hello nursing student here, i posted the following in student forum.....but no response. the following were test questions on my last exam, i still don't know the correct answer and don't see grade for a week, but these are driving me nuts. (daytonite.....where are you lol - at the time you posted these i was sleeping!), please answer, thanks.
1. after 5 days a severly burned pt of the arms and legs has been on zantac. what would the nurse assess?
a. bowel sounds
b. frequencey of stools - i think the tip off here is "after 5 days" and "what would the nurse assess?" constipation is a side effect of zantac. even if the patient was on iv fluid or tpn he still makes stools or some size. five days of no stools is a problem.
c. percentage of meals eaten
2. pt is on levaquin for uti. after several doses pt c/o of vomiting and diarrhea. would would the nurse health teach?
a. take med in between meals
b. take med with a full glass of water
c. discontinue and call md - the vomiting is traumatic and a sign of gastric irritation; diarrhea is expected with antibiotics.
3. md orders a 10 yr-old an (mdi) inhalor every 8 hours and another (mdi) inhalor four times a day. the nurse would instruct?
a. using a spacer helps administer the medication - "mdi" stands for "metered dose inhaler" and only delivers the prescribed dose of a medication. a spacer is attached to the inhaler to help assist the patient in getting the dose of the medication as deeply into the lungs as possible: http://www.asthma.com/inhalers_vs_spacers.html and http://www.familyallergy.com/therapy/spacers.asp spacers allow the patient to breathe the aerosol in slowly and more deeply.
b. inhale quickly so the medication is better absorbed
hello nursing student here, i posted the following in student forum.....but no response. the following were test questions on my last exam, i still don't know the correct answer and don't see grade for a week, but these are driving me nuts. (daytonite.....where are you lol - at the time you posted these i was sleeping!), please answer, thanks.
i agree.
i was told by my instructor that i am reading way to much into the questions and answers, so i tried not to do that on this exam. anyway regarding the zantac, i understand that constipation is a side effect, but i think that you would of assessed freq of stools by the third day not 5th. zantac is for uper gi (ulcers, gerd) which could interfere with eating, so why would assessing the amount of meals eaten be the #1 answer. (don't asume this pt is tpn, question does not indicate that and does not imply anything regarding abd pain or s/s of constipation)? and for the levaquin, well thats a tough one b/c i don't think the best answer was even a choice here. i looked in my required books, and there is no answer. one book says take on empty stomach, another will say with or without meals. one book says take with full glass of water, another will say drink plenty of water while on this med. i went to a reliable web site and did find something to back my answer up; "take with or with out meals, take with full glass of water, vomiting and diarrea are less serious side effects....should this occur, continue to take med and call md immediatly." so if you look back at the answer choices........still don't understand. i choose the water.
the inhalor, i understand your rational.
another question; during applying a wet dressing to impitego, the nurse would; a. done a pair of clean gloves
b. use sterile techniuqe to prevent spreading
c. use cooling solution to debride the crusts
d. apply antibiotic ointment before applying dressing
p.s, i hope you don't mind me asking these questions, but my teacher does not explain things well. so i'm just trying to make better sense of this and i do try to answer these myself with my books, but not to much luck. just let me know if i'm being a pain. thanks.
my davis drug guide 2008 (my med bible) says levaquin can be taken with or without food (but advise patient that antacids or medications containing calcium, magnesium, aluminum, iron, or zinc will decrease absorption and should not be taken within 4 hr before and 2 hr after taking this medication) and to advise the pt to have fluid intake of 1500-2000) and
instruct patient to notify health care professional if fever and diarrhea develop, especially if stool contains blood, pus, or mucus. advise patient not to treat diarrhea without consulting health care professional.
my davis drug guide 2008 (my med bible) says levaquin can be taken with or without food (but advise patient that antacids or medications containing calcium, magnesium, aluminum, iron, or zinc will decrease absorption and should not be taken within 4 hr before and 2 hr after taking this medication) and to advise the pt to have fluid intake of 1500-2000) and
instruct patient to notify health care professional if fever and diarrhea develop, especially if stool contains blood, pus, or mucus. advise patient not to treat diarrhea without consulting health care professional.
exactly! so again i think this was bad question and or bad choice of answers. i have been doing many nyclex practice questions, and doing pretty good. and for the questions i did not know, i was able to research and look them up to get a definite answer. however, i walk out of my school exams after much studying just to find out 40% of it was even on the test. anyway, i will rush home to look up the answers i was unsure of.........and can't find an answer! these test questions are driving me nuts:banghead:.
