a medication?
    Identify if the pt has allergies to the med
  35. what is the proper needle length to give a IM injection?
    1 1/2 inches
  36. to prevent tissue damage for a person receiving an injection of insulin, what should the nurse do?
    rotate the injection sites to avoid tissue injury
  37. According to ATI, nor more than _ ml should be administered for a single subQ injection?
    1 ml
  38. True of Fale. According to ATI, it is not neccessary to aspirate the syringe when administerin a subQ injection.
    True
  39. What degree should you give a intradermal injecion?
    5- 15 degrees
  40. What degree should you give a subq injection?
    45- 90 degrees
  41. what degree whould you give a IM injection?
    90 degrees
  42. what gauge should the needle of a intradermal injection be ?
    25- 27 guage
  43. what gauge should a subQ injection be?
    25- 30 gauge
  44. what gauge should a IM injeciton be?
    18 to 25 gauge
  45. What length should a intradermal needle be?
    3/8 to 5/8 inch
  46. What length should a subQ needle be?
    3/8 to 5/8 inch (same as intradermal)
  47. What length should a IM injection be?
    5/8- 1 1/2 in
  48. What should the nurse first if a pt's IV alarm is going off indicating that there is an occlusion
    Check the line at or above the hub for kinked tubing that is creating a resistance to flow
  49. The nurse is assessing a pt with and IV of normal saline, he reports a cough and shortness of breath. This would indicate to the nurse that the pt is experiencing?
    Fluid overload
  50. True of False. According to ATI, it is generally normal for a pt's skin to be cool over an IV site.
    True. you are infusing fluids that are room temp and the pt's temp is higher than the room temp
  51. What is a disadvantage of parenterally administered medications
    they are irreversible
  52. When preparing to administer and IV med via piggy back while the pt is also recieving another fluid, the nurse know that the highest priortity data to collect is?
    The medication compatibility with the primary IV solution
  53. a PICC line is a long catheter insterted through the veins of the what?
    Antecubital Fossa
  54. During the first 10 to 15 minutes of administration of a med given IV, the nursees priority assessment is to look for
    the pt showing signs of having a systemic (involving the whole body) allergic reaction.
  55. Before performing a venipuncture for an IV, the nurse should do what?
    Inspect the IV solution for fluid color, clarity, and expiration date.
  56. how far should a tourniquet be from the insertion site for an IV
    4 to 6 inches
  57. upon assessment of a pt with an IV, you notice the pt's arm is swollen, red and warm. The pt also reports tenderness and burning at the site. The nurse know that this indicates what?
    Phlebitis
  58. unintentional admin of a solution via IV solution is called what
    Infilitration.
  59. The nurse notices that the pt's tissue around their IV site is swollen, pale, and cool to the touch. This indicated that the pt's IV has ?
    Infiltrated
  60. What should the nurse do if they notice signs of phlebitis or infiltration at an IV site?
    Stop the infusion and discontinue the IV line (According to ATI)
  61. What is the most important factor after administering a medication through a PICC line
    flushing it with normal saline, to preven it from occluding from fibrin, blood or med residue.
  62. Central venous catheters are most often placed where?
    The jugular, or the subclavian vein, where they then advanced into the superior vena cava.

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