RNSG 1216 Exam 2 Questions & Answers Accurate 100%

Whos going to ace this test?! - Answer YOU ARE!!! MED SAFETY - Answer Explain consideration for administration of injectable drugs to infants and children. - Answer The recommendation for pediatric IM injection sites includes use of the anterolateral thigh for infants up to 12 months of age, deltoid in children 18 months and older, and ventrogluteal for children of all ages. Recommendations for needle length include (1 inch) for infants; (1- to 1 ¼ -inch) in toddlers; (1 1/2- to 2-inch) needle in older children State the MAX volume for administration of injectable medications to infants, children and adults. - Answer Ventrogluteal/ Vastus Lateralis Infants- 1 mL Children- 2 mL Adults- 3 mL Deltoid Adults- 1 mL SubQ Infants/ children- 0.5 mL Adults- 1 mL Identify landmarks for all injection sites (intramuscular and subcutaneous). - Answer IM- Deltoid, VG/VL SubQ- 2 inched around umbilicus, back of arms, thighs, love handles, booty, and she said scapula which is weird 1) Discuss the types of insulin and peak action time for each. - Answer RAPID ACTING On set- 5 to 15 min Peak- 30 to 90 min Duration <5 hours Humalog (Lispro) Novolog (Aspart) Glulisine (Asidru) 2) Discuss the types of insulin and peak action time for each. - Answer INTERMEDIATE ACTING Regular On set- 30 to 60 min Peak- 2 to 3 hours Duration- 5 to 8 hours NPH On set- 2-4 hours Peak- 4 to 10 hours Duration- 10 to 24 hours 3) Discuss the types of insulin and peak action time for each. - Answer LONG ACTING G Largine (Lantus) Onset- 2 to 4 hours Duration- 24 hours Detemir (Levemir) Onset- 3 to 4 hours Peak- 3-14 hours Duration- 6 to 24 hours 4) Discuss the types of insulin and peak action time for each. - Answer MIXED Humulin 70/30 On set- 30 min Peak- 2 to 12 hours Duration- 24 hours Novolog 70/30 On set- 15 min Peak- 1 to 4 hours Duration- 18 to 24 hours Humolog 75/25 On set- 15 to 30 minutes Peak- 2 to 3 hours Duration- 24 hours Discuss selection of correct needle and syringe for all types of injections - Answer VG/VS 90 degrees 20-25 gauge 1 to 1 1/2 inch 3 mL syringe up to 3 mL Aspirate!! Deltoid- 90 degrees 20-23 gauge 1/2- 1 inch 3 mL syringe up to 1 mL SubQ- 45 or 90 degrees 25-31 gauge 1/2-1 inch 3 mL syringe up to 1 mL Differentiate between varying directions for reconstitution and select the correct set to prepare the dosage ordered. - Answer 1 Kilogram equals - Answer 2.2 lbs Physical assessment techniques regarding cardiac assessment? - Answer Auscultating (listening) heart sounds is in 5 points. Aortic, Pulmonic, Erb's Point, Tricuspid, and Mitral Valves (Listen to Mitral aka apical pulse for 1 minute.) (All Pigs Eat Too Much!) S1 is Loudest at Apex (Bottom of chest) and S2 is loudest at the base (Top of chest). You should hear no whooshing sounds (Bruits). Pulse's will be bilaterally strong. Capillary refill will be less than 3 seconds to return to normal color. Check for clubbing in the fingers as well as edema. In a patient with a recent BKA, where would you assess his lower body pulse? - Answer Popliteal Artery, since that is the lowest artery available. In a patient with a recent AKA, where would you assess his lower body pulse? - Answer The Femoral Artery, since that is the lowest available artery. Do you place BP cuff above or below the artery you are measuring.? - Answer Above dude. Risk Factors for HD!? - Answer Smoking, Alcohol consumption, Limited exercise, High stress jobs/lifestyle(hypertension), a high fat/cholesterol diet, addiction to drugs, and anything that can cause a heart to work too hard for extended periods of time.