NURS 4401 Adult Health
RN Adult Medical Surgical Online Practice 2019 A 91.1% - need >85%
Prepared by Cassandra D Martinez Date: April
Topics to Review
Safety and Infection Control (1 Item)
Accident/Error/Injury Prevention (1 Item)
● Seizures and Epilepsy: Implementing Precautions
1. If a patient is admitted with seizures, patient should have an IV access; notify
doctor for order if not already available
2. The side lying position is the best natural opening for the trachea and the
bronchi. Keep the airway open by turning the head to the left during the
seizure
3. Include padding the side rails and O2 and suction equipment at bedside
available
Pharmacological and Parenteral Therapies (3 Items)
Adverse Effects/Contraindications/Side Effects/Interactions (2 Items)
● Hepatitis and Cirrhosis: Adverse Effects of Lactulose
1. It works by stimulating the production of excess stools to rid the body of
excess ammonia
2. These excessive stools can result in hypokalemia and dehydration
3. Lactulose should decrease hepatic encephalopathy
● Hypertension: Recognizing Adverse Effects of Propranolol
1. Night cough is an early indication of heart failure, an adverse effect
2. Sensory adverse effects include sore throat and vision changes
3. GI effects of propranolol include adverses of dry mouth, abdominal cramping,
colitis, and acute pancreatitis
Total Parenteral Nutrition (TPN) (1 Item)
● Gastrointestinal Therapeutic Procedures: Administering Total Parenteral Nutrition
1. Keep dextrose 10% in water at the bedside in case the solution is unexpectedly
ruined or the next bag is not available. This will minimize the risk of
hypoglycemia with abrupt changes in dextrose concentrations
2. To avoid hypoglycemia, an IV of dextrose 10% to 20% in water is
administered if the PN solution is unavailable
3. Do not attempt to increase the rate of the PN solution to “catch up”.
This study source was downloaded by 100000849580189 from CourseHero.com on 08-10-2023 04:34:59 GMT -05:00
https://www.coursehero.com/file/89706904/RN-Adult-Medical-Surgical-Online-Practice-2019-A-Focused-Reviewdocx/
RN Adult Medical Surgical Online Practice 2019 A 91.1% - need >85%
Prepared by Cassandra D Martinez Date: April
Topics to Review
Safety and Infection Control (1 Item)
Accident/Error/Injury Prevention (1 Item)
● Seizures and Epilepsy: Implementing Precautions
1. If a patient is admitted with seizures, patient should have an IV access; notify
doctor for order if not already available
2. The side lying position is the best natural opening for the trachea and the
bronchi. Keep the airway open by turning the head to the left during the
seizure
3. Include padding the side rails and O2 and suction equipment at bedside
available
Pharmacological and Parenteral Therapies (3 Items)
Adverse Effects/Contraindications/Side Effects/Interactions (2 Items)
● Hepatitis and Cirrhosis: Adverse Effects of Lactulose
1. It works by stimulating the production of excess stools to rid the body of
excess ammonia
2. These excessive stools can result in hypokalemia and dehydration
3. Lactulose should decrease hepatic encephalopathy
● Hypertension: Recognizing Adverse Effects of Propranolol
1. Night cough is an early indication of heart failure, an adverse effect
2. Sensory adverse effects include sore throat and vision changes
3. GI effects of propranolol include adverses of dry mouth, abdominal cramping,
colitis, and acute pancreatitis
Total Parenteral Nutrition (TPN) (1 Item)
● Gastrointestinal Therapeutic Procedures: Administering Total Parenteral Nutrition
1. Keep dextrose 10% in water at the bedside in case the solution is unexpectedly
ruined or the next bag is not available. This will minimize the risk of
hypoglycemia with abrupt changes in dextrose concentrations
2. To avoid hypoglycemia, an IV of dextrose 10% to 20% in water is
administered if the PN solution is unavailable
3. Do not attempt to increase the rate of the PN solution to “catch up”.
This study source was downloaded by 100000849580189 from CourseHero.com on 08-10-2023 04:34:59 GMT -05:00
https://www.coursehero.com/file/89706904/RN-Adult-Medical-Surgical-Online-Practice-2019-A-Focused-Reviewdocx/
