Fund 6 Welcome to your Medication Administration A nurse is teaching a pharmacology class about medication plasma levels. The client asks when the body has the lowest level of drug concentration. Labs show the client’s creatinine is normal (0.9 mg/dL), but liver enzymes (ALT/AST) are slightly elevated. Which term describes this pharmacokinetic point? Toxic concentration Trough level Half-life window Peak serum level None A nurse is preparing to administer a medication to a patient. The nurse understands that medications are classified by both pharmaceutical and therapeutic classes. Which of the following best describes a drug’s therapeutic class? It refers to the mechanism of action, physiologic effect, and chemical structure of the drug. It refers to the clinical indication or therapeutic action, such as whether the drug is an analgesic, antibiotic, or antihypertensive. It refers to the route by which the drug is absorbed in the body. It refers to how quickly the drug is metabolized and excreted from the body. None A nurse is reviewing pharmacokinetics with a student nurse. The client is NPO with a peripheral IV in place. Which route of medication administration will result in the fastest onset of action for a pain medication? Enteric-coated oral tablet Intravenous infusion Intramuscular injection into the deltoid Topical patch placed over the painful area None A nurse is assessing a patient who is experiencing an adverse reaction to a newly prescribed medication. The patient is experiencing swelling of the throat and difficulty breathing. What type of adverse drug reaction is the patient likely experiencing? Side effect Idiosyncratic effect Toxic effect Anaphylactic reaction None A client has received an incorrect dose of medication. What should the nurse do first in response to this medication error? Contact the healthcare provider. Evaluate the client's condition. Inform the charge nurse or nurse manager. File an incident report. None A nurse is educating a patient about factors that affect the distribution of medications in the body. Which of the following factors may delay drug distribution in a patient with vascular disease? Permeability of cell membranes Protein binding Circulation Excretion None A nurse is preparing to teach a newly diagnosed client about a complex medication regimen for blood pressure control. The client is hard of hearing and wears glasses. Which of the following teaching methods is most appropriate to enhance comprehension? Begin the session with low-priority lifestyle change Provide a handout written at an 8th-grade level Create a quiet environment and start with the key safety points Use formal, technical terms to reinforce medical credibility None A nurse is caring for an older adult who is receiving a medication that undergoes extensive metabolism in the liver. The nurse knows that metabolism may be slower in this patient. What effect does slower metabolism have on medication action? It may shorten the duration of the medication’s action. It may cause an increase in the duration and intensity of the medication’s effect. It may result in the immediate excretion of the medication from the body. It may enhance the first-pass effect, decreasing the drug’s action. None A nurse is preparing to administer a powdered medication to a newly admitted client with a sore throat and mild wheezing (RR 22, SpO₂ 96%). Which of the following actions should the nurse take first? Record the medication administration in the MAR Check for known allergies to medications Observe for relief after giving the medication Mix the medication in water at the client’s bedside None A nurse is administering nitroglycerin via the sublingual route to a patient experiencing chest pain. Which of the following should the nurse instruct the patient to do after placing the tablet under their tongue? Swallow the tablet with a glass of water. Chew the tablet for faster absorption. Avoid eating or drinking until the medication is fully absorbed. Place the tablet between the cheek and gum for better absorption None A nurse is educating a group about different methods of medication administration. Which of the following routes provides the quickest absorption rate? Oral route Injection into muscle (IM) Directly into the bloodstream (IV) Applied to the skin (topical) None A nurse is preparing to administer a drug to a patient and is aware that several factors can affect how the drug acts in the body. Which factor is most likely to influence drug action by altering how the body metabolizes and excretes the drug? Biologic sex Weight Pathology Timing of administration None A nurse is assessing a client receiving IV antibiotics through a peripheral line. The client reports pain at the site. The skin is pale, taut, cool to the touch, and fluid appears to be leaking around the catheter. Which complication should the nurse suspect? Localized phlebitis IV infiltration Bloodstream infection Fluid overload None A nurse is struggling to interpret the provider’s handwriting when documenting a client’s medication order. What action should the nurse take? Ask the client’s family about the medication. Refer to the medication list in the client's admission records. Consult the pharmacist for clarification. Contact the provider directly to