NUR 205 Exam 3 Questions with Complete Answers.
6 rights of drug administration - ANS Right patient, right drug, right dose, right route,
right time, right documentation
3 medication checks - ANS Check MAR/order
Check when you pull the medication
Check at the patient bedside
How to know if your patient can swallow pills whole? - ANS -ask if they can
-check gag reflex
-when given report ask if they can take pills whole
Intramuscular (IM) - ANS injection into a muscle
No more than 3 ml
At a 90 degree angle
Where are the IM injection sites? - ANS Deltoid
Gluteus Maximus (not recommended)
Vastus lateralis ***
Recurs femoris
Subcutaneous injections - ANS Injection of a small amount of a medication under the
skin into fatty or connective tissue
45-90 degree angle
1 ml fluid maximum
Transdermal injection - ANS diffuse through the epidermis at a known rate into the
dermis
5-15 degree angle
Bevel up
Pull skin back
Make a "wheel"
Endocrine system - ANS Glands secrete hormones that regulate processes such as
growth, reproduction, and nutrient use (metabolism) by body cells.
Insulin Hormone - ANS Necessary for carb regulation and glucose control
Hormones - ANS Chemical messengers, mostly those manufactured by the endocrine
glands, that are produce metabolic change
Moderate Hypoglycemia Symptoms - ANS Confusion
Double Vision
Drowsiness
Emotional Changes
Headache
Impaired Coordination
Inability to concentrate
Irrational or combative behavior
Lightheadedness
Numbness of the lips and tongue
Slurred speech
Severe Hypoglycemia Symptoms - ANS Difficulty arousing
Disoriented behavior
Loss of consciousness
Seizures
Diabetic Keto acidosis (DKA) - ANS Higher than 300 glucose
Ketones in urine
Kussmal breathing
Acetone (fruity) breath
Tachycardia
N/V
Severe abdominal pain
DKA Treatments - ANS Rapid IV fluids
IV Insulin/Drip
Correct Electrolyte imbalance
K+ and DKA - ANS K+ is elevated due to the dehydration and acidosis
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