Actual Complete Real Exam Questions And Correct Answers
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Nitroglyerin Patch - ANSWER -Vasodilator- used in
unstable angina
-NO VIAGRA (severe
hypotension)
-slow onset and long
duration
-do not cut patch, place on hairless site,
rotate sites
-remove patch at night to reduce risk of intolerance (patch free
for 10-12hours)
Acetaminophen - ANSWER -(Tylenol)
NSAID
-acute toxicity r/t liver damage (s/s=N/V, diarrhea, sweating,
abd. discomfort, hepatic failure, coma, death)
-do not exceed 4g/day for most pt's, 3g/day for malnourished
pts, 2g/day or clients consuming more than 3 servings of
alcohol
-antidote= acetylcysteine via duodenal tube to prevent emesis
and aspiration
,Potassium infusion - ANSWER --check K+ levels
before admin
-NEVER IV PUSH! (lethal
injection)
-needs to be diluted before
administration
-can cause fatal
arrhythmias
-admin to
telemetry unit
-normal range is
3.5-5.0
-cough = d/c
med
Nitroglycerin (sublingual) - ANSWER -(Nitrostat)
-reduces coronary artery spasm (increases o2 supply)
-use at first indication of chest pain
- have patient sit or lie down, place one tablet under tongue
and let is dissolve. rest 5 min; if pain not relieved call 911 and
take second tablet, administer 3rd dose if unrelieved after
-headche= most common side effect
Mixing Insulin - ANSWER -1. inject long-lasting (lantus-
cloudy) insulin w/ air
2. inject regular(short acting- clear)
insulin w/ air
, 3. draw up regular
insulin
4. draw up long-lasting
insulin
IV infiltration - ANSWER -S/S to assess: burning sensations,
site puffiness, painful, cool, hard, pale
-STOP INFUSION
-elevate extremity and encourage ROM
-cold/warm compress
-call Dr for possible d/c
TPN (total parenteral nutrition) - ANSWER --monitor vital signs,
blood sugar levels (for hyperglycemia q4h), electrolyte levels,
protein/albumin,
BUN/Creatinine, CBC, lipid profile, iron
-monitor for s/s infectionn
-refrigerate solution until 30 minutes before infusion (do not
microwave, use warmer)
-monitor s/s hyper/hypoglycemia
-monitor for s/s fluid overload
-never d/c abruptly
-only use bag for 4h- discard remaining
-hang dextrose if out of TPN
-given through central line (PICC)
Fentanyl (transdermal) - ANSWER -for breakthrough pain
-takes several hours to achieve desired therapeutic effect
-short-acting opioids used prior to onset of therapeutic effects