NR293
NR293 FINAL EXAM QUESTIONS AND
VERIFIED SOLUTION
1. How to prepare an oral medication for an infant? - a. dont give when crying, small
amounts in cheek
b. wait until they stop crying
c. Household spoons should not be used
d. Never supine to prevent aspiration, use a syringe
A nurse is assessing a client receiving IV vancomycin if the nurse notes flushing of the
neck and tachycardia, what does this mean, and what should the nurse do? - Hold
infusion assess patient then pt resolving feeling better then you will begin infusion but
slowing it down.
1. Ciprofloxacin adverse reaction of concern? - photosensitivity
hepatotoxicity confusion
tendon rupture
Know common side effects of ondansetron. - Headache, fatigue, dizziness, malaise, GI
problems, hiccups
1. Research gentamycin trough and peak and when to draw the levels. - a. Trough-check
trough right before administration
b. Peak- IM 30-90 min, IV 30 min after
1. Know about doxorubicin and life-limiting concerns. - a. Cardiotoxicity need an echo
baseline
NR293
, NR293
1. Research the drug zidovudine as part of antiretroviral therapy - a. Bone marrow
suppression: infection, anemia, risk for bleeding
1. Education for Methotrexate and bleeding.
2. What is an antidote for Methotrexate? - a. Avoid falls, soft tooth brushd, electric razor,
avoid ETOH, avoid blood thinner, nsaids,
b. Nurses intervention is avoiding rectal temperature, invasive procedure
Leucovorin is the antidote for Methotrexate.
1. Why does grapefruit juice interfere with medications? - a. It causes a decrease in
metabolizing drugs, therefore, causing drug toxicity.
1. Rifampin therapy and adverse effects? - a. Hepatoxicity, orange/red secretions
1. How should one take nystatin and store it? - a. Room temp,
b. Shake well and swish in mouth and swallow
1. Know proper Z track technique - a. Clean alcohol, skin to side, needle at 90 degree,
then inject, release skin and pull out needle
b. Decrease pain, helps stay in muscle to avoid staying in the subcutaneous/skin, and
avoid staining of skin, aspirate
1. Proper ear drop technique for young children 4 and under vs adults technique? - a.
Down and back for children (kids are smaller down)
b. Up and back for adults (grown ups)
NR293
NR293 FINAL EXAM QUESTIONS AND
VERIFIED SOLUTION
1. How to prepare an oral medication for an infant? - a. dont give when crying, small
amounts in cheek
b. wait until they stop crying
c. Household spoons should not be used
d. Never supine to prevent aspiration, use a syringe
A nurse is assessing a client receiving IV vancomycin if the nurse notes flushing of the
neck and tachycardia, what does this mean, and what should the nurse do? - Hold
infusion assess patient then pt resolving feeling better then you will begin infusion but
slowing it down.
1. Ciprofloxacin adverse reaction of concern? - photosensitivity
hepatotoxicity confusion
tendon rupture
Know common side effects of ondansetron. - Headache, fatigue, dizziness, malaise, GI
problems, hiccups
1. Research gentamycin trough and peak and when to draw the levels. - a. Trough-check
trough right before administration
b. Peak- IM 30-90 min, IV 30 min after
1. Know about doxorubicin and life-limiting concerns. - a. Cardiotoxicity need an echo
baseline
NR293
, NR293
1. Research the drug zidovudine as part of antiretroviral therapy - a. Bone marrow
suppression: infection, anemia, risk for bleeding
1. Education for Methotrexate and bleeding.
2. What is an antidote for Methotrexate? - a. Avoid falls, soft tooth brushd, electric razor,
avoid ETOH, avoid blood thinner, nsaids,
b. Nurses intervention is avoiding rectal temperature, invasive procedure
Leucovorin is the antidote for Methotrexate.
1. Why does grapefruit juice interfere with medications? - a. It causes a decrease in
metabolizing drugs, therefore, causing drug toxicity.
1. Rifampin therapy and adverse effects? - a. Hepatoxicity, orange/red secretions
1. How should one take nystatin and store it? - a. Room temp,
b. Shake well and swish in mouth and swallow
1. Know proper Z track technique - a. Clean alcohol, skin to side, needle at 90 degree,
then inject, release skin and pull out needle
b. Decrease pain, helps stay in muscle to avoid staying in the subcutaneous/skin, and
avoid staining of skin, aspirate
1. Proper ear drop technique for young children 4 and under vs adults technique? - a.
Down and back for children (kids are smaller down)
b. Up and back for adults (grown ups)
NR293
