CCBC NURN155 EXAM 2 ANSWERS AND QUESTIONS
SET A+
✔✔Peak Levels - ✔✔Represents the highest level, are generally collected ½ hour after
the dose is given intravenously or 1 hour after it is given intramuscularly.
✔✔Trough Levels - ✔✔Represents the lowest level, are generally collected
approximately ½ hour before the next dose.
✔✔Peak/Trough monitored medication - ✔✔Vancomycin, Gentamycin, Tobramycin and
Phenytoin
✔✔X-ray - ✔✔- Used for diagnosis of issues with bones.
- Confirm that the patient is not pregnant.
- Leaded walls and leaded protection used.
- Monitor for life-time exposure risks.
✔✔CT/CAT Scan - ✔✔- Used to diagnose inflammation
- Contrast only once in 24 hours
- Pre-procedure BUN/CREAT to assess kidney function
- Caution: Paient taking Glucophage (Metformin), Must hold med for 48 post procedure
✔✔MRI - ✔✔You must not have this if you have:
- a medicated patch in place
- a cardiac (heart) pacemaker
- certain clips in your head from brain operations, i.e. aneurysm clips
- a cochlear (ear) implant
- a metallic foreign body in your eye
had surgery in the last 8 weeks
- a programmable shunt for hydrocephalus (fluid on the brain)
- if you are pregnant
✔✔Nuclear Medicine Scan - ✔✔- Patients will need IV hydration with Normal Saline
Solution (NSS)
, - Tag White nuclear medicine scan is performed using a special radioactive material
which is tagged to your white blood cells that, when injected into the body, is attached to
sites of inflammation.
- Tag Red nuclear medicine scan uses small amounts of radioactive material to mark
(tag) red blood cells (RBCs). Your body is then scanned to see the cells and track how
they move through the body.
✔✔Ultrasound - ✔✔- Also called a sonogram
- Uses high frequency sound waves to create an image
- Safer than radiation
- Safe to use during pregnancy to monitor the baby in the womb
✔✔Responsibilities for Diagnostic studies - ✔✔- Reason for the study
- Required prep
- Any lab work necessary
- Any precautions or pre-existing conditions to be considered
- Pre and post procedure patient education
- Health Promotion
✔✔Vital Signs - ✔✔Temperature (T)
Pulse (P)
Respiration (R)
Blood Pressure (BP)
Pain (5th VS)
Pulse Oximetry (Pulse Ox)
✔✔Importance of Vital Signs - ✔✔- Most frequent measurement
- Provides baseline data
- Indicators of health status
- Identifies changes
- Helps establish the nursing diagnosis, plan, intervention, and evaluation
✔✔Analyze Vital Signs - ✔✔- Compare to normal ranges
- Compare to patient's baseline
- Compare to patient's trends
- Assess for factors that could affect the patient's VS
✔✔Normal Temperature - ✔✔36°C - 38°C
96.8°F - 100.4°F
✔✔Heart Rate - ✔✔60-100 beats/min
✔✔Respiratory Rate - ✔✔12-20 breaths/min
✔✔Blood Pressure - ✔✔<120/80
SET A+
✔✔Peak Levels - ✔✔Represents the highest level, are generally collected ½ hour after
the dose is given intravenously or 1 hour after it is given intramuscularly.
✔✔Trough Levels - ✔✔Represents the lowest level, are generally collected
approximately ½ hour before the next dose.
✔✔Peak/Trough monitored medication - ✔✔Vancomycin, Gentamycin, Tobramycin and
Phenytoin
✔✔X-ray - ✔✔- Used for diagnosis of issues with bones.
- Confirm that the patient is not pregnant.
- Leaded walls and leaded protection used.
- Monitor for life-time exposure risks.
✔✔CT/CAT Scan - ✔✔- Used to diagnose inflammation
- Contrast only once in 24 hours
- Pre-procedure BUN/CREAT to assess kidney function
- Caution: Paient taking Glucophage (Metformin), Must hold med for 48 post procedure
✔✔MRI - ✔✔You must not have this if you have:
- a medicated patch in place
- a cardiac (heart) pacemaker
- certain clips in your head from brain operations, i.e. aneurysm clips
- a cochlear (ear) implant
- a metallic foreign body in your eye
had surgery in the last 8 weeks
- a programmable shunt for hydrocephalus (fluid on the brain)
- if you are pregnant
✔✔Nuclear Medicine Scan - ✔✔- Patients will need IV hydration with Normal Saline
Solution (NSS)
, - Tag White nuclear medicine scan is performed using a special radioactive material
which is tagged to your white blood cells that, when injected into the body, is attached to
sites of inflammation.
- Tag Red nuclear medicine scan uses small amounts of radioactive material to mark
(tag) red blood cells (RBCs). Your body is then scanned to see the cells and track how
they move through the body.
✔✔Ultrasound - ✔✔- Also called a sonogram
- Uses high frequency sound waves to create an image
- Safer than radiation
- Safe to use during pregnancy to monitor the baby in the womb
✔✔Responsibilities for Diagnostic studies - ✔✔- Reason for the study
- Required prep
- Any lab work necessary
- Any precautions or pre-existing conditions to be considered
- Pre and post procedure patient education
- Health Promotion
✔✔Vital Signs - ✔✔Temperature (T)
Pulse (P)
Respiration (R)
Blood Pressure (BP)
Pain (5th VS)
Pulse Oximetry (Pulse Ox)
✔✔Importance of Vital Signs - ✔✔- Most frequent measurement
- Provides baseline data
- Indicators of health status
- Identifies changes
- Helps establish the nursing diagnosis, plan, intervention, and evaluation
✔✔Analyze Vital Signs - ✔✔- Compare to normal ranges
- Compare to patient's baseline
- Compare to patient's trends
- Assess for factors that could affect the patient's VS
✔✔Normal Temperature - ✔✔36°C - 38°C
96.8°F - 100.4°F
✔✔Heart Rate - ✔✔60-100 beats/min
✔✔Respiratory Rate - ✔✔12-20 breaths/min
✔✔Blood Pressure - ✔✔<120/80