Specializes in med/surg, telemetry, IV therapy, mgmt.
i was told by my instructor that i am reading way to much into the questions and answers, so i tried not to do that on this exam.
anyway regarding the zantac, i understand that constipation is a side effect, but i think that you would of assessed freq of stools by the third day not 5th. (that's you, not the writer of the question) zantac is for upper gi (ulcers, gerd) which could interfere with eating, so why would assessing the amount of meals eaten be the #1 answer. (was that the instructor's correct answer to the question?) (don't assume this pt is tpn, question does not indicate that and does not imply anything regarding abd pain or s/s of constipation)?
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during applying a wet dressing to impetigo, the nurse would
a. don a pair of clean gloves
b. use sterile technique to prevent spreading
c. use cooling solution to debride the crusts
d. apply antibiotic ointment before applying dressing
information and rationale: impetigo is an infectious and contagious skin disease that requires contact precautions. with impetigo patients develop vesicle filled lesions that rupture and break open (break in skin integrity) releasing a yellow exudate onto the skin that forms a yellow crust when it dries. strep or staph are the infecting bacteria. wet dressings are done to draw out and assist in removing drainage from wounds (debride). if wet dressing are being placed over open skin they need to be sterile because skin integrity is broken. an antibiotic ointment is often applied to these lesions as a local treatment along with systemic (oral or im) antibiotics.
a. don a pair of clean gloves
- don't do it. this is open skin.
b. use sterile technique to prevent spreading
- while this is a good choice, this infection can be spread by any contact, sterile or non-sterile.
c. use cooling solution to debride the crusts
- you never put anything against anyone's skin that hasn't been warmed first.
i was told by my instructor that i am reading way to much into the questions and answers, so i tried not to do that on this exam.
anyway regarding the zantac, i understand that constipation is a side effect, but i think that you would of assessed freq of stools by the third day not 5th. (that's you, not the writer of the question) zantac is for upper gi (ulcers, gerd) which could interfere with eating, so why would assessing the amount of meals eaten be the #1 answer. (was that the instructor's correct answer to the question?) (don't assume this pt is tpn, question does not indicate that and does not imply anything regarding abd pain or s/s of constipation)?
----------------------------------
during applying a wet dressing to impetigo, the nurse would
a. don a pair of clean gloves
b. use sterile technique to prevent spreading
c. use cooling solution to debride the crusts
d. apply antibiotic ointment before applying dressing
information and rationale: impetigo is an infectious and contagious skin disease that requires contact precautions. with impetigo patients develop vesicle filled lesions that rupture and break open (break in skin integrity) releasing a yellow exudate onto the skin that forms a yellow crust when it dries. strep or staph are the infecting bacteria. wet dressings are done to draw out and assist in removing drainage from wounds (debride). if wet dressing are being placed over open skin they need to be sterile because skin integrity is broken. an antibiotic ointment is often applied to these lesions as a local treatment along with systemic (oral or im) antibiotics.
a. don a pair of clean gloves
- don't do it. this is open skin.
b. use sterile technique to prevent spreading
- while this is a good choice, this infection can be spread by any contact, sterile or non-sterile.
c. use cooling solution to debride the crusts
- you never put anything against anyone's skin that hasn't been warmed first.
regarding impetigo....oh good, finaly an answer we agree on:yeah:.
and the zantac, in my last post i meant to type why wouldn't the answer be % of meals eaten as previous stated. i believe my rational for that is right, or should be anyway. no, i don't know the correct answer yet......and unfortunantly still can't find the answer through much research:no:. i find out thursday. just getting so upset with some of the test questions ( and i'm not the only one). pretty bad when you still can't find the right answer even after the test.
