quick tips

Question 1

insulin

Answer 1

• humalin 70/30 = 30% regular and 70% NPH
• you can mix insulin in the same syringe: clear before cloudy (regular before NPH): inject air into NPH, inject air into the regular, draw up regular, draw up NPH

Question 2

heparin

Answer 2

• given IV or SQ
• works immediately
• cant be given for more than 3 weeks (except for lovenox)
• antidote: protamine sulfate
• Labs: aPTT
• can be given to pregnant women

Question 3

coumadin

Answer 3

• given only PO
• take a few days to a week to work
• antidote: vitamin K
• lab: PT/INR
• cannot be given to pregnant women

Question 4

injections

Answer 4

• IM: 21 gauge/inch ( i in inch looks like 1)
• SQ: 25 guage/inch (s in SQ looks like 5)

Question 5

k= wasting vs sparing

Answer 5

• any diuretic ending in x, x’s out k+ (wastes it) + diuril
• all others are sparing

Question 6

muscle relaxants

Answer 6

• fatigue/drowsiness/muscle weakness
• teach not to drink/drive/operate heavy machinery
• baclofen and flexeril

Question 7

present oreinted

Answer 7

• 0-2 years
• present
• teach verbally while you do it
• pre teach parents
• dont understand future or past

Question 8

pre operational

Answer 8

• 3-6
• pre school for pre teaching
• fantasy oriented
• pick answer with “morning of/day of/two hours before”
• teach what you are going to do (future tense) through play
• imaginative
• nO SKILLS TEACHING

Question 9

concrete operational

Answer 9

• 7-11
• rule oriented
• teach days ahead
• teach what you are going to do + teach skills with age appropriate reading and demonstration
• they cant make decisions and there is only one weay of doing things

Question 10

formal operations

Answer 10

• 12+
• can think abstract (cause and effect)
• adult medsurg question
• teach like and adult
• can manage their own care
• can make decisions

Question 11

psych

Answer 11

1. do not give/accept gifts
2. don’t give advice
3. dont guarantee anything
4. best answer is the one that keeps them talking (open ended)
5. dont use slang and dont use the dumb word they used
6. acknowledge feeling (dont pick soemthing that says “don’t worry)