Nursing fundamentals final exam

This can vary, but knowing the exam’s main focus will help dictate your study strategy. For example, some professors do the following for the final exam: Some professors like to pull random questions from all of your previous tests. It will basically be a selected repeat of questions from your prior tests. Some professors focus mostly on the ...

Last updated on October 8th, 2021 at 10:01 am. Fundamentals of Nursing 100 Questions Practice Exam F1A. Anna Curran. RN, BSN, PHN. Anna Curran. RN-BC, BSN, PHN, CMSRN I am a Critical Care ER nurse. I have been in this field for over 30 years. I also began teaching BSN and LVN students and found that by writing additional study guides helped ...MI. Myocardial Infarction. CVA. Cerebrovascular Accident. DOA. Dead on Arrival. See more. Study with Quizlet and memorize flashcards containing terms like TPR, I&O, BP and more.Nursing Fundamentals - Stress & Adaptation. Nursing Fundamentals - Experience of Loss, Death, & Grief. Caring in Nursing. Nursing Fundamentals - Self-Concept & Sexuality. Drug Chart - Anxiolytics, Sedative Hypnotics, & Antihistamines. On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better ...PCN. - interferes with cell wall synthesis. - Uses: infections caused by gram (+) cocci & bacilli & some gram (-) cocci. - SE: Hypersensitivity, N,V,D, overgrowth of non susceptible organisms, decreased effectiveness of birth control. Nursing Considerations (PCN) -Assess for allergies. - Take on empty stomach w/full glass of water 1 hr before ...a. Review and implement the primary care provider's prescriptions for treatments. b. Perform a quick physical examination of breathing, circulation, and oxygenation. c. Gather a thorough medical history, including current symptoms, from the family. d. Administer oxygen to the patient through a nasal cannula.professional nursing organizations seek to: A. improve standards of practice. B. expand nursing roles. C. improve the welfare of nurses in specialty areas. D. all of the above. D. all of the above. A nurse is caring for a group of clients on a medical‑surgical unit. For which of the following client care needs should the nurse initiate a ...

The nurse represents the plaintiff. 2. The defendant must prove injury, damage, or loss. 3. The person filing the lawsuit has the burden of proof. 4. The plaintiff must prove that a breach in the prevailing standard of care caused an injury. 3, 4. A nurse stops to help in an emergency at at the scene of an accident.S/S include thirst, dry membranes, fatigue, and decreased LOC. S/S include nausea, abd pain/cramping, muscle twitching, seizure/coma, decreased appetite, vomiting, decreased urine osmolarity, and headache. S/S include dysrhythmia, muscle weakness, diarrhea, irregular pulse, numbness in extremities and cardiac arrest.(Solved) Nursing Fundamentals Final Exam Questions and Correct Answers, With Complete Solution 2024. You enter a residents room and the resident has a new onset bedsore. You feel you need to document this in the medical record but also have a discussion with the nurse.How much is an eye exam at Target? We detail Target eye exam costs, including the cost with and without insurance and the cost of an exam for contacts. Target eye exam costs vary b...Medicine. Nursing. Fundamentals of Nursing, NRSG 100, Ivy Tech Exam 1. Nightengale School for Nurses was opened in ______ and is considered the first official nursing program. Click the card to flip 👆. 1860. Click the card to flip 👆. 1 / 317.

Fundamentals Final Exam Review: Fundamentals beginning: Primary roles and functions of the nurse Nurses provide care to patients while functioning in multiple roles as: Care provider – Use of knowledge and critical thinking to determine the necessary course of action, psychomotor skills to perform the necessary interventions, interpersonal skills to …breast cancer screening. specific for females - 20-39: every 3 years, 40-54: annual, 55+: every 1-2 years. clinical testicular exam. specific for males - at each routine health visit stating at puberty. prostate-specific antigen test, digital rectal exam. discuss starting age age 50, reevaluate need at age 76.Sanguineous. Clear drainage. Purulent. Thick yellow and green drainage. debride. wet to dry dressings are often ordered to _____ the wound. Order. An _______ is ALWAYS needed for restraints. Study with Quizlet and memorize flashcards containing terms like Hand washing, Asepsis, Infection and more.Basic Care and Comfort. 20 items. Handwashing/ Hand Hygiene. 10 items. Head to Toe Assessment. 35 items. Documentation & Reporting. 45 items. Fundamentals of Nursing collection of most important NCLEX exams that contains various and specific topics regarding the foundation of nursing course.Study with Quizlet and memorize flashcards containing terms like You enter a residents room and the resident has a new onset bedsore. You feel you need to document this in the medical record but also have a discussion with the nurse. Where would you opt to have this discussion? a. In the patients room b. In the hallway with the family c. In private d. At the local bar, To prevent shampoo from ...Terms in this set (174) Study with Quizlet and memorize flashcards containing terms like Culturally Responsive Care includes, To deliver care as a nurse, Subculture and more.

