60 Questions
What position should a patient be in when receiving TPN or anything else in a central line?
Trendelenburg's position (head down)
What are the side effects to look out for after a central line dressing change?
Bleeding, redness, swelling at catheter site
What should a nurse do when a patient is ordered an 'Advance diet as tolerated'?
Assess the patient's readiness to advance their diet
What is the purpose of asking for pronouns and being respectful to transgender patients?
To show empathy and respect for the patient's gender identity
What is the main goal of palliative care?
To maintain the highest quality of life while alleviating pain
What is the purpose of a straight catheterization?
To quickly empty the bladder and does not stay in
What are examples of a clear liquid diet?
Water and tea or coffee without milk
What is the purpose of maintaining all caps closed in a central line?
To prevent air embolism
What is the role of a nurse in central line care?
To wear gloves and ensure all caps are closed to maintain sterility
What is the significance of gender identity and expression in nursing care for transgender patients?
It influences the approach to communication and respect for the patient
What is the pathophysiological mechanism that leads to decreased organ perfusion in preeclampsia?
Vasospasm, decreased placental perfusion, endothelial cell activation, and intravascular fluid redistribution
Which medication is used for preeclampsia to prevent seizures and can cause adverse effects such as lethargy and impaired reflexes?
Magnesium Sulfate
What are the components of the CAGE questionnaire used for alcoholism screening?
Cut down, Annoyed, Guilty, Eye opener
What does the RASS score of +4 indicate in the Richmond Agitation & Sedation Score?
Combative behavior, posing immediate danger to staff
In the context of HELLP syndrome, what does the elevation of liver enzymes such as ALT, AST, and LDH indicate?
Presence of HELLP syndrome
What is the standard drink equivalent to in terms of alcohol content?
12 ounces of beer, 5 ounces of wine, or 1.5 ounces of distilled spirits
What is the main adverse effect associated with the use of Hydralazine for HTN disorders in pregnancy?
Headache and tachycardia
What is the primary purpose of using calcium gluconate in the context of magnesium sulfate administration?
To reverse the effects of magnesium sulfate
What is the threshold CIWA assessment score that indicates the need for hourly assessment and administration of lorazepam in alcohol withdrawal?
Greater than 15
What is the main adverse effect of Nifedipine, a calcium channel blocker used for HTN disorders in pregnancy?
Headache and flushing
What is the equivalent alcohol content of 8 oz malt liquor?
7% alcohol
Which medication may cause a rare occurrence of C. difficile infection?
Ceftriaxone
What is a nursing intervention for morphine sulfate?
Monitoring for excessive sedation
What does IVPB (IV piggyback) involve?
Involves a smaller bag connected above the regular bag
What is the purpose of a PCA pump in pain management?
Allowing patients to self-administer medication in prescribed doses
What is the purpose of naloxone?
Reversing opioid effects
What does TPN (total parenteral nutrition) require?
Given through a central line to patients unable to eat
What adverse effects may loperamide have?
Anticholinergic effects, cardiac arrest, and allergic reactions
What is the method of giving medication through an IV?
IVP (IV push)
What is a nursing intervention for post-operative policy?
Assessing vital signs, pain, and other observations
What is the equivalent alcohol content of 8-9 fl oz malt liquor?
7% alcohol
What is a potential adverse effect of ceftriaxone?
C. difficile infection
What is a nursing intervention for morphine sulfate?
Monitoring for excessive sedation
What does IVP (IV push) involve?
A method of giving medication through an IV
What is involved in the assessment of patients using PCA pumps?
Evaluating mental status and understanding of pain relief
What is a potential adverse effect of naloxone?
Ventricular arrhythmias
What is a nursing intervention for post-operative policy?
Assessing vital signs and pain
What adverse effects may loperamide have?
Anticholinergic effects
What is TPN (total parenteral nutrition) given through?
Central line
What is the method of giving medication through a smaller IV bag connected above the regular bag?
IV piggyback
Which position should a patient be in when receiving TPN or anything else in a central line?
Trendelenburg position (head down)
What are the side effects to look out for after a central line dressing change?
Bleeding, redness, swelling at catheter site
What is the purpose of asking for pronouns and being respectful to transgender patients?
To provide patient-centered care and respect their gender identity
What is the main goal of palliative care?
Provide comfort and improve quality of life
What is the purpose of maintaining all caps closed in a central line?
To prevent air embolism
What does 'Advance diet as tolerated' mean in terms of nursing care?
Patients can advance their diet based on their tolerance
What is the purpose of a straight catheterization?
To quickly empty the bladder
What is the significance of gender identity and expression in nursing care for transgender patients?
It impacts the approach to providing respectful and inclusive care
What are examples of a clear liquid diet?
Water, tea or coffee without milk, gelatin without fruit
What position should a patient be in when giving TPN or anything else in a central line?
Trendelenburg position (head down)
What is the primary pathophysiological mechanism leading to the development of preeclampsia?
Decreased placental perfusion leading to endothelial cell activation
What is the main adverse effect of methyldopa, an alpha 2 agonist used for HTN disorders in pregnancy?
Postural hypotension
In the context of HELLP syndrome, what does an elevation in liver enzymes such as ALT, AST, and LDH indicate?
Liver damage
What is the primary purpose of using calcium gluconate in the context of magnesium sulfate administration?
