A nursing instructor is observing a nursing student prepare and administer medications to adult clients. Which action by the nursing student requires intervention by the Instructor?

Injecting one mL of air into a vial before withdrawing 20 mg furosemide from a vial labeled 20 mg/mL

Instructing a client to place a buccal medication under the client's tongue and allowing it to absorb.

Pouring the ordered medication "Robitussin 2 tsp. now to the 10 ml mark on a medication cup.

Selecting a 1 ml syringe with a 5/8 inch needle to be used for giving 0.5 mL of heparin subcutaneously.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Injecting one mL of air into a vial before withdrawing 20 mg furosemide is an appropriate technique to equalize pressure in the vial.

Choice B rationale: Instructing a client to place a buccal medication under the client's tongue this is a method for administering sublingual medications. Buccal medications are placed between the cheek and the gum and allowed to dissolve slowly.

Choice C rationale: Pouring liquid medication to the 10 ml mark on a medication cup is acceptable, as long as the cup is held at eye level and the lowest point of the meniscus is used to measure the volume.

Choice D rationale: Selecting a 1 ml syringe with a 5/8 inch needle is suitable for giving heparin subcutaneously, as this ensures accuracy and minimizes tissue trauma.

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Correct Answer is C

Explanation

Choice A rationale: Under-delegation is not related to giving too much responsibility to assistive personnel; it is about appropriate delegation based on the nurse's assessment of the situation.

Choice B rationale: Trust in delegates is essential, and under-delegation is more likely related to a lack of trust or confidence in delegation.

Choice C rationale: Under-delegation can occur due to a nurse's need for perfectionism and control, leading to a reluctance to delegate tasks to others.

Choice D rationale: Nurses often have heavy workloads, and under-delegation may be a result of feeling there is not enough time to delegate effectively.

A. S/P B. RS C. R D. PR

Correct Answer is D

Explanation

Choice A rationale: S/P (status post) is not the correct abbreviation for the administration route of a glycerin suppository.

Choice B rationale: RS is not the correct abbreviation for the administration route of a glycerin suppository.

Choice C rationale: R is not the correct abbreviation for the administration route of a glycerin suppository.

Choice D rationale: PR (per rectum) is the correct abbreviation for the administration route of a glycerin suppository.

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A nursing instructor is observing a nursing student prepare and administer medications to adult clients. Which action by the nursing student requires intervention by the Instructor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is aware that a common cause of under delegation in client care is:

Correct Answer is C

Explanation

A client is diagnosed with chronic constipation. The nurse is given an order by the physician to administer a glycerin suppository. What abbreviation will be written in the physician's order for the administration route for the suppository?

Correct Answer is D

Explanation

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