Exam (elaborations)
RLE NCMA 219 Exam Questions With Complete Solutions
- Course
- Institution
RLE NCMA 219 Exam Questions With Complete Solutions
[Show more]
Content preview
RLE NCMA 219 Exam Questions With Complete Solutions1) Universal antidote Correct Answer - Refers to a cocktail of
physical and chemical antidotes
(precise nature of the poison is unknown)
- Was composed of zinc or magnesium oxide, tannic acid,
and charcoal (ability to prevent the absorption of most
toxic agents from the gastrointestinal tract and enhance
the elimination of some agents already absorbed.
2) Special antidotes (poison is identified) Correct Answer -
Physical/ mechanical antidotes (counteracts the effects of
the poison by producing opposing effects)
- Examples:
• Activated charcoal
• Demulcents - un irritation ng stomach mo iniiwasan
(egg albumin, starch, milk)
• Diluents (water or milk)
• Bulky foods (cooked rice or vegetables)
3) Chemical antidotes Correct Answer - Dissolve and
inactivate toxins through a chemical process
- Examples:
• Weak acids and alkalis
• (Common salt, egg albumin, and KMNO4 or
Potassium permanganate)
4) Physiological antidotes Correct Answer - Have their own
effect, causing indications and symptoms
that are opposite to those caused by the toxin.
- Examples:
,• Naloxone for morphine
• Neostigmine for datura
• Hyoscine group, and barbiturate for strychnine
AB Correct Answer universal recipient
Administering blood transfusion Correct Answer 1) Assess the
client's
- Vital signs
- Physical examination (fluid balance, heart and lung
sounds, signs of hypo or hypervolemia, status of infusion
site, blood test results)
- Unusual symptoms (e.g., dizziness, itchiness - need to
determine bef. the transfusion to avoid confusion of
unusual symptoms)
2) Verify doctor's order
- Right patient
- Number and type of units (blood product)
- Desired speed of infusion
- Pre-medications ordered
- Patient's consent
3) Prepare the patient (GIE)
- Check ongoing IVF/ IV catheter
4) Perform hand hygiene
5) Prepare the infusion equipment
- Apply gloves
- Close all clamps on Y-set
- Spike into the saline solution
- Hang on the IV pole
- Open the upper clamp on the saline solution and squeeze
the drip chamber until it covers the filter and about 1/3
,above the filter
- Prime the tubing (laglagyan mo ng saline solution yung
tube but first yung drip chamber muna then open the
control clamp para mag flow yung saline sa tube)
- Connect to client
- Start the saline solution6) Obtain the correct blood component
from the blood bank.
Check for:
- Doctor's order with requisition
- Requisition form and blood bag label (Laboratory
technician) - client's name, ID #, blood type & Rh, blood
donor #, and expiration date
- Verify doctor's order, transfusion consent form, client
identification, blood unit identification, blood type,
expiration date, compatibility, and appearance (with
another nurse)
- If the information does not match, notify the charge nurse
and blood bank
- Sign the appropriate form with another nurse
- Make sure the blood is left at room temperature for no
more than 30 minutes before starting transfusion.
7) Prepare the blood bag
- Invert the bag gently several times to mix the cells with
plasma
- Expose the port on the bag and spike the remaining Y-set
into the bag
- Hang on the IV
Administration of MGSO4 Correct Answer 1) check RR,
should be at least 12 breaths/min
2) UO, should be at least 100mL/hr
, 3) DTR should be present (Knee jerk or patellar reflex)
4) Prepare the antidote, Calcium Gluconate if MgSO4 toxicity
develops and notify the physician at once
5) MgSO4 is given up to 24hr after delivery or from the last
convulsion (to help contract the uterus)
6) If given during postpartum, monitor for uterine atony as it can
cause uterine relaxation
7) Magnesium Sulfate (MgSO4) given initially is termed as
loading dose and the succeeding doses are termed as
maintenance doses. For reference, the following are available
stock per concentration of MgSO4:
8) Strength - lakas ng medication sa isang vial
9) In diluting the MgSO4 in 10% you can dilute 10mL of saline.
Administration of MgSO4 (Intramuscular Injections) Correct
Answer 1) At the bedside check the medication once again.
(your 3rd
time)
2) Tell the pt. why she's getting the medication. What it does
and
the side effects. Encourage the pt. to ask questions.
3) Give a caution to the pt. that the injection is slight stinging or
burning sensation
4) Select an appropriate site of the injection. (Deltoid, Vastus
Lateralis, and Ventrogluteal)
5) Inspect the site of inflammation, edema or bruising. If kapag
meron sa other side ka magturok.
6) Help the pt in comfortable position
7) Exposed the chosen site only
8) Apply clean gloves to find the anatomical landmarks to find
the site again.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now