verify the prescription. None A nurse is teaching a client about ciprofloxacin, a fluoroquinolone antibiotic. Which of the following statements by the client indicate a need for further education? (Select all that apply.) "I will take my medication with a glass of milk to reduce stomach upset." "I should avoid prolonged sun exposure while taking this medication." "I will report any new joint pain or swelling to my provider." "If I feel better, I can stop taking the antibiotic before finishing the full course." "I will drink plenty of fluids while on this medication to prevent kidney damage." A nurse is reviewing a medication order for a client that reads, "Lasix 40 mg two times daily." Which part of this order requires clarification with the prescribing provider? The drug name. The dosage amount. The route of administration. The frequency of administration. None A nurse is caring for a patient with kidney dysfunction. How will impaired kidney function affect medication excretion? The medication will be excreted more rapidly, requiring increased dosing. The medication will have a shorter half-life, reducing its duration of action. The medication will remain in the body longer, increasing the risk of toxicity. The medication will bypass the kidneys and be excreted through the lungs. None A nurse is about to administer an oral medication to a client. When should the nurse perform the final safety check before giving the medication? At the client's bedside prior to administering the medication. In the medication room where the drug was retrieved. After documenting the medication administration. At the nurse's station while reviewing the prescription. None A nurse is administering an intravenous (IV) medication to a patient. What should the nurse expect in terms of absorption for this route of administration? Slow and variable absorption due to barriers such as the gastrointestinal tract. Immediate and complete absorption without barriers. Delayed absorption influenced by blood perfusion at the injection site. Absorption varies depending on the solubility of the medication and the presence of food. None Which of the following medications can cause hyperglycemia as an adverse effect? (Select all that apply) Diuretics Corticosteroids Oral anticoagulants Opioid analgesics Antipsychotics Click here for answer Which of the following is an essential nursing intervention to reduce the risk of medication toxicity in older adults? Start with the highest possible dose Monitor for drug-drug interactions Disregard changes in kidney function ncrease doses frequently None A client taking a medication that affects reproductive potential should be advised to precaution Avoid pregnancy testing. Discontinue contraception. Understand the medication's reproductive effects. Increase the medication dosage. None When should a lactating client take medications to minimize exposure to the infant? Before breastfeeding During breastfeeding After breastfeeding ith every feeding None Which of the following strategies can help older adults adhere to their medication regimens? Provide child-resistant caps. Adjust doses based on daily weight. Use daily pill holders. Recommend skipping doses. None A nurse is instructing a newly licensed colleague on proper documentation following an adverse event. Which of the following statements is correct regarding incident reports? Include only objective, factual details about what occurred Document the name of the person responsible for the error Mention in the chart that an incident report was filed Include your clinical opinion on what went wrong None Why are children more sensitive to medications than adults? They have higher protein levels. They have immature liver and kidney function. They have increased muscle mass. They excrete medications more quickly. None How does age affect medication responses in children and older adults? Children metabolize medications faster than older adults. Older adults metabolize medications faster than children. Both groups have reduced kidney and liver function, requiring smaller doses. Both groups have increased metabolism, requiring larger doses. None A nurse is reviewing events that require an incident report. Which of the following situations meets the criteria? A client vomits shortly after taking their scheduled medications A routine medication is given one hour late A client reports hives after taking a new antibiotic A client receives an IV medication through an oral route by mistake None How does kidney disease affect medication administration? It enhances medication absorption. It delays medication excretion. It decreases liver metabolism. It prevents medication absorption. None A client who frequently fasts is at increased risk for medication toxicity because: Fasting increases kidney function. Fasting decreases plasma protein levels. Fasting reduces medication absorption. Fasting enhances liver metabolism. None What dietary instruction should the nurse provide to a client taking warfarin? Avoid dairy products. Increase vitamin C intake. Avoid foods rich in vitamin K. Avoid foods rich in calcium. None A client is taking two medications with CNS depressant effects. What is the primary concern? Increased risk of liver damage Decreased therapeutic effects Increased