Clinical Competency
In what order do you assess the abdomen?
Inspection, Auscultation, Palpation, Percussion
What population should avoid contact with finasteride?
Pregnant women, or women in child-bearing age.
Your elderly patient is experiencing disorientation, what may the patient be experiencing?
UTI
Thrombocytopenia is a condition where the patient has a ___ _____ count.
low platelet.
A patient is to receive acetaminophen 650 mg PO q4h. Supplied for the pharmacy is acetaminophen 325 mg tablet. How many tablets would the nurse administer at 0800?
2 tablets
How many mL do you flush an enteral feeding tube before and after medication administration?
15 - 30 mL
What is the indication of ondansetron?
Nausea and vomiting
How often should thyroid function tests be completed in patients who are taking levothyroxine for hypothyroidism?
Yearly
What is a normal white blood cell count?
4.5 - 11
A patient is to receive Cefalexin 300 mg PO q4h. Supplied for the pharmacy is Cefalexin 150 mg tablet. How many tablets would the nurse administer in a 24 hour period?
12 tablets
Place another IV to administer the ceftriaxone. Nothing can run with TPN.
What is a common side effect of tamsulosin?
Orthostatic hypotension
Patients with this condition have sever gastric hypomobility
Myxedema Coma
You are witnessing a co-worker perform urinary cathertization. You notice the nurse breaks sterility, what should you do.
Tell the nurse she broke sterility, grab a new kit and restart.
One unit of PRBC’s has been ordered for a patient. The unit of PRBC contains 300 mL. The unit is to infuse over 3 hours. What rate will the nurse program on the pump?
100 ml/hr
IV team just placed a LUA PICC line in your patient, what is needed before you can use this line?
Radiographic confirmation of proper PICC line placement
Extrapyramidal symptoms is a common side effect of which GI medication?
Metoclopramide
Patients with this condition should maintain mobility to promote bone calcification.
Hyperparathyroidism
Check placement according to facility policy
The patient is ordered 1000 mL of D5 0.45% NSS IV to be infused over 5 hours. There are no infusion pumps available to start the infusion. The nurse will administer fluids without a pump. The tubing drop factor is 10 drops per mL. What is the correct flow rate?
33 gtts/min
What type of needle is used when accessing an implantable port?
Non-coring, deflected tip needle or Huber point.
What is a common side effect of famotidine?
Thrombocytopenia
Your patient has decided to terminate curative care and would like to remain comfortable, what type of program is appropriate for this patient?
Hospice Care
What are some precautions you must consider when taking care of a neutropenic patient?
Strict handwashing, private room, mask, no fresh fruits, vegetables, or flowers, frequent vitals, dedicated equipment for the patient.
The physician’s order states: Vancomycin 1g in 1000 mL of NSS IV to infuse over 2 hours. The drop factor is 15 gtts/mL. What is the flow rate?
125 gtts/min