MedComp Final

Question 1

acetaminophen (p/o)

TYLENOL

Answer 1

Indication: mild pain, fever

Contraindications: previous sensitivity, severe hepatic impairment, active liver disease

Side Effects: nausea, vomiting, diarrhea, constipation, anxiety

Adverse Reactions: hepatic impairment, renal failure, cardiac damage, toxic epidermal necrosis, rash

Nursing Considerations: consider other medications containing acetaminophen when calculating daily dose, lower doses for patients with hepatic impairment

Patient Teachings: take as directed, notify HCP if fever exceeds 3 days, discontinue and notify HCP if rash occurs

Question 2

acetylsalicylic acid (p/o)

ASPIRIN

Answer 2

Indication: mild pain. fever, inflammatory disorders, prophylaxis for heart attacks

Contraindications: previous sensitivity to aspirin, bleeding disorders, cross-sensitivity to other NSAIDS

Side Effects: nausea, vomiting, diarrhea, epigastric distress, abdominal pain

Adverse Reactions: GI bleeding, anaphylaxis, tinnitus

Nursing Considerations: scheduled doses for inflammatory conditions, monitor for hypersensitivity reactions, monitor serum levels >400mcg/mL

Patient Teachings: Consult HCP if tinnitus occurs, Consult doctor if fever exceeds 3 days, take with food or water to reduce GI effects, sit upright for 15-30 min following administration to reduce GI effects

Question 3

alprazolam (p/o)

XANAX

Answer 3

Indication: generalized anxiety disorder (GAD), panic disorders, anxiety associated with depression

Contraindications: previous hypersensitivity, sensitivity to other benzodiazepines, pre-existing CNS depression, severe uncontrolled pain

Side Effects: nausea, vomiting, diarrhea, constipation, dizziness

Adverse Reactions: blurred vision, tinnitus, chest pain, confusion

Nursing Considerations: monitor patients also taking opioids for signs and symptoms of respiratory depression, give smallest possible therapeutic dose to prevent ataxia

Patient Teachings: avoid grapefruit juice, drowsiness may occur so avoid driving, take exactly as prescribed and do not exceed prescribed amount, avoid alcohol

Question 4

amlodipine (p/o)

**NORVASC*

Answer 4

Indication: hypertension, angina pectoris, spastic angina

Contraindications: hypersensitivity, systolic BP <90mmHG

Side Effects: nausea, dizziness, fatigue, flushing

Adverse Reactions: peripheral edema, angina, bradycardia, hypotension

Nursing Considerations: monitor BP before and during therapy, monitor intake and output ratios daily, monitor for signs of heart failure

Patient Teachings: take exactly as prescribed, teach patient to monitor pulse, drowsiness may occur so avoid driving, notify HCP if HR <50bpm

Question 5

atorvastatin calcium (p/o)

LIPITOR

Answer 5

Indication: management of high cholesterol, prevention of coronary artery disease

Contraindications: hypersensitivity, active liver disease

Side Effects: nausea, diarrhea, constipation, flatulence, heartburn

Adverse Reactions: chest pain, peripheral edema, insomnia, memory loss

Nursing Considerations: obtain baseline lipid profile before treatment start, obtain diet history (fat consumption)

Patient Teachings: take medication exactly as prescribed, medication should be implemented along with diet and exercise changes, consult HCP in the event of unexplained muscle pain/tenderness/weakness

Question 6

dextromethorphan (p/o)

**ROBITUSSIN*

Answer 6

Indication: coughs caused by upper respiratory infections, chronic non-productive coughs

Contraindications: hypersensitivity, chronic productive coughs, patients taking MAO inhibitors or SSRI’s

Side Effects: nausea, vomiting

Adverse Reactions: stomach pain, sedation

Nursing Considerations: monitor cough type and frequency, monitor for symptom improvement

Patient Teachings: Take drug exactly as prescribed and don’t exceed recommended amount, avoid alcohol, contact HCP if cough last longer than 1 week

Question 7

diphenhydramine (p/o)

BENADRYL

Answer 7

Indication: relief of allergic symptoms, mild nighttime sedation, prevention of motion sickness

Contraindications: hypersensitivity, acute asthma attacks, known alcohol tolerance

SIde Effects: nausea, drowsiness, dizziness

Adverse Reactions: tinnitus, blurred vision, dysuria, hypotension

Nursing Considerations: There are multiple uses for this drug, so it’s important to know the reason it was ordered when assessing symptoms.

