RN Basic Medication Administration Exam RN Basic Medication Administration Exam 100% correct answers

RN Basic Medication Administration Exam RN Basic Medication Administration Exam 100% correct answers what are possible downstream IV occlusions? - CORRECT ANSWER-patient's body, left a clamp on, actual occlusion degrees of injection: IM SubQ Intra dermal - CORRECT ANSWER-IM- 90 SubQ- 45 Intra Dermal- 10-15 What meds can we never crush - CORRECT ANSWER- long acting when meds create GI irritation (like prednisone) what do we do? - CORRECT ANSWER-give with food or milk Who touches the PCA - CORRECT ANSWER-only the patient how far do we insert rectal suppositories - CORRECT ANSWER-1 inch where do you place a trans dermal patch - CORRECT ANSWER-back of arm, upper chest, anywhere flat problem with COPD and benzos (LAM & PAM)? - CORRECT ANSWER-respiratory depression adverse reaction to acetaminophen, what dose - CORRECT ANSWER-3,500mg- liver damage adverse effect of morphine? - CORRECT ANSWER- respiratory depression adverse- opioids - CORRECT ANSWER-constipation- need bowel protocol opiate reversal - CORRECT ANSWER-naloxone if patient is receiving continuous pain meds but still experiencing pain what do you do - CORRECT ANSWER- give rescue bolus what do we monitor with anitbiotics? - CORRECT ANSWER-peaks and troughs and vesicant properties What do we monitor for with potassium? - CORRECT ANSWER-vesicant properties what should we look for with piperacillin, tazobactam (Zosyn)? - CORRECT ANSWER-signs of anaphylaxis what are signs of anaphylaxis - CORRECT ANSWER- dyspnea, urticaria, pruritis, BP drops, HR drops what is lab value for heparin? - CORRECT ANSWER- aPTT which has a longer half life, Lovenox (enoxaparin) or heparin? - CORRECT ANSWER-lovenox what are lab values for Warfarin? - CORRECT ANSWER- PT and INR if someone misses their coumadin dose they can - CORRECT ANSWER-take the dose up to 12 hours before next dose but DONT DOUBLE UP what is patient teaching with Lovenox? - CORRECT ANSWER-going home so teach subq injections, rotate sites, sharps disposal side effects of bronchodilators? - CORRECT ANSWER- tachycardia and anxiety what do we check for during first dose of ACE inhibitors (prils) - CORRECT ANSWER-dizziness what do we monitor with Lipitor (Atorvostatin) - CORRECT ANSWER-liver function what do we monitor with beta blockers? - CORRECT ANSWER-BP and HR what's so special about clonidine? - CORRECT ANSWER- given in TINY amounts to decrease BP what is digoxin toxicity? - CORRECT ANSWER- hypokalemia monitor with furosemide - CORRECT ANSWER- potassium levels (wasting) what is peak onset of Humalog (lispro)? - CORRECT ANSWER-30 minutes- must give food within 30 min of receiving med when do we hold metformin? why? - CORRECT ANSWER-when patient is NPO, can end up with hypoglycemia what are the liver function tests? - CORRECT ANSWER- ALT, AST what causes damage to kidneys? - CORRECT ANSWER- contrast media - check BUN and Cr What are normal BUN and Creatinine levels? - CORRECT ANSWER-BUN- 10-20 Cr- 0.6-1.2 what do we do with Prozac when stopping - CORRECT ANSWER-taper what is reversal agent for benzos? - CORRECT ANSWER-Flumazenil (Romazicon) when do we give narcan? - CORRECT ANSWER-RR is super low- 6-8 reversal agent for Warfarin Heparin - CORRECT ANSWER-Warfarin- Vitamin K Heparin- Protamine Sulfate what is rate for IV potassium chloride? Why? - CORRECT ANSWER-10mEq/hr- K is caustic to veins what is infiltration What is extravasation what is phlebitis - CORRECT ANSWER-1. infiltration- IV fluid is now in skin bc IV was blocked- swollen, blanches, cool to the touch- elevate arm 2. extravasation- damaging agent to tissue in tissue- chemo 3. phlebitis- irritation of the vein- warm and fluid still in vein what are possible downstream IV occlusions? - CORRECT ANSWER-patient's body, left a clamp on, actual occlusion what is drip factor formula? - CORRECT ANSWER-(ml/hr) X drip factor and divide all by 60- need drops per MINUTE so divide by 60