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NU 136 Exam 4 Review Paper Questions and answers 2025.pdf
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If .an .order .is .not .clear .what .do .you .do? .- .ANS✓✓-Clarify .with .a .Doctor. Controlled .substances .- .ANS✓✓-Must .have .another .nurse .wound .with .you .( .incoming .and .outgoing .nurse) .and .discrepancies- .need .to .be .investigated. 3 .factors .of .Drug .Therapy .- .ANS✓✓-Distribution, .Metabolism, .Excretion 3 .Differences .of .Absorpton? .- .ANS✓✓-Slow .( .skin .oral .and .SubQ),Quick .( .Sublingual- .(mucus .membrane), .and .respiratory(Most .Rapid .(IV) High .alert .Medication .- .ANS✓✓-Insulin .(2 .nurse .check) Medication .Error .- .ANS✓✓-Report .immediately Purpose .of .Report? .- .ANS✓✓-So .the .same .mistake .wont .happen .again. Non-adherence .- .ANS✓✓-Dont .use ."non .complaint" ."must .use" .teach .the .patient .why .they .need .to .do .XYZ What .do .you .do .if .the .patient .is .still .not .adherent? .- .ANS✓✓-Compare .the .med .to .the .order .and .if .pt-still .non .adherent .then .document .it. What .are .the. 6 .rights? .- .ANS✓✓-Drug, .Dosage, .Document, .Route, .Interval, .Patient Routine .Meds .- .ANS✓✓-Meds .that .are .continued .every .day .until .cancelled PRN .Meds .- .ANS✓✓-As .needed Stat .- .ANS✓✓-Immediately .(emergency) Single .Dose .- .ANS✓✓-One .Time .Dose .Non .Emergency Unit .Dose .System .- .ANS✓✓-Most .common .system .in .hospital .pre .labeled, .per .measured, .convenient
Patches .- .ANS✓✓-pre .measured .patch .must .fold .in .haf .and .dont .discard .in .trash Ophthalmic .- .ANS✓✓-Eye .meds .(sterile) .If. 2 .meds .for .eye .must .allow. 5 .min .in .between .the .meds Oral-slowest .route .- .ANS✓✓-Pour .medicine .cup .at .eye .level .on .table Inhalers .- .ANS✓✓-Quick .absorption .closed .mouth- .has .spacer .(best .technique) .open .mouth- .no .spacer-. 1 .to. 2 .inches .away .and .spray Rectal .Meds .- .ANS✓✓-Position .pt .left .sim-technique .(towards .the .wal .of .the .rectum) Feeding .Tube .- .ANS✓✓-crush .and .dissolve .in .water, .if .med .comes .in .liquid .form .request .that .form. .DO .NOT .mix .meds .with .the .formula .and .use .diferent .cups .for .each .med. Intradermal .(ID) .- .ANS✓✓-smallest .needle .(TB .test, .Allergy .Test) SUBQ-Insulin .- .ANS✓✓-(high .alert .med) .angle. 45 - 90 .degrees, .normal .route .abd Intramuscular .(IM) .- .ANS✓✓-no .more .than. 1 .ML .(deltoid) .if .more .than .1ML .use .bigger .muscle Z-Track .- .ANS✓✓-to .lock .med .in .the .tissue .(Iron) Aiirlock .Injection .- .ANS✓✓-the .med .has .air .in .the .syringe .and .that .is .ok Ampule .- .ANS✓✓-use .filter .needle .because .of .the .glass .fragments Preventing .needle .sticks .- .ANS✓✓-Make .sure .you .use .safety .but .if .not .safety .do .not .repcap, .throw .in .sharts .container- .if .needle .stick .report .immediately Assessment .and .diagnostic .testing .- .ANS✓✓-Can .not .be .delegated .to .CNA Consent .Form .- .ANS✓✓-need .for .all .invasive .procedures .or .stress .test .for .safety .and .need .if .sedation .or .a .need .for .iodine .(check .for .allergies .ot .iodine .or .shellfish) Blood .work .(heatology) .- .ANS✓✓-WBC, .Hemoglobin, .Hematocrit WBC .- .ANS✓✓- 5000 - 10000 .above. 10000 .infection .below. 5000 .immunocompromised Hemoglobin .- .ANS✓✓-Oxygen .to .and .from .lungs. 12 - 18
