RN NCLEX Comprehensive Review: Pharmacology in Nursing
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1. 1 mg = ? mcg 1,000 mcg
2. 1 g = ? mg 1,000 mg
3. 1 kg = ? lbs 2.2 lbs
4. 1 gr = ? mg 60 mg
5. 1 oz = ? mL 30 mL
6. 1 L = ? mL 1,000 mL
7. 1 tsp = ? mL 5 mL
8. 1 tbsp = ? mL 15 mL
9. 1 tbsp = ? tsp 3 tsp
10. 37.0 degrees Celsius = ? 98.6 degrees Fahrenheit
degrees Fahrenheit
11. Formula to find Celsius C=(F-32)x(5/9)
12. Formula to find Fahren- F=(Cx9/5)+32
heit
13. Adverse Reaction Negative effects experienced by a client as a result of a specific med-
ication; may be hazardous, tolerated, or subside with continued use
14. RN must assess be- 1. Allergies and adverse effects
fore administering med- 2. Current medication regimen for potential interactions
ications to a pt. (3) 3. Physiologic status compared to baseline assessment data
15. 6 Rights of Medication 1. Right client
Administration 2. Right medication
, RN NCLEX Comprehensive Review: Pharmacology in Nursing
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3. Right dose
4. Right time
5. Right route
6. Right documentation
16. Average time to draw 1-2 hours after administration
peak levels: Oral (PO)
17. Average time to draw 1 hour after administration
peak levels: Intramuscu-
lar (IM)
18. Average time to draw 30 minutes
peak levels: Intravenous
(IV)
19. Trough Level Reflect the lowest concentration or residual level and are usually ob-
tained within 15 minutes prior to administration of the next scheduled
dose
20. Culture and Sensitivity Cultures are obtained to detect the presence of pathogens within the
specimen collected. If a culture produces organisms, testing is per-
formed in the laboratory to identify the appropriate antibiotic therapy.
Begin antibiotic therapy after obtaining lab sample.
21. Guidelines for Safe IV 1. Review medication guidelines for precautions related to IV admin-
Administration (5) istration for compatibility, rate of admin., necessity of infusion pump,
and serious adverse reactions
2. Never administer medications through tubing being used for blood
administration
3. Implement standard precautions when performing and IV site
change
4. Fluids should be infused within 24 hours to prevent infection (dis-
, RN NCLEX Comprehensive Review: Pharmacology in Nursing
Study online at https://quizlet.com/_7tn6j4
card unused portion)
5. Maintain patency of IV access
22. Prevent Infiltration of IV 1. Use smallest catheter for prescribed therapy
site (3) 2. Stabilize port-access
3. Assess blood return
23. Treatment for Infiltrated 1. Stop infusion
IV (5) 2. Remove peripheral catheters
3. Apply cold compress
4. Elevate extremity
5. Insert new catheter into opposite extremity
24. Prevent Extravasation of 1. Know vesicant potential before giving med.
IV (1)
25. Treatment for Ex- 1. Stop infusion
travasated IV (5) 2. Discontinue administration set
3. Aspirate drug if possible
4. Apply cold compress
5. Document condition of site (may photograph)
26. Infiltration When IV fluid or medication leaks into surrounding tissue
27. Extravasation Leakage of IV fluid or medication into the extravascular tissue around
the site of infusion
28. Phlebitis/Throm- Inflammatory process that causes a blood clot to form able block one
bophlebitis or more vein
29. Prevent 1. Rotate site every 72h-96h
Phlebitis/Throm- 2. Secure catheter
bophlebitis (3) 3. Use aseptic technique
, RN NCLEX Comprehensive Review: Pharmacology in Nursing
Study online at https://quizlet.com/_7tn6j4
30. Treatment for 1. Stop infusion
Phlebitis/Throm- 2. Remove peripheral catheters
bophlebitis at IV site (4) 3. Apply heat compress
4. Insert new catheter in opposite extremity
31. Hematoma Localized bleeding outside of blood vessels
32. Prevent Hematoma at IV 1. Avoid veins not easily seen or palpated
site (2) 2. Obtain hemostasis after insertion
33. Treatment for 1. Remove IV device
Hematoma at IV site (3) 2. Apply light pressure if bleeding
3. Monitor for signs of phlebitis
34. Prevention of IV 1. Do not reinsert stylet needle into catheter
Catheter Embolus (1)
35. Treatment of IV Catheter 1. Immediately apply tourniquet high on extremity to limit venous flow
Embolus (2) 2. Prepare for removal under X-ray
36. Treatment of Air Em- 1. Place client in left lateral Trendelenburg position
bolism in Central Venous 2. Administer oxygen
Catheter (2)
37. Treatment of Lumen Oc- Use 10mL syringe with a pulsing motion
clusion in Central Ve-
nous Catheter
38. Treatment of Blood- 1. Change entire infusion system
stream Infection in Cen- 2. Notify provider
tral Venous Catheter (4) 3. Obtain cultures
4. Administer antibiotics
39.
