intramuscular injection (IM) correct answers the administration of medication by injection
directly into muscle tissue
half-life correct answers Amount of time required for 50% elimination from the body
EX: Fentanyl (short half life of 2 hrs) ; Digoxin (long half-life of 36 hrs)
onset correct answers When drug starts working
peak correct answers When drug reaches highest concentration
duration correct answers the length of time that drug continues or lasts (half-life)
drug level correct answers amount of drug present
Morphine Sulfate correct answers Opium poppy is one of natures way of controlling strong pain
-Opioid Analgesic
Most common drug for PCA - Maintains pain control
Route: PO (tablet/ liquid), IV, IM, Sub-Q, rectal, epidural, and intrathecal
Side effects: Lowers bp, respiratory depression, urinary retention, and constipation
Fentanyl correct answers Medicine used to control strong pain
-Opioid Analgesic
- Schedule II Drug
Narcan will reverse
Route: parenteral injections, transdermal patches, and transmucosal (by mouth)
Side effects: respiratory depression
Naloxone (Narcan) correct answers opiate antagonist
reverses opioid induced respiratory depression
Returns pain to previous level
Side effects: raised bp, tremors, and tachycardia if too rapid of a reversal
Adverse Event (AE) correct answers unintended harm by act of commission or omission rather
than ass a result of disease process
,Adverse event
Near miss
Sentinel event correct answers What are the 3 levels of errors?
Near miss correct answers Error of commission or omission that could have harmed a patient,
but harm did not occur as a result of chance
Sentinel event correct answers unexpected occurrence involving death, serious injury, or
significant risk of serious adverse outcome
Diagnostic
Treatment
Preventive
Communication correct answers What are the 4 types of errors?
Diagnostic correct answers delay in diagnosis, failure to act on results of monitoring or testing
treatment correct answers poor performance of an operation, procedure, or tests
delay in treatment or in responding to abnormal test
preventive correct answers failure in providing prophylactic treatment, inadequate monitoring or
follow-up treatment
Communication correct answers lack of communication or lack of clarity in communication
Quality and Safety Education for Nurses correct answers What do the letters represent in QSEN?
QSEN (Quality and Safety Education for Nurses) correct answers a project for preparing future
nurses with the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the
quality and safety of the health care systems within which they work
just culture correct answers culture where staff are willing to come forward with information
about errors without punishment
recognizes the need for accountability & at times disciplinary action against employees
c) Sentinel event correct answers NCLEX QUESTION
, What is an unexpected occurrence involving death or serious physical or psychological injury, or
the risk thereof?
a) Near miss
b) Adverse event
c) Sentinel event
d) Mitigation
d) Quality and safety education for nurses (QSEN) correct answers NCLEX QUESTION
What project has been the national leader in defining the competency for safety by specifying in
knowledge, skill, and attitude for prelicensure students?
a) Root Cause Analysis (RCA)
b) Failure Mode effects analysis (FMEA)
c) National patient Safety Foundation (NPSF)
d) Quality and safety education for nurses (QSEN)
F- DO NOT use water correct answers T/F: Use water when cleaning hearing aids
primary, secondary, tertiary prevention correct answers What are the 3 levels of prevention?
primary prevention correct answers interventions before there is any sign of disease or injury
Intent: Reduce or eliminates risk factors
Ex: Preventing addiction, preventing pregnancy, vaccines, diet, exercise
secondary prevention correct answers After disease has begun but before symptoms show
Intent: Early identification through screening and treatment
Ex: screen pregnant for substance use during prenatal visits and refer for treatment, aspirin, beta
blockers
tertiary prevention correct answers Actions taken after disease or injury are established in order
to maintain illness
Intent: Prevent illness/ injury from getting worse
Ex: Treatment for addiction, cancer treatment, ect.
b) 18in-4ft correct answers How many ft is considered Personal Space?
a) 4-12 ft
b) 18in-4ft