Nociceptive .pain .- .ANS✓✓-skin .and .muscle .pain .(skin .tear) Pain .is .subjective .- .ANS✓✓-Only .the .pt .can .tell .you .what .they .are .feeling Pain .Assessement .- .ANS✓✓-PQRST P .(PQRST) .- .ANS✓✓-Precipitating .event .(what .were .you .doing .when .it .happened?) Q .(PQRST) .- .ANS✓✓-Quality .what .type .of .pain R .(PQRST) .- .ANS✓✓-Radiation .is .it .traveling .to .other .areas S .(PQRST) .- .ANS✓✓-Severity .(0-10) T .(PQRST) .- .ANS✓✓-timing .how .long .does .it .last Guided .imagery .- .ANS✓✓-Patient .doing .this .on .their .own .(visualizing .a .place .they .want .to .be .at .to .distract .them) Hypnosis .- .ANS✓✓-Using .the .therapist .words .to .guide .them NSAIDS .- .ANS✓✓-Non .steroidal .(OTC .meds) .tylenol, .ibuprofen-blocks .the .pain .at .the .peripheral .level Opioids .- .ANS✓✓-block .the .pain .at .the .central .nervous .system .level- .monitor .breathing .because .it .decreases .respiratory .rate. Cox. 2 .Inhibitor .- .ANS✓✓-For .arthritis PCA .pump .- .ANS✓✓-Regulated .by .the .PT .benefit .decreases .anxiety .because .they .do .not .have .to .worry .about .waiting .for .you, .if .PT .is .clicking .for .more .meds .more .often .it .is .not .working .and .you .must .call .the .dr .to .revise .the .plan REM .- .ANS✓✓-Rapid .Eye .Movement .PT .is .dreaming .brain .is .owrking .like .they .are .away .vs .will .be .the .same Non .REM .- .ANS✓✓-(non .rapid .eye .movement) .pt .is .non .dreaming .in .active .sleep .pt .vs .will .decrese. Amount .of .sleep .for .a .Newborn .- .ANS✓✓- 20 .hours Amount .of .sleep .for .School .age .children .- .ANS✓✓- 10 - 11 .hours Amount .of .sleep .for .Adolescents .- .ANS✓✓- 9 - 10 .hours
Amount .of .sleep .for .Adults .- .ANS✓✓- 7 - 8 .hours Factors .that .effect .sleep .- .ANS✓✓-Exercise, .Caffeine, .Noise Insmonia .- .ANS✓✓-Use .bed .time .rituals Admission .- .ANS✓✓-all .personal .belongings .give .to .fammily .if .can .and .if .not .put .in .bag .and .floow .facility .protocol. Medication .Reconcilliation .Form .- .ANS✓✓-If .PT .comes .in .with .meds .add .to .this .form .and .send .meds .home AMA .Form .- .ANS✓✓-must .have .PT .sign .form .if .they .refuse .document .that .they .refused. Avenues .of .losses- .how .you .lose .fluid .from .the .body .- .ANS✓✓-Diarrhea, .Vomiting, .Sweating, .Hyperventilation .(expired .air) How .much .water .should .you .be .drinking .a .day? .- .ANS✓✓-2500Ml .(2 .1/2 .liters) .pick .closest .to .these .numbers Normal .Range .for .Sodium .- .ANS✓✓- 135 - 145 .meq/L Normal .ranges .Potassium .- .ANS✓✓-3.5-5.0 .meq/L Normal .range .calcium .- .ANS✓✓-8.4-10.6 .mg/dL Normal .Range .for .Magnesium .- .ANS✓✓-1.3-2.1 .mg/dL Normal .Range .for .Phosphate .- .ANS✓✓-3.0-4.5 .mg/dL Normal .Range .for .Chloride .- .ANS✓✓- 96 - 106 .mEq/L Normal .range .for .Bicarbonate .- .ANS✓✓- 22 - 26 .mEq/L Signs .and .Symptoms .for .Fluid .Volume .Deficit .- .ANS✓✓-BP .low/ .heart .rate .up .older .adults .see .confusion .and .dizziness Fluid .Volume .Deficit .- .ANS✓✓-Dehydration, .Hypovolemia Fluid .Volume .Excess .- .ANS✓✓-BP .high, .Renal .pt .monitor .weight .frist .thing .in .the .AM .same .time, .same .clothes, .same .scale Sodium .- .ANS✓✓-What .does .water .follow .in .the .body? Osmosis .- .ANS✓✓-Water .passes .freely .across .cell .membrane