Specializes in med/surg, telemetry, IV therapy, mgmt.
i was actually thinking that "b" was the answer. sterile technique would be necessary because of the infectious nature of impetigo. however, it is also pretty common for the docs to put topical antibiotic ointments on these lesions as well. i was a little concerned that it may not be necessary if wet dressings are also being done since wet dressings are done to debride since they would also be giving systemic antibiotics as well. but they also apply topical ointments and creams with burns as well as dressings, so i went ahead and opted for "d". we may both be wrong.
i was actually thinking that "b" was the answer. sterile technique would be necessary because of the infectious nature of impetigo. however, it is also pretty common for the docs to put topical antibiotic ointments on these lesions as well. i was a little concerned that it may not be necessary if wet dressings are also being done since wet dressings are done to debride since they would also be giving systemic antibiotics as well. but they also apply topical ointments and creams with burns as well as dressings, so i went ahead and opted for "d". we may both be wrong.
yes, possibly. didn't think wet dressings was used on impetigo, kinda impossible d/t it is usualy seen around the nose and mouth. abt ointment i know is used for tx, but under a wet dressing????? i don't know. i will post the correct answers on thursday after a get the test back.
i have one question to anybody who would like to answer. because all nurses are doing this almost every duty, and nobody give me a good answer even my clinical instructor.
everybody knows that if we give injection we need to aspirate before we inject it to the patient, my question is:
WHAT IF DURING ASPIRATION, I ASPIRATE A BLOOD AND NOW IT MIX TO THE MEDICATION INSIDE THE SYRINGE, WHAT WILL I DO NOW, DO I NEED TO DISCARD THAT MEDS AND GET ANOTHER ONE? OR JUST LOOK FOR ANOTHER SITE AND ASPIRATEAGAIN.
please give me a correct answer for this question.
i have one question to anybody who would like to answer. because all nurses are doing this almost every duty, and nobody give me a good answer even my clinical instructor.
everybody knows that if we give injection we need to aspirate before we inject it to the patient, my question is:
WHAT IF DURING ASPIRATION, I ASPIRATE A BLOOD AND NOW IT MIX TO THE MEDICATION INSIDE THE SYRINGE, WHAT WILL I DO NOW, DO I NEED TO DISCARD THAT MEDS AND GET ANOTHER ONE? OR JUST LOOK FOR ANOTHER SITE AND ASPIRATEAGAIN.
please give me a correct answer for this question.
Discard the blood and medicine per facility protocol--realize there may be special precautions for narcotics and this will be a biohazard.
i have one question to anybody who would like to answer. because all nurses are doing this almost every duty, and nobody give me a good answer even my clinical instructor.
everybody knows that if we give injection we need to aspirate before we inject it to the patient, my question is:
WHAT IF DURING ASPIRATION, I ASPIRATE A BLOOD AND NOW IT MIX TO THE MEDICATION INSIDE THE SYRINGE, WHAT WILL I DO NOW, DO I NEED TO DISCARD THAT MEDS AND GET ANOTHER ONE? OR JUST LOOK FOR ANOTHER SITE AND ASPIRATEAGAIN.
please give me a correct answer for this question.
When giving IM injections, yes you aspirate back, should you get flashback (blood) you should discard, and try gain. You can only stick a person once with a needle. Never use the same needle twice:no:.
Just in case you curious the answers were: the Levaquin answer was, drink with full glass of water. The zantac answer was, frequency of stools (they threw this question out). The answer to inhalor was, the spacer. Now this question: as stated, During applying a wet dressing to impetigo the nurse would? a. don a pair of clean gloves b. apply ABT oinment before applying wet dressing. Their answer was don a pair of clean gloves. I did not choose that cause the first word of question says "during" therefore, gloves should already be on. When I questioned this during the review one instructor said good point and that she will look at the question, the other instructor rolled her eyes and had the nerve to say "we've already given you guys 4 questions," meaning like she's doing us a favor so what more could we want! Of the nerve, those questions should not of been on the exam in the first place. One point from one question could mean a world of difference in this particular program. Getting to stressed out, this is every exam. I'm not looking for an easy road, but just a fair one. Thanks for all your help and feed back.
Noryn
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