NSG 125 Exam 1 (Modules 2-5)
Evidence-based practice - ANS- new data changes practices over time, not required to
receive reimbursement from insurance
Patient needs assistance with eating after a stroke- which therapist do you consult with?
- ANS- Occupational Therapist
Nursing Process - ANS- -A Universal Intellectual Standard, importance of critical
thinking
-Used to systematically collect and analyze data about a patient
DAR notes - ANS- Data, action, response (Focus charting)
Goals of promoting mobility following surgery - ANS- -to prevent venous stasis-
meaning of the blood and it's also to promote optimal respiratory function so saying all
of that it's important to get the patient out of the bed and walk them which can prevent
multiple complications
People who cannot provide informed consent - ANS- Patients who are cognitively
impaired, mentally ill or neurologically/ incapacitated
Labs that need to be reviewed prior to surgery - ANS- -WBC
-K
Major goal of surgery - ANS- Keep patient free from injury
Item for review in patient's chart during hemorrhage - ANS- Religious beliefs on blood
transfusion
Patients with higher risk of wound dehiscence - ANS- Bariatric patients
Medication used for replacement - ANS- Estrogen
Medication used for interruption - ANS- BP meds
Medication used for potentiation - ANS- Diuretic
P.I.N.C.H - ANS- High alert drugs:
-Potassium
, -Insulin
-Narcotics
-Chemotherapy agents
-Heparin, or other blood clotting drugs
Risk of food + drug reactions - ANS- Foods can inhibit and alter med metabolism and
therefore increase toxicity
Nursing priority for hepatotoxic drugs - ANS- Review current liver serum enzymes
Antimicrobial therapies - ANS- -antibacterial
-antiviral
-antifungal
-antiprotozoal
Fluoroquinolone Nurse Teaching - ANS- high risk of tendon injury- alert provider of any
patient swelling/ pain
Vancomycin - ANS- -Used to treat severe MRSA/ C. diff infections
-Ensure Vanco is administered over 60 min via pump
-Monitor serum creatinine levels
-obtain serum trough levels
Cephalosporins - ANS- 5 generations.
-side effects include allergic reaction: Macular/ papular rash several days after start of
treatment
-
Tetracycline - ANS- -used for acne vulgaris, Lyme disease
-dark brown staining of the teeth is possible and a long term issue
Aminogylcosides - ANS- Nursing consideration: monitor due to Increased risk of toxicity
Sulfonamides & Trimethoprim - ANS- -educate patient to finish entire course due to
prevent adverse effects
-hypersensitivity reactions or severe rash: Stevens-Johnson syndrome
Amphotericin B - ANS- nursing priority: monitor kidney function while receiving IV
antifungal treatment due to risk of nephrotoxicity
Dehydration - ANS- -hypovolemia: inadequate tissue perfusion
-S/S: tachycardia, tachypnea, elevated HCT/ BUN/ sodium
-Interventions: encourage intake, address causes
-treatment: 0.9% Sodium Chloride
Evidence-based practice - ANS- new data changes practices over time, not required to
receive reimbursement from insurance
Patient needs assistance with eating after a stroke- which therapist do you consult with?
- ANS- Occupational Therapist
Nursing Process - ANS- -A Universal Intellectual Standard, importance of critical
thinking
-Used to systematically collect and analyze data about a patient
DAR notes - ANS- Data, action, response (Focus charting)
Goals of promoting mobility following surgery - ANS- -to prevent venous stasis-
meaning of the blood and it's also to promote optimal respiratory function so saying all
of that it's important to get the patient out of the bed and walk them which can prevent
multiple complications
People who cannot provide informed consent - ANS- Patients who are cognitively
impaired, mentally ill or neurologically/ incapacitated
Labs that need to be reviewed prior to surgery - ANS- -WBC
-K
Major goal of surgery - ANS- Keep patient free from injury
Item for review in patient's chart during hemorrhage - ANS- Religious beliefs on blood
transfusion
Patients with higher risk of wound dehiscence - ANS- Bariatric patients
Medication used for replacement - ANS- Estrogen
Medication used for interruption - ANS- BP meds
Medication used for potentiation - ANS- Diuretic
P.I.N.C.H - ANS- High alert drugs:
-Potassium
, -Insulin
-Narcotics
-Chemotherapy agents
-Heparin, or other blood clotting drugs
Risk of food + drug reactions - ANS- Foods can inhibit and alter med metabolism and
therefore increase toxicity
Nursing priority for hepatotoxic drugs - ANS- Review current liver serum enzymes
Antimicrobial therapies - ANS- -antibacterial
-antiviral
-antifungal
-antiprotozoal
Fluoroquinolone Nurse Teaching - ANS- high risk of tendon injury- alert provider of any
patient swelling/ pain
Vancomycin - ANS- -Used to treat severe MRSA/ C. diff infections
-Ensure Vanco is administered over 60 min via pump
-Monitor serum creatinine levels
-obtain serum trough levels
Cephalosporins - ANS- 5 generations.
-side effects include allergic reaction: Macular/ papular rash several days after start of
treatment
-
Tetracycline - ANS- -used for acne vulgaris, Lyme disease
-dark brown staining of the teeth is possible and a long term issue
Aminogylcosides - ANS- Nursing consideration: monitor due to Increased risk of toxicity
Sulfonamides & Trimethoprim - ANS- -educate patient to finish entire course due to
prevent adverse effects
-hypersensitivity reactions or severe rash: Stevens-Johnson syndrome
Amphotericin B - ANS- nursing priority: monitor kidney function while receiving IV
antifungal treatment due to risk of nephrotoxicity
Dehydration - ANS- -hypovolemia: inadequate tissue perfusion
-S/S: tachycardia, tachypnea, elevated HCT/ BUN/ sodium
-Interventions: encourage intake, address causes
-treatment: 0.9% Sodium Chloride