• Anaphylaxis: assess for urticaria and patient airway
• Insomnia: assess sleep patterns
• Motion sickness: assess for nausea, vomiting and bowel sounds

Patient Teachings: Take exactly as prescribed. Medication may cause dizziness, avoid driving. Medication may cause dry mouth, oral rinses. Teach sleep hygiene, dark quiet room at night and limit daytime naps.

Question 8

docusate sodium (p/o)

COLACE

Answer 8

Indication: constipation, prevent of opioid induced constipation

Contraindications: hypersensitivity, abdominal pain, nausea, vomiting associated with fever

Side Effects: nausea, vomiting, diarrhea, abdominal cramps

Adverse Reactions: electrolyte imbalance, urinary discoloration, rash

Nursing Considerations: Determine adequate fluid intake, exercise and diet before administration

Patient Teachings: Laxative should be used for short-term therapy. Teach patient other forms of bowel regulation including increase fluid intake. Teach cardiac patients to avoid straining during bowel movement.

Question 9

famotidine (p/o)

PEPCID

Answer 9

Indication: Management of GERD, acid indigestion, active duodenal ulcers, benign gastric ulcers

Contraindications: Hypersensitivity, patients with phenylketonuria

Side Effects: nausea, diarrhea, drowsiness, dizziness

Adverse Reactions: arrhythmias, agranulocytosis, aplastic anemia (no RBC production)

Nursing Considerations: assess patient for abdominal pain, look for blood in emesis/stool/gastric aspirate

Patient Teachings: Take course exactly as directed even if you are feeling better, may cause drowsiness so avoid driving, avoid alcohol

Question 10

ferrous sulfate (p/o)

IRON

Answer 10

Indication: iron deficiency anemia

Contraindications: hypersensitivity, hemochromatosis (iron overload with organ damage), hemosiderosis (iron overload w/o organ damage)

Side Effects: nausea, vomiting, constipation, dark stools

Adverse Reactions: GI bleeding, syncope

Nursing Considerations: GI upset may be related to dose, monitor Hb level, hematocrit and reticulocyte count during therapy

Patient Teachings: Explain purpose of iron therapy. Inform patients that stools may appear dark green/black. Educate patients on high-iron foods that should also be implemented.

Question 11

furosemide (p/o)

LASIX

Answer 11

Indication: edema, heart failure, renal disease, hypertension

Contraindications: hypersensitivity, cross-sensitivity with thiazides and sulfonamides, hepatic coma

Side Effects: nausea, vomiting, diarrhea, dehydration

Adverse Reactions: Stevens-Johnson syndrome (skin), agranulocytosis, aplastic anemia (no RBC production)

Nursing Considerations: monitor vital signs with longterm use, stop if oliguria (small amounts of urine, monitor glucose in patients with diabetes

Patient Teachings: take drug exactly as prescribed, change positions to reduce orthostatic hypotension, call HCP if gain >3lbs in one day

Question 12

gabapentin (p/o)

Answer 12

Indication: partial seizures, post-herpetic neuralgia

Contraindications: hypersensitivity

Side Effects: dizziness, drowsiness, confusion, depression

Adverse Reactions: hypersensitivity reactions, suicidal thoughts

Nursing Considerations: monitor patients taking anti-epileptic drugs for changes in behavior (depression, suicidal behavior). When stopping these medication, it must be stopped gradually over course of >1 week to avoid seizures.

