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RN Med Exam > Exam > Flashcards

Exam Flashcards

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1
Q

Ear drops

A

remain on side for 5-10 minutes

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2
Q

enteral feeding tube

A

flush line to maintain tube patency, some meds interact with each other or become ineffective if mixed in tube

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3
Q

eye drops

A

drop in lower conjunctival sac, 3-5 minutes between drops, close eye after

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4
Q

IM injection

A

72-90 degree angle

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5
Q

subcutaneous injection

A

45-90 degree angle; rotate sites to prevent fibrous tissue buildup

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6
Q

IV piggy back (IVPB)

A

clean port, flush with 2-3mL NS, administer medication, flush again

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7
Q

SR, XR medications

A

sustained/extended release; chewing or crushing may result in toxic peaks

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8
Q

meds that cause GI irritation

A

oral potassium chloride, prednisone

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9
Q

PCA pump Morphine levels

A

0.01-0.04mg/kg/hr

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10
Q

rectal suppository

A

Sims position, lube, insert 3-4 inches, remain on side for 5 minutes

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11
Q

transdermal patch

A

rotate sites, use gloves, press firmly for 10 seconds, not over hair, don’t put estrogen on breast

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12
Q

Lorazepam (Ativan) disease interaction

A

COPD

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13
Q

Food interaction with many meds

A

grapefruit juice destroys the enzyme that breaks down the medication, therefore, leading to toxic levels

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14
Q

Morphine-when to hold and nursing care

A

Hold RR

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15
Q

monitoring aminoglycosides (gentamycin)

A

laboratory monitoring-peak 4-12 mg/L; trough 1-2 mg/L; BUN, creatine

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16
Q

Levofloxacin (Levaquin) adverse drug effects

A

allergic reaction-difficulty breathing, hives, swelling of the face, lips, tongue, and throat

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17
Q

Vancomycin (Vancocin) precautions

A

vesicant properties, severe tissue injury, necrosis

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18
Q

Heparin laboratory monitoring

A

PTT 38-70 seconds

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19
Q

Enoxaparin (Lovenox) compared to Heparin

A

lasts longer than Heparin

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20
Q

Warfarin (Coumadin) laboratory monitoring

A

PT 18-26 seconds; INR 2.0-3.0; risk for bleeding

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21
Q

Divalproex (Depakote) adverse effects

A

black box warning for hepatic failure

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22
Q

Gabopentin (neurontin) class and alternate use

A

anticonvulsant, also used to treat peripheral neuropathy; need to taper

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23
Q

bronchodilators adverse effects

A

Albuterol (Proventil); tachycardia, anxiety (activates SNS)

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24
Q

Atorvastatin (Lipitor) lab tests

A

liver function tests

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25
Q

examples of Beta Blockers

A

propranalol, Labetalol (Normodyne), Metoprolol (Lopressor)

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26
Q

what to monitor with Beta Blockers

A

BP, hold if systolic is

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27
Q

Digoxin (Lanoxin) lab values

A

Therapeutic level of 0.5-2.0, serum potassium; negative chronotropic, positive inotropic; hold if HR

28
Q

Diltiazem-SR (Cardizem-SR) precautions

A

do not crush-toxic effects (Ca Channel Blocker)

29
Q

ACE-inhibitor

A

Enalapril (Vasotec)

30
Q

first does effect of ACE inhibitors (Enalapril)

A

orthostatic hypotension

31
Q

What insulin cannot be mixed with any other

A

Lantus–long acting

32
Q

Rapid acting insulin name and onset

A

Humalog (Lispro) 10-15 min onset

33
Q

When to take short acting insulin

A

“R” 20-30 mins ac

34
Q

Intermediate acting insulin and when to take

A

NPH “Humulin N” or Lente “Humulin L” take pc

35
Q

Long acting Ultralente onset

A

6-8 hours

36
Q

Long acting Glargine (Lantus) onset

A

1 hr, no peaks

37
Q

Metformin (Glucophage) precaution

A

hold when patient is NPO; caution with hepatic impairment

38
Q

Glucocorticosteroids (prednisone) patient teaching

A

take with food or milk

39
Q

inodinated contrast media labs

A

serum creatinine

40
Q

Fluoxetine (Prozac) patient teaching

A

taper when discontinuing

41
Q

reversal agent for bezodiazepines

A

Flumazenil (Romazicon)

42
Q

reversal agent for opioids

A

Naloxone (Narcan)

43
Q

antidote for Heparin

A

protamine sulfate

44
Q

risk for long-acting bezodiazepines

A

falls risk for elderly

45
Q

risk for Lorazepam (Ativan)

A

respiratory depression and CO2 retention

46
Q

reversal agent for Midazolam (Versed)

A

Flumazenil

47
Q

Potassium chloride max safe rate

A

10 mEq/hr

48
Q

infiltration

A

escape of non-vesicant fluid from IV into subcutaneous tissue

49
Q

Extravasation

A

infiltration of vesicant fluid from IV into surrounding IV site

50
Q

Phlebitis

A

inflammation of vein

51
Q

downstream occlusion message on IV pump

A

kink in tubing or clamp may be closed

52
Q

IV drip rate-calculating drops per minute

A

volume to be infused (mL) over 1 hour /drop factor constant gtts/min

53
Q

drop factor constant for 60 gtt/mL

A

1

54
Q

drop factor constant for 10 gtt/mL

A

6

55
Q

drop factor constant for 15 gtt/mL

A

4

56
Q

total dosage with morphine drip plus rescue boluses

A

2.5-15 mg q4h

57
Q

insulin sliding scale protocol

A

discouraged for lack of effective glycemic control and greater incidence of hypoglycemia

58
Q

use PTT with

A

Heparin

59
Q

use PT with

A

Warfarin

60
Q

use INR with

A

Warfarin

61
Q

use liver function tests with

A

Statins, Divalproex (Depakote), and Metformin (Glucophage)

62
Q

use peaks and troughs with

A

antibiotic therapy

63
Q

use serum creatinine with

A

iodinated contrast media

64
Q

use serum electrolytes with

A

Digoxin (Lanoxin) and Furosemide (Lasix)

65
Q

use serum glucose with

A

insulin

RN Med Exam (1 decks)

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