Exam 2 Study Guide
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Questions and Answers

Which type of medication is primarily used for blood thinning?

  • Insulin
  • Heparin (correct)
  • Biologicals
  • Antibiotics
  • What is the angle of insertion for subcutaneous injections?

  • 45 to 90 degrees (correct)
  • 75 degrees
  • 15 degrees
  • 90 degrees
  • Which of the following substances is classified as a hormonal agent?

  • Immunoglobins
  • Fentanyl
  • Testosterone (correct)
  • Penicillin G
  • Which vaccine is listed under immunizations?

    <p>MMR</p> Signup and view all the answers

    What common route of administration involves placing a drug under the tongue?

    <p>Sublingual</p> Signup and view all the answers

    Which medication is typically used for pain management in palliative care?

    <p>Fentanyl</p> Signup and view all the answers

    Which type of antibiotic is specifically used for treating bacterial infections?

    <p>Benzathine penicillin</p> Signup and view all the answers

    What is the primary function of vaccines and toxoids in medicine?

    <p>Preventive immunization</p> Signup and view all the answers

    Which of the following is NOT considered a home-administered drug?

    <p>Chemotherapy agents</p> Signup and view all the answers

    What is the duration of effect primarily associated with long-acting insulin?

    <p>Prolonged duration with gradual onset</p> Signup and view all the answers

    What is the primary reason for rinsing each part of the nebulizer in sterile water?

    <p>To remove any remaining medication solution</p> Signup and view all the answers

    What method is recommended for providing patient teaching?

    <p>Teach Back method</p> Signup and view all the answers

    Which action enhances patient safety after completing care?

    <p>Raising the appropriate number of side rails and lowering the bed</p> Signup and view all the answers

    What is a key aspect of administering subcutaneous injections?

    <p>They require selecting a site free of skin lesions</p> Signup and view all the answers

    What influences the rate of absorption for subcutaneous injections?

    <p>Exercise and temperature applications</p> Signup and view all the answers

    Where is the most frequently recommended site for administering heparin injections?

    <p>Abdomen</p> Signup and view all the answers

    What is the appropriate action for used supplies after patient care?

    <p>Discard all used supplies properly</p> Signup and view all the answers

    Which condition is least likely to affect the absorption rate of subcutaneous injections?

    <p>Quality of the medication</p> Signup and view all the answers

    After cleaning the nebulizer, how should the parts be stored until the next use?

    <p>In a clean, dry bag</p> Signup and view all the answers

    What is the main characteristic of subcutaneous injections compared to IM injections?

    <p>They involve less tissue manipulation</p> Signup and view all the answers

    What is the purpose of applying the Six Rights of Medication Administration?

    <p>To ensure accuracy in patient medication delivery.</p> Signup and view all the answers

    Which step should be performed immediately before administering nebulized medication?

    <p>Do a third check at the patient's bedside.</p> Signup and view all the answers

    When is it appropriate to use a face mask for nebulizer administration?

    <p>For infants or patients who cannot follow instructions.</p> Signup and view all the answers

    What should be done with the nebulizer cup during treatment?

    <p>It should be tapped periodically to release droplets.</p> Signup and view all the answers

    What is essential to do if steroids are nebulized?

    <p>Instruct the patient to rinse and gargle afterward.</p> Signup and view all the answers

    Which assessment is required after nebulizer treatment?

    <p>Reassess the patient and compare findings with preassessment.</p> Signup and view all the answers

    Before beginning to assemble the nebulizer, which step is crucial?

    <p>Perform hand hygiene and don gloves.</p> Signup and view all the answers

    What is the recommended position for a patient before starting nebulization?

    <p>Standing or upright if possible.</p> Signup and view all the answers

    Which of the following is NOT one of the Six Rights of Medication Administration?

    <p>Right diagnosis.</p> Signup and view all the answers

    What should be added to the nebulizer cup if prescribed by the doctor?

    <p>A diluent if needed alongside the medication.</p> Signup and view all the answers

    What is the primary difference between nociceptive pain and neuropathic pain?

    <p>Nociceptive pain results from tissue damage, while neuropathic pain arises from nerve damage.</p> Signup and view all the answers

    Which of the following statements regarding opioid toxicity is accurate?

    <p>Opioid toxicity symptoms can include respiratory depression and sedation.</p> Signup and view all the answers

    How can acute and chronic pain be differentiated effectively?

