Nursing Pharmacology and Patient Management Quiz
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Questions and Answers

What position should a patient be in when receiving TPN or anything else in a central line?

  • Sims' position (lying on the left side with the right knee and thigh drawn up)
  • Supine position (lying horizontally with the face and torso facing up)
  • Trendelenburg's position (head down) (correct)
  • Fowler's position (sitting position)

    • What are the side effects to look out for after a central line dressing change?

  • Nausea and vomiting
  • Chest pain and headache
  • Bleeding, redness, swelling at catheter site (correct)
  • Joint pain and dizziness

    • What should a nurse do when a patient is ordered an 'Advance diet as tolerated'?

  • Encourage the patient to eat only soft foods
  • Immediately switch the patient to a full solid diet
  • Assess the patient's readiness to advance their diet (correct)
  • Restrict the patient's diet to clear liquids

    • What is the purpose of asking for pronouns and being respectful to transgender patients?

    <p>To show empathy and respect for the patient's gender identity</p> Signup and view all the answers

    What is the main goal of palliative care?

    <p>To maintain the highest quality of life while alleviating pain</p> Signup and view all the answers

    What is the purpose of a straight catheterization?

    <p>To quickly empty the bladder and does not stay in</p> Signup and view all the answers

    What are examples of a clear liquid diet?

    <p>Water and tea or coffee without milk</p> Signup and view all the answers

    What is the purpose of maintaining all caps closed in a central line?

    <p>To prevent air embolism</p> Signup and view all the answers

    What is the role of a nurse in central line care?

    <p>To wear gloves and ensure all caps are closed to maintain sterility</p> Signup and view all the answers

    What is the significance of gender identity and expression in nursing care for transgender patients?

    <p>It influences the approach to communication and respect for the patient</p> Signup and view all the answers

    What is the pathophysiological mechanism that leads to decreased organ perfusion in preeclampsia?

    <p>Vasospasm, decreased placental perfusion, endothelial cell activation, and intravascular fluid redistribution</p> Signup and view all the answers

    Which medication is used for preeclampsia to prevent seizures and can cause adverse effects such as lethargy and impaired reflexes?

    <p>Magnesium Sulfate</p> Signup and view all the answers

    What are the components of the CAGE questionnaire used for alcoholism screening?

    <p>Cut down, Annoyed, Guilty, Eye opener</p> Signup and view all the answers

    What does the RASS score of +4 indicate in the Richmond Agitation & Sedation Score?

    <p>Combative behavior, posing immediate danger to staff</p> Signup and view all the answers

    In the context of HELLP syndrome, what does the elevation of liver enzymes such as ALT, AST, and LDH indicate?

    <p>Presence of HELLP syndrome</p> Signup and view all the answers

    What is the standard drink equivalent to in terms of alcohol content?

    <p>12 ounces of beer, 5 ounces of wine, or 1.5 ounces of distilled spirits</p> Signup and view all the answers

    What is the main adverse effect associated with the use of Hydralazine for HTN disorders in pregnancy?

    <p>Headache and tachycardia</p> Signup and view all the answers

    What is the primary purpose of using calcium gluconate in the context of magnesium sulfate administration?

    <p>To reverse the effects of magnesium sulfate</p> Signup and view all the answers

    What is the threshold CIWA assessment score that indicates the need for hourly assessment and administration of lorazepam in alcohol withdrawal?

    <p>Greater than 15</p> Signup and view all the answers

    What is the main adverse effect of Nifedipine, a calcium channel blocker used for HTN disorders in pregnancy?

    <p>Headache and flushing</p> Signup and view all the answers

    What is the equivalent alcohol content of 8 oz malt liquor?

    <p>7% alcohol</p> Signup and view all the answers

    Which medication may cause a rare occurrence of C. difficile infection?

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

    What is a nursing intervention for morphine sulfate?

    <p>Monitoring for excessive sedation</p> Signup and view all the answers

    What does IVPB (IV piggyback) involve?

    <p>Involves a smaller bag connected above the regular bag</p> Signup and view all the answers

    What is the purpose of a PCA pump in pain management?

    <p>Allowing patients to self-administer medication in prescribed doses</p> Signup and view all the answers

    What is the purpose of naloxone?

    <p>Reversing opioid effects</p> Signup and view all the answers

    What does TPN (total parenteral nutrition) require?

    <p>Given through a central line to patients unable to eat</p> Signup and view all the answers

    What adverse effects may loperamide have?

