Podcast
Questions and Answers
What position should a patient be in when receiving TPN or anything else in a central line?
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?
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'?
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?
What is the purpose of asking for pronouns and being respectful to transgender patients?
What is the main goal of palliative care?
What is the main goal of palliative care?
What is the purpose of a straight catheterization?
What is the purpose of a straight catheterization?
What are examples of a clear liquid diet?
What are examples of a clear liquid diet?
What is the purpose of maintaining all caps closed in a central line?
What is the purpose of maintaining all caps closed in a central line?
What is the role of a nurse in central line care?
What is the role of a nurse in central line care?
What is the significance of gender identity and expression in nursing care for transgender patients?
What is the significance of gender identity and expression in nursing care for transgender patients?
What is the pathophysiological mechanism that leads to decreased organ perfusion in preeclampsia?
What is the pathophysiological mechanism that leads to decreased organ perfusion in preeclampsia?
Which medication is used for preeclampsia to prevent seizures and can cause adverse effects such as lethargy and impaired reflexes?
Which medication is used for preeclampsia to prevent seizures and can cause adverse effects such as lethargy and impaired reflexes?
What are the components of the CAGE questionnaire used for alcoholism screening?
What are the components of the CAGE questionnaire used for alcoholism screening?
What does the RASS score of +4 indicate in the Richmond Agitation & Sedation Score?
What does the RASS score of +4 indicate in the Richmond Agitation & Sedation Score?
In the context of HELLP syndrome, what does the elevation of liver enzymes such as ALT, AST, and LDH indicate?
In the context of HELLP syndrome, what does the elevation of liver enzymes such as ALT, AST, and LDH indicate?
What is the standard drink equivalent to in terms of alcohol content?
What is the standard drink equivalent to in terms of alcohol content?
What is the main adverse effect associated with the use of Hydralazine for HTN disorders in pregnancy?
What is the main adverse effect associated with the use of Hydralazine for HTN disorders in pregnancy?
What is the primary purpose of using calcium gluconate in the context of magnesium sulfate administration?
What is the primary purpose of using calcium gluconate in the context of magnesium sulfate administration?
What is the threshold CIWA assessment score that indicates the need for hourly assessment and administration of lorazepam in alcohol withdrawal?
What is the threshold CIWA assessment score that indicates the need for hourly assessment and administration of lorazepam in alcohol withdrawal?
What is the main adverse effect of Nifedipine, a calcium channel blocker used for HTN disorders in pregnancy?
What is the main adverse effect of Nifedipine, a calcium channel blocker used for HTN disorders in pregnancy?
What is the equivalent alcohol content of 8 oz malt liquor?
What is the equivalent alcohol content of 8 oz malt liquor?
Which medication may cause a rare occurrence of C. difficile infection?
Which medication may cause a rare occurrence of C. difficile infection?
What is a nursing intervention for morphine sulfate?
What is a nursing intervention for morphine sulfate?
What does IVPB (IV piggyback) involve?
What does IVPB (IV piggyback) involve?
What is the purpose of a PCA pump in pain management?
What is the purpose of a PCA pump in pain management?
What is the purpose of naloxone?
What is the purpose of naloxone?
What does TPN (total parenteral nutrition) require?
What does TPN (total parenteral nutrition) require?
What adverse effects may loperamide have?
What adverse effects may loperamide have?
What is the method of giving medication through an IV?
What is the method of giving medication through an IV?
What is a nursing intervention for post-operative policy?
What is a nursing intervention for post-operative policy?
What is the equivalent alcohol content of 8-9 fl oz malt liquor?
What is the equivalent alcohol content of 8-9 fl oz malt liquor?
What is a potential adverse effect of ceftriaxone?
What is a potential adverse effect of ceftriaxone?
What is a nursing intervention for morphine sulfate?
What is a nursing intervention for morphine sulfate?
What does IVP (IV push) involve?
What does IVP (IV push) involve?
What is involved in the assessment of patients using PCA pumps?
What is involved in the assessment of patients using PCA pumps?
What is a potential adverse effect of naloxone?
What is a potential adverse effect of naloxone?
What is a nursing intervention for post-operative policy?
What is a nursing intervention for post-operative policy?
What adverse effects may loperamide have?
What adverse effects may loperamide have?
What is TPN (total parenteral nutrition) given through?
What is TPN (total parenteral nutrition) given through?
What is the method of giving medication through a smaller IV bag connected above the regular bag?
What is the method of giving medication through a smaller IV bag connected above the regular bag?
Which position should a patient be in when receiving TPN or anything else in a central line?
Which position should a patient be in when receiving TPN or anything else in a central line?
What are the side effects to look out for after a central line dressing change?
What are the side effects to look out for after a central line dressing change?
What is the purpose of asking for pronouns and being respectful to transgender patients?
What is the purpose of asking for pronouns and being respectful to transgender patients?
What is the main goal of palliative care?
What is the main goal of palliative care?
What is the purpose of maintaining all caps closed in a central line?
What is the purpose of maintaining all caps closed in a central line?
What does 'Advance diet as tolerated' mean in terms of nursing care?
What does 'Advance diet as tolerated' mean in terms of nursing care?
What is the purpose of a straight catheterization?
What is the purpose of a straight catheterization?
What is the significance of gender identity and expression in nursing care for transgender patients?
What is the significance of gender identity and expression in nursing care for transgender patients?
What are examples of a clear liquid diet?
What are examples of a clear liquid diet?
What position should a patient be in when giving TPN or anything else in a central line?
What position should a patient be in when giving TPN or anything else in a central line?
What is the primary pathophysiological mechanism leading to the development of preeclampsia?
What is the primary pathophysiological mechanism leading to the development of preeclampsia?
What is the main adverse effect of methyldopa, an alpha 2 agonist used for HTN disorders in pregnancy?
What is the main adverse effect of methyldopa, an alpha 2 agonist used for HTN disorders in pregnancy?
In the context of HELLP syndrome, what does an elevation in liver enzymes such as ALT, AST, and LDH indicate?
In the context of HELLP syndrome, what does an elevation in liver enzymes such as ALT, AST, and LDH indicate?
What is the primary purpose of using calcium gluconate in the context of magnesium sulfate administration?
What is the primary purpose of using calcium gluconate in the context of magnesium sulfate administration?
What is the main adverse effect of verapamil, a calcium channel blocker used for HTN disorders in pregnancy?
What is the main adverse effect of verapamil, a calcium channel blocker used for HTN disorders in pregnancy?
What is the primary purpose of using isotonic solution like Lactated Ringer's solution in the context of magnesium sulfate administration?
What is the primary purpose of using isotonic solution like Lactated Ringer's solution in the context of magnesium sulfate administration?
What is the main adverse effect of hydralazine, a vasodilator used for HTN disorders in pregnancy?
What is the main adverse effect of hydralazine, a vasodilator used for HTN disorders in pregnancy?
What are the components of the CIWA alcohol withdrawal scale?
What are the components of the CIWA alcohol withdrawal scale?
What is the main adverse effect of nifedipine, a calcium channel blocker used for HTN disorders in pregnancy?
What is the main adverse effect of nifedipine, a calcium channel blocker used for HTN disorders in pregnancy?
What is the primary purpose of using magnesium sulfate in the management of preeclampsia?
What is the primary purpose of using magnesium sulfate in the management of preeclampsia?
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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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