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Questions and Answers
An LPN is caring for a patient with a peripherally inserted central catheter (PICC) line. Which of the following actions is within the LPN's scope of practice, according to the provided guidelines?
An LPN is caring for a patient with a peripherally inserted central catheter (PICC) line. Which of the following actions is within the LPN's scope of practice, according to the provided guidelines?
- Maintaining the central venous infusion of approved fluids and checking the dressing. (correct)
- Initiating the administration of chemotherapeutic agents through the PICC line.
- Discontinuing the PICC line based on the patient's improved condition.
- Administering a rapid intravenous bolus of medication.
A physician orders vancomycin $1$ gram IV q12h for a patient with a MRSA infection. The patient's creatinine level is elevated. What is the most appropriate initial action for the nurse?
A physician orders vancomycin $1$ gram IV q12h for a patient with a MRSA infection. The patient's creatinine level is elevated. What is the most appropriate initial action for the nurse?
- Check peak and trough levels after the first dose.
- Administer the vancomycin as prescribed, as it is a standard dose for MRSA.
- Immediately contact the physician to question the drug dose.
- Consult with the pharmacist to determine if the elevated creatinine affects drug dosing. (correct)
An LPN is working under the supervision of an RN in a long-term care facility. Which of the following intravenous fluids can the LPN initiate via a peripheral route, according to the state's Board of Nursing?
An LPN is working under the supervision of an RN in a long-term care facility. Which of the following intravenous fluids can the LPN initiate via a peripheral route, according to the state's Board of Nursing?
- 5% Dextrose in 0.45% Sodium Chloride (D5 1/2 NS). (correct)
- Total Parenteral Nutrition (TPN).
- Albumin 25%.
- Packed Red Blood Cells (PRBCs).
A patient receiving IV antibiotics has orders for peak and trough levels. When should the nurse obtain the trough level?
A patient receiving IV antibiotics has orders for peak and trough levels. When should the nurse obtain the trough level?
An LPN is preparing to administer an intravenous piggyback (IVPB) medication. Which of the following medications, according to the Board of Nursing guidelines, is the LPN permitted to administer via IVPB?
An LPN is preparing to administer an intravenous piggyback (IVPB) medication. Which of the following medications, according to the Board of Nursing guidelines, is the LPN permitted to administer via IVPB?
A drug that initiates a physiological change in the body is best described as which of the following?
A drug that initiates a physiological change in the body is best described as which of the following?
After a drug is processed by the body, the amount of the drug that is available for use is referred to as:
After a drug is processed by the body, the amount of the drug that is available for use is referred to as:
In the context of IV fluid administration, what does the abbreviation 'KVO' signify?
In the context of IV fluid administration, what does the abbreviation 'KVO' signify?
When administering multiple IV medications, staggering the administration times addresses which potential issue?
When administering multiple IV medications, staggering the administration times addresses which potential issue?
Which of the following best describes 'therapeutic drug administration'?
Which of the following best describes 'therapeutic drug administration'?
Which of the following is the MOST critical nursing action if a visible precipitate is observed in an IV solution during administration?
Which of the following is the MOST critical nursing action if a visible precipitate is observed in an IV solution during administration?
A patient receiving an IV antibiotic develops a sudden onset of hives, difficulty breathing, and a drop in blood pressure. This is most likely indicative of what condition?
A patient receiving an IV antibiotic develops a sudden onset of hives, difficulty breathing, and a drop in blood pressure. This is most likely indicative of what condition?
A medication order reads, 'Administer 1 gram of Ceftriaxone IVPB every 12 hours.' Which of the following rights of IV administration does 'IVPB' directly relate to?
A medication order reads, 'Administer 1 gram of Ceftriaxone IVPB every 12 hours.' Which of the following rights of IV administration does 'IVPB' directly relate to?
A patient is prescribed two drugs that, when combined, result in a greater therapeutic effect than either drug would produce alone. This is an example of what type of drug interaction?
A patient is prescribed two drugs that, when combined, result in a greater therapeutic effect than either drug would produce alone. This is an example of what type of drug interaction?
A patient reports experiencing ringing in their ears (tinnitus) after starting a new medication. This could be a sign of which type of organ-specific toxicity?
A patient reports experiencing ringing in their ears (tinnitus) after starting a new medication. This could be a sign of which type of organ-specific toxicity?
A patient is receiving an antibiotic via continuous IV infusion. Why is it important to draw serum drug levels?
A patient is receiving an antibiotic via continuous IV infusion. Why is it important to draw serum drug levels?
Which of the following best describes chemical incompatibilities between IV drugs?
Which of the following best describes chemical incompatibilities between IV drugs?
Before administering an IV antibiotic, a nurse checks the IV site and notes that there is no backflow and resistance is met when flushing. What is the MOST appropriate nursing action?
Before administering an IV antibiotic, a nurse checks the IV site and notes that there is no backflow and resistance is met when flushing. What is the MOST appropriate nursing action?
A patient develops a secondary infection during antibiotic treatment that is resistant to the initial antibiotic. This is best described as which of the following?
A patient develops a secondary infection during antibiotic treatment that is resistant to the initial antibiotic. This is best described as which of the following?
A patient receiving vancomycin IV develops redness and itching after 15 minutes of the infusion. What is MOST appropriate initial nursing action?
A patient receiving vancomycin IV develops redness and itching after 15 minutes of the infusion. What is MOST appropriate initial nursing action?
Flashcards
Pre-Drug Administration Tests
Pre-Drug Administration Tests
Evaluates kidney and liver function to ensure safe drug administration and prevent toxicity.
Peak and Trough Levels
Peak and Trough Levels
Measure drug concentration at its highest (peak) and lowest (trough) levels to maintain therapeutic range and avoid toxicity.
State Board of Nursing
State Board of Nursing
LPNs must follow the regulations and guidelines set by their state's Board of Nursing.
Common IV Flush Solutions
Common IV Flush Solutions
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LPN IV Supervision
LPN IV Supervision
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Pharmacokinetics
Pharmacokinetics
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Absorption (Drugs)
Absorption (Drugs)
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Distribution (Drugs)
Distribution (Drugs)
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Bioavailability
Bioavailability
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Target Cells
Target Cells
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Antagonist (Drug)
Antagonist (Drug)
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Agonist (Drug)
Agonist (Drug)
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Diagnostic Testing (Drugs)
Diagnostic Testing (Drugs)
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Prophylactic Drug Administration
Prophylactic Drug Administration
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Therapeutic Drug Administration
Therapeutic Drug Administration
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Rights of IV Administration
Rights of IV Administration
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Therapeutic Incompatibilities
Therapeutic Incompatibilities
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Anaphylaxis
Anaphylaxis
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Synergistic Drug Interactions
Synergistic Drug Interactions
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Superinfection
Superinfection
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Study Notes
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Description
Overview of pharmacokinetics including absorption, distribution, bioavailability, and drug action. Key terminology includes target cells, antagonists, agonists, CBC, IVPB, KVO, and LR. Understanding these principles is crucial for effective drug administration and patient care.
