NACE ii RN Entrance Review (2022/2023) Rated A+

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NACE ii RN Entrance Review (2022/2023) Rated A+ IM Injection Sites 90 degree Angle. 21-25 Gauge Needle. 1"-3" in Length. Max: 2 mL Dosage Subcutaneous injection Sites 45 degree Angle. 25-27 G... auge Needle. 1/4'' - 5/8'' in Length. Max: 1 mL Dosage Intradermal Injection Sites Inner Forearm. Back of Upper Arm (Tricep) Below Shoulder Blades. Be sure area is free of hair, scars, tattoos. Not over a vein or bony area. 5-15 degree Angle. 25-28 Gauge Needle. 1/4''-5/8'' in Length. Max: 1 mL or Less. CDC Contact Isolation Precautions Ex: Wounds. Multi-Drug Resistant Bacteria. Diarrhea. CDC Airborne Isolation Precautions Ex: TB Varicella. Measles. CDC Droplet Isolation Precautions Ex: Influenza. Mumps. Respiratory Diseases. Fire Evacuation/Action Plan. R: remove patient from danger. A: activate alarm C: contain fire if possible E: extinguish fire & evacuate if instructed to do so. Arterial Blood Gas Values Patient Teaching: Walker Usage Set the walker at arm's length in front of you, with all four legs on the floor. If your walker has wheels on the front legs, just take your weight off your hands and push the walker forward. Use the handles of the walker for balance as you move your weak or injured leg forward to the middle area of the walker. Don't step all the way to the front. Push straight down on the handles of the walker as you bring your good leg up, so it is even with your injured leg. Repeat. IV Drip Rate Equation. Volume (mL) -------------------- X Drop Factor (gtt/mL) = Drip Rate/Min Minutes Dosage Calculation Equation. What you know: x mg : x mL :::: What you need to know: x mg : x mL Can you crush an Enteric Coated Tablet? Why? Never. If your medicine is modified release, crushing it may cause the drug to all be released at once and therefore increase the chance of side effects and give you some time with no drug in the body at all. Crohn's Disease Inflammatory Bowel Disease. Inflammation in the lining of the GI Tract. SS: diarrhea, abd cramping/pain, mouth sores, bloody stool, reduced appetite, weight loss. TX: drug therapy, surgery, nutritional therapy: low fiber Elevated/Normal BP COPD Easily Fatigued Frequent Respiratory Infections. Use accessory muscles to breath. Pursed Lip Breathing. Barrel Chest/Chronic Cough Emphysema Purse lip breathing. External dyspnea. Anxious. Speak in Short Jerky Sentences. NG Tube Placement aspirate fluid from the tube, test the pH level. auscultating over the stomach is not accurate. How to obtain a sterile urine sample from a foley catheter. cleanse the port using an alcohol swab. Then, using a sterile syringe, withdraw a sample of urine directly from the tubing of the catheter. Use surgical asepsis when obtaining the sample, transferring it to a sterile cup and affixing the lid, and transporting the sample How do bubbles in a syringe affect absorption? you aren't getting the amount of the injection you think you're getting. Define Pulmonary Embolism. sudden blockage of a major blood vessel (artery) in the lung, usually by a blood clot S/S: shortness of breath, cough, chest pain. Tx: thrombolytic medication 14 and 16 gauge needle use high risk surgical procedures 18 gauge needle use used in trauma, surgery, blood transfusions, ct scan with dye. 20 gauge needle use most commonly used. non-emergent situations. 22 gauge needle use elderly adults. slow infusions. 24 gauge needle use used with infants & elderly. How to prevent DVT post-op. Anticoagulants. Compression Stockings. Exercises. (in circle or up/down x10 per hour) Ambulation. Flex Toes/Feet. -Stretch legs. S/S of Surgical Site Infection redness, delayed healing, fever, pain, tenderness, warmth, or swelling. A superficial incision: pus -- "purulent discharge," AD Rt Ear AS Lt Ear AU Both Ears O.D Rt Eye O.S Lt Eye O.U Both Eyes Who has increased risk of having a CVA? pt taking blood thinners. Can you crush an enteric coated tablet? Why/Why Not. enteric coating should never be crushed. The coating is designed to hold the tablet together in the stomach and may be there to protect the stomach from the medicine, protect the medicine from the acid in the stomach or to release the medicine after the stomach. How is Hep B transmitted? blood, semen, or other body fluid infected How is Hep C transmitted? blood from a person infected How is Hep A transmitted? faecal-oral route; that is when an uninfected person ingests food or water that has been contaminated with the faeces of an infected person Diet recommended for pt with low residue diet Dairy Products Metabolic alkalosis Metabolic acidosis Respiratory Alkalosis Respiratory Acidosis A nurse enters a clients room and finds a wastebasket on fire. The nurse immediately assists the client out of the room. The next nursing action would be to.... Activate the Fire Alarm. ER receives telephone call and is informed a tornado has hit a local residential hall resulting in numerous casualties. The initial nursing action should be... Activate the agency disaster plan What medication puts an older adult at higher risk of hyperkalemia. Lisinopril-Prinivil. What is the body's preferred energy source? Carbohydrates What is the minimum flow rate for a simple face mask? 5 LPM to ensure flushing of CO2 from the mask. Why is it important to maintain a COPD pt at a lower oxygen saturation? can only rely on lung receptors to signal the brain to adjust breathing. the pt must rely on higher CO2 levels and lower 02 levels to sustain breathing Describe Crackling Lung Sounds "wood burning" crackles, high pitched popping. Describe Wheezing continuous w/ music quality. hear w/ expiration. ..think asthma Describe Stridor loud high pitched wheezing bark like seal or duck assoc w/ airway obstruction What diet would be recommended for a burn patient? Egg nog = high protein/ high calorie diet Dr and a Nurse enter an elevator. Physician asks nurse how his patient in room 513 is doing. What is nurses action? Excuse yourself and talk to him privately Prioritizing: pt w/ pneumonia, elevated BP, coughed w/ concern of incision popping. Incision, may eviscerated incision. Reassess incisor site. Drip Rate 112 gtt/min S/S Diaphoretic ... What food should you decrease intake of with gastric ulcer? Pretzel Yogurt Brand Cereal ... S/S Renal Calculi ... What should you monitor after administering Nitroglycerin? Respiratory Rate Chest Pain Resolved Tingling of the Tongue, sublingually. ... S/S of Aspirin Toxicity ... What is normal urine output hourly? ... Heparin Administration (how) ... When is the best time for a sputum specimen be obtain? ... Difference between Malpractice & Negligence ... Body Mechanics... review ... Insulin Type (Specifically rapid acting) ... Pt w/ NG tube.. which is a concern. mild cramping high pitched bowel sounds 2 soft bowel movements frequent cough ... Pt normal temp is 96.8, within the hour pt temp increased to 97.7. What should nurse do? Chart Notify physician of temp elevation Cover pt w. blanket ... Throat Swab Technique ... Define Post Trauma Syndrome- Nursing dx. ... Why should you recommend pt to avoid crossing knees? an option was.. pressure on popliteal artery. ... Osteoporosis Diet Recommendations ... When/How should pt take Fosamax? Before meals with 6-8 oz of Milk ... Which would require special mouthcare? NPO Pt. Pt w/ dentures ... Pt at train stop starts having grand mal seizure. What should nurse do next? Restrain limbs to prevent injury. Loosen Neck Tie ... Maslows Hierachy of Needs ... Healthcare Proxy? ... When pt is to receive a total serum cholesterol [Show More]

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