NUR2407 Pharmacology ATI Pharmacology Proctored Exam Remediation Form

Rasmussen College NUR2407 Pharmacology ATI Proctored Exam assignment Rasmussen College ATI Pharmacology Proctored Exam Remediation Form Individual Performance in Major Content Areas:  Safety and Infection Control 66.7%  Psychosocial Integrity 0%  Pharmacological and Parenteral Therapies 58.5% For each area where you scored less than 73%, you must show evidence or remediation.  Using this form, you must note 8 things that you learned in remediating those sections.  Use either one of these strategies to remediate: --Option 1: Go to the chapters cited on your results page, read the recommended text. --Option 2: Create a focused review by tapping the “create” link next to your results icon  Show your remediation by summarizing what you learned from the cited readings.  Credit the page number you found the information on. DO NOT COPY AND PASTE. Safety and Infection Control (optional if score was above 73%) 1. Make sure to obtain baseline lab values including Hgb, Hct, platelet count, total protein, albumin levels, PT, PTT, fibrinogen, potassium, pH, and serum calcium. 2. When a blood transfusion reaction stop the transfusion and notify the physician immediately. 3. Make sure to access the IV site to keep clean and free of infection. 4. Some culturally sensitive or religious issues with blood transfusions need to be observed, Jehovah’s Witnesses are patients that have religious issues with blood transfusion. 5. Potassium is contraindicated for clients with sever kidney disease, hyperaldosteronism, or patients who have digitalis toxicity with AV block. 6. IV administration- you should never administer a bolus dose of potassium; a rapid infusion can result in hyperkalemia. 7. Do not administer potassium supplements at and IV rate faster than 10mEq/hr. 8. Potassium supplements must be diluted and no more than 40mEq/L of IV solution should be given; this helps to avoid vein irritation.Rasmussen College NUR2407 Pharmacology ATI Proctored Exam assignment Psychosocial integrity (optional if score was above 73%) 1. Withdraw syndrome can occur within an hour to several days after stopping substance use. 2. Somethings that are included with withdrawal would be agitation, insomnia, flulike manifestations, rhinorrhea, yawning, sweating, and diarrhea. 3. Methadone (dolophine) substitution- is an oral opioid agonist that replaces the opioid that the patient is addicted to. 4. It is important to encourage clients to participate in a 12-step self-help program when going through the process. 5. The dependence on an illegal opioid to the methadone will be transferred, and is used for long-term maintenance and also withdrawal. 6. With nicotine replacement therapy patients use them and it can double the rate of smoking cessation. 7. With the use of nicotine gum clients are advised to use no longer than 6 months. 8. With the nursing evaluation the effectiveness of the medication is dependent upon absence of injury, abstinence of substance, and regular attendance at self-help Pharmacological / Parenteral Therapies (optional if score was above 73%) 1. Tetracycline – are a broad-spectrum antibiotic that inhibit micro-organism growth by preventing protein synthesis 2. Tetracycline is used as a first line medication for infections such as: Rocky Mountain spotted fever, chlamydia trachomatis, brucellosis, mycoplasma pneumonia, lyme disease, anthrax, helicobater pylori 3. Sertaline (Zoloft) has adverse effects such as serotonin syndrome, CNS stimulation, sexual dysfunction, rash, withdrawal syndrome, sleepiness, faintness, light-headedness 4. ACE-inhibitors teachings: Clients should inform the physician of rash, dysgeuisa; Advise clients to avoid the use of salt substitutes containing potassium; Notify the physician at first indications of infection because the medication should be discontinued 5. HMG COA Reductase Inhibitors (Stains) adverse effects: myopathy, myositis, rhabdomyolysis, peripheral neuropathy, hepatoxicity 6. Angina patient teachings nitroglycerin: With a headache use asprin or APAP to relieve pain (notify PCP if symptoms do not resolve in a few weeks), If patient is dizzy or feels faintnessRasmussen College NUR2407 Pharmacology ATI Proctored Exam assignment they should be advised to sit or lie down, patients should not take nitroglycerin and then do strenuous task 7. Lithium Level intervention: Less than 1.5 mEq/L-2.0 mEq/L advise the patient to withhold mediation and notify provider, new dosage might be needed, 2.0-2.5 mEq/L and higher are potential problem to arise and make sure the patient understand the importance of Lithium Levels 8. Ferrous Sulfate: Used to treat iron-deficiency anemia, often used in pregnant women, infants, and children; Adverse reactions include GI Distress, teeth staining, staining of skin and other tissues with IM injections, anaphylaxis, hypotension, fatal iron toxicity with children which may occur with an OD of iron Grading rubric Criteria is not addressed (0%) Completed criteria (100%) Total Overall score on ATI Proctored Pharmacology Exam --Level 3 = 12 points --Level 2 = 10 points --Level 1 = 8 points --Level 0 = 0 points Level 0 = 0 points Level 3 = 12 points Level 2 = 10 points Level 1 = 8 points Remediation- Safety and Infection Control Earned less than 73% in this category, but didn’t remediate – 0 points Earned greater than 73% in this category or completed remediation for this – 3 points Remediation- Psychosocial integrity Earned less than 73% in this category, but didn’t remediate – 0 points Earned greater than 73% in this category or completed remediation for this – 3 points Remediation- Pharmacological and Parenteral Therapies Earned less than 73% in this category, but didn’t remediate – 0 points Earned greater than 73% in this category or completed remediation for this – 7 points