risk of CNS depression Reduced drug absorption None A client taking glucocorticoids is at risk for which of the following complications? Hyperactivity Hypertension Infection Hypoglycemia None Which factor most likely requires adjusting a client's medication dosage? Hair color Body weight Skin tone Eye color None Which of the following is a critical nursing responsibility when administering medications? Ignoring potential drug interactions Assessing for adverse effects and contraindications Advising clients to self-administer medication Prescribing medication doses None A client develops swelling of the face and lips after taking a new medication. What is the nurse’s priority action? Administer acetaminophen. Notify the healthcare provider. Administer epinephrine. Apply a cold compress to the swelling. None Which pregnancy category of medication poses the highest risk to the fetus? Category A Category B Category D Category X None Which of the following is an anticholinergic effect of a medication? Tremors Dry mouth Muscle rigidity Restlessness None A client is taking an antihypertensive medication and reports feeling dizzy when standing up quickly. What should the nurse advise? Avoid walking. Stand up quickly to overcome dizziness. Sit down immediately. Rise slowly from sitting to standing. None Which of the following best describes pharmacokinetics? Which of the following best describes pharmacokinetics? Apply the patch to a bony area for better absorption. Rotate the application site with each new patch. Remove the patch for 30 minutes each day to allow the skin to breathe. None Which of the following processes is responsible for converting medications into less active or inactive forms? Absorption Distribution Metabolism Excretion None A nurse is explaining medication absorption to a client. Which route of administration has no barriers to absorption? Oral Intramuscular Intravenous Subcutaneous None A patient with peripheral vascular disease may experience delayed medication effects due to impaired distribution. Which factor is primarily responsible for this? Plasma protein binding Cell membrane permeability Circulation Lipid solubility None Which of the following factors can decrease the rate of medication metabolism, leading to medication accumulation and potential toxicity? Similar metabolic pathways he presence of a full stomach Low protein binding High tissue perfusion None Which lab values should the nurse monitor in a client taking nephrotoxic medications? Blood glucose and cholesterol levels Blood pressure and heart rate BUN and creatinine levels Hemoglobin and hematocrit None Which organ is primarily responsible for the excretion of medications from the body? Liver Lungs Kidneys Intestines None What is an advantage of administering medications orally? Most reliable absorption. Least expensive and convenient route. Best for clients with nausea. Avoids the first-pass effect. None Which of the following is critical for nurses to understand when administering medications? The cost of the medication The therapeutic and adverse effects of the medication The color of the medication The storage instructions of the medication None What should the nurse advise a client who experiences CNS depression due to a medication? Drive to work as usual. Operate heavy machinery. Avoid activities requiring alertness. Increase fluid intake. None Which factor most affects the absorption of a medication administered intramuscularly? The pH of the gastrointestinal tract Blood perfusion at the site of injection The size of the medication molecules The presence of food in the stomach None A nurse is preparing to administer a buccal medication. Which of the following is an important nursing consideration? Place the medication under the tongue. The medication should be swallowed immediately. Place the medication between the cheek and gum. Administer the medication with food. None A nurse is teaching a client about taking a sublingual medication. Which of the following instructions should the nurse include? Swallow the medication with a full glass of water. Place the medication under your tongue until it dissolves. Chew the medication before swallowing. Take the medication with food to reduce irritation. None When applying a transdermal patch, the nurse should Apply the patch to a hairless area and rotate sites. Shave the area before applying the patch. Cover the patch with an occlusive dressing. Apply the patch to the same area each time. None Which of the following medications is an example of an antagonist? Morphine Losartan Naloxone Acetaminophen None A nurse is caring for a client who is receiving a medication with a short half-life. How often should the medication be administered to maintain a steady blood level? Less frequently More frequently Only once daily Only when symptoms occur None Which of the following actions can help prevent medication errors? Administering medications prepared by another nurse Double-checking the dosage of high-alert medications Administering medications without verifying the client’s identity Accepting verbal orders without verifying None The therapeutic index (TI) of a medication refers to: The time it takes for the medication to start working. The safety margin between the effective dose and the lethal dose. The speed at which a medication is metabolized. The time it takes for a medication to be excreted from the body. None Which of the following is a correct step in administering a metered-dose inhaler (MDI)? https://youtu.be/2i9_DelNqs4?si=i501vCEQ7LZC9-E0 Shake the inhaler before use. Exhale completely after inhaling the medication. Hold your breath for 3 seconds after inhaling. Shake the device after use. None A nurse is preparing to administer a subcutaneous injection of insulin. What is the correct angle of insertion? 