Free PSW Physical Care Test 3

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All of the following are required sources to confirm the patient's identity before administering medication EXCEPT:

Correct! Wrong!

The patient's room/bed number is not a reliable source to confirm the patient's identity before administering medication. While the identification bracelet, asking the patient, and the patient's chart can all provide accurate information about the patient's identity, the room/bed number alone does not confirm the patient's identity. It is possible for a patient to be assigned to a different room or bed, or for multiple patients to have the same room/bed number. Therefore, relying solely on the room/bed number would not be sufficient to confirm the patient's identity.

What must be done by the nurse to ensure key steps are followed while administering medication?

Correct! Wrong!

To ensure key steps are followed while administering medication, the nurse must check for discoloration and expiration of the drug. This step is important to ensure the medication is still safe and effective for the patient. It helps to identify any potential issues with the drug that could harm the patient or reduce its effectiveness. By checking for discoloration and expiration, the nurse can ensure that only safe and viable medication is administered to the patient.

Which part of a syringe is pushed to move the fluid out?

Correct! Wrong!

The plunger is the part of a syringe that is pushed to move the fluid out. This is done by applying pressure on the plunger, which creates a vacuum inside the barrel of the syringe, causing the fluid to be drawn into the syringe. When the plunger is pushed, it forces the fluid out through the needle. The plunger is designed to fit snugly inside the barrel to ensure a tight seal and prevent any leakage of the fluid.

Which injection is given into the subcutaneous tissues for a sustained release? (insulin)

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Insulin is typically administered through subcutaneous injection to achieve a sustained release. This is because subcutaneous tissue is located just beneath the skin, allowing for a slower absorption of the medication into the bloodstream. This method ensures a steady and prolonged release of insulin, which is necessary for managing blood sugar levels in individuals with diabetes. Intravenous injections are given directly into the vein, providing immediate effects but not sustained release. Intramuscular injections are administered into the muscle and are also not ideal for sustained release. Intradermal injections are shallow injections into the dermis layer of the skin and are used for diagnostic purposes rather than sustained release of medication.

You must administer the medication within _____ of the scheduled time.

Correct! Wrong!

The answer is 30 minutes because administering medication within this time frame ensures that the medication is given close enough to the scheduled time to maintain its effectiveness. Waiting longer than 30 minutes may result in a delay in the medication's therapeutic effects or potential adverse effects. It is important to adhere to the prescribed schedule to optimize the medication's benefits and ensure patient safety.

How many times do you check a medication calculation?

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It is important to check a medication calculation three times to ensure accuracy and prevent errors. This triple-checking process helps to minimize the risk of administering the wrong dosage, which could have serious consequences for the patient's health. By checking the calculation multiple times, healthcare professionals can verify the accuracy of their calculations and catch any potential mistakes before administering the medication.

Which of the following is used to minimize skin irritation by sealing the medication in muscle tissue?

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The Z-track method is used to minimize skin irritation by sealing the medication in muscle tissue. This technique involves pulling the skin and underlying tissue to one side before injecting the medication, and then releasing the skin after the injection is complete. This creates a zigzag or "Z" pattern, which helps to prevent the medication from leaking back into the subcutaneous tissue and causing irritation or discoloration of the skin. By using the Z-track method, the medication is effectively sealed in the muscle tissue, reducing the risk of skin irritation.

During medication administration how can the nurse properly confirm he or she has the right patient?

Correct! Wrong!

To confirm you have the right patient the nurse needs to use at least two patient identifiers. Full name and birthday is sufficient.

What is the minimum number of times that you check the medication label before administering the medication?

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The minimum amount of times that you should check the medication label before administering the medication is three. This is to ensure accuracy and prevent any potential errors. Checking the label multiple times helps to verify the correct medication, dosage, and any specific instructions or warnings. By doing so, it reduces the risk of administering the wrong medication or dosage, which could have serious consequences for the patient's health.

Which part of a syringe holds medication.?

Correct! Wrong!

The barrel of a syringe is the part that holds the medication. It is a cylindrical tube that is typically made of plastic or glass. The medication is drawn into the barrel through the needle or a separate opening, and then it can be administered by pushing the plunger. The barrel is transparent or has markings to indicate the volume of medication being drawn or administered.

What is NOT an appropriate action when a patient, who is legally responsible for their care, refuses medication?

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Forcing a patient to take medication against their will is a violation of their autonomy and rights. It goes against the principle of informed consent and the patient's right to make decisions about their own healthcare. It is important to respect the patient's decision and autonomy even if it is not in their best interest. Instead, the appropriate actions include notifying the ordering physician, documenting the patient's refusal and education provided, and explaining the consequences of not taking the medication.

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