Question 1 1 out of 1 points A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the Response Feedback : The ventrogluteal site is the best choice because it is free of major nerves and blood vessels and is characterized by deep muscle mass. The drug is injected into the gluteus medius muscle, which is in the ventrogluteal site. Injection in the gluteus medius is less painful than injection in the vastus lateralis. The dorsogluteal site should be used only as a last resort because of potential damage to the sciatic nerve if the site is not chosen with precision. The scalp veins are never used for injections; they are used only as intravenous sites in infants. Question 2 1 out of 1 points A nurse is going to administer medication to an infant using a medicine dropper. The best method is to open the child's mouth by gently squeezing the cheeks and placing the drops Response Feedback: By placing the medication in the buccal pouch, the child is less likely to spit the medicine out than when placing it under or on top of the tongue and at the back of the mouth. Also, placing the medication in an area other than the buccal pouch could cause aspiration. Question 3 1 out of 1 points A 30-year-old man with a BMI of 59 has recently been diagnosed with type 2 diabetes mellitus. In light of the man's lack of success with weight loss programs in the past, his care provider has prescribed sibutramine (Meridia). What instructions should the nurse consequently provide to this patient? Response Feedback : Patients should take sibutramine on an empty stomach to maximize peak concentration levels. They should take it only once a day. It is important to remember that sibutramine should be used in conjunction with a low-calorie diet and daily exercise routine for maximum results. It is not taken on an “ass-needed” basis to control food cravings. Question 4 1 out of 1 points A 10-year-old boy is taking dextroamphetamine (Dexedrine) daily for ADHD. At each clinic visit, the nurse's priority assessment would be Response Feedback : The nurse should assess blood pressure, body temperature, and vision at each clinic visit as routine nursing measures in caring
for a pediatric patient. However, the priority assessment would be of height and weight. Monitoring the growth and development of children taking amphetamines is extremely important because these drugs have been associated with growth suppression. Question 5 1 out of 1 points A 21-year-old female has a history of irregular menses. She recently became sexually active, and would like to begin taking oral contraceptives (OCs). The nurse practitioner recognizes that most likely this patient would benefit from taking which category of OCs.
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- Summer '15
- Pharmacology, Adverse drug reaction, Dextroamphetamine