NUR1023C EXAM 3 STUDY GUIDE
(MOD 4 & 5) QUESTIONS & PASSED
CORRECT ANSWERS
Describe the step by step procedure of giving pt's medication: - Correct Answer ✔✔ 1.
Receive/verify order
2. Assess need- screen for pain, nausea, blood sugar, etc (request information from
instructor)
3. Gather supplies and check 6 rights
• Right drug, dose, time, route, patient, documentation
4. Check expiration of medication
5. Calculate dose, draw up, check 6 rights
• Right drug, dose, time, route, patient, documentation
6. Introduce yourself to patient, perform hand hygiene, verify identity, ask for allergies,
check 6 rights
• Right drug, dose, time, route, patient, documentation
7. Select injection site avoiding bruised or damaged site
8. Administer medication
9. Assess site
10. Return patient to comfortable position, both side rails up, call bell within reach, etc
What is Heparin? What should you check before administering Heparin? - Correct
Answer ✔✔ Heparin is an anti-coagulant.
Dosed in units.
Check PTT (if on IV), INR, check platelet count within normal range
What is Humulin R (regular insulin) and how is it given? - Correct Answer ✔✔
Antidiabetic controls blood glucose levels
● Short-acting
● Sub-Q insulin syringe
● Dosed in units
● Request glucose level of patient from instructor
THIS IS THE ONLY INSULIN YOU CAN GIVE AS AN IV.
What is NPH insulin and how is it given? - Correct Answer ✔✔ Anti-diabetic controls
blood glucose levels
(intermediate insulin)
• Glucose levels/a1c
• Sub-Q insulin syringe
,• Dosed in units
DO NOT GIVE to a pt that has pork allergies.
Can take twice a day.
What is Hydromorphone (Dilaudid) and how is it given? What should you check before
administering? - Correct Answer ✔✔ PRN- narcotic
• Route-IM
• Check last time they received it PRN
• Assess patient pain 0-10, where it is and describe it to evaluate the need PRIOR TO
DRAWING UP
What is Demerol and how is it given? What should you check before administering? -
Correct Answer ✔✔ narcotic
• Route-IM
• Check last time they received it PRN
• Assess patient pain 0-10, where it is and describe it to evaluate the need PRIOR TO
DRAWING UP
What is Ceftriaxone (Rocephin) and how is it given? What should you ask before
administering? - Correct Answer ✔✔ antibiotic
• Route-IM
• Ask instructor for patient allergies (penicillin)
What is Phenergan (Promethazine) and how is it given? What to check before
administering? - Correct Answer ✔✔ Antiemtic
• Route-IM
• Ask when last dose was received
• Asses level of nausea
HYPOkalemia causes: - Correct Answer ✔✔ • Vomiting/diarrhea
• Gastric suctioning
• Laxative abuse
• K+ wasting DIURETICS (LASIX/FUROSEMIDE)
• Inadequate intake
HYPOkalemia S/S - Correct Answer ✔✔ • Muscle weakness/cramping
• Cardiac dysrhythmias
• Irregular PR
• n/v
• decreased peristalsis- hypoactive bowel sounds
Normal Potassium levels: - Correct Answer ✔✔ K+ 3.5-5.0 mEq/L
HYPERkalemia S/S - Correct Answer ✔✔ • Dysrhythmias
• Muscle weakness/cramping
, • Parathesia
HYPERkalemia causes: - Correct Answer ✔✔ • RENAL FAILURE
• K+ sparing diuretics
• Too much K+
• Diabetic Ketoacidosis
HYPOnatremia causes: - Correct Answer ✔✔ • Hyper/Hypo Volemia can both cause
• Diuretics
• Vomiting/diarrhea- Too much Na+ loss
• Profuse diaphoresis
• NOT ENOUGH SODIUM IN DIET
• Too much H2O intake- Too diluted
• Prolonged use of hypotonic IV solutions
• SIADH- Too much diuretic hormone
HYPOnatremia S/S: - Correct Answer ✔✔ • LETHARGY, CONFUSION, WEAKNESS
• Muscle cramping
• Seizures
• n/v
• Irregular PR
Normal sodium levels: - Correct Answer ✔✔ Na+ 136-145 mmol/L
HYPERnatremia S/S: - Correct Answer ✔✔ • Thirsty
• Dry mucous membranes
• Weakness
• Elevated temp
• DECREASED LOC
• Convulsions
• Can lead to fluid overload (hypervolemia)
HYPERnatremia causes: - Correct Answer ✔✔ • Excessive sodium in diet
• Hypertonic IV solutions
• Diarrhea/vomiting
• Not enough H2O intake
HYPOcalcemia causes: - Correct Answer ✔✔ • Vitamin D deficiency- MUST HAVE VIT
D TO ABSORB CALCIUM
• Inadequate intake of calcium-rich foods
• Pancreatitis
• Hypoparathyroidism
• Long-term immobility- risk for osteoporosis...
