The following scenario describes the case of Mrs Gina Goddard

N 211 Exam #1 Blueprint for Review 1. Dosage Calculation Items a. mL/hr calculations (IV pump rate) b. mg/kg dosage calculation per dose c. Drip factor calculation 2. Rules for enteric coated medications 3. Rules for extended release (XL) tablets 4. PEG tube administration of bowel cleansing prep – side effects 5. Pharmacy should be consulted to determine medication compatibility 6. Expired medications – correct action – ****the answer is not to just discard the medication!***** 7. Documentation a. Always document if a patient refuses a medication 8. Z track technique to administer medications IM injection a. How long do you aspirate? b. How much skin should be pulled? c. Needle insertion d. Angle of insertion 9. Medications used in Obstetrics a. Naloxone can be used to counteract controlled substances given for pain while in labor b. Magnesium Sulfate – evaluation of therapeutic response to medication? c. Oxytocin – mechanism of action d. Acetaminophen – “category B” 10. Medications to treat cholesterol disorders a. Colesevelam – timing of administration b. Simvastatin – foods to avoid? 11. Medications for Men and Women’s Health a. Sildenafil – contraindicated with which medications? b. Leuprolide – used to treat which male cancer? c. Oral contraceptives – which herb can decrease effectiveness? 12. Medications to Treat Infection a. Metronidazole – adverse effects? b. Priority interventions/assessments when administering antibiotics (ABCDE) c. Symptoms that would require a client to stop antibiotic therapy – pt education d. Cephalexin – contraindicated if patient is allergic to which drug class? e. Amphotericin B – monitor BUN prior to administration (what is normal values?) 13. Medications for Diabetes a. Glipizide – mechanism of action b. Vasopressin for Diabetes Insipidus – how does a nurse determine that therapeutic response of therapy is present? c. Insulin storage guidelines d. NPH insulin – peak time frame 14. Glucocorticoids a. Abrupt discontinuation – which insufficiency does this cause? b. Prednisone can cause glucose intolerance and hyperglycemia 15. Medications for GI disorders a. Calcium carbonate – administration guidelines and patient education b. H2 Receptor Antagonists – what indicates therapeutic response of therapy? c. Sucralfate – client education for timing of administration d. Docusate – medication administration guidelines e. Aluminum hydroxide – adverse reactions? – symptoms to report f. Omeprazole – evaluation of effectiveness? g. Cimetidine – pt education on drug interactions h. Medications to hold if client has small bowel obstruction? i. Esomeprazole – risk factors 16. Medications to treat Thyroid Disorders a. Levothyroxine – signs/symptoms of overdose or toxicity b. Levothyroxine – what indicates therapeutic response of therapy? c. Which medication is prescribed to treat hypothyroidism 17. Medications for Nausea a. Ondansetron – Side effects b. Metoclopramide – mechanism of action? 18. Medications for UTI a. Ciprofloxacin – adverse effects (what should the client report)

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