Pharmacology/Orders
Name the three most common prefixes for Cephalosporin drugs.
What is Cef (cefadroxil), Kef (keflex), Ceph (cephlexin).
A patient with hyponatremia may show these two common neurological symptoms.
What are confusion and headache?
This expresses laws in place to regulate abusive circumstances.
What is Adult Protective Services?
Your pt has the following: 8 oz of OJ, 6oz of H2O, 8oz of milk, 1000ml of LRs at 50mls per hr, 250 of uring over 4 hrs, 1 stoll episode, and 100% of breakfast consumed, which includes a bowl of oatmeal, 2 eggs, toast, and 4oz of coffee.
What is the total I&O in mls (round to the nearest whole number)
What is 1780 ml intake and 250 ml output?
This valve separates the left atrium and left ventricle.
What is the mitral valve?
This “ten rights” principle ensures safe medication administration.
what is:
right pt
right medication
right dose
right route
right time
right documentation, right reason, right response, right to refuse, and right education.
A patient has a potassium level of 6.2 mEq/L. What heart rhythm complication is most likely?
What is cardiac arrhythmia / peaked T waves?
Keeping this ethical principle with your pt builds trust and communication.
What is Fidelity?
(ethical principle of being faithful to commitments and responsibilities, ensuring trust and integrity in patient care)
A patient had 1,500 mL of IV fluids and 300 mL of urine output. What is the net fluid balance?
What is +1,200 mL?
A patient has chest pain radiating to the left arm and jaw with shortness of breath. This is the most likely diagnosis.
What is myocardial infarction (heart attack)?
A patient is ordered acetaminophen 650 mg PO q6h PRN. The nurse has on hand 250mg/5ml. How much medication will the nurse give?
What is Zero. do NOT give this medication, as it is an incomplete order. There is no reason given in the order to administer this medication.
A patient with hypocalcemia reports muscle twitching, tingling, and a positive Chvostek’s sign. What intervention should the nurse anticipate?
What is administering calcium supplements or IV calcium as ordered and monitoring cardiac rhythm?
This offers general principles to guide nursing actions.
What is a code of ethical conduct?
Your pt has the following vitals: 12R, 59HR, 98% O2 sat, 98.4T, and 112/76 B/P. The physician orders digoxin 125mcg PO qd am with breakfast. The medication was ordered, as the pt has a tachycardia hx. How should the nurse proceed?
What is do not administer the medication due to the HR and consult the physician?
On an ECG, this wave represents ventricular depolarization.
What is the QRS complex?
This drug is an SSRI antidepressant often confused with the NSAID Celebrex.
What is Celexa?
patient with vomiting for 3 days has ABGs showing pH 7.50, PaCO₂ 44, HCO₃⁻ 32. Which acid-base imbalance is present?
Bonus: what is the compensation?
What is metabolic alkalosis?
What is uncompensated metabolic alkalosis?
All states now have laws to support these 2 documents?
What are LW and DPAHC?
(Living Will, and Durable Power of Attorney for Health Care)
A patient has an output of 100 mL over 8 hours. What condition should you suspect?
What is oliguria?
A patient with heart failure has pulmonary edema, dyspnea, and elevated BNP. Which side of the heart is likely failing?
What is the left side?
A new nurse is preparing medications and notices that Lasix and Lanos (a hypothetical look-alike drug) are both on the medication cart. The nurse is unsure which one is correct for a patient with fluid overload. What is the priority action?
What is stop, verify the correct drug with the prescriber, and never administer until clarified?
A patient with magnesium level of 1.1 mg/dL is experiencing muscle weakness and arrhythmias. Which intervention is the highest priority?
What is administering magnesium replacement and continuous cardiac monitoring as ordered?
Residents' rights laws from the state and federal government are both concerned with these?
(Hint: there are several parts to complete this response.*
What are physician selection, medical decision-making, privacy, dignity, the ability to pursue grievances, discharge and transfer rights, and access to visitors and services?
You are reviewing I&O for a patient with heart failure. They received 2,000 mL of fluids but have only 200 mL urine output. Which intervention should you anticipate first?
What is notify the provider for possible fluid overload and adjust IV fluids?
You are caring for a patient with atrial fibrillation and a rapid ventricular rate. Which nursing action has the highest priority?
What is assessing hemodynamic stability (BP, HR) and preparing for rate control intervention?