Patient Teachings: take exactly as prescribed, may cause drowsiness (avoid driving), call HCP if thoughts of suicide, depression or anxiety occur

Question 13

guaifenesin (p/o)

MUCINEX

Answer 13

Indication: coughs caused by upper respiratory infections

Contraindications: hypersensitivity, intolerance to alcohol

Side Effects: nausea, vomiting, diarrhea

Adverse Reactions: urticaria, stomach pain

Nursing Considerations: monitor cough type and frequency

Patient Teachings: instruct to cough effectively (mobilize mucus out of respiratory tract, may cause drowsiness (avoid driving)

Question 14

hydrochlorothiazide (p/o)

MICROZIDE

Answer 14

Indication: mild to moderate hypertension, heart failure, renal dysfunction

Contraindications: hypersensitivity, intolerance to tartrazine, anuria

Side Effects: nausea, vomiting, dizziness, drowsiness

Adverse Reactions: Stevens-Johnson syndrome (skin disorder), hypotension, pancreatitis

Nursing Considerations: monitor BP, monitor fluid input & output, monitor daily weight, assess for skin rash throughout therapy

Patient Teachings: take exactly as prescribed and same time everyday, monitor weight biweekly and report significant changes to HCP, changes positions slowly to prevent orthostatic hypotension

Question 15

ibuprofen (p/o)

ADVIL

Answer 15

Indication: pain, inflammation, fever reducer

Contraindications: hypersensitivity, active GI bleed or ulcers, severe HF, renal impairment, patients taking other NSAIDs

Side Effects: nausea, vomiting, constipation, abdominal discomfort

Adverse Reactions: heart failure, myocardial infarction, stroke, GI bleeding

Nursing Considerations: assess pain before and 1-2 hours post-administration, assess for signs and symptoms of GI bleeding, assess for skin rashes

Patient Teachings: take as directed without exceeding recommended amount, avoid drinking alcohol, avoid driving may cause drowsiness, take with food, contact HCP if symptoms persist beyond 10 days or become worse

Question 16

levothyroxine (p/o)

Answer 16

Indication: thyroid supplement for hypothyroidism, euthyroid goiters

Contraindications: hypersensitivity, myocardial, infarction, hyperthyroidism

Side Effects: vomiting, diarrhea, sweating, headache

Adverse Reactions: insomnia, tachycardia, arrhythmias, angina pectoris

Nursing Considerations: assess apical pulse and BP periodically throughout therapy, assess for tachycardia and chest pain, monitor thyroid function prior to and during therapy (TSH levels)

Patient Teachings: take medication at the same time each day, explain that this is a lifelong therapy

Question 17

lisinopril (p/o)

ZESTRIL

Answer 17

Indication: hypertension, heart failure

Contraindications: hypersensitivity, previous angioedema with other ACE inhibitors

Side Effects: nausea, vomiting, diarrhea, dry cough

Adverse Reactions: hypotension, impaired renal function

Nursing Considerations: monitor BP and pulse periodically throughout therapy, assess for signs of angioedema throughout therapy

Patient Teachings: take medication at same time each day, call doctor in case of rash/sore throat/fever, change positions slowly to prevent orthostatic hypotension, do not take if pregnant

Question 18

loratidine (p/o)

CLARITIN

Answer 18

Indication: seasonal allergies, hives

Contraindications: hypersensitivity

Side Effects: drowsiness, confusion, dry mouth

Adverse Reactions: blurred vision, GI upset

Nursing Considerations: assess allergy symptoms, assess lung sounds and bronchial secretions

Patient Teachings: take drug exactly as directed, may cause drowsiness (avoid driving), avoid alcohol

Question 19

losartan (p/o)