Study online at https://quizlet.com/_7tn6j4
1. 1 mg = ? mcg 1,000 mcg
2. 1 g = ? mg 1,000 mg
3. 1 kg = ? lbs 2.2 lbs
4. 1 gr = ? mg 60 mg
5. 1 oz = ? mL 30 mL
6. 1 L = ? mL 1,000 mL
7. 1 tsp = ? mL 5 mL
8. 1 tbsp = ? mL 15 mL
9. 1 tbsp = ? tsp 3 tsp
10. 37.0 degrees Celsius = ? 98.6 degrees Fahrenheit
degrees Fahrenheit
11. Formula to find Celsius C=(F-32)x(5/9)
12. Formula to find Fahren- F=(Cx9/5)+32
heit
13. Adverse Reaction Negative effects experienced by a client as a result of a specific med-
ication; may be hazardous, tolerated, or subside with continued use
14. RN must assess be- 1. Allergies and adverse effects
fore administering med- 2. Current medication regimen for potential interactions
ications to a pt. (3) 3. Physiologic status compared to baseline assessment data
15. 6 Rights of Medication 1. Right client
Administration 2. Right medication
, RN NCLEX Comprehensive Review: Pharmacology in Nursing
Study online at https://quizlet.com/_7tn6j4
3. Right dose
4. Right time
5. Right route
6. Right documentation
16. Average time to draw 1-2 hours after administration
peak levels: Oral (PO)
17. Average time to draw 1 hour after administration
peak levels: Intramuscu-
lar (IM)
18. Average time to draw 30 minutes
peak levels: Intravenous
(IV)
19. Trough Level Reflect the lowest concentration or residual level and are usually ob-
tained within 15 minutes prior to administration of the next scheduled
dose
20. Culture and Sensitivity Cultures are obtained to detect the presence of pathogens within the
specimen collected. If a culture produces organisms, testing is per-
formed in the laboratory to identify the appropriate antibiotic therapy.
Begin antibiotic therapy after obtaining lab sample.
21. Guidelines for Safe IV 1. Review medication guidelines for precautions related to IV admin-
Administration (5) istration for compatibility, rate of admin., necessity of infusion pump,
and serious adverse reactions
2. Never administer medications through tubing being used for blood
administration
3. Implement standard precautions when performing and IV site
change
4. Fluids should be infused within 24 hours to prevent infection (dis-
, RN NCLEX Comprehensive Review: Pharmacology in Nursing
Study online at https://quizlet.com/_7tn6j4
card unused portion)
5. Maintain patency of IV access
22. Prevent Infiltration of IV 1. Use smallest catheter for prescribed therapy
site (3) 2. Stabilize port-access
3. Assess blood return
23. Treatment for Infiltrated 1. Stop infusion
IV (5) 2. Remove peripheral catheters
3. Apply cold compress
4. Elevate extremity
5. Insert new catheter into opposite extremity
24. Prevent Extravasation of 1. Know vesicant potential before giving med.
IV (1)
25. Treatment for Ex- 1. Stop infusion
travasated IV (5) 2. Discontinue administration set
3. Aspirate drug if possible
4. Apply cold compress
5. Document condition of site (may photograph)
26. Infiltration When IV fluid or medication leaks into surrounding tissue
27. Extravasation Leakage of IV fluid or medication into the extravascular tissue around
the site of infusion
28. Phlebitis/Throm- Inflammatory process that causes a blood clot to form able block one
bophlebitis or more vein
29. Prevent 1. Rotate site every 72h-96h
Phlebitis/Throm- 2. Secure catheter
bophlebitis (3) 3. Use aseptic technique
, RN NCLEX Comprehensive Review: Pharmacology in Nursing
Study online at https://quizlet.com/_7tn6j4
30. Treatment for 1. Stop infusion
Phlebitis/Throm- 2. Remove peripheral catheters
bophlebitis at IV site (4) 3. Apply heat compress
4. Insert new catheter in opposite extremity
31. Hematoma Localized bleeding outside of blood vessels
32. Prevent Hematoma at IV 1. Avoid veins not easily seen or palpated
site (2) 2. Obtain hemostasis after insertion
33. Treatment for 1. Remove IV device
Hematoma at IV site (3) 2. Apply light pressure if bleeding
3. Monitor for signs of phlebitis
34. Prevention of IV 1. Do not reinsert stylet needle into catheter
Catheter Embolus (1)
35. Treatment of IV Catheter 1. Immediately apply tourniquet high on extremity to limit venous flow
Embolus (2) 2. Prepare for removal under X-ray
36. Treatment of Air Em- 1. Place client in left lateral Trendelenburg position
bolism in Central Venous 2. Administer oxygen
Catheter (2)
37. Treatment of Lumen Oc- Use 10mL syringe with a pulsing motion
clusion in Central Ve-
nous Catheter
38. Treatment of Blood- 1. Change entire infusion system
stream Infection in Cen- 2. Notify provider
tral Venous Catheter (4) 3. Obtain cultures
4. Administer antibiotics
39.
