Hi....I'm studying for my CPNE and have these questions:-
1) For lab station IM/SQ inj, I know how to mix N and R insulin but what about mixing other meds for IM inj? I have never heard of mixing IM meds for injection in school or real world (hospital). How in the world do I figure out what to draw first? or compatibality issues? My pharm book (school book) also doesn't mention mixing IM inj. How do you tackle this problem?
2) In the CPNE manual Physical Jeopardy page IV.D.5.b, it says leaving a confused pt without their call light is a violation. But even you give a confused pt his call light and leave, they may still be climbing out of bed and fall without even pressing the call light (because they are confused). So, I think leaving a confused pt with a call light is still not really safe unless somebody is with the pt, such as a sitter ?
3) In real world, 9 out of 10 pt when I aspirate their IV before NS flush, there is no blood return, but the IV will flush fine. I know in lab, you can talk it out telling the CE that there is blood return. But what about in a PCS? What do you do if you don't see blood return when aspirate?
4) Blood pressure: Female pt with IV site on RAC, mastectomy on L side. How and where do you take BP?