HYPOcalcemia S/S: - Correct Answer ✔✔ • Muscle cramps
• TETANY- hyper reflexes
(MOD 4 & 5) QUESTIONS & PASSED
CORRECT ANSWERS
Describe the step by step procedure of giving pt's medication: - Correct Answer ✔✔ 1.
Receive/verify order
2. Assess need- screen for pain, nausea, blood sugar, etc (request information from
instructor)
3. Gather supplies and check 6 rights
• Right drug, dose, time, route, patient, documentation
4. Check expiration of medication
5. Calculate dose, draw up, check 6 rights
• Right drug, dose, time, route, patient, documentation
6. Introduce yourself to patient, perform hand hygiene, verify identity, ask for allergies,
check 6 rights
• Right drug, dose, time, route, patient, documentation
7. Select injection site avoiding bruised or damaged site
8. Administer medication
9. Assess site
10. Return patient to comfortable position, both side rails up, call bell within reach, etc
What is Heparin? What should you check before administering Heparin? - Correct
Answer ✔✔ Heparin is an anti-coagulant.
Dosed in units.
Check PTT (if on IV), INR, check platelet count within normal range
What is Humulin R (regular insulin) and how is it given? - Correct Answer ✔✔
Antidiabetic controls blood glucose levels
● Short-acting
● Sub-Q insulin syringe
● Dosed in units
● Request glucose level of patient from instructor
THIS IS THE ONLY INSULIN YOU CAN GIVE AS AN IV.
What is NPH insulin and how is it given? - Correct Answer ✔✔ Anti-diabetic controls
blood glucose levels
(intermediate insulin)
• Glucose levels/a1c
• Sub-Q insulin syringe
,• Dosed in units
DO NOT GIVE to a pt that has pork allergies.
Can take twice a day.
What is Hydromorphone (Dilaudid) and how is it given? What should you check before
administering? - Correct Answer ✔✔ PRN- narcotic
• Route-IM
• Check last time they received it PRN
• Assess patient pain 0-10, where it is and describe it to evaluate the need PRIOR TO
DRAWING UP
What is Demerol and how is it given? What should you check before administering? -
Correct Answer ✔✔ narcotic
• Route-IM
• Check last time they received it PRN
• Assess patient pain 0-10, where it is and describe it to evaluate the need PRIOR TO
DRAWING UP
What is Ceftriaxone (Rocephin) and how is it given? What should you ask before
administering? - Correct Answer ✔✔ antibiotic
• Route-IM
• Ask instructor for patient allergies (penicillin)
What is Phenergan (Promethazine) and how is it given? What to check before
administering? - Correct Answer ✔✔ Antiemtic
• Route-IM
• Ask when last dose was received
• Asses level of nausea
HYPOkalemia causes: - Correct Answer ✔✔ • Vomiting/diarrhea
• Gastric suctioning
• Laxative abuse
• K+ wasting DIURETICS (LASIX/FUROSEMIDE)
• Inadequate intake
HYPOkalemia S/S - Correct Answer ✔✔ • Muscle weakness/cramping
• Cardiac dysrhythmias
• Irregular PR
• n/v
• decreased peristalsis- hypoactive bowel sounds
Normal Potassium levels: - Correct Answer ✔✔ K+ 3.5-5.0 mEq/L
HYPERkalemia S/S - Correct Answer ✔✔ • Dysrhythmias
• Muscle weakness/cramping
, • Parathesia
HYPERkalemia causes: - Correct Answer ✔✔ • RENAL FAILURE
• K+ sparing diuretics
• Too much K+
• Diabetic Ketoacidosis
HYPOnatremia causes: - Correct Answer ✔✔ • Hyper/Hypo Volemia can both cause
• Diuretics
• Vomiting/diarrhea- Too much Na+ loss
• Profuse diaphoresis
• NOT ENOUGH SODIUM IN DIET
• Too much H2O intake- Too diluted
• Prolonged use of hypotonic IV solutions
• SIADH- Too much diuretic hormone
HYPOnatremia S/S: - Correct Answer ✔✔ • LETHARGY, CONFUSION, WEAKNESS
• Muscle cramping
• Seizures
• n/v
• Irregular PR
Normal sodium levels: - Correct Answer ✔✔ Na+ 136-145 mmol/L
HYPERnatremia S/S: - Correct Answer ✔✔ • Thirsty
• Dry mucous membranes
• Weakness
• Elevated temp
• DECREASED LOC
• Convulsions
• Can lead to fluid overload (hypervolemia)
HYPERnatremia causes: - Correct Answer ✔✔ • Excessive sodium in diet
• Hypertonic IV solutions
• Diarrhea/vomiting
• Not enough H2O intake
HYPOcalcemia causes: - Correct Answer ✔✔ • Vitamin D deficiency- MUST HAVE VIT
D TO ABSORB CALCIUM
• Inadequate intake of calcium-rich foods
• Pancreatitis
• Hypoparathyroidism
• Long-term immobility- risk for osteoporosis...
HYPOcalcemia S/S: - Correct Answer ✔✔ • Muscle cramps
• TETANY- hyper reflexes
