NU2171 Final Exam Study Guide Solutions

NU2171 Final Exam Study Guide Solutions 15-30 mL - Ans:-NG tube flush, before medications 5-10 mL - Ans:-NG tube flush, between medications 30-60 mL - Ans:-NG tube flush, after medications peak - Ans:-highest plasma concentration of drug reached when absorption is complete trough - Ans:-point when a drug is at its lowest concentration -indicative of elimination rate therapeutic level - Ans:-concentration of the drug in the blood that produces the desired effect without toxicity half life - Ans:-amount of time for 50% of serum concentration to be eliminated 3 checks - Ans:--reaching for unit dose package or container -comparing drug to eMAR ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/29 -before giving drug to patient 5 rights of medication administration - Ans:-1. right patient 2. right medication 3. right dose 4. right route 5. right time smaller - Ans:-the larger the gauge, the _______ the needle oil - Ans:-18-20 gauge, 1-1.5" needle is appropriate for an _____ based medication water - Ans:-25-30 gauge, 3/8-5/8" needle is appropriate for a ________ based medication visceral - Ans:-poorly localized pain, originates in organs of the thorax, cranium, or abdomen -caused by distended, ischemic, or inflamed organs cutaneous - Ans:-superficial pain involving the skin or subcutaneous tissue psychogenic - Ans:-pain with no identifiable cause neuropathic - Ans:-pain caused by a lesion or disease of peripheral or central nerves ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/29 location - Ans:-Where is your pain? Internal or external? intensity - Ans:-How would you rate your pain on a scale of 0-10? duration - Ans:-How long have you been having pain? How long does it last? How often? alleviating factors - Ans:-What makes the pain better? aggravating factors - Ans:-When makes the pain worse? quality - Ans:-How would you describe the pain? relieving discomfort - Ans:--changing position -empty bladder -relieve constipation -use distraction, humor, imagery, relaxation opioids - Ans:-controlled-substance analgesic medications non-opioids - Ans:-analgesic medications like acetaminophen, NSAIDs, etc. adjuvant - Ans:-drugs used in combination with analgesics for improved pain relief (anticonvulsants, antidepressants, etc.) ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/29 accupressure - Ans:-use of fingertips to apply firm pressure to acupuncture sites biofeedback - Ans:-monitoring of physiologic responses to pain and using deep breathing, progressive relaxation, imagery, etc. to regulate the responses acupuncture - Ans:-use of thin needles at specific points for pain relief alternative pain relief - Ans:--acupressure -biofeedback -massage -heat/cold -guided imagery -hypnosis -acupuncture pulse oximetry - Ans:-measurement of oxygen perfusion through degree of oxygenation in arterial hemoglobin 2-3 L - Ans:-keep secretions thin by drinking ________ of daily fluids importance of adequate fluid intake - Ans:--keep secretions thin ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/29 -benefit those with fever, mouth breathing, coughing, excessive fluid loss pursed lip breathing - Ans:--slows and prolongs expiration by making the opening for air movement smaller -prevents small airway collapse, improves air exchange, decreases dyspnea, controls rate/depth of respiration rhales - Ans:-soft, fine, high-pitched, discontinuous popping sounds pneumonia assessment - Ans:--Cyanosis and pallor -Dry skin -Possible fever -Dry mucosa -Tachycardia -Diminished lung sounds -Dyspnea -Atelectasis ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 6/29 living will - Ans:-provides specific instructions about kinds of healthcare that should be provided or forgone in particular situations signs of impending death - Ans:--difficulty talking/swallowing -abdominal distention -Cheyne-Stokes respirations -mottled, cool, cyanotic skin -decreased BP, temp, HR