To reverse the effects of magnesium sulfate toxicity
What is the main adverse effect of verapamil, a calcium channel blocker used for HTN disorders in pregnancy?
Dizziness
What is the primary purpose of using isotonic solution like Lactated Ringer's solution in the context of magnesium sulfate administration?
To maintain electrolyte balance
What is the main adverse effect of hydralazine, a vasodilator used for HTN disorders in pregnancy?
Flushing
What are the components of the CIWA alcohol withdrawal scale?
Sweating, anxiety, tactile disturbances
What is the main adverse effect of nifedipine, a calcium channel blocker used for HTN disorders in pregnancy?
Hypotension
What is the primary purpose of using magnesium sulfate in the management of preeclampsia?
To prevent seizures
Study Notes
Nursing Pharmacology and Patient Management
- Different alcohol types and their equivalent amounts in terms of alcohol content are: 8 oz regular beer (5% ETOH), 8-9 fl oz malt liquor (7% alcohol), 5 fl oz table wine (12% alcohol), and 1.5 fl oz distilled spirits (40% alcohol).
- Ceftriaxone is used to treat infections caused by gram-positive cocci and may cause adverse effects such as gastrointestinal symptoms, diarrhea/nausea, and a rare occurrence of C. difficile infection.
- Nursing interventions for ceftriaxone include monitoring and reporting bloody stools, thrombophlebitis, and prothrombin levels, as well as slow infusion.
- Morphine sulfate is used to treat severe pain and may lead to adverse effects such as confusion, drowsiness, dyspnea, fever, and urinary retention.
- Nursing interventions for morphine sulfate involve ensuring the availability of naloxone and oxygen, monitoring for excessive sedation, and vital signs.
- IVP (IV push) is a method of giving medication through an IV, while IVPB (IV piggyback) involves a smaller bag connected above the regular bag, and both require careful consideration of compatibility and sterility.
- PCA pumps are an interactive method of pain management that allows patients to self-administer medication in prescribed doses, and the process involves physician determination, RN assessment, and patient education and demonstration.
- The assessment of patients using PCA pumps includes evaluating mental status, understanding of pain relief, and dosing intervals, and monitoring pain level, sedation, and respiratory rate and quality.
- Naloxone is used to reverse opioid effects and may lead to adverse effects such as ventricular arrhythmias and an increase in respiratory rate, blood pressure, and heart rate.
- Post-operative policy involves assessing vital signs, pain, and other observations, as well as nursing interventions like turning, coughing, and deep breathing, medication administration, and ensuring the patient's comfort and safety.
- Loperamide helps with diarrhea and may have adverse effects such as anticholinergic effects, cardiac arrest, and allergic reactions, requiring monitoring and recommending the lowest effective dose.
- TPN (total parenteral nutrition) is given through a central line to patients unable to eat and requires monitoring for adverse effects, maintaining central line patency, and strict guidelines for administration and monitoring.
Nursing Pharmacology and Patient Management
- Different alcohol types and their equivalent amounts in terms of alcohol content are: 8 oz regular beer (5% ETOH), 8-9 fl oz malt liquor (7% alcohol), 5 fl oz table wine (12% alcohol), and 1.5 fl oz distilled spirits (40% alcohol).
- Ceftriaxone is used to treat infections caused by gram-positive cocci and may cause adverse effects such as gastrointestinal symptoms, diarrhea/nausea, and a rare occurrence of C. difficile infection.
- Nursing interventions for ceftriaxone include monitoring and reporting bloody stools, thrombophlebitis, and prothrombin levels, as well as slow infusion.
- Morphine sulfate is used to treat severe pain and may lead to adverse effects such as confusion, drowsiness, dyspnea, fever, and urinary retention.
- Nursing interventions for morphine sulfate involve ensuring the availability of naloxone and oxygen, monitoring for excessive sedation, and vital signs.
- IVP (IV push) is a method of giving medication through an IV, while IVPB (IV piggyback) involves a smaller bag connected above the regular bag, and both require careful consideration of compatibility and sterility.
- PCA pumps are an interactive method of pain management that allows patients to self-administer medication in prescribed doses, and the process involves physician determination, RN assessment, and patient education and demonstration.
- The assessment of patients using PCA pumps includes evaluating mental status, understanding of pain relief, and dosing intervals, and monitoring pain level, sedation, and respiratory rate and quality.
- Naloxone is used to reverse opioid effects and may lead to adverse effects such as ventricular arrhythmias and an increase in respiratory rate, blood pressure, and heart rate.
- Post-operative policy involves assessing vital signs, pain, and other observations, as well as nursing interventions like turning, coughing, and deep breathing, medication administration, and ensuring the patient's comfort and safety.
- Loperamide helps with diarrhea and may have adverse effects such as anticholinergic effects, cardiac arrest, and allergic reactions, requiring monitoring and recommending the lowest effective dose.
- TPN (total parenteral nutrition) is given through a central line to patients unable to eat and requires monitoring for adverse effects, maintaining central line patency, and strict guidelines for administration and monitoring.
Test your knowledge of nursing pharmacology and patient management with this quiz. Explore topics such as alcohol equivalents, medication usage and adverse effects, nursing interventions, and patient assessment related to various drugs and treatment methods.
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