MOCK PAPER COMPREHENSIVE REVIEW
NOTES ANALYTICAL SUMMARY
◉ What is the indication for using Vancomycin?
Answer: Serious infections caused by MRSA resistant to other
antibiotics
◉ What is the mechanism of action of Vancomycin?
Answer: Inhibits bacterial cell wall synthesis, leading to bacterial cell
death
◉ What are the nursing responsibilities when administering
Vancomycin?
Answer: Monitor serum trough levels, assess renal function, infuse
slowly to prevent Red Man Syndrome, monitor for ototoxicity
◉ What is the expected treatment plan for a type I diabetic?
Answer: Insulin replacement therapy
◉ What is the indication for insulin replacement in type I diabetes?
Answer: Lack of endogenous insulin production
,◉ What is the mechanism of action of insulin?
Answer: Promotes cellular glucose uptake, lowering blood glucose
◉ What are the expected outcomes of insulin therapy in type I
diabetes?
Answer: Blood glucose within target range (70-130 mg/dL fasting),
HbA1c < 7%, prevention of hypoglycemia and DKA
◉ What are the nursing responsibilities for managing a type I
diabetic patient?
Answer: Monitor blood glucose levels, assess for hypoglycemia,
ensure accurate insulin administration, provide patient education
◉ What are the teaching points for a patient prescribed
glucocorticoids?
Answer: Take as prescribed, take with food, do not stop abruptly,
monitor for signs of infection, monitor blood glucose levels, avoid
NSAIDs/alcohol
◉ What is the mechanism of action of glucocorticoids?
Answer: Suppresses inflammatory and immune response
, ◉ What assessment data is needed before administering an anti-
tussive with codeine?
Answer: Assess respiratory rate, oxygen saturation, level of
consciousness, type of cough, history of respiratory conditions, use
of other CNS depressants, blood pressure
◉ What is the mechanism of action of codeine as an anti-tussive?
Answer: Acts on the cough center in the medulla to decrease cough
reflex
◉ What symptoms are relieved by administering guaifenesin?
Answer: Chest congestion, thick mucus/secretions, productive
cough
◉ What is the mechanism of action of guaifenesin?
Answer: Thins and loosens respiratory secretions, making mucus
easier to cough up
◉ What is the administration process for steroid and beta-2 agonist
inhalers?
Answer: Administer beta-2 agonist first, wait 5 minutes, shake
inhaler, inhale slowly and deeply, hold breath for 10 seconds, rinse
mouth after steroid use