Answer 19

Indication: hypertension

Contraindications: hypersensitivity, bilateral renal artery stenosis

Side Effects: nausea, diarrhea, dizziness, fatigue

Adverse Reactions: chest pain, angioedema, hypotension, hypoglycemia

Nursing Considerations: assess patient for signs of edema, assess BP and pulse throughout therapy
Patient Teachings:

Question 20

metformin (p/o)

Answer 20

Indication: type 2 diabetes

Contraindications: hypersensitivity, diabetic ketoacidosis, severe renal impairment

Side Effects: nausea, vomiting, diarrhea, bloating

Adverse Reactions: lactic acidosis, hypoglycemia

Nursing Considerations: monitor for signs and symptoms of hypoglycemia, patients with severe renal impairment are at risk for lactic acidosis

Patient Teachings: take at the same time everyday, usually long-term therapy, take with prescribed diet and exercise

Question 21

ondansetron (p/o)

Answer 21

Indication: prevent nausea and vomiting associated with chemotherapy or radiation therapy

Contraindications: hypersensitivity, used with apomorphine

Side Effects: diarrhea, constipation, headache, dizziness

Adverse Reactions: serotonin syndrome, Stevens-Johnson syndrome

Nursing Considerations: monitor for signs and symptoms of serotonin syndrome, assess for rash periodically

Patient Teachings: take medication exactly as directed, call HCP if you have irregular heartbeat, serotonin syndrome, involuntary movement of eyes/face/limbs

Question 22

oxycodone (p/o)

OXYCONTIN

Answer 22

Indication: moderate to severe pain

Contraindications: hypersensitivity, respiratory depression, acute or severe bronchial asthma

Side Effects: nausea, vomiting, constipation, confusion, sedation

Adverse Reactions: respiratory depression, orthostatic hypotension, blurred vision

Nursing Considerations: assess vitals (BP/pulse/RR) before and periodically throughout therapy, assess for risk of opioid addiction, abuse or misuse before administration

Patient Teachings: instruct patient on when and how to take medication, do not share medication with others, advise patient that this medication has abuse potential, may cause drowsiness (avoid driving)

Question 23

potassium (p/o)

Answer 23

Indication: potassium depletion (hypokalemia)

Contraindications: hyperkalemia, severe renal impairment, untreated Addison’s disease

Side Effects: nausea, vomiting, diarrhea, flatulence

Adverse Reactions: arrhythmiaa, GI ulceration, paresthesia (pins and needles)

Nursing Considerations: assess for signs and symptoms of hypokalemia

Patient Teachings: take medication as directed, correct method of administration, encourage compliance with recommended diet

Question 24

prednisone (p/o)

Answer 24

Indication: inflammation, immunosuppression, endocrine disorder

Contraindications: active untreated infections, osteoporosis or other degenerative bone diseases, uncontrolled hyperglycemia

Side Effects: nausea, vomiting, acne, depression, thin skin, puffiness of the face, bruising, weight gain, increased hunger

Adverse Reactions: peptic ulceration, thromboembolism, hypertension

Nursing Considerations: assess for signs of adrenal insufficiency before and periodically throughout therapy, monitor intake/output, observe for peripheral edema

Patient Teachings: take medication as directed, do not stop taking suddenly or adrenal insufficiency may occur, contact HCP if abdominal pain or melena occurs

Question 25

bacitracin (topical)

Answer 25

Indication: prevention of minor skin infections Contraindications: hypersensitivity, renal impairment Side Effects: burning, redness, irritation of the skin Adverse Reactions: rash, difficulty breathing, hives Nursing Considerations: assess lesions prior to and periodically throughout therapy Patient Teachings: use as prescribed, notify HCP if fever, redness, rash occur

Question 26

fentanyl patch (topical)

