NUR 205 Exam 3 Study Guide Questions and Answers 2024

6 rights of drug administration - Right patient, right drug, right dose, right route, right time, right documentation 3 medication checks - Check MAR/order Check when you pull the medication Check at the patient bedside How to know if your patient can swallow pills whole? - -ask if they can -check gag reflex -when given report ask if they can take pills whole Intramuscular (IM) - injection into a muscle No more than 3 ml At a 90 degree angle Where are the IM injection sites? - Deltoid Gluteus Maximus (not recommended) Vastus lateralis *** Recurs femoris Subcutaneous injections - 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 - 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 - Glands secrete hormones that regulate processes such as growth, reproduction, and nutrient use (metabolism) by body cells. Insulin Hormone - Necessary for carb regulation and glucose control Hormones - Chemical messengers, mostly those manufactured by the endocrine glands, that are produce metabolic change Normal BS - 70-120 Fasting BS - 70-100 Pre-diabetic BS - over 140 Mild Hypoglycemia Symptoms - Hunger Nervousness Palpitations Sweating Tachycardia Tremor Moderate Hypoglycemia Symptoms - 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 Severe Hypoglycemia Symptoms - Difficulty arousing Disoriented behavior Loss of consciousness Seizures Hyperglycemic Symptoms - Polydipsia (increased thirst) Polyphasia (Increase hunger) Polyuria (increased urination) Warm, flushed skin Blurred vision Poor wound healing Diabetic Keto acidosis (DKA) - Higher than 300 glucose Ketones in urine Kussmal breathing Acetone (fruity) breath Tachycardia N/V Severe abdominal pain DKA Treatments - Rapid IV fluids IV Insulin/Drip