    <p>Acute pain typically has a clear cause, while chronic pain may not.</p> Signup and view all the answers

    What does the 'PQRSTU' framework stand for in pain assessment?

    <p>Provocation, Quality, Relief, Severity, Timing, Urgency.</p> Signup and view all the answers

    Which of the following is a recommended action when a patient expresses concerns about a medication?

    <p>Explore the patient's concern thoroughly and notify the practitioner to verify the order.</p> Signup and view all the answers

    What vital signs should be reviewed for clinical skills mini tests?

    <p>Blood pressure, heart rate, respiratory rate, and temperature.</p> Signup and view all the answers

    When administering nebulized medications, what should be done immediately if severe bronchospasm occurs?

    <p>Discontinue the medication and notify the practitioner immediately.</p> Signup and view all the answers

    Which measurement conversion is NOT commonly required in medical calculations?

    <p>Kilometers to miles.</p> Signup and view all the answers

    Which of the following best describes orthostatic hypotension?

    <p>A sudden drop in blood pressure upon assuming a standing position.</p> Signup and view all the answers

    What is the primary focus when providing education on pain medication?

    <p>Discussing the differences between opioid and non-opioid pain medications.</p> Signup and view all the answers

    Study Notes

    Exam Preparation Tips

    • Read all assigned chapters thoroughly to gain confidence in the material.
    • Complete all Essential Skills tests for Weeks 3 & 4.
    • Engage with ATI videos on vital signs, pain, and medication administration.
    • Review PowerPoints for Week 3 & 4.
    • Start studying at least a week and a half in advance to avoid last-minute cramming.
    • The exam consists of 61 questions worth a total of 100 points, including various question formats (select all that apply, drop-down, multiple choice).

    Pain Types

    • Acute pain is temporary and usually associated with injury or illness, while chronic pain persists long after the injury has healed, often due to underlying health issues.
    • Cancer pain is generally associated with cancer progression or treatment, while neuropathic pain results from nerve damage, often described as burning or tingling.
    • Phantom limb pain is a type of neuropathic pain experienced after amputation but can also manifest as phantom sensations in the absent limb.

    Pain Management Education

    • Opioid medications are powerful pain relievers but come with risks of dependency and side effects; non-opioid medications include NSAIDs and acetaminophen.
    • Signs of opioid toxicity include respiratory depression, altered mental status, and pinpoint pupils.

    Vital Signs & Clinical Skills

    • Understand normal ranges for vital signs, and review the clinical skills mini-test.
    • Practice medication calculations converting milligrams to grams, and familiarize with liquid measurements like teaspoons, ounces, liters, and quarts.

    Safe Medication Administration

    • Verify the healthcare provider’s orders and check for allergies before administering any medication.
    • Follow the Six Rights of Medication Administration: right patient, right drug, right dose, right route, right time, and right documentation.
    • Assess the patient prior to medication administration and ensure privacy and hygiene throughout the process.

    Nebulizer Administration Steps

    • A nebulizer converts liquid medication into a mist for inhalation, ensuring proper setup and patient positioning is essential.
    • Monitor the patient, particularly their pulse, during nebulization, especially if a beta-adrenergic bronchodilator is used.
    • If steroids are nebulized, instruct patients to rinse their mouths post-treatment to prevent irritation.

    Subcutaneous Injections

    • Medications are injected into loose connective tissue, ensuring slower absorption compared to intramuscular injections due to lower blood supply.
    • Common medications administered subcutaneously include insulin and heparin, typically injected into the abdomen.
    • Select injection sites avoiding lesions, bony prominences, or regions with large underlying muscles or nerves.

    Insulin Types

    • Different types of insulin are categorized by onset, peak, duration, and role in blood sugar management, including rapid, short, and long-acting insulins.

    Sublingual vs Buccal Administration

    • Sublingual administration involves placing medication under the tongue for absorption, while buccal administration places medication between the gum and cheek for absorption through the mucous membrane.

    Patient Education and Safety

    • Employ the Teach Back method for effective patient education on medication use.
    • Ensure the patient's comfort and safety, including easy access to personal items and assistance devices.

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    Description

    Prepare effectively for Exam 2 by reviewing all assigned chapters thoroughly. Complete Essential Skills tests for Weeks 3 & 4 and engage with ATI videos on vital signs, pain, and medication administration. Reviewing the PowerPoints will also help boost your confidence and knowledge.

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