Answer 26

Indication: moderate to severe chronic pain Contraindications: hypersensitivity, respiratory depression, acute or severe bronchial asthma Side Effects: nausea, vomiting, confusion, constipation, sedation Adverse Reactions: apnea, respiratory depression, bradycardia, hypotension, adrenal insufficiency Nursing Considerations: assess vital before and throughout therapy (BP/RR/pulse), assess risk for opioid addictions use or misuse prior to administration, assess bowel function routinely Patient Teachings: instruct how and when to take pain medication, instruct patient on proper application and disposal of patch, avoid grapefruit

Question 27

hydrocortisone cream (topical)

Answer 27

Indication: inflammation and itching from allergic/immunologic skin problems Contraindications: hypersensitivity/untreated bacterial or viral infections (this is a corticosteroid, so it may weaken defenses) Side Effects: dryness, irritation, burning Adverse Reactions: edema, adrenal suppression, secondary infection Nursing Considerations: assess skin before and daily throughout therapy, note degree of inflammation and pruritus Patient Teachings: take exactly as directed, inform patients of proper administration technique, inform HCP if symptoms do not resolve or if they get worse

Question 28

lidocaine patch (topical)

Answer 28

Indication: pain due to post-op neuralgia Contraindications: hypersensitivity, 3rd-degree heart block, Wolf-Parkinson-White Syndrome (rapid heartbeat in electrical system) Side Effects: nausea, vomiting, confusion, drowsiness Adverse Reactions: seizure, cardiac arrest Nursing Considerations: monitor ECG continuously, monitor BP and RR during therapy, monitor for pain intensity throughout therapy Patient Teachings: Explain purpose of patch to patient, may cause drowsiness (avoid driving), avoid water to ensure the patch sticks

Question 29

nitroglycerin patch (topical)

Answer 29

Indication: long-term prophylactic management of angina pectoris Contraindications: hypersensitivity, increased inter-cranial pressure, severe anemia Side Effects: nausea, vomiting, dizziness, headache Adverse Reactions: hypotension, tachycardia, contact dermatitis Nursing Considerations: monitor BP and pulse before and after administering, assess location, duration, intensity and precipitating factors during therapy Patient Teachings: Take drug exactly as directed even if feeling better, change positions slowly to minimize orthostatic hypotension, avoid alcohol, inform HCP if dry mouth or blurred vision occur

Question 30

enoxaparin (SQ)

Answer 30

Indication: prevention of VTE, DVT and PE Contraindications: hypersensitivity Side Effects: nausea, vomiting, dizziness, headache, increase in bleeding at gums or menstrual flow, pain at injection site Adverse Reactions: bleeding, alopecia, anemia, edema Nursing Considerations: assess for signs of bleeding and hemorrhage, assess patients for evidence of additional or increases thrombosis, monitor patients for hypersensitivity reaction Patient Teachings: instruct patient on correct technique for self-injection care and disposal, advise patient to report any symptoms of unusual bleeding or bruising, dizziness, itching or rash. Do NOT take aspirin, naproxen or ibuprofen without talking to a doctor.

Question 31

heparin (SQ)

Answer 31

Indication: thromboembolitic disorders such as VTE or PE Contraindications: hypersensitivity, uncontrolled bleeding, heparin-induced thrombocytopenia, open wounds Side Effects: fever, anemia, rash, pain at the injection site Adverse Reactions: bleeding, heparin-induced thrombocytopenia, alopecia, osteoporosis Nursing Considerations: assess for signs of bleeding and hemorrhage before and during therapy, monitor for hypersensitivity reactions, assess patient for additional or increased thrombosis Patient Teachings: advise patient to report any symptoms of unusual bleeding or bruising immediately, instruct patient not to take NSAIDS while taking this medication, avoid IM injections and activities that may lead to injury, use soft toothbrush and electric razor during therapy

Question 32

insulin short-acting (SQ) (Novalog) | insulin long-acting (SQ) (Levimir)

