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Math final questions with complete solutions generic name Name not protected by a trademark Trade name Name protected by a trademark If a patient is prescribed a enteric coated pill but is unable to swallow it Ask the provider for liquid Study of how drugs enter the body and reach their site of action and how they are metabolized and excreted Pharmacokinetics ( know how to spell) Drugs that absorb more rapidly oral liquids, injections, or drugs administered through a IV If given a patient narcotics what do you write on? Narcotic control sheet If patient has a condition with the liver where the drug will be eliminated more slowly Doctor will administer a lower dose for the patient. Intravenous route (IV)
Most rapid absorption When giving medication to a child what do you NOT do Describe the medication as candy When giving medication to a child you SHOULD Approach the child with confidence and a attitude expecting of cooperation Older adults on long term anti inflammatory therapy for arthritis Be monitored for GI bleeding and anemia What are the 7 rights right patient, right drug, right dose, right route, right time, right indication , right documentation Always check what on the medication The expiration date When administering insulin Have another nurse check the dose also If a patient tells you the medication looks different or any other doubt the med is not right Double check the pill and order Never document the dose until It is given
Ophthalmic Eye Otic Ear Flonase a nasal medication is given by Squeezing the bottle while inhaling Giving ear meds to a adult Pull pinna up and toward back of head Giving ear medication to children younger than 3 Pull earlobe down and back A drug that opens the small airways Albuterol When giving anything the rectal route place patient In Left sims position If a drug count is off The leaving nurse must stay til problem is resolved What type of needle is used for the ID route and what angle A fine 25,27,29 gauge and at a 5 to 15 degree angle What type of syringe is used for the ID route
Tuberculin syringe What size needle is used for the subcutaneous route 25 gauge (5/8 needle) with a tuberculin syringe or a 3ml syringe..... a small 27 gauge (3/8 to 1/2 inch needle is used also) What angle is the needle inserted subcutaneously 45-90 degree depending on needle length and patients size The most frequently used sites for IM injections include Ventrogluteal, vastus lateralis What angle do you use when giving a IM injection 90 degree What size needle is used for a IM injection 1-3 in depending on size Up to how many ml can be safely injected to a person at once 3ml Obese person requires what type of needle A longer one Always use what type of needle during a injection The smallest gauge needle that is appropriate IM injections usually use what size needles
Place palm over trochanter put index finger on anterior iliac spine and spread finger as far as possible toward the posterior iliac crest Z-track method Helps with pain and leakage A malnourished post op patient would receive a Hypertonic solution 5% dextrose in .45% saline Is a hypertonic solution Micro drops is what 60gtt/ml used for infants and children What type of administration set is used for blood products Y set If patient developes a reactions from blood what should you do Stop the blood immediately and begin fluids Tube used to dilute substances in a controlled IV pump Burette (spell) Patients who receive IV fluids should be observed for fluid overload symptoms like Weight gain, crackles in lungs, peripheral edema
Flush the intermittent IV device with Saline Disadvantages of pumps include Family's can silence the alarm buttons, cost, special administration sets If the IV pump is continuously alarming Check IV site for infiltration, pain, and other signs of infiltration Signs of phlebitis include erythema, warmth, edema, tenderness If extravasation occurs Do not remove the IV site Signs and symptoms of a bloodstream infection include Fever, chills, pain, headache, nausea, vomiting, fatigue Speed shock symptoms include Flushed face, lightheaded, severe headache, chest pain, irregular pulse, decreased bp, cardiac arrest Circulatory overload symptoms include Most cough, crackles Air embolus symptoms include Sudden drop bp, increase in pulse
A person who likes to move around and is healthy need what type of IV device Intermittent device A nurse is told by a rn to discontinue iv what should nurse do first Check the doctors orders before removing When administering meds in a feeding tube use 20-30 ml on fluid with meds After using a multi dose vial what should you do Write the date on it