10° 30° 45° to 90° 90° to 110° None Which of the following is an example of a controlled substance that is in Schedule II? Acetaminophen Heroin Morphine Penicillin None A nurse is preparing to administer digoxin. What adverse effect should the nurse monitor for? Respiratory depression Hypokalemia Cardiotoxicity Nephrotoxicity None Which type of prescription instructs a nurse to administer medication immediately and only once? Stat prescription Routine prescription Now prescription PRN prescription None A prescription for "furosemide 20 mg PO every morning" is missing which of the following components? Route of administration Dosage of medication Client’s full name Time and frequency None Which of the following are part of the rights of safe medication administration? (Select all that apply.) Right route Right diagnosis Right documentation Right evaluation Right client Which of the following abbreviations is considered error-prone and should be avoided? MgSO4 mL mcg g None During the implementation phase of medication administration, what should a nurse do to ensure safety? Prepare medications for multiple clients at once Administer medications without confirming the client's identity Avoid distractions during preparation Rely on memory for medication dosages None If a nurse administers the wrong medication, which action should the nurse take first? Complete an incident report Notify the provider Assess the client Report the error to risk management None Which of the following actions contributes to safe medication administration? Administering medications without verifying the dose Preparing medications for multiple clients at once Reporting medication errors immediately Ignoring a client’s refusal of medication None A nurse is administering a fluid bolus. How quickly should this be administered? Over 3 hours Within 2 hours In less than 1 hour Over 24 hours None During the implementation phase of medication administration, what should a nurse do to ensure safety? Prepare medications for multiple clients at once Administer medications without confirming the client's identity Avoid distractions during preparation Rely on memory for medication dosages None Which type of prescription instructs a nurse to administer medication immediately and only once? Stat prescription Routine prescription Now prescription PRN prescription None What size catheter is typically used for trauma clients requiring rapid fluid volume replacement? 22-gauge 24-gauge 18-gauge 16-gauge None A nurse is reviewing a new prescription for a client who has a history of peptic ulcer disease and hypertension. The client reports taking ibuprofen at home for chronic knee pain. Which of the following medications is most appropriate to prescribe to manage this client’s pain? Ibuprofen Acetaminophen Naproxen Celecoxib None A client with a history of atrial fibrillation is prescribed warfarin. The nurse reviews the client’s current medication list and notes the provider has added azithromycin. Administer the medications as prescribed Notify the provider of potential interaction Instruct the client to monitor their heart rate Assess the client for signs of bleeding None A client undergoing chemotherapy reports severe nausea. The provider prescribes ondansetron and promethazine. The nurse prepares to administer both medications IV. Which of the following actions should the nurse take first? Administer ondansetron and monitor for QT prolongation Assess the client’s IV site for patency and blood return Mix ondansetron and promethazine in one syringe Administer promethazine rapidly to reduce nausea quickly None A client with a history of coronary artery disease is post-op day 2 following hip surgery. He reports straining during bowel movements. The provider orders a laxative. Which of the following medications should the nurse expect to administer? Senna Bisacodyl suppository Psyllium Docusate sodium None What is the nurse’s priority action? An 81-year-old client with a history of CHF is prescribed furosemide. Morning labs show the following: Potassium: 3.0 mEq/L Sodium: 135 mEq/L Creatinine: 1.3 mg/dL BP: 112/70 Administer the medication and encourage fluid intake Hold the dose and notify the provider of the potassium level Document the lab findings and recheck the potassium in 4 hours Administer the dose with potassium-rich foods like bananas None A 24-year-old client is admitted for treatment of pneumonia. The provider orders IV ceftriaxone (a cephalosporin). During medication reconciliation, the client states, “I had a bad reaction to amoxicillin as a kid.” Which of the following actions should the nurse take? Administer the medication as prescribed Call the pharmacy to switch to a macrolide antibiotic Notify the provider