Answer 32

Indication: diabetes Contraindications: hypersensitivity, hypoglycemia Side Effects: swelling and itching at injection site Adverse Reactions: hypoglycemia, hypersensitivity reactions Nursing Considerations: asses periodically for signs and symptoms of hypo/hyperglycemia, monitor body weight periodically Patient Teachings:

Question 33

cyanocobalamin (IM) **VITAMIN B12**

Answer 33

Indication: vitamin B12 deficiency, pernicious anemia Contraindications: hypersensitivity Side Effects: diarrhea, headache, itching, swelling of the body Adverse Reactions: anaphylaxis, HF, pulmonary edema, hypokalemia Nursing Considerations: assess patient for signs of Vitamin B12 deficiency before and periodically throughout therapy Patient Teachings: foods high in Vitamin B12 (meat, seafood, eggs), encourage patient to comply with diet, emphasize importance of follow up and evaluate progress

Question 34

latanoprost ophthalmic solution (eye drop)

Answer 34

Indication: increased intraoccqular pressure with ocular hypertension or open-angle glaucoma Contraindications: hypersensitivity, intraocular inflammation Side Effects: dry eye, itching, rash, lid discomfort Adverse Reactions: angina, blurred vision, eye pain, back pain Nursing Considerations: do not administer while patient is wearing contact lenses, don't exceed once-daily dosing Patient Teachings: inform patient of risk of eye color change in treated eye, inform patient that darkening og eyelid may occur, remove contacts before administering and wait 15 minutes to put them back in

Question 35

timolol (eye drop)

Answer 35

Indication: hypertension, prevention of MI, prevent migraine headaches Contraindications: uncompensated HF, pulmonary edema, cardiogenic shock, bradycardia or heart attack Side Effects: nausea, constipation, fatigue, weakness, ED Adverse Reactions: arrythmias, bradycardia, HF, pulmonary edema, anaphylaxis Nursing Considerations: monitor intake/output ratios and daily weight, assess patient routinely for fluid overload Patient Teachings: take exactly as prescribed even when feeling well, teach patients how to take BP and pulse, call HCP in case of slow pulse/difficulty breathing/wheezing, may cause drowsiness (avoid driving)

Question 36

albuterol (inh) **PROAIR**

Answer 36

Indication: asthma and COPD, prevention of exercise-induced bronchospasm Contraindications: hypersensitivity Side Effects: nausea, vomiting, nervousness, restlessness, tremor Adverse Reactions: wheezing, chest pain, palpitations, arrhythmias, angina Nursing Considerations: observe for wheezing (withhold and notify HCP if this occurs), assess lung sounds/pulse/BP before and during peak of therapy, monitor pulmonary function before initial and periodically during therapy Patient Teachings: take exactly as directed and don't exceed recommended amount, contact HCP if shortness of breath is not relieved by medication, inform patient of potential unusual/bad taste, avoid smoking and other respiratory irritants

Question 37

fluticasone propionate (inh) **FLOVENT**

Answer 37

Indication: chronic asthma Contraindications: hypersensitivity Side Effects: nausea, vomiting, diarrhea, headache, dizziness Adverse Reactions: conjunctivitis, epistaxis (nosebleed), pharyngitis, laryngitis Nursing Considerations: observe closely for signs of system corticosteroid effects, monitor patient (esp post-op), during period of stress or severe asthma attack Patient Teachings: take exactly as prescribed, call doctor if medication does not improve asthma episodes, advise patient to report all adverse reactions

Question 38

ipratropium (inh)

Answer 38

Indication: reversible airway obstruction due to COPD and asthma Contraindications: hypersensitivity, avoid during acute bronchospasm Side Effects: nausea, cough, headache, rash, dizziness Adverse Reactions: blurred vision, hypotension, palpitations, epistaxis (nosebleeds), allergic reactions Nursing Considerations: assess respiratory status before administering and during peak of therapy Patient Teachings: instruct patient of proper inhaler use and take as directed, advise patient to rinse mouth after use, do not exceed 12 doses in 24 hours