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A way of thinking and acting based on the scientific method. ***Five-step systematic method for giving patient care; involves. 1. assessing- Identify problem and what it is. 2. diagnosing, 3. planning, 4. implementing-The plan for nursing care is put into practice to achieve the stated goals. Taking action.Fundamentals of Professional Nursing: Final Exam. 1 is the nursing process? A- Assessment D- Diagnosis P- Planning I- Implementation E- Evaluation. 2 are the six QSEN competencies? -Patient-centered cared -Teamwork and collaboration -Safety -Informatics -Evidence-based practice -Quality improvement. 3 is patient-centered care competency?The nurse's auto insurance. 2. The nurse's homeowner's insurance. 3. The Good Samaritan laws, which grant immunity from suit if there is no gross negligence. 4. The Patient Care Partnership, which may grant immunity from suit if the injured party contends. 3. A nurse is planning care for a patient going to surgery.*Final Exam Study Guide. Topics covered from Week 1 to Week 4. Introduction to Health Care Delivery System Health promotion and illness prevention - Primary Health Promotion and Illness Prevention: promoting health and preventing illness - Secondary Health Promotion and Illness Prevention: screening for early detection of disease with prompt diagnosis and treatment of any found - Tertiary ...Fundamentals 1 Nursing Final. Get a hint. a nurse is implementing an evidence-based practice project regarding infection rates. after reviewing literature, which other evidence should the nurse review? a. quality improvement data. b. inductive reasoning data. c. informed consent data.

Quiz yourself with questions and answers for Nursing Fundamentals Final Exam, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material.The nurse is auscultating a client's blood pressure and inflates the cuff to 180 mm Hg. At 156 mm Hg the nurse hears the onset of a tapping sound. At 130 mm Hg the sound changes to a murmur or swishing. At 98 mm Hg it becomes muffled, and at 88 mm Hg the sound disappears. The nurse records the blood pressure as:Fundamentals II Final Exam. 65 terms. asteagall7. Preview. ATI Fundamentals 2 Quiz. 41 terms. michiibibi. Preview. Chapter 4 / Theoretical Foundations of Nursing Study Guide.Nursing Fundamentals Final Exam. Share. Flashcards; Learn; Test; ... In your role as a nursing assistant, you are able to: a. ... 620 Adult - Women's Health - AG and FNP Certi… 103 terms. Empire5274. NMTT 2201: Radiopharmacy Lab Final - Wordbank. 30 terms. Empire5274. NMTT 2201: Radiopharmacy Lab Final. 175 terms. Empire5274.The Hesi PN Fundamentals Exam is a vital step in the journey of practical nursing students, requiring a solid grasp of nursing fundamentals. By focusing on these key areas and utilizing our 1000 Hesi PN Fundamentals Exam Practice Questions, you can prepare effectively for the exam. Visit hesi exam for more resources and information, equipping ...LPN Fundamentals final. A nurse is discussing restorative health care with newly licensed nurse. Which of the following examples should the nurse include in the teaching? Click the card to flip 👆. -Home health care. -rehabilitation facilities. -skilled nursing facilities. Click the card to flip 👆. 1 / 49.a. place the pt in a side-lying position b. instill 15 mL of irrigation fluid into the catheter w/ each flush c. subtract the amt of irrigant used from the pt's urine output d. perform the irrigation using a 20-mL syringe - CORRECT ANSWER c. subtract the amt of irrigant used from the pt's urine output a home health nurse is performing a follow ...Jan 1, 2016 · How to pass Nursing Fundamentals (Foundations) class in nursing school: This video gives you strategies on how to study for exams in fundamentals and how to ...