of the client’s allergy history Administer diphenhydramine prior to giving the first dose None An 82-year-old client is receiving enoxaparin (Lovenox) 40 mg subcutaneously once daily after hip replacement. The nurse notes a new order for aspirin 325 mg daily. What is the nurse’s best action? Administer both medications as scheduled Hold the enoxaparin and give only the aspirin Assess for signs of bleeding and notify the provider Educate the client that bruising is expected and continue therapy None A client with Type 1 diabetes is NPO for a surgical procedure scheduled for the afternoon. The nurse sees that the client is due for their morning dose of NPH insulin (intermediate-acting). What is the nurse’s best action? Administer the full scheduled NPH dose Hold the insulin and notify the provider Administer half the dose and document the change Ask the surgical team to allow the client to eat something first None What is the nurse’s next best action? A 67-year-old client with COPD is recovering post-operatively after abdominal surgery. The provider orders morphine 2 mg IV every 2 hours PRN for pain. The nurse assesses the client and notes: Respiratory rate: 10/min SpO₂: 90% on room air Sedated but arousable to voice Administer the morphine and monitor closely Hold the morphine and notify the provider Elevate the head of the bed and reassess in 30 minutes Administer naloxone and notify the rapid response team None A 50-year-old client presents with joint pain and requests a refill of ibuprofen 800 mg TID. His history includes chronic back pain and a recent hospitalization for GI bleeding due to a duodenal ulcer. Which of the following responses is appropriate? Correct Answer: C. Notify the provider and recommend an alternative analgesic Rationale: Ibuprofen, like all NSAIDs, inhibits prostaglandins, which protect the gastric mucosa — putting clients at high risk for GI bleeding, especially those with a history of ulcers or recent GI hemorrhage. Refilling without provider input can lead to severe complications. Even with food, GI bleeding risk is not eliminated. Acetaminophen may be a better option for pain relief in this population, as it has minimal GI effects (though hepatic safety must still be considered). This is a clear case where the nurse must advocate for the patient’s safety and collaborate with the provider before proceeding. Refill the ibuprofen and educate about taking it with food Refill the ibuprofen and monitor hemoglobin levels weekly Notify the provider and recommend an alternative analgesic Offer acetaminophen with codeine as a safer option None What should the nurse do before administering these insulins? A client with Type 2 diabetes is prescribed both regular insulin and NPH insulin. The order is: Regular insulin 6 units SQ before breakfast NPH insulin 18 units SQ before breakfast Mix both insulins in the same syringe and administer Administer each insulin separately in different syringes Draw up NPH first, then regular insulin into one syringe Call the provider to confirm they are safe to give togetherv None A 73-year-old client with insomnia is prescribed temazepam (Restoril) at bedtime. He lives alone and has a history of falls and mild memory issues. What is the nurse’s priority teaching point? “This medication helps you fall asleep and stay asleep through the night.” “Take this medication with a light snack to reduce nausea.” “Avoid alcohol while taking this medication to prevent liver damage.” “Use caution getting out of bed due to risk of sedation and falls.” None A post-operative client is experiencing moderate nausea after general anesthesia. The provider orders one of the following medications. Which one should the nurse anticipate being prescribed first? Metoclopramide Promethazine Ondansetron Scopolamine patch None A 26-year-old client is diagnosed with recurrent genital herpes. The provider prescribes acyclovir PO for 5 days. Which statement by the client indicates a need for further teaching? “This medication will help reduce symptoms during an outbreak.” “I should begin taking the medication as soon as I feel a tingling sensation.” “This medication can cure the infection so I won’t get outbreaks again.” “I need to drink extra fluids while on this medication to protect my kidneys.” None A nurse is caring for a client with a long history of chronic joint pain who is being considered for an integrative treatment plan. The client reports morning stiffness, joint swelling, and elevated ESR (erythrocyte sedimentation rate). Which of the following care plans demonstrates integrative nursing? Initiate a referral for joint surgery and range-of-motion therapy Recommend NSAIDs and fine motor skill exercises Combine corticosteroid administration with licensed massage therapy Monitor labs and refer the client for imaging diagnostics None A client hospitalized with chronic back pain is grimacing, guarding their lumbar area, and reports their pain is a 7/10. Their vitals show a slightly elevated heart rate (HR 104 bpm). Which of the following actions reflects holistic nursing care? Guide the client through a session of slow, diaphragmatic breathing Contact the provider for a scheduled opioid analgesic Obtain bloodwork to assess for infection or inflammation Check oxygen saturation before giving