Blood Pressure
How many millimeters of mercury is each line on the sphygmomanometer?
2 mmHg
Types of Prescriptions (Rx)
Routine, single, PRN, stat, standing, now
This is how we identify our patients?
Name and DOB
What is the best way to administer medication for a patient who has been vomiting?
Rectal Suppository
1 Tbsp
15 mL
What is medical asepsis?
Procedures to decrease the number and spread of pathogens in the environment.
What artery do you match the sphygmomanometer up with when measuring blood pressure?
What is the Brachial artery
What are the three phases of the Health History Interview?
Introducing
Working
Closing
What kind of needle is used to draw up medications from a ampule?
Filtered needle.
How do you prepare 10 units of regular insulin and 5 units of NPH insulin for injection?
Inject air into both vials and withdraw the regular insulin first.
What is surgical asepsis?
Procedures to completely eliminate the presence of pathogens from an object
What are some rules when taking your blood pressure to get an accurate reading?
What are
1. No eating, smoking, caffeine consumption 30 minutes prior
2. Uncross legs, sit comfortably, arms below heart
3.Take at least 2 readings 1 minute apart.
4.Use a properly calibrated device.
5.Bottom of the cuff goes above the elbow.
6. Use the proper size cuff.
Name the 4 physical exam techniques.
Inspection
Palpation
Percussion
Auscultation
What is the name of the muscle that most I.M. injections are administered to in Children?
Vastus lateralis
1 tsp
5 mL
It kills all germs, including spores
What is sterilization?
The force you heart exerts on the walls of your arteries each time it beats is called what?
what is Systolic pressure
Name two high-alert medications
Anticoagulants, insulin, opioids, chemotherapeutic agents
Name 3 communication techniques.
silence
clarification
validation
rephrasing
active listening
facilitation: mm-hmm, go on, tell me more
What must you never do with enteric or time release p.o. medications?
Cut or crush
1 oz
30 mL
Bodily fluid can be this part of the chain of infection
What is a portal of exit?
When the diastolic and systolic readings are written, how are they written? (What's on the top and what's on the bottom?)
What is Systolic is on top and diastolic is on bottom
A ________ tablet is convenient when only part of a tablet is needed.
What is Scored
What are 5 areas that general survey covers?
Dress, grooming, hygiene
Build, apparent age, LOC
Behaviors, body movement, affect, facial expressions
Speech patterns and clarity
Vital Signs, height, weight
What is the difference between buccal and sublingual?
Sublingual is under the tongue and buccal is in the back of the mouth between the cheek and the back of the tongue (behind the last molar).
The order is for Meperidine 25mg IM now. You have Meperidine 100mg/1ml. What is the proper dosage in ML?
What is 0.25ml?
These are common sites for nosocomial infection
What is urinary, respiratory; bloodstream and wounds?
What is blood pressure?
What is the force of blood on the walls of the artery walls
Per the medication order the patient is to receive a particular drug four times a day. What standard abbreviation would the physician use in this case?
QID
What are 4 essential items during every interaction with a patient?
Introduce yourself
Hand Hygiene
Call light
Ensure Safety
Privacy
Comfort
How much air do you inject in a vial prior to withdrawing meds?
The same as the amount of medication you will be drawing out.
1 cup
8 oz
240 mL
What is example of medical asepsis?
Handwashing, good personal hygiene, the cleaning of rooms between patients, and disposal of gloves after contact with the body.
What are 3 factors that could change the reading of blood pressure?
What is standing, laying down, and sitting positions.
Solid drug covered with a substance that dissolves beyond the stomach.
Enteric-coated tablets
COLDSPA
C = Characteristics
O = Onset
L = Location
D = Duration
S = Severity
P = Pattern
A = Associated Factors
Your patient is to receive amitriptyline 75mg at bedtime. You have amitriptyline 25mg tablets on hand. How much do you give?
What is 3 tablets?
The most effective prevention against infection.
What is hand hygiene?
What are the signs and symptoms of hypertension?
There are none, because it is the silent killer.
Federal law regulated their possession and administration
what are controlled substances
What type of Data is the following?
"I have pain in my lower abdomen. It's a 9/10."
What is subjective data.
How many times should you check the medication you are administering against the MAR.
AT least 3 times.
As you pull the med: Before you mix, pour or draw up a med. Check the label against the Mar.
After you prepare and return the medication.
At the bedside before you administer.
2.2 lb
1 kg
What are rules of a Sterile Field?
Name at least 4
Hands remain above waist
1 inch border not sterile
Do not reach over the field
Do not turn back on field
If wet no longer sterile
A self-contained packet that holds one tablet or capsule.
What is a unit dose supply.
When checking a TB skin test at 48 hours what is the nurse measuring?
Induration
What directions would you give a parent when educating how to instill ear drops for their 2 year old.
Pull lower ear lobe down and backward prior to instillation.
Your order is for lanoxin 0.125mg po in am. You have lanoxin 0.250 mg tablet. How much do you give?
What is 1/2 tablet?
This is the body's primary defense against infection
What is intact skin?
What does your blood pressure reading have to be in order to be considered a stage 1 hypertensive?
130-139
Required components of a Rx
Client Name
Generic name of med
Dose
Frequency
Route
Directions
Provider signature
Date and time
What three things are included in the Closing Phase of the Health History Interview
Summarize information
Validate problems
Allow patient to add additional information
What are all of the nonparenteral medication routes?
Oral, sublingual, buccal, topical, eye, ear, nose, vaginal, rectal, and enteral.
The physician has ordered 6mg or morphine sulfate i.v. every 4 to 6 hours prn for pain. The unit dose in the medication dispenser has 15mg in 1 mL. How much volume should the nurse administer?
0.4mL
These put patients at a higher risk for infection
What is hospitalization, illness, advanced age?