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43 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Which drug name is the name selected by the pharmaceutical company selling the drug and protected by trademark?
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Chemical name
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The process by which a drug is transferred from its site of entry into the body to the bloodstream is known as which of the following?
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Absorption
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A patient has an abnormal, unexpected response to a drug. This is defined as which of the following?
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Idiosyncratic effect
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A medication order reads: “K-Dur, 20 mEq PO b.i.d.” When does the nurse correctly give this drug?
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Twice a day by the oral route
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You are to administer a medication to Mr. Brown. In addition to checking his identification bracelet, you can correctly verify his identity by doing which of the following?
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Asking the patient his name
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You are to administer a medication using a nasogastric tube, Before giving the medication, what should you do?
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Check for proper placement of the Nasogastric tube
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The medication order reads: “Hydromorphone, 2 mg IV every 3 to 4 hours p.r.n. pain.” The prefilled cartridge is available with a label reading “Hydromorphone 2 mg/1mL.” The cartridge contains 1.2 mL of hydromorphone. Which of the following actions is correct?
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Dispose of 0.2 mL correctly before administering the drug
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A patient requires 40 units of NPH insulin and 10 units of regular insulin daily subcutaneously. Which of the following gives the correct sequence when mixing insulins?
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Inject air into the NPH insulin vial, being careful not to allow the solution to touch the needle; next, inject air into the regular insulin vial and withdraw 10 units; then, withdraw 40 units of NPH insulin.
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Ms. Hall has an order for hydromorphone, 2 mg, intravenously, q 4 hours p.r.n. pain. The nurse notes that according to Ms. Hall’s chart, she is allergic to Dilaudid. The order for medication was signed by Dr. Long. Which of the following would be the correct procedure in this situation?
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Call Dr. Long and ask that she change the medication.
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The nurse manager on your unit prepared medications for Mr. Giles. She is called to the phone and asks you to give the patient his medications. Which is the best response to this request?
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Tell the nurse manager that because you did not pour the medication, you cannot administer it.
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Why is the intravenous method of medication administration called the “most dangerous route of administration”?
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The drug is placed directly into the bloodstream, and its action is immediate.
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Mr. King is receiving heparin subcutaneously. Which of the following demonstrates correct technique for this procedure?
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Do not aspirate before or massage after the injection.
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A patient refuses to take her noon medication, saying that she does not need it. Which of the following would be the best response?
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Tell her that you will return the medications to the cart but would like to discuss her reasons for refusing to take the medications.
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A nurse discovers that she has made a medication error. Which of the following should be her first response?
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Check the patient’s condition to note any possible effect of the error.
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The nurse takes an 8 a.m. medication to the patient and properly identifies her. The patient asks the nurse to leave the medication on the bedside table and states that she will take it with breakfast when it comes. What is the best response to this request?
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Tell her that you cannot leave the medication but will return with it when breakfast arrives.
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Thirty-six hours after having surgery, a patient has a slightly elevated body temperature and generalized malaise, as well as pain and redness at the surgical site. Which intervention is most important to include in this patient's nursing care plan?
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Document the findings and continue to monitor the patient.
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Which term would the nurse use to document wound drainage that is thick, odorous and green?
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Purulent
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A patient who has a large abdominal wound suddenly calls out for help because she feels as though something is falling out of her incision. Inspection reveals a gaping open wound with tissue bulging outward. In which order should the nurse perform the following interventions?
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1st: Place the pt in low fowlers
2nd: Cover the exposed tissue with sterile towels moistened with sterile NSS 3rd: Notify the physician immediately. |
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A pt, age 16, was in an MVA and received a wound across her nose and cheek. After surgery to repair the wound, the pt says, "I am so ugly now." Based on this statement, what nursing diagnosis would be most appropriate?
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Disturbed body image
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A pt is admitted with a nonhealing surgical wound. Which nursing action is most effective in preventing a wound infection?
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Performing careful hand hygiene is most important.
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During a dressing change, inspection of the wound reveals what appears to be reddish-pink tissue in the wound. The nurse interprets this as most likely indicating:
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Granulation tissue
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Rationale: Granulation tissue is new tissue composed of many small blood vessels, is pinkish red, and fills an open wound when it starts to heal.