medication None A client undergoing chemotherapy reports persistent nausea during morning assessments. Their vitals are stable, and labs show mild dehydration (Na 149, BUN 24). Which herbal supplement should the nurse recommend as a complementary strategy? Ginger root extract Garlic oil capsules Cranberry supplement Echinacea tincture None A nurse is providing discharge education to a client starting a new antibiotic for a respiratory infection. The client reports taking herbal teas and multivitamins regularly. Their temperature is 99.1°F, and WBCs are trending downward from 12.5 to 10.2. Which of the following statements should the nurse include? “Please check with your provider before taking herbal or over-the-counter products.” “You may need this antibiotic again for future viral illnesses.” “Expect some bloody stools during the first 2–3 days of treatment.” “Stop taking the antibiotic once your symptoms begin to improve.” None A nurse is assisting a client who is learning how to use a metered-dose inhaler (MDI) for newly diagnosed asthma. The client's baseline HR is 82 and SpO₂ is 98%. Which of the following actions by the nurse is correct? Instruct the client to hold their breath for 2 seconds after inhalation Shake the inhaler vigorously for 3–5 seconds before use Tell the client to inhale quickly and forcefully in under 1 second Wash the canister under warm water after every use None During orientation, a nurse is teaching new staff about medication safety. Which of the following actions should be implemented to reduce the risk of medication errors during busy morning rounds? Wait to document all administered meds at the end of the shift Remove meds from the med cart before pharmacist verification Have the med nurse wear a visual indicator to reduce interruptions Prepare meds for two clients at once to save time None A nurse is preparing to administer otic drops to a 70-year-old client with reduced hearing and ear pain. Which of the following techniques is correct for medication administration? Pull the pinna down and back before administering Ask the client to lie with affected ear down for 10 minutes Warm the drops to room temperature by rolling the bottle in hands Insert a cotton ball firmly into the canal after administering None A nurse is preparing to administer levothyroxine to a client who has been NPO and is newly started on oral meds. The prescription reads: Levothyroxine 50 mcg PO daily. How many milligrams (mg) should the nurse administer? 0.5 mg 0.005 mg 0.05 mg 5 mg None A nurse is teaching a medication class to new staff. A client has been prescribed 30 mL of a cough syrup. The nurse asks, “How many tablespoons is this equivalent to?” 1 tablespoon 2 tablespoons 3 teaspoons 1 cup None A nurse is preparing to administer cefadroxil oral suspension to a pediatric client who weighs 98 lb (44.5 kg). The provider prescribes 15 mg/kg PO. The available concentration is 250 mg per 5 mL. Which step should the nurse complete first? Round the volume to the nearest tenth Calculate the total dose in milligrams Convert the client’s weight into kilograms Determine the total volume in milliliters None A nurse is educating a client about administering a liquid antibiotic at home. The provider prescribed 5 mL PO twice daily. The client only has a kitchen teaspoon for measurement. Which instruction should the nurse give? Take 0.5 tsp per dose Take 1 full teaspoon per dose Take 2.5 teaspoons per dose Take 5 teaspoons per day None A client with newly diagnosed eczema is being shown how to apply a topical steroid cream. After the demonstration, the nurse asks the client to perform the skill. Which teaching strategy is the nurse using? Return demonstration Guided imagery Role play Passive observation None After reviewing how to self-administer eyedrops, the nurse asks the client, “Can you explain the steps back to me?” Which educational strategy is this? Teach-along Teach-back method Direct instruction Content recall None A nurse is teaching a client newly prescribed ferrous sulfate for iron deficiency anemia. Which of the following should the nurse recommend to enhance iron absorption? Take with milk or yogurt Take with calcium carbonate Take with orange juice or a vitamin C-rich food Take after a high-fiber breakfast None A nurse opens a unit-dose package of a prescribed antihypertensive medication at the bedside. Just before administration, the client refuses the med, stating, “I changed my mind.” Which of the following is the nurse’s appropriate response? Notify the provider and document the refusal Return the opened pill to the medication cart Discard the med and chart that it was taken Encourage the client to take it and document later if they still refuse None A nurse realizes they administered the wrong medication to a client. The client is currently alert and asymptomatic. What is the first action the nurse should take? Notify the healthcare provider of the error Assess the client’s vital signs and status immediately Document the error in the client’s chart and report Complete an incident report for the nurse manager None A nurse is teaching a group of new hires about preventing needle and sharp injuries. Which of the following statements by a participant requires correction? “We should use one hand