NFDN 1002, FINAL EXAM NEWEST ACTUAL LATEST

NFDN 1002, FINAL EXAM NEWEST ACTUAL / LATEST

QUESTIONS AND ANSWERS VERIFIED/GRADED A+

medication verification - ----Answers---what: compare your

MAR to your doctor's orders

when: before you pull your medication

when do we check the expiry date? - ----Answers---2nd medication & MAR check

which drugs need another nurses signature? - ----Answers-- -narcotics, heparin , insulin

side effect - ----Answers---common/ predictable reaction

adverse effects - ----Answers---serious/ unpredictable reactions

therapeutic ranges - ----Answers---the appropriate level of the medication in the blood

medication order - ----Answers---clients full name, date, medication name, dose/ frequency, route , signature

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Standing order - ----Answers---routine order carried out until physician discontinues

PRN order - ----Answers---medication is given on an as needed, (narcotics for pain)

single order - ----Answers---medication given as a order only once

STAT order - ----Answers---give immediately, for emergencies

Oral medications - ----Answers---what: tablets, capsules,

sublingual, buccal, liquids

where: absorption occurs in the small intestine

how: slowest onset

oral route assessment - ----Answers---what: can they

swallow, pt. NPO?, pt. N/V?

Transdermal patches - ----Answers---what: medication is

absorbed from the patch through the skin

when: usually every 12 hours, apply twice a day

how: remove old patch, assess skin, place onto skin without

touching the backside, label medication with date/time/& initials

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Eye Medications - ----Answers---how: drop into the lower

conjunctival sac, have pt. supine, or sitting with neck hyperextended looking to the roof

Ear Medications - ----Answers---how: pull auricle up and

back, have pt. lying supine looking to the side with ear pointing up, drop medication into the external ear let fall into the inner ear

Nasal Medications - ----Answers---how: blow nose prior to

admin, occlude one nostril, do both nostrils (rebound congestion may occur, medication may take 3 days to kick in)

injection sites should? - ----Answers---be free of lesions, tattoos, underlying bony prominences/nerves, cleanse the area with alcohol, wear gloves

insulin mixing - ----Answers---how: Clear to cloudy, (clear,

regular, short-acting), cloudy ( NPH, intermediate)

What things need to be assessed before administering insulin

• ----Answers---hypoglycaemia?, skin assessment, BGL

level, sign insulin record , & co-sign

what things need to be assessed before administering heparin

• ----Answers---assess for signs of bleeding( bruising,

bleeding gums), lab values monitoring PTT levels, sign anticoagulation record & get a co-signature 3 / 4

IM injection potential complications - ----Answers---access, cellulitis, tissue necrosis, muscle fibrosis, hematoma, bone/peripheral nerve injury

Z-track technique - ----Answers---what: method of pulling

the skin taught and to the side 1-1.5" away from the injection site

why: when skins released medication gets sealed in,

decreases pain,

reconstitution - ----Answers---what: method of mixing the

powder with saline to create medication liquid

how: inject medication recommended amount of saline, mix by

rubbing between hands

what do we assess for when administering narcotics - ---- Answers---LOC, respiration , pain OPQRSTAU, sign PRN & narcotic record, get a co-signature

oliguria - ----Answers---small amounts of urine produced

anuria - ----Answers---failure of the kidneys to produce urine

polyuria - ----Answers---large amounts of urine

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