Part 3

Question 1

How do you mix insulins in the same syringe

Answer 1

-CLEAR TO CLOUDY
- REGULAR TO NPH RNs draw up RN
-inject air into N first, then R and then draw up R then draw up N
NRRN

Question 2

IM needle

Answer 2

-I looks like 1 pick answer w 1 in it for both gauge and length (ex 21 gauge)

Question 3

SQ Lenght and gauge

Answer 3

S looks like 5
-pick 5 for both parts ( 25 and 5/8 of an inch)

Question 4

Heparin

Answer 4

-Iv or subcutaneous
-Works immediately
-Cannot be given for longer than three weeks except for Lovenox
-antidote Protamin Sulfate (heParin)
-lab PTT
-CAN be used in pregnancy (class C)

Question 5

Only tranquilizer that can be given to pregnant women

Answer 5

Haldol

Question 6

Coumadin (warfarin)

Answer 6

-takes days to weeks to work
-can be on for life
-PO only
- antidote vitamin K Coumadin
-lab INR,PT
-CANT USE IN PREGNANCY
-class X (pregnancy)

Question 7

Potassium wasting diuretics

Answer 7

-IF IT ENDS IN X IT Xs OUT K+ (plus diuril)
-otherwise it spares K+

Question 8

Baclofen

Answer 8

-muscle relaxant
2 side effects= fatigue/drowsiness & muscle weakness
-pt teaching dont drink, drive, or operate heavy machinery
-if you’re on baclofen you’re on your back loafin

Question 9

Flexeril

Answer 9

-muscle relaxant (FLEX)

Question 10

Piagets 0-2

Answer 10

SENSORY MOTOR
-present oriented (only think abt now, teach while doing it, present tense)
-

Question 11

Piagets 3-6 years

Answer 11

PRE OPERATIONAL (PREschool)
-fantasy (magical thinking, imaginative)
-can’t reason w a preschooler
-can teach before (morning of, 2 hours before
-teach what you are going to do
-learn through play

Question 12

Piagets 7-11 years

Answer 12

-CONCRETE OPERATIONAL
-concreted 7 elevens
-rule orientated
-can’t think abstractly yet, rigid
- teach days ahead
-teach what you will do plus skills
-must be 7 to learn a skill

Question 13

Piagets 12-15 years

Answer 13

-FORMAL OPERATIONAL (older so closer to going to a formal or dance)
-can think abstract, cause and effect
-education once a child turns 12 is the same as adults (can manage their own care) not severity of illness but rather age of child

Question 14

How many hours is fresh postop?

Answer 14

-12 hours
-Highly prioritized

Question 15

High priority temp

Answer 15

Above 105

Question 16

Black tag in an unwitnessed event

Answer 16

-breathlessness
- Pulselessness
-fixed and dilated pupils

Question 17

Tie breaker for priority

Answer 17

-the more vital the organ
-1st brain
-2nd lung
-3rd heart
-4th liver
-kidney
-pancreas

Question 18

CANT DELEGATE TO LPN

Answer 18

-starting an IV
-hanging or mixing IV meds
- pushing IV push meds
- administer blood or mess with central lines (flushing or change dressing)
-plan care
-preform or develop teaching (but can reinforce what RN has taught)
- unstable pts
-to do the first of anything

Question 19

LPNS CANNOT DO THE FOLLOWING ASSESSMENTS

Answer 19

-admission
-discharge
-transfer
- or first assessment after a change

Question 20

What is pulmonary capillary wedge pressure

Answer 20

-it is an estimate of the left ventricular end diastolic pressure or preload of the heart
-PCWP higher then 18 mmHg suggests heart failure

Question 21

Filgrastim

Answer 21

-drug used to treat neutropenia, nurse should monitor white blood cells after administration

Question 22

What can’t be delegated to an UAP

Answer 22

-cannot document about pt, CAN document what they did
-can only administered OTC topical barrier creams
-can do vital signs and acu checks (neuro checks)
-no treatments besides enemas
- can do ADLS but never the first of anything

Question 23

Location for auscultations heart valves

Answer 23

Order APETM
A- aortic 2nd intercostal at right sternal border
Pulmonic is the second intercostal space left border
Tri cuspid is fourth intercostal left sternal border
Mytrial is fifth intercostal space at mid curricular line ( where are the apical pulse is)

Question 24

If a drug is PO and you have no idea what it is pick

Answer 24

-GI side effect

Question 25

How to answer pediatric questions that you do not know

Answer 25

-Give me the child more time to grow and develop
-1. When in doubt, call it normal
-2. When in doubt pick the older age
3.when in doubt pick the easier task