when recapping a needle, if absolutely necessary.” “It’s okay to bend a needle after giving an injection if no sharps container is nearby.” “Used razors should go in a puncture-proof container immediately.” “Sharps containers must be replaced when they are full, not overflowing.” None A nurse is preparing to administer ophthalmic drops to a client with conjunctivitis. Which of the following steps should be included in the technique? Instill the drops directly onto the cornea Squeeze the client’s eyes shut tightly after application Apply gentle pressure to the nasolacrimal duct after instilling drops Cleanse the eyelid from the outer to the inner canthus None A nurse is preparing a client for discharge and is reviewing topical medication application. After demonstrating how to apply a cream to an affected area, the nurse asks the client to perform the task. Which type of teaching method is being used? Simulation Return demonstration Group discussion Interactive lecture None Time's up Welcome to your CAM 1. A nurse is teaching a class about complementary and integrative health. A client presents with fatigue, brittle nails, and a hemoglobin level of 10.5 g/dL. Which of the following therapies includes nutritional supplements that may address this clinical picture? Biological Manual Mind-body Bioenergetic None 2. A patient is interested in alternative therapies to manage their chronic pain and anxiety. Which CAM therapy would most likely be recommended for promoting muscle relaxation? Acupuncture Biofeedback Massage Therapy Chiropractic Medicine None 3. Which of the following is an example of an energy therapy? Chiropractic therapy Magnet therapy Probiotics Meditation None 4. Which complementary or alternative therapy involves using digital pressure along meridians to alter body function? Chiropractic therapy Acupuncture/Acupressure Biofeedback Homeopathic medicine None 5. A nurse is explaining complementary and alternative medicine (CAM) to a client. Which of the following statements by the nurse correctly defines CAM? A. "CAM therapies replace conventional Western medical care." B. "CAM therapies are always used in combination with allopathic medicine." C. "CAM therapies focus on the whole person’s optimal health." D. "CAM therapies are limited to Western medicine practices." None 6. Which of the following is an example of a complementary therapy? patient uses acupuncture instead of chemotherapy to treat cancer. A patient practices yoga alongside prescribed antihypertensive medication. A patient replaces insulin therapy with an herbal remedy to manage diabetes. A patient uses homeopathy exclusively to treat their chronic migraines. None 7. Which of the following nursing actions is appropriate when incorporating CAM into a client's care plan? Recommend herbal products without discussing them with the healthcare provider. Assume all clients will be receptive to CAM interventions. Evaluate the client’s responses to CAM interventions regularly. dvise clients to stop all prescription medications when using herbal remedies. None 8. A nurse is educating a patient about herbal supplements that might help boost immunity. Which of the following herbs would the nurse most likely recommend? Ginger Ginkgo Biloba Echinacea Valerian None 9. Which of the following factors contributes to the increased use of complementary and alternative medicine (CAM)? Limited availability of conventional medical care. Desire for less invasive, more natural treatments. Lack of awareness about conventional treatments. Decreased availability of prescription medications. None 10. A nurse is discussing herbal remedies with a client. Which herbal product might the nurse recommend to improve memory? Aloe Ginkgo biloba Chamomile Valerian None 11. A nurse is evaluating a client’s response to complementary therapies for managing chronic pain. What should the nurse do next? Discontinue the therapy if no immediate relief is noted. Encourage the client to integrate multiple CAM therapies at once. Document the client’s response and consult the care team for next steps. Suggest replacing all medications with CAM interventions. None 12. Which nursing intervention encourages healing by focusing the mind on specific images? Healing intention Breath work Guided imagery Therapeutic communication None 13. A nurse is caring for a client who reports frequent headaches. The client’s BP is 148/92 mmHg, and they report poor sleep and frequent work-related stress. Which of the following responses reflects holistic nursing? "Are you feeling stressed before you have a headache?" "Do any medications relieve your headaches?" "We should check your blood pressure when you have a headache." "Do you feel nausea when you have your headaches?" None 14. A nurse is contributing to the plan of care for a client with rheumatoid arthritis. The client has joint stiffness, a C-reactive protein level of 12 mg/L, and reduced hand grip strength bilaterally. Which of the following care plans demonstrates integrative health? Request a referral for surgery and physical therapy Offer NSAIDs and occupational therapy Provide massage therapy and corticosteroid medications Monitor C-reactive protein and joint x-rays None Time's up Post navigation Previous Previous post: Fund 5Next Next post: Fund 7
