NSC 232 Exam 2 Questions With Complete Solutions
A client tells the nurse, "This pill is a different color than the
one that I usually take at home." Which is the best response by
the nurse?
A. "Go ahead and take your medicine."
B. "I will recheck your medication orders."
C. "Maybe the doctor ordered a different medication."
D. "I'll leave the pill here while I check with the doctor." Correct
Answers B. "I will recheck your medication orders"
Absorption Correct Answers point of entry until it gets into
blood stream about 40 minutes
Acid-Base Balance Correct Answers Unit of measure = pH
Expression of hydrogen ion concentration, also a balance
reflection of bicarbonate (HCO3) and
Scale ranges from 1-14
Normal range: 7.35 - 7.45, anything outside of this range is signs
of illness, and can cause death
active transport Correct Answers solutes across cell membranes
from an area of lower concentration to one of higher
concentration.
,administrating medication Correct Answers Confirm that the
medication order has been verified and transcribed on patient's
MAR correctly.
Hand hygiene!
Unlock cart or use password. Be sure to lock cart or log out
password when you leave!
Identify correct patient name- drawer or computer
ampule
why do we need a filter needle/straw? Correct Answers clear
medication from top before opening.
You don't want to give the patient any glass so you have to use a
filter needle or straw. It filters out the glass particles that could
have fallen down when you broke the tip
Anaphylaxis Correct Answers Life threatening allergic reaction
Angles of injections Correct Answers IM - 90 degree
Sub Q - 45 to 90 degree
Intradermal - 5 to 15 degree
anthropometric data Correct Answers Ht/wt
BMI (body mass index)
Skin fold
MAC (mid-arm circumference)
Clinical data
biochemical data Correct Answers Hgb - (12-18g/dL)
Hct - (40-50%)
serum albumin - (3.3-5g/dL)
transferrin (iron)
,total lymphocyte - ( >1800)
Electrolytes: K+, Na+, Cl-, CO2
BUN - (17-18mg/dL) (nitrogen metabolism)
creatinine - (0.4-1.5mg/dL)
glucose
UA: sugar/acetone
Biotransformation Correct Answers the process of inactivating
and breaking down of medication
Calculate intake of selected clients Correct Answers Intake
ingested H2O - 1200-1500
ingested food - 1000
metabolism - 200
Total 2400-2700
calculate outputs of selected clients Correct Answers Output
kidneys(urine) - 1400-1500
insensible
Lungs 350-400
Skin 350-400
Sweat 100
Feces 100-200
Total output average
2300 - 2600
care iv site Correct Answers Prepare equipment: (considered a
sterile procedure)
, Site preparation: use whatever they have available. Betadine,
alcohol, etc
Apply transparent sterile dressing
charged ions Correct Answers cations - na+, k+, ca++, mg++
anions - cl-, hco3-, po4-
chemical buffers Correct Answers 1. carbonic acid system:
largest and the first 2 react? The lungs are responsible for it.
Responds in change of CO2 and hydrogen level. Increases the
rate and depth of respiration to get rid of CO2. ex:
hyperventilating= breathing in bag
2. bicarbonate system: located in kidneys. A lot slower, can take
a few hours or days to corrupt. The kidneys excrete or absorb
bicarbonate in order to maintain balance of the pH.
3. phosphate and protein
chemical name Correct Answers The name that describes the
chemical composition and molecular structure of a drug.
CHO is classified as Correct Answers monosaccharides
disaccharides
polysaccharides
classification lipids Correct Answers Saturated - cannot hold
anymore hydrogen (solid at room temperature)
A client tells the nurse, "This pill is a different color than the
one that I usually take at home." Which is the best response by
the nurse?
A. "Go ahead and take your medicine."
B. "I will recheck your medication orders."
C. "Maybe the doctor ordered a different medication."
D. "I'll leave the pill here while I check with the doctor." Correct
Answers B. "I will recheck your medication orders"
Absorption Correct Answers point of entry until it gets into
blood stream about 40 minutes
Acid-Base Balance Correct Answers Unit of measure = pH
Expression of hydrogen ion concentration, also a balance
reflection of bicarbonate (HCO3) and
Scale ranges from 1-14
Normal range: 7.35 - 7.45, anything outside of this range is signs
of illness, and can cause death
active transport Correct Answers solutes across cell membranes
from an area of lower concentration to one of higher
concentration.
,administrating medication Correct Answers Confirm that the
medication order has been verified and transcribed on patient's
MAR correctly.
Hand hygiene!
Unlock cart or use password. Be sure to lock cart or log out
password when you leave!
Identify correct patient name- drawer or computer
ampule
why do we need a filter needle/straw? Correct Answers clear
medication from top before opening.
You don't want to give the patient any glass so you have to use a
filter needle or straw. It filters out the glass particles that could
have fallen down when you broke the tip
Anaphylaxis Correct Answers Life threatening allergic reaction
Angles of injections Correct Answers IM - 90 degree
Sub Q - 45 to 90 degree
Intradermal - 5 to 15 degree
anthropometric data Correct Answers Ht/wt
BMI (body mass index)
Skin fold
MAC (mid-arm circumference)
Clinical data
biochemical data Correct Answers Hgb - (12-18g/dL)
Hct - (40-50%)
serum albumin - (3.3-5g/dL)
transferrin (iron)
,total lymphocyte - ( >1800)
Electrolytes: K+, Na+, Cl-, CO2
BUN - (17-18mg/dL) (nitrogen metabolism)
creatinine - (0.4-1.5mg/dL)
glucose
UA: sugar/acetone
Biotransformation Correct Answers the process of inactivating
and breaking down of medication
Calculate intake of selected clients Correct Answers Intake
ingested H2O - 1200-1500
ingested food - 1000
metabolism - 200
Total 2400-2700
calculate outputs of selected clients Correct Answers Output
kidneys(urine) - 1400-1500
insensible
Lungs 350-400
Skin 350-400
Sweat 100
Feces 100-200
Total output average
2300 - 2600
care iv site Correct Answers Prepare equipment: (considered a
sterile procedure)
, Site preparation: use whatever they have available. Betadine,
alcohol, etc
Apply transparent sterile dressing
charged ions Correct Answers cations - na+, k+, ca++, mg++
anions - cl-, hco3-, po4-
chemical buffers Correct Answers 1. carbonic acid system:
largest and the first 2 react? The lungs are responsible for it.
Responds in change of CO2 and hydrogen level. Increases the
rate and depth of respiration to get rid of CO2. ex:
hyperventilating= breathing in bag
2. bicarbonate system: located in kidneys. A lot slower, can take
a few hours or days to corrupt. The kidneys excrete or absorb
bicarbonate in order to maintain balance of the pH.
3. phosphate and protein
chemical name Correct Answers The name that describes the
chemical composition and molecular structure of a drug.
CHO is classified as Correct Answers monosaccharides
disaccharides
polysaccharides
classification lipids Correct Answers Saturated - cannot hold
anymore hydrogen (solid at room temperature)
