Term 1 Endterm Hesi 7

  1. What do you do if a client states that the drugs are different than what they are used to at home?
    Double check medication chart
  2. What do you do FIRST in applying a topical agent?
    Clean area, wash skin with soap and water
  3. What is polypharmacy and how does it relate to age? What are the two organs of the body that process medications and what happens if they have disorders of either one? How does that affect drug absorption and dosage and side effects?
    • - Polypharmacy - multiple medication, Elderly is taking a lot of medication for multiple health condition.
    • - Liver is not functioning can become toxic to the body, Kidney cant get rid of the body’s wastes
  4. What are the steps to giving ear drops? What if the eardrum is ruptured?
    5-10 minutes
  5. What are the steps to ear irrigation?
    side lying or sitting position, same as above
  6. What do you do if you pull back on an 1M injection and get blood in the syringe?
    remove and throw away syringe and get a new one.
  7. What are the sizes (length) and gauges of needles used for ID, 1M, SQ injections? How do you give each injection (angle, location: vastus lateralis, deltoid, ventrogluteal, dorsogluteal)
    • Sizes:
    • 1. SQ 27-28 gauge, 5/8 to ½ inch
    • 2. Insulin - 29 to 30 gauge, ½ to 5/16
    • 3. ID - 25- 26, 3/8 to 5/8 inch
    • 4. IM - 20 to 22 gauge, 1 to 1 ½ inch
    • Angle:
    • 1. IM (intramuscular) 90 - into the muscle
    • 2. SQ (subcutaneous) 45 - between dermis and muscle;
    • 3. ID (intradermal) 15 - 20 to 22 gauge, 1 to 1 ½ inch
    • Injection sites:
    • Vastus Lateralis - made between the two hand
    • Deltoid: no more than 2ml
    • rectus femoris -
    • ventrogluteal
    • dorsogluteal
  8. In giving a suppository to a client with hemorrhoids, what does the nurse need to do?
    Assess the area
  9. If a client has to take an unpleasant liquid, how do you help them take it?
    use a straw, pinch the nose
  10. If a client is talking on the phone and you have meds to give, what do you do?
    Wait for the client to hang up or excuse themselves, Do not leave meds on the table with patient
  11. What is the preferred drink to give when administering Fe to a client?
    Fluids containg vitamin C (Orange juice), Vitamin C enhances the absorption of Iron
  12. SL -
    Sublingual: beneath the tongue
  13. SR-
    sustained release
  14. Enteric coated -
    designed to pass through the stomach without dissolving. Their special coating will dissolve in the intestine.
  15. IV -
  16. Transdermal -
    patches applied to the skin that provide sustained continuous release of medication
  17. Wax matrix -
    wax-like discharge from stool, discard - its normal
  18. NG (when giving meds through NG tube that are hooked to ILS, what should the L VN do?) -
    naso gastric clamp suction for 30 minutes
  19. Spansule -
    a medicinal capsule containing many tiny beads of medicine that dissolve at spaced intervals for long- acting medication
  20. Lozenge -
    hard circular disks made of medication in a candy form, dissolves in the mouth. treat sore throats
  21. Scored =
    indented to allow tablet to be broken in half
  22. Capsule -
    small two part containers that are usually made of a gelatin substance that is designed to dissolve in the stomach or GI Tract
  23. Tablet -
    a medication in the form of a powder compressed into a small dish-like shape
  24. Convalescent/Convalescing -
    recovering from a disease or operation
  25. Terminal -
    an advanced stage of disease with no known cure and poor prognosis
  26. Anemia -
    blood disorder characterized by red blood cell, hemoglobin and hematocrit levels below below normal range
  27. Hypernatremia -
    • greater than normal concentration of sodium (>142 mEq/L)
    • Signs and Symptoms
    • - Dry tenacious mucous membranes
    • - Low urinary output
    • -Firm rubbery skin turgor
    • -restlessness, agitation, confusion, flushed skin
  28. Hyponatremia -
    • Less than normal concentration of sodium in the blood (<134 mEq/L)
    • Signs and symptoms
    • -headache
    • -postural hypotension
    • -muscle weakness, muscle twitching, tremors
    • - Fatigue
    • - Apathy
    • - Nausea/Vomiting
    • - Abdominal cramps
  29. Hyperkalemia -
    • an increase in the body’s serum potassium level greater than 5 mEq/L
    • Signs and symptoms
    • - nausea, vomiting
    • - Diarrhea, colic
    • - Cardiac dysrhythmias
    • -Irritability
    • -Ecg changes
    • - Hypotension
    • - Numbness, tingling
    • -Paresthesias
    • - Skeletal muscle weakness, especially of lower extremity
  30. Hypokalemia -
    • a decrease in the body’s potassium to a level less than 3.5 mEq/L
    • Signs and symptoms
    • - Skeletal muscle weakness (especially in lower extremities), leg cramps
    • - Decreased bowel sounds, cramps and constipation, anorexia, nausea, vomiting
    • - Orthostatic hypotension
    • - Polyuria
    • - Parenthersias, hypoflexia
    • - Diminished deep tendon reflexes, lethargy, confusion; paralysis involving the respiratory
    • - Cardiac Dysrhythmias; weak, irregular pulse
    • - Ecg changes
  31. Analgesic -
    an agent that relieves pain without causing loss of consciousness. Example: acetaminophen (Tylenol), aspirin, ibuprofen (Motrin, Advil)
  32. Pruritis-
    itching of the skin
  33. Kegels (what muscles are used)? -
    vagina and anus.
Card Set
Term 1 Endterm Hesi 7
Term 1 Endterm Hesi 7