NR462 Exam 1: REV Flashcards
(192 cards)
Morphine Side Effects
MORPHINES
- Myosis
- Orthotatic Hypotension
- Respiratory depression
- Pneumonia (aspiration)
- Hypotension
- Infrequent waste release
- Nausea
- Emesis (vomiting)
- Sedation
The nurse is having difficulty reading a physician’s order for a medication. He or she knows that the physician is very busy and does not like to be called. What is the most appropriate next step for the nurse to take?
Call the physician to have the order clarified
1 tablespoon = (mLs)
15
for patients greater than 3 years of age, how does the nurse pull the patient’s ear when administering the medication?
Upward and outward
A nursing student takes a patient’s antibiotic to his room. The patient asks the nursing student what it is and why he should take it. What information does the nursing student include when replying to the patient?
The student provides the name of the medication and a description of its desired effect.
The nurse is administering a sustained-release capsule to a new patient. The patient insists that he cannot swallow pills. What is the nurse’s next best course of action?
Ask the prescriber to change the order
A patient is receiving an intravenous (IV) push medication. If the drug infiltrates into the outer tissues, the nurse should…:
Stops the administration of the medication and follows agency policy.
Redness, warmth, and tenderness at the IV site are signs of
plebitis
After seeing a patient, the physician gives a nursing student a verbal order for a new medication. The nursing student first needs to:
Explain to the physician that the order needs to be given to a registered nurse.
Students cannot take orders
A nurse accidently gives a patient a medication at the wrong time. The nurse’s first priority is to:
Assess the patient for adverse effects.
What is most appropriate for the nurse to do when interviewing an older patient?
Ensure all assistive devices are in place
Assessment criteria of an older adult
- Free of pain
- Provide Xtra Time
- interview the patient and caregiver separately to ensure a reliable assessment related to any possible mistreatment.
Which assessment findings would alert the nurse to possible elder mistreatment x4
- Agitation
- Depression
- Weight Loss
- Hypernatremia
A 67-year-old woman who has a long-standing diagnosis of incontinence is in the habit of arriving 20 minutes early for church in order to ensure that she gets a seat near the end of a row and close to the exit so that she has ready access to the restroom. Which tasks of the chronically ill is the woman demonstrating
- Controlling Systems
- Preventing/Managing a Crisis
A 70-year-old man has just been diagnosed with chronic obstructive pulmonary disease (COPD). At what point should the nurse begin to include the patient’s wife in the teaching around the management of the disease?
As soon as possible
A nurse who is providing care for an 81-year-old female patient recognizes the need to maximize the patient’s mobility during her recovery from surgery. What accurately describes the best rationale for the nurse’s actions?
Continued activity prevents deconditioning.
(This consideration supersedes any possible effect on pharmacokinetics, prevention of cognitive deficits, or the patient’s sense of purpose)
Diseases Associated with the effects of Aging
- Obesity
- Diabetes,
- Hypertension
- Cancer
Lifestyle components related to the aging process x5
- Exercise
- Good nutrition
- Social support
- Stress management
- Coping resources
What should be included when planning care for an older adult?
Additional time related to declining energy reserves
Aging primarily affects the _________of drugs.
Metabolism
is pain subjective or objective
subjective
Patients most at risk for respiratory depression include x4
- older
- lung disease
- history of sleep apnea
- central nervous system depressants
For postoperative patients the greatest risk for respiratory depression
In the first 24 hours after surgery
Respiratory depression related to opioid administration vulnerability
higher in hospitalized patients who are opioid naïve