Question 39

ceftriaxone (IV)

Answer 39

Indication: infections Contraindications: hypersensitivity Side Effects: diarrhea, rash Adverse Reactions: seizures, C.diff-associated diarrhea, anaphylaxis Nursing Considerations: assess for infection before and during therapy, obtain specimen for culture and sensitivity before therapy Patient Teachings: report signs of superinfection and allergy, notify HCP if diarrhea occurs (especially if diarrhea contains blood, mucus, pus)

Question 40

ciprofloxacin (IV)

Answer 40

Indication: infections Contraindications: hypersensitivity, Hx myasthenia gravis (muscle weakness) Side Effects: nausea, diarrhea, rash Adverse Reactions: seizures, C.diff-associated diarrhea, anaphylaxis, suicidal thoughts Nursing Considerations: assess for infection at beginning and throughout therapy, obtain specimen for culture and sensitivity before therapy Patient Teachings: report signs of superinfection and allergy, notify HCP if diarrhea occurs (especially if diarrhea contains blood, mucus, pus)

Question 41

doxycycline (IV)

Answer 41

Indication: infections Contraindications: hypersensitivity Side Effects: nausea, vomiting, diarrhea, rash Adverse Reactions: C.diff-associated diarrhea, pancreatitis, hepatoxicity Nursing Considerations: assess for infection at beginning and throughout therapy, obtain specimen for culture and sensitivity before therapy, monitor bowel function, assess for rash periodically throughout therapy Patient Teachings: report signs of superinfection and allergy, notify HCP if diarrhea occurs (especially if diarrhea contains blood, mucus, pus)

Question 42

piperacillin/tazobactam (IV) **ZOSYN**

Answer 42

Indication: bacterial infections Contraindications: hypersensitivity Side Effects: nausea, vomiting, diarrhea, rash Adverse Reactions: seizures, C.diff-associated diarrhea, anaphylaxis Nursing Considerations: assess for infection at beginning and throughout therapy, obtain specimen for culture and sensitivity before therapy, monitor bowel function, assess for rash periodically throughout therapy Patient Teachings: report signs of superinfection and allergy, notify HCP if diarrhea occurs (especially if diarrhea contains blood, mucus, pus)

Question 43

pantoprazole (IV) **PROTONIX**

Answer 43

Indication: GERD Contraindications: hypersensitivity Side Effects: diarrhea, headache, flatulence Adverse Reactions: C. Diff-associated diarrhea, bone fractures, systemic lupus erythmetosis Nursing Considerations: assess routinely for epigastric and abdominal pain Patient Teachings: take medication as directed even when feeling better, notify HCP is fever and diarrhea develop

Question 44

vancomycin (IV)

Answer 44

Indication: bacterial infections Contraindications: known hypersensitivity Side Effects: nausea, vomiting, rash Adverse Reactions: Redman's Syndrome, an allergic-like reaction. Alleviate this by lowering rate of infusion. Hypotension, anaphylactic reaction, nephrotoxicity. Nursing Considerations: Assess for infection recovery, obtain specimen for culture and sensitivity, monitor BP throughout Tx Patient Teachings: Report any hypersensitivity reaction, tinnitus, vertigo or hearing loss to HCP

Question 45

What angle should be used for IM injections?

Answer 45

90 degrees

Question 46

What angle should be used for ID injections?

Answer 46

5-15 degrees (creating a bubble under the skin)

Question 47

What angle should be used for SQ injections?

Answer 47

45-90 degrees

Question 48

What are the 6 rights of medication administration?

Answer 48

1. Right medication 2. Right dose 3. Right patient 4. Right route 5. Right time 6. Right documentation

Question 49

What are the 3 checks?

Answer 49

1. At the medication cart 2. Before going into the room 3. At the patient's bedside before administration

Question 50

What angle should be used for IV injections? (**prob not tested on this**)

Answer 50

25 degrees