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306-test 2

Terms

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What is another term that is used for a generic name of a medication?
non-proprietary
How are medications classified?
by their effect on a body system, the symptoms relieved, and their desired effect antibiotics---systemic insulin---organ aspirin---symptoms
What are the National Formulary standards for medication?
strength, quality, purity, packaging, safety, labeling, dose, form
What is the nursing practice responsible for in terms of giving medications?
protect the public from unskilled, undereducated, unlicensed personnel
What factors can affect metabolism?
genetics, age, alcohol, cirrhosis-liver turns to fat and pervents meds from metabolizing, hepatitis, nutritional status, grapefruit juice-slows down absorption rate
Patient is to recieve 4 mg morphine IV. the medication is available in a vial containing 10 mg per milliliter. the vial contains 1 ml.
0.4 ml
physician ordered 6 mg morphine sulfate every 3-4 hours prn to a client with postoperative pain. the unit dose in the med dispenser has 15 mg in 1 ml. how much solution should the nurse give?
2/5 ml
the nurse is teaching the client how to prepare 10 units of regular insulin and 5 units of NPH insulin for injection. the nurse instructs the client to: a. inject air into the regular insulin, then into the NPH. b. withdraw the regular insulin first c.
d
the client has an order for 30 units of U-500 insulin. the nurse is using a U-100 syringe and will draw up and administer:
6 units U-500 insulin is 5 times as strong as U-100. 30 units of U-500/5=6 units of U-100
a clent on the medical unit receives regular insuulin at 7:00 am. the nurse is alert to a possible hypoglycemic reaction by: a. 7:30 am b. 10:00 am c. 4:00 pm d. 8:00 pm
b regular insulin reaction on set is 30 mins, peak is 2-4 hours
the nurse is documenting on the client's record and notes that she made an error. the action that the nurse should take is to: a. draw a straight line through the error and initial it. b. erase the error and write over the material in the same spot c.
a
client is wheezing and experiencing some dyspnea on exertion. this is an example of: a. the S inn SOAP b. FOCUS documentation c. the P in PIE d. the R in DAR documentation
c
recording a nurse's description of the teaching provided to the client on performance of self-medication administration is found in a(n): a. kardex b. incident report c. nursing history form d. discharge summary form
d
What is the content of a change of shift report?
background, assessment, nursing diagnoses, teaching plan, treatment, family info, discharge planning, priority needs
What are the guidelines for telephone and verbal orders?
date, time, medication, strength, route, frequency, t.o. dr.____/RN must be complete, accurate, verified.
Can an LPN take a telephone order?
no
an order that reads... ii gtts OD means what?
2 drops to right eye
80 mg/tsp = ___ mL
5 mL
where is heparin injected?
abdomen
how much time does it take for regular insulin to take effect?
2-4 hours
what is the preferred injection site for a 1 year old?
ventrogluteal
what would a nurse's statement that reflects the scientific method be?
"The client doesnt look the same today. i think something is wrong."
a client has trouble breathing at night. in obtaining data for a problem-oriented database, the nurse should first question the client about:
the onset and duration of his present breathing problem

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