Practice Q's EXAM III

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guyjincj
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106030
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Practice Q's EXAM III
Updated:
2011-10-03 12:41:19
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Exam III Nurs 1921
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Questions from last night's chat
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  1. Name and simple define each step of the nursing process
    • ADPIE
    • Assessment-gathering data
    • Diagnosis- validating data, determining
    • patients strengths and weaknesses.
    • Planning- Determining goals and
    • actions.
    • Implementation- Putting the plan into action. Evaluation- What
    • worked and what didn't. If it did not work, then why didn't it.
  2. How should you form the related to statement
    Pt problem + related to + etiology (+ as evidenced by)
  3. Infuse 500 mL over 4 hours. drip factor is 20 gtts/mL. how many gtts/ minute
    42 (41.6 rounded to 42)
  4. Infuse 500 mL over 4 hours. what is the rate on the IV pump (mL/hr)
    125 mL/hr
  5. 4 principles of pharmacokinetics
    • Absorption
    • Distribution
    • Metabolism
    • Excretion
  6. Absorption: what is one thing that affects absorption in the enteral route?
    GI tract
  7. What are the two major organs of excretion
    Kidneys and Liver
  8. What kind of patient would have problems with metabolism (of drugs)?
    Liver problems

    OR

    metabolism: malnourished patient distribution: elderly and very young
  9. Explain half life. think about pharmacokinetic principle is tied into half life
    • Period of time needed for medication in the body to be reduced by 50%.
    • A shorter half-life means more doses are needed, however, therapeutic or steady state reached faster
    • A longer half-life means drug leaves body more slowly, and takes longer to reach steady state. Loading dose may be needed.
  10. What pharmacokinetic principle is tied into half life?
    Excretion
  11. Six rights
    • Right: Patient
    • Drug
    • Dose
    • Time
    • Route
    • Documentation
  12. 3 checks
    • Look at MAR:
    • Before administration
    • Right after drug has been prepared
    • Right before giving to pt
  13. When should you assess the patient?
    Before and after administering the drugs.
  14. What to assess for?
    • Therapeutic effect
    • Secondary, adverse or idiosyncratic effects
  15. When do you document?
    Right AFTER administering the drug
  16. Name the components of a drug order
    • Name of PT
    • Date and time of prescription
    • Name of Drug
    • Dosage
    • Route
    • Frequency
    • Signature of prescribing provider
  17. Can the nurse write an order?
    Yes, but ONLY under specific circumstances (taking a phone order, following a protocol)
  18. How do you prevent med errors?
    • 6 rights
    • 3 checks
  19. A physician has ordered peak and trough levels on a drug. when
    (generally) should the peak be drawn (peak blood level) and when should
    the trough level be drawn?
    • PO: Peak, 1-3 hrs after administration
    • Trough, before next dose is given, usually 30mns

    • Intravenous: Peak, usually 10 mns after administration
    • Trough, same as above
  20. a patient taking an oral narctoic for pain relief tells the nurse he/she is constipated. What is this common response to narcotics
    called?
    a) therapeutic effect.
    b) adverse effect.
    c) toxic effect.
    d)side effect.
    e)idiosyncratic effect
    • d. Side Effect.
    • It could become adverse effect if it lasts long or complicates state of pt
  21. A drug is ordered 500 mg. the supply is 0.5 g per tablet. how many tablets?
    • 1
    • 0.5*1000= 500
  22. What factor is used to most accurately calculate drug dosages for a
    child? a
    a) age
    b) developmental level
    c) weight
    d) body surface area
    c, weight.

    The book says BSA, but Ms. Buchholz said to go with that she said in class, and that is the most used protocol these days.
  23. a nurse is adminstering a liquid medicaiton to an infant. where will
    the place the medicaiton to prevent aspiration?
    a. between the gum
    and the cheek.
    b. in front of the teeth and gums.
    c. on the front of
    the tongue.
    d under the tongue
    a. Between the gum and the cheek
  24. A nurse is adminstering an IM injection of a viscous medication (which
    is what?) using the appropriate gauge needle. what does the nurse need
    to know about needle gauges?
    a. all needles for parenteral injections
    are the same gauge.
    b. the gauge will depend on the length of the needle. c. ask the patient what size needle is preferred
    .d. gauges range frojm 18 to 30 with 18 being the largest.
    D. gauges range frojm 18 to 30 with 18 being the largest.

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