Medications
What is a medication that can turn your urine orange?
Rifampin (TB Medication)
What are 2 examples of NSAIDS.
Nonsteroidal anti-inflammatory drugs (NSAIDs) are a class of medications used to reduce pain, inflammation, and fever. Examples of NSAIDs include:
A patient has a new ostomy in the right lower quadrant with liquid output. What type of ostomy is this likely to be?
Ileostomy - Located in the right lower quadrant with liquid to paste-like output from the small intestine.
What is the most reliable method and practice used in the hospital to verify correct nasogastric tube placement before use?
X-ray confirmation showing tube tip in the stomach below the diaphragm.
What position should a patient be in during NG tube insertion and why?
High Fowler's position (90 degrees) to facilitate swallowing and reduce aspiration risk.
What is an example of a specific inhaled corticosteroid
Busonide (Pulmicort)
Can you name a medication that patients should rinse their mouth out after taking?
Albuterol OR
Budesonide (Pulmicort)
Individuals with an ileostomy should avoid what type of food(s)? Give atleast one example.
People with an ileostomy should avoid foods with seeds, nuts and those difficult to digest such as corn chips and Chinese foods. The cardinal rules for diet with an ostomy are: eat a balanced diet, chew your food well and eat slowly and add foods to your diet gradually to see how they affect your system.
Before administering enteral tube feeding, what two essential assessments must the nurse perform?
Check tube placement and assess gastric residual volume.
What is the maximum safe gastric residual volume before holding enteral feeding?
Generally 200-500 mL (follow facility policy), indicating delayed gastric emptying.
1 specific example of a long acting bronchodilator
Tiotropium (Spiriva)
With this systemic corticosteroid you should monitor a patient's sugar while they are admitted in the hospital.
Methyl-prednisolone
When should you empty a patient's JP drain?
At most half full (helps with the bulb suction).
A patient on continuous enteral feeding develops diarrhea. What is one possible nursing interventions?
Slow the feeding rate and check feeding temperature (should be room temperature).
Before use, atleast once a shift, before medication admin, if a patient pulls at it, etc.
What are the 4 TB Medications?
TB Medications: INH, Rifampin, Pyrazinamide, Ethambutol
Weight gain can be a possible side effect of this medication.
Systemic corticosteroid: Methyl-prednisolone
A patient with a descending colostomy 2 weeks post-surgery asks when their stool will become more normal. What should the nurse explain?
Formed stool typically develops after 6 weeks for descending colostomies. Current soft/liquid output at 2 weeks is normal as the bowel adapts and healing occurs.
What oxygen flow rate should be used with a nasal cannula for a patient with COPD?
Under 4L NC. (Low-flow oxygen to avoid suppressing respiratory drive).
How do we know which type of tube feed a patient should be on?
CHECK ORDERS! This does not scan within the system at Griffin.
Which medication can be given for acute exacerbations of asthma/COPD/ severe inflammation?
Systemic corticosteroid: Methyl-prednisolone
Increased heart rate can be a possible side effect after these medications.
Short acting bronchodilators: Albuterol, Ipratropium (Atrovent)
What do you assess if a patient has ANY drain? (Name atleast 3).
Site, surround skin, drainage color, amount, dressing, etc.
A patient using a non-rebreather mask should maintain what minimum oxygen flow rate and why?
10-15 L/min to prevent rebreathing of exhaled CO2 and ensure adequate oxygen delivery.
What oxygen delivery device provides the most precise oxygen concentration?
Venturi mask (provides fixed oxygen concentrations of 24%, 28%, 31%, 35%, 40%, or 50%).