Meds
Dosage calc
Wounds
IV Complications
Misc
100

What interventions should the nurse be doing after the administration of opioids? 

Assess respirations, pulse ox, protect airway.

100

What is the formula for finding drip rate and flow rate?

mL                                           mL

____    X  drip factor                _____    

  min                                        HR

                                   
                                             

100

What are some ways to prevent pressure injuries? 

1. Pay attention to bony prominence 

2. avoid massage over bony prominence 

3. Use proper positioning, turning and transferring techniques 

4. Turn patients every 2 hours 

100

What is fluid overload?

Too large a volume of fluid infused into circulation. 

100

What is the priority nursing assessment immediately post-operatively?

Airway Patency

200

What are side effects of metformin?

Lactic acidosis, abdominal bloating, nausea, vomiting, diarrhea.

200

Hydralazine 1mg is ordered for the pt. Available is 0.2mg tablets. How many tablets will be administered?

5 tablets 

200

How do you clean a wound with approximated edges?

1. Use standard precautions 

2. Moisten a sterile gauze pad or swab 

3. Use a new swab or gauze for each downward stroke 

4. clean from top to bottom 

5. Work outward from the incision in parallel to it

6. Wipe from the clean area toward the less clean area.

200

What would be signs and symptoms of a venous access device related infection? 

Erythema, edema, drainage at the insertion site, fever, malaise, chills and other vital sign changes.  

200

If a patient is having severe pain secondary to a tibial fracture that is unrelieved by opioid analgesics, what operation can the nurse expect to prepare the patient for?

Fasciotomy

300

How do you mix insulin? 

Inject air into humulin N, inject air into humulin R, keep in and pull back from R, and then pull back from N. NRRN

300

Pt is ordered bolus of 500mL over 6 hours. Calculate flow rate, round as appropriate. 

83.3mL/hr

300

What is used to clean a wound?

Saline with no preservatives 

300

What are signs and symptoms of fluid overload?

Engorged neck veins, increased blood pressure, dyspnea. 

300

Your patient is ordered 25 mg of Spironolactone for hypertension. Her morning vitals were: HR 92, Temp 36.5, BP 142/88, RR 16, SpO2 95%. Before administering, you see that her serum potassium level is 5.6 mEq/L. What is your next course of action?

Hold the medication and contact the physician to determine how to proceed

400

What are side effects of Heparin?

bleeding, HIT, anemia, osteoporosis, hyperkalemia 

400

Pt is ordered 450mL packed red blood cells to infuse over 6 hours. Drip factor 20gtt/min. Calculate the flow rate for one unit.

25 gtt/min

400

What is your next action if you go to take a swab of the wound and realize it has not been cleaned and why?

Discard the swab and get a new one because it would lead to inaccurate results.

400

What would be some nursing considerations when dealing with Speed shock?  

Make sure you are using proper IV tubing, Carefully monitor the rate of fluid flow, Check the rate frequency for accuracy, Time tape would also be useful. 

400

What are 4 lifestyle modifications that should be explored with a patient with primary hypertension?

1. diet modifications - restrict sodium, cholesterol, and saturated fat; increase fruits, vegetables, and fish

2. daily moderate to intense exercise for at least 30 minutes

3. smoking cessation

4. moderation or cessation of alcohol intake

500

What is the onset and duration of insulin aspart?

Type of rapid acting insulin. 

Onset: within 15 minutes

Peak: 1-2 hr

Duration: 3-4 hr

500

Pt is ordered lanoxin 2mg/kg q12hr. What is the desired dose if the pt weighs 120lbs?

109.1 mg

500

What needs to be documented after wound care?

Location of wound, assessment of wound, type of tissue present, stage, characteristics of drainage, appearance of surrounding skin, cleansing and culture of wound, skin care or dressings applied

500

What are 4 thing that you could do as a nurse if fluid does not flow easily into the vein?

1. Reposition the extremity

2. Raise the height of the pole

3. Attempt to flush the PIVC with saline

4. Make sure the clamp is fully open

500
A patient with acute decompensated HF's vitals signs are:

BP 98/60 mm Hg, HR 102 bpm, RR 24, temp 36.7, and SpO2 84% on 2 L/min via nasal cannula

Which of these findings is the highest priority and what would the nurse do next?

SpO2 84% is the highest priority

Place the patient in high fowlers, auscultate breath sounds, assess LOC, check oxygen connection and rate setting, and talk with the patient about their breathing 

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