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NURSING PHARMACOLOGY TEST ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTEED
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NURSING PHARMACOLOGY TEST ALL EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTEED

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NURSING PHARMACOLOGY TEST ALL EXAM REVISION QUESTIONS

AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE)

100% GUARANTEED

Instilling eardrops (Adults and Pediatrics) - ANSWER- 1. warm medication to room

temperature by running warm water over bottle

2. position patient on side with ear to be treatment facing up, or patient may sit in chair or at

bedside

3. stabilize patient's head with his or her own hand

4. straighten ear canal by pulling pinna up and back to 10 o'clock position (adult or child over 3)

or down and back to 6-9 o'clock position (under 3)

5. If cerumen or drainage occludes outermost portion, wipe out gently with cotton-tipped

applicator

6. instill prescribed drops by holding dropper 1 cm (0.5 in) above ear canal

7. Ask patient to remain in side-lying position for a few minutes. Apply gentle massage or pressure

to tragus of ear with finger


S/s of Hypoglycemia and treatment - ANSWER- - S/s: anxiety; restlessness; tingling in hands,


feet, lips, or tongue; chills; cold sweats; confusion; cool, pale skin; difficulty in concentration;

drowsiness; nightmares or trouble sleeping; excessive hunger; headache; irritability; nausea;

nervousness; tachycardia; tremor; weakness; unsteady gait

- Tx: Mild = ingestion of oral glucose; Severe = IV glucose, glucagon, or epinephrine

,Pain Management and Appropriate Pain Scale - ANSWER- Pain Management


1. Prepare patient's environment

2. Teach how to use pain rating scale

3. Set pain-intensity goal with patient (when able)

4. Prepare and administer

5. Remove or reduce painful stimuli

6. Teach patient how to splint over the site of pain

7. Reduce or eliminate emotional factors

8. Document pain assessment, treatment, comfort level achieved (pain goal for that patient),

interventions when treatment is inadequate, and new outcomes for those interventions

9. Within 1 hour of an intervention, ask patient to describe the level of relief using a scale

Pain Scales

1. Numeric scale: 0-10 (0 = no pain, 5 = moderate pain, 10 = worst pain)

2. Wong-Baker FACES pain rating scale for infants and children

3. Oucher pain scale

4. FLACC pain scale (Face, Legs, Activity, Cry, Consolability) for ages 2 months to 7 years


Total parenteral nutrition through a central line - ANSWER- 1. inspect 2:1 CPN solution for

particulate matter. inspect 3:1 CPN solution for separation of solution

,2. Attach appropriate filter to IV tubing. Prime tubing with CPN solution. Open roller clamp to

rate that maintains patency of line

3. Place IV tubing into IV infusion pump, open roller clamp completely and regulate flow on pump.

4. Increase rate gradually to prevent metabolic and electrolyte abnormalities

5. Infuse all medications or blood through an alternative IV line.

6. Do not interrupt infusion (during showers, transport, blood transfusion) and be sure that the rate

does not exceed the order

7. Change infusing tubing and filter using strict aseptic technique

8. Evaluation: monitor flow rate hourly; I&O q8h; daily weights; assess for fluid retention; monitor

patient's glucose q6h; monitor for temperature, elevated WBC, and malaise


Total parenteral nutrition through a peripheral line - ANSWER- 1. Prepare IV tubing for PPN

solution; run solution through tubing. turn roller clamp to "off" position. Add sterile capped needle

or place sterile cap on end of tubing

2. Connect PPN solution to patient's functional peripheral IV. Open roller clamp. Allow solution

to run to ensure patency. then regulate IV drip rate using electronic infusion pump

3. Clean needleless peripheral line tubing port with antimicrobial swab

4. Insert needleless valve at end of fat emulsion infusion tubing into injection port of main IV,

closest to patient but below infusion filter on main parenteral nutrition line. Label tubing

5. Open roller clamp completely and check flow rate on infusion pump

, 6. Infuse lipids initially at 1 ml/min for adults and 0.1 ml/min for child for first 15-30 min; increase

as ordered

7. Evaluation: monitor flow rate hourly; measure vital signs and patient's comfort every 10 minutes

for first 30 minutes; monitor labs (triglycerides, liver function) daily and perform blood glucose

monitoring as ordered. Monitor serum lipids 4 hours after discontinuing infusion; monitor

temperature q4h and inspect for phlebitis or infiltration; assess weight, I&O, condition of

extremities (edema), and breath sounds


Administering meds via NG tube - ANSWER- 1. Determine if medication interacts with enteral

feeding. If so, hold feeding for 30 minutes prior to administration

2. Prepare medications for instillation. Fill graduated container with 50-100 ml of tepid water. Use

sterile water for immunocompromised or critically ill patients

3a. Tablets: crush each into a fine powder. Dissolve each tablet in separate cup of 30 ml of warm

water.

3b. Capsules: ensures contents can be expressed from covering. Open capsule and empty into 30

ml of warm water. Gel caps dissolve in warm water but take 15-30 minutes

4. Elevate HOB 30-45 degrees

5. If tube feeding is infusing, adjust infusion pump to hold tube feeding.

6. Check placement of feeding tube by observing gastric contents and checking pH of aspirate

contents

7. Check gastric residual volume. Draw up 10 to 30 ml of air into a 60 ml-syringe and connect

syringe to feeding tube. Flush tube with air and pull back slowly to aspirate gastric contents.

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