    <p>Anticholinergic effects, cardiac arrest, and allergic reactions</p> Signup and view all the answers

    What is the method of giving medication through an IV?

    <p>IVP (IV push)</p> Signup and view all the answers

    What is a nursing intervention for post-operative policy?

    <p>Assessing vital signs, pain, and other observations</p> Signup and view all the answers

    What is the equivalent alcohol content of 8-9 fl oz malt liquor?

    <p>7% alcohol</p> Signup and view all the answers

    What is a potential adverse effect of ceftriaxone?

    <p>C. difficile infection</p> Signup and view all the answers

    What is a nursing intervention for morphine sulfate?

    <p>Monitoring for excessive sedation</p> Signup and view all the answers

    What does IVP (IV push) involve?

    <p>A method of giving medication through an IV</p> Signup and view all the answers

    What is involved in the assessment of patients using PCA pumps?

    <p>Evaluating mental status and understanding of pain relief</p> Signup and view all the answers

    What is a potential adverse effect of naloxone?

    <p>Ventricular arrhythmias</p> Signup and view all the answers

    What is a nursing intervention for post-operative policy?

    <p>Assessing vital signs and pain</p> Signup and view all the answers

    What adverse effects may loperamide have?

    <p>Anticholinergic effects</p> Signup and view all the answers

    What is TPN (total parenteral nutrition) given through?

    <p>Central line</p> Signup and view all the answers

    What is the method of giving medication through a smaller IV bag connected above the regular bag?

    <p>IV piggyback</p> Signup and view all the answers

    Which position should a patient be in when receiving TPN or anything else in a central line?

    <p>Trendelenburg position (head down)</p> Signup and view all the answers

    What are the side effects to look out for after a central line dressing change?

    <p>Bleeding, redness, swelling at catheter site</p> Signup and view all the answers

    What is the purpose of asking for pronouns and being respectful to transgender patients?

    <p>To provide patient-centered care and respect their gender identity</p> Signup and view all the answers

    What is the main goal of palliative care?

    <p>Provide comfort and improve quality of life</p> Signup and view all the answers

    What is the purpose of maintaining all caps closed in a central line?

    <p>To prevent air embolism</p> Signup and view all the answers

    What does 'Advance diet as tolerated' mean in terms of nursing care?

    <p>Patients can advance their diet based on their tolerance</p> Signup and view all the answers

    What is the purpose of a straight catheterization?

    <p>To quickly empty the bladder</p> Signup and view all the answers

    What is the significance of gender identity and expression in nursing care for transgender patients?

    <p>It impacts the approach to providing respectful and inclusive care</p> Signup and view all the answers

    What are examples of a clear liquid diet?

    <p>Water, tea or coffee without milk, gelatin without fruit</p> Signup and view all the answers

    What position should a patient be in when giving TPN or anything else in a central line?

    <p>Trendelenburg position (head down)</p> Signup and view all the answers

    What is the primary pathophysiological mechanism leading to the development of preeclampsia?

    <p>Decreased placental perfusion leading to endothelial cell activation</p> Signup and view all the answers

    What is the main adverse effect of methyldopa, an alpha 2 agonist used for HTN disorders in pregnancy?

    <p>Postural hypotension</p> Signup and view all the answers

    In the context of HELLP syndrome, what does an elevation in liver enzymes such as ALT, AST, and LDH indicate?

    <p>Liver damage</p> Signup and view all the answers

    What is the primary purpose of using calcium gluconate in the context of magnesium sulfate administration?

    <p>To reverse the effects of magnesium sulfate toxicity</p> Signup and view all the answers

    What is the main adverse effect of verapamil, a calcium channel blocker used for HTN disorders in pregnancy?

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

    What is the primary purpose of using isotonic solution like Lactated Ringer's solution in the context of magnesium sulfate administration?

    <p>To maintain electrolyte balance</p> Signup and view all the answers

    What is the main adverse effect of hydralazine, a vasodilator used for HTN disorders in pregnancy?

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

    What are the components of the CIWA alcohol withdrawal scale?

    <p>Sweating, anxiety, tactile disturbances</p> Signup and view all the answers

    What is the main adverse effect of nifedipine, a calcium channel blocker used for HTN disorders in pregnancy?

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

    What is the primary purpose of using magnesium sulfate in the management of preeclampsia?

    <p>To prevent seizures</p> Signup and view all the answers

    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.

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    Description

    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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