NUR 205 Exam 3 Study Guide with Complete Solutions

NUR 205 Exam 3 Study Guide with Complete Solutions 6 rights of drug administration - Answer️️ -Right patient, right drug, right dose, right route, right time, right documentation 3 medication checks - Answer️️ -Check MAR/order Check when you pull the medication Check at the patient bedside How to know if your patient can swallow pills whole? - Answer️️ --ask if they can -check gag reflex -when given report ask if they can take pills whole Intramuscular (IM) - Answer️️ -injection into a muscle No more than 3 ml At a 90 degree angle Where are the IM injection sites? - Answer️️ -Deltoid Gluteus Maximus (not recommended) Vastus lateralis *** Recurs femoris ©SOPHIABENNETT@ Sunday, August 25, 2024 2:42 PM 2 Subcutaneous injections - Answer️️ -Injection of a small amount of a medication under the skin into fatty or connective tissue 45-90 degree angle 1 ml fluid maximum Transdermal injection - Answer️️ -diffuse through the epidermis at a known rate into the dermis 5-15 degree angle Bevel up Pull skin back Make a "wheel" Endocrine system - Answer️️ -Glands secrete hormones that regulate processes such as growth, reproduction, and nutrient use (metabolism) by body cells. Insulin Hormone - Answer️️ -Necessary for carb regulation and glucose control Hormones - Answer️️ -Chemical messengers, mostly those manufactured by the endocrine glands, that are produce metabolic change Normal BS - Answer️️ -70-120 Fasting BS - Answer️️ -70-100 ©SOPHIABENNETT@ Sunday, August 25, 2024 2:42 PM 3 Pre-diabetic BS - Answer️️ -over 140 Mild Hypoglycemia Symptoms - Answer️️ -Hunger Nervousness Palpitations Sweating Tachycardia Tremor Moderate Hypoglycemia Symptoms - Answer️️ -Confusion Double Vision Drowsiness Emotional Changes Headache Impaired Coordination Inability to concentrate Irrational or combative behavior Lightheadedness Numbness of the lips and tongue Slurred speech ©SOPHIABENNETT@ Sunday, August 25, 2024 2:42 PM 4 Severe Hypoglycemia Symptoms - Answer️️ -Difficulty arousing Disoriented behavior Loss of consciousness Seizures Hyperglycemic Symptoms - Answer️️ -Polydipsia (increased thirst) Polyphasia (Increase hunger) Polyuria (increased urination) Warm, flushed skin Blurred vision Poor wound healing Diabetic Keto acidosis (DKA) - Answer️️ -Higher than 300 glucose Ketones in urine Kussmal breathing Acetone (fruity) breath Tachycardia N/V Severe abdominal pain DKA Treatments - Answer️️ -Rapid IV fluids ©SOPHIABENNETT@ Sunday, August 25, 2024 2:42 PM 5 IV Insulin/Drip Correct Electrolyte imbalance K+ and DKA - Answer️️ -K+ is elevated due to the dehydration and acidosis We must treat the imbalance quickly Diagnostic testing for diabetes - Answer️️ -Fasting BS A1C testing GAD Antibody testing lipid panel Renal function testing C-reactive protein GAD test - Answer️️ -An antibody test used for Type 1 diabetic patients. Either the patient will test positive or negative. HDL Cholesterol - Answer️️ -Good cholestero