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N450 - Nursing Responsibilities (1)

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N450 - Nursing Responsibilities (1)

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  • July 25, 2024
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  • 2023/2024
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N450 - Nursing Responsibilities
Signs of hypoglycemia include: - ANS-cool pale skin, cold sweats, chills, drowsiness, sweating,
hunger, weakness, dizziness, headache, tremor, tachycardia, anxiety, tingling in hands, feet, lips
or tongue, etc.

Patients who have been well controlled on METFORMIN who develop illness or laboratory
abnormalities should be assessed for ___________________ or __________________ -
ANS-ketoacidosis or lactic acidosis

Symptoms of HF include - ANS-dyspnea, rales/crackles, weight gain, peripheral edema, jugular
venous distention

What should the nurse remember when administering Metoprolol PO? - ANS-Take apical pulse
before administering. If <50 bpm or if arrhythmia occurs, withhold medication and notify HCP.

Anti-infectives (antibiotics) nursing assessments: - ANS-Assess for infection (vital signs;
appearance of wound, sputum, urine, and stool; WBC) at beginning of and throughout therapy.

Obtain C&S before initiating therapy

Nursing assessments associated with IV administration of Medazolam *High Alert*: -
ANS-Monitor BP, pulse, and respiration continuously during IV administration. Oxygen and
resuscitative equipment should be immediately available.

Assess level of sedation and level of consciousness throughout and for 2-6 hr following
administration

What should the nurse assess when administering opioid analgesics such as morphine,
fentanyl, hydromorphone, oxycodone? - ANS-pain assessment (PQRSTU)
LOC
BP, pulse, resp (if < 10/min, assess level of sedation)
opioid tolerance
bowel function (risk for constipation)
opioid addiction, misuse, abuse

Which patients are at an increased risk of developing hypersensitivity rxn to Naproxen and
Ibuprofen? - ANS-Pt with asthma, aspirin-induced allergy, and nasal polyps.
Assess for rhinitis, asthma, and urticaria.

signs of hyperglycemia (high blood sugar) - ANS-excessive thirst + urination (polyuria), N/V,
confusion, drowsiness; flushed, dry skin; fruit-like breath odor; rapid, deep breathing,

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