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The nurse is performing a sterile irrigation of an open abdominal wound. Which intervention should be done first?
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Position the patient so the irrigation solution will flow from clean to dirty.
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The nurse is developing a plan of care for an 86 y.o. woman who has been admitted for R hip arthroplasty (hip replacement). Which assessment finding(s) indicate a high risk for pressure ulcer development for this pt?
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*The patients age of 86 years.
*Patients report of inability to control urine. * A scheduled hip arthroplasty. *Pt reports increased pain in R hip when repositioning in bed or chair. |
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The nurse is explaining to a pt the anticipated effect of the application of cold to an injured area. What response indicates the pt understands the explanation?
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"I should see less swelling and redness with the cold treatment."
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The nurse is providing pt teaching regarding the use of negative pressure wound therapy. Which explanation provides the most accurate information to the pt?
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The therapy provides a moist environment and stimulates blood flow to the wound.
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After an initial assessment, the nurse documents the presence of a reddened area that has blistered. According to recognized staging systems, what stage would this ulcer be classified?
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Stage II
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An older confused patient sits and slumps in her chair most of the day. She is most likely to develop a pressure ulcer because of what factor?
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Shearing forces
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The nurse assesses a stage III pressure ulcer manifested as:
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An open lesion with full thickness tissue loss and visible subcutaneous fat.
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Which action would be a priority in preventing a patient from developing a pressure ulcer?
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Using a mild cleansing agent when cleansing the skin
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In which sequence should the nurse implement the interventions to clean a surgical wound with dehisced edges?
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1st: Explain the procedure to the patient.
2nd: Moisted the sterile gauze or swab with prescribed cleansing agent. 3rd: Clean the wound in full or half circles, beginning in the center and working toward the outside. |
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When reviewing a patient's dietary intake, the nurse would identify which nutrient as providing the most concentrated source of energy in the body?
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Fats, 9 cal/g
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Which of the following would the nurse need to keep in mind when teaching a patient about the current MyPyramid Food Guide?
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Consumption of nutrient dense foods is promoted.
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Which laboratory test result would the nurse interpret as indicating that a patient is at risk for poor nutritional status?
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Decreased serum albumin level
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Rationale: a decreased serum albumin level may indicate protein malnutrition.
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Mr. Yow is refusing to eat. Which intervention would be most helpful in stimulating his appetite?
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Encouraging food from home when possible.
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Mrs. James has progressed to a full liquid diet. Which items would the nurse expect to see on the patient's meal tral?
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Custard and a glass of milk.
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When explaining parenteral nutrition, the nurse would describe this method as providing nutrients to the patient by way of which of the following?
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Intravenous access.
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The nurse completing anthropometric measurements for a patient collects which of the following information?
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Height and weight
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When discussing a weight-reduction plan with Mrs. Young, the nurse would explain that 1 lb of body fat is equal to about how many calories?
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3500 calories
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Mr. White has been admitted to the alcoholic referral unit in the local hospital. Based on an understanding of the effects of alcohol on the GI tract, which of the following would the nurse be most alert for nutritionally?
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Vitamin B deficiency
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The need for B vitamins is increased in alcoholics because these nutrients are used to metabolize alcohol, thus depleting their supply.
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A pt has a nasogastric tube inserted for feeding purposes. Using the stomach as a reservoir for food is advantageous in preventing what complication?
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Dumping syndrome
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Skin...Did you know!?
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*It is the largest organ of the body.
*The average adult has 3,000 sq inches, *Thats approximately 6 pounds *It receives a 1/3 of blood |
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Name some functions of the skin:
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protection, body temp regulation, psychosocial, sensation, products vitamin D, immunological, absorption, elimination
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What are the layers of the skin.
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Epidermis - stratified cells of keratin, no blood vessels, watertight.
Dermis-rests on SubQ, elastic, CT, nerves, hair follicles, BV's Subcutaneous-Anchors skin(dermis &epidermis) to underlying tissue(adipose and connective tissue) |
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