Med Admin Part 1 Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
Heparin - CORRECT ANSWER Anticoagulant
(High alert Medication)
How do we give Heparin? - CORRECT ANSWER Sub Q
(Two inches away from umbilics as long as there is no tenderness, wound, etc.)
Heparin Indications - CORRECT ANSWER 1. Prevention of blood clot formation
2. Indicated for prophylaxis and treatment of various thromboembolic disorders
Heparin Mechanism of Action - CORRECT ANSWER Produces an anticoagulant
effect by inhibiting thrombin and factor Xa.
Heparin Contraindications - CORRECT ANSWER · Bleeding (Uncontrolled),
Thrombocytopenia, Open wounds, Hypersensitivity
· Use cautiously with hypertension, diabetes, pregnancy, liver and kidney disease
Aspirin, NSAIDS (drugs that affect platelet function)
Heparin side effects - CORRECT ANSWER Bleeding, Heparin-induced
thrombocytopenia, anemia, pain at injection site
Heparin nursing interventions - CORRECT ANSWER · Assess for signs of bleeding
and hemorrhage
· Watch injection site for redness, bruising, inflammation, and apply pressure on injection site
to reduce change of bleeding.
· Monitor aPTT, platelet count
· Look for possible increase in AST, ALT, potassium (hyperkalemia)
, Potassium sulfate is antidote
Heparin Patient Teaching - CORRECT ANSWER · Report any symptoms of unusual
bleeding or bruising
· Do not take aspirin or NSAIDs
· Avoid IM injections, use a soft toothbrush, electric razor
State you are on this medication before any surgery
Heparin Desired Outcomes - CORRECT ANSWER · Prolonged PTT time of 1.5 to 2.5
times the control
· Prevention of deep vein thrombosis and pulmonary emboli
Patency of IV catheters
How do we give Regular insulin? - CORRECT ANSWER Sub Q
(Two inches away from umbilics as long as there is no tenderness, wound, etc.)
Regular Insulin Indications - CORRECT ANSWER Control of hyperglycemia in
patients with diabetes melitus
Regular Insulin Mechanism of Action - CORRECT ANSWER Lowers blood glucose
by stimulating glucose uptake in skeletal muscle and fat, inhibiting hepatic glucose
production
Regular Insulin Contraindications - CORRECT ANSWER · Hypoglycemia, allergy
Use cautiously with renal and hepatic impairment
Regular Insulin Side Effects - CORRECT ANSWER Hypoglycemia, hypokalemia,
anaphylaxis
QUESTIONS AND CORRECT ANSWERS
Heparin - CORRECT ANSWER Anticoagulant
(High alert Medication)
How do we give Heparin? - CORRECT ANSWER Sub Q
(Two inches away from umbilics as long as there is no tenderness, wound, etc.)
Heparin Indications - CORRECT ANSWER 1. Prevention of blood clot formation
2. Indicated for prophylaxis and treatment of various thromboembolic disorders
Heparin Mechanism of Action - CORRECT ANSWER Produces an anticoagulant
effect by inhibiting thrombin and factor Xa.
Heparin Contraindications - CORRECT ANSWER · Bleeding (Uncontrolled),
Thrombocytopenia, Open wounds, Hypersensitivity
· Use cautiously with hypertension, diabetes, pregnancy, liver and kidney disease
Aspirin, NSAIDS (drugs that affect platelet function)
Heparin side effects - CORRECT ANSWER Bleeding, Heparin-induced
thrombocytopenia, anemia, pain at injection site
Heparin nursing interventions - CORRECT ANSWER · Assess for signs of bleeding
and hemorrhage
· Watch injection site for redness, bruising, inflammation, and apply pressure on injection site
to reduce change of bleeding.
· Monitor aPTT, platelet count
· Look for possible increase in AST, ALT, potassium (hyperkalemia)
, Potassium sulfate is antidote
Heparin Patient Teaching - CORRECT ANSWER · Report any symptoms of unusual
bleeding or bruising
· Do not take aspirin or NSAIDs
· Avoid IM injections, use a soft toothbrush, electric razor
State you are on this medication before any surgery
Heparin Desired Outcomes - CORRECT ANSWER · Prolonged PTT time of 1.5 to 2.5
times the control
· Prevention of deep vein thrombosis and pulmonary emboli
Patency of IV catheters
How do we give Regular insulin? - CORRECT ANSWER Sub Q
(Two inches away from umbilics as long as there is no tenderness, wound, etc.)
Regular Insulin Indications - CORRECT ANSWER Control of hyperglycemia in
patients with diabetes melitus
Regular Insulin Mechanism of Action - CORRECT ANSWER Lowers blood glucose
by stimulating glucose uptake in skeletal muscle and fat, inhibiting hepatic glucose
production
Regular Insulin Contraindications - CORRECT ANSWER · Hypoglycemia, allergy
Use cautiously with renal and hepatic impairment
Regular Insulin Side Effects - CORRECT ANSWER Hypoglycemia, hypokalemia,
anaphylaxis
