Exam (elaborations)
PN 121 TEST 4 REVIEW QUESTIONS AND ANSWERS
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PN 121 TEST 4 REVIEW QUESTIONS AND ANSWERS...
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The nonproprietory name (generic name) - ANSWER What is the moreconcise name of a drug?
Kidneys - ANSWER Eliminate metabolites "left over's" of the drug from
the body
Anaphylaxis - ANSWER A life threatening reaction to a medication, S/S
include: Swelling of the Lips, tongue or throat, respiratory distress,
swelling of the eyes, itching flushing and hives
Trade Name - ANSWER The commercial name given to a drug product
by its manufacturer; also called the proprietary name or brand name.
The first letter is capitalized.
Discrepancies - ANSWER When found in a narcotic count must be
reported immediately
Liver - ANSWER Metabolizes or breaks down a medication
Narcotic control system - ANSWER Requires 2 licensed nurses to
inventory and discard narcotic medication and sign the inventory control
record
Medication reconciliation - ANSWER Process involving comparing
patient's current medication with all medications that the patient is
taking. This includes home meds and herbal medication. Includes an
allergy list.
systemic circulation - ANSWER Anything given IV route enters
___________ ____________
Peripheral IV - ANSWER Short catheter may be used for up to 96 hours
Midline IV catheter - ANSWER May be used for up to 30 days, usually 6-
8 inches long, does not end in a great vessel
Central Line (CVAD, PICC, PORT) - ANSWER Large bore catheter that
ends in a great vessel. May stay in place for weeks to years. Must use a
, 10 ml Syringe to flush or draw blood from. Must use strict aseptic
technique with each access
Primary infusion - ANSWER Continuous infusion that is not intended to
be connected and disconnected multiple times form the IV site (usually
non-medicated fluids), tubing for this infusion can be used for 96 hours
. Transfusion reaction nursing interventions - ANSWER Stop the
transfusion, stay with the patient and monitor them, notify the physician,
the blood bank, the charge nurse and the nurse manager. Send the
blood and administration set back to the blood bank
Secondary infusion - ANSWER Intermittent infusion intended to be
connected and disconnected multiple times, usually a medication held in
a 20-250ml bag, may be called a "piggy back" if connected to the
primary tubing, must hang higher than the primary infusion, tubing for
this infusion may be used for up to 24 hours
transfusion reaction symptoms: Hemolytic - ANSWER Related to ABO
incompatibility, Causes Lysis of blood cells. Can result in shock and
death. SX: Chest pain, back pain, bleeding, Vein burning, increased
Respiratory rate, increased Pulse, decreased BP
Transfusion reaction symptoms: Allergic - ANSWER Wide-eyed
appearance, Anxiety, Urticaria (Hives) low BP, Severe wheezing,
Cyanosis
Blood product and patient verification - ANSWER The single most
important step in blood product administration
Hematoma - ANSWER Ecchymoses and swelling at the IV insertion site
Signs of Infection - ANSWER Redness, swelling and exudate from the
IV site
Phlebitis - ANSWER Redness/ warmth/ swelling, the vein may feel like a
palpable cord at the IV insertion site
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