What should the nurse use when placing medication into a patient’s vaginal canal?

An applicator

An irrigation kit

A finger

A gauze pad

Answer and Explanation

The Correct Answer is A

Choice A reason: An applicator ensures precise vaginal delivery; it maintains sterility, controls depth, and optimizes medication contact with mucosa for effective absorption.

Choice B reason: Irrigation kits are for flushing; they’re inappropriate for solid or cream medications, risking uneven distribution or mucosal irritation in the canal.

Choice C reason: A finger risks contamination; without sterile technique, it introduces bacteria, and depth control is poor compared to a designed applicator.

Choice D reason: Gauze pads can’t deliver deeply; medication may stick or distribute poorly, reducing efficacy and comfort in vaginal administration settings.

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Correct Answer is B

Explanation

Choice A reason: 5 mL gives 125 mg; this underdoses the 175 mg order, reducing Ceclor’s antibacterial effect, risking persistent ear infection due to insufficient concentration.

Choice B reason: 7 mL is correct; 175 mg divided by 125 mg/5 mL equals 7 mL, delivering the exact cephalosporin dose for effective otitis media treatment.

Choice C reason: 10 mL provides 250 mg; this overdoses Ceclor, risking gastrointestinal upset or resistance, exceeding the therapeutic need for the infection safely.

Choice D reason: 14 mL yields 350 mg; this extreme overdose amplifies side effects like diarrhea or toxicity, far beyond the ordered 175 mg dose requirement.

A. Give the drug before a meal. B. Confirm with the patient the site of the last injection. C. Inject the insulin in the deltoid muscle. D. Have another licensed nurse double-check the dose.

Correct Answer is D

Explanation

Choice A reason: Administering insulin at proper timing correlates with mealtimes. However, this alone doesn't ensure safe practice.

Choice B reason: Confirming the injection site prevents lipodystrophy but does not address dose accuracy, which is vital for safety.

Choice C reason: Insulin is injected subcutaneously, not in the deltoid muscle. Using incorrect sites disrupts absorption.

Choice D reason: Double-checking insulin dose prevents administration errors, ensuring compliance with medication safety protocols.

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What should the nurse use when placing medication into a patient’s vaginal canal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician orders Ceclor 175 mg po for an ear infection. After reconstitution, the medication is available as 125 mg/5 mL. How many milliliters will the nurse administer?

Correct Answer is B

Explanation

A nurse is administering a dose of insulin to a patient. To practice nursing safely and effectively, the nurse should:

Correct Answer is D

Explanation

A patient is due for a 40-mg dose of furosemide (Lasix) at 9:00 AM on May 5, 2013. The drug label reads "20 mg per tablet." The tablets in the bottle appear firm and unbroken. The expiration date on the bottle reads "April 2, 2013." The best nursing action is to:

An elderly patient who lives in a skilled nursing facility and who likes to walk is taking a medication that lowers blood pressure by dilating blood vessels. The best nursing action for this patient is to:

Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?

To ensure the nurse administers medications to the right client, which method of identification is most appropriate?

A patient consumes 120 mL of orange juice and 120 mL of milk for breakfast, 260 mL of coffee for lunch, and 90 mL of an ice pop and 120 mL of ice cream for dinner. Calculate the intake for the 6 AM to 6 PM shift.

The nurse caring for a patient without any religious affiliation who was admitted 2 days ago with a severe gastrointestinal infection encounters the hospital chaplain who wants to pray with the patient. The most appropriate response by the nurse is:

The best method to verify "the right patient" in an unconscious client is to:

A patient has an order for a subcutaneous injection of insulin. The nurse will prepare to give this injection into which of the following tissues?