What techniques/tools can be used to encourage proper breathing? Deep breathing, pursed lip breathing, and incentive spirometer. What are the different ways to deliver oxygen? Nasal cannula : 1-6L/min (23-40%) Simple mask: 5-8L/min (40-60%) Partial rebreather mask: 8-11L/min (40-60%) - Bag remains 1/3 to 1/2 full.

ATI Fundamentals Final Quiz. A nurse is teaching a client how to self-administer insulin. Which of the following actions should the nurse take to evaluate the client's understanding of the process within the psychomotor domain of learning. Click the card to flip 👆. Have the client demonstrates the procedure.Practical Nursing Program Nursing Fundamentals Final Exam Review Comprehensive Final Exam Total 100 questions Including but not limited to below information: Definitions - Suicide- the action of killing oneself intentionally; warning signs: talking about death, drug/alcohol abuse, neglect of appearance, giving things away, etc. Active euthanasia- deliberate action taken with the purpose of ...Fundamentals of Nursing exam 7. 36 terms. emily_lynn23. Preview. NUR 336: ICR Final Exam Practice Questions. 95 terms. morgan_rademacher. Preview. Unit 8 Nursing 111. 61 terms. aballinger921. Preview. Community Nursing Care Exam One. 94 terms. camryn_plemons21. Preview. Nursing Fundamentals Final Exam.Practicing for NCLEX Chapter 1 Lippincott CoursePoint Enhanced for Taylor's Fundamentals of Nursing Carol Taylor; Pamela Lynn; Jennifer L. Bartlett ... NUR 100 Final Exam Study. 125 terms. Studying00111. Preview. CSN Nursing 101 Exam 2--The Nursing Process. Teacher 54 terms. kelvinmunyika. Preview. MHA 707 Exam D. Teacher 179 terms.Final Exam- Nursing Fundamentals. Teacher 117 terms. mbschulta22. Preview. Pathophysiology Kahoot Questions . 126 terms. eduds_ Preview. Critical Care- Exam 1 Heavy Content. 107 terms. ... Fundamentals of Nursing Medical Terminology Flash Cards. 111 terms. Mwil0511. Preview. Foundations of nursing: 121 exam 1. 78 terms. bayleelcarlson. Preview ...The theory of nursing fundamentals is the foundation of your future nursing practice. Our concise, downloadable cheat sheets help you retain the must-know points about complex nursing concepts reliably and efficiently. Download them, print them, take notes on them - and confidently walk into your exams and clinicals. Explore all cheat sheets.Jan 1, 2016 · How to pass Nursing Fundamentals (Foundations) class in nursing school: This video gives you strategies on how to study for exams in fundamentals and how to ...Study with Quizlet and memorize flashcards containing terms like Why are the basic concepts of theory important in nursing practice?, What are the 4 metaparadigms of nursing theory?, What are the characteristics of a profession? and more.ati proctored exam - got a level 2 at fundamentals proctored exam levels of health care preventative health care focuses on educating and equipping clients to. ... Nursing fundamentals (N3604) 95 Documents. Students shared 95 documents in this course. ... Exam 1 Medsurg Final Blueprint. Nursing fundamentals. Lecture notes. 100% (2) 3.

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Hmm, looks like you're studying old notes... The page you're looking for is outdated, or just isn't a thingFundamentals of Nursing (NU-136) 182 182 documents. 0 0 questions 326 326 students. Follow this course. Fundamentals of Nursing (NU-136) Follow. Trending. 6. ... Final Exam Study Guide. 11 pages 2020/2021 100% (1) 2020/2021 100% (1) Save. Concept map 3 - vds; 04 - ADN TBON Mandatory Data Sheet;Study with Quizlet and memorize flashcards containing terms like Final Exam: Friday, May 6th - 90 minutes - 60 questions - multiple choice, select all that apply, fill in the blank, There will be FIVE Dosage Calculation questions., Values to know: and more. ... Fundamentals of Nursing Final Exam Review. 342 terms. jrbraaten. Preview. NUR322 ...LPN Fundamentals of Nursing Final Review. 146 terms. madison_tizzard. Nursing Fundamentals Practice Questions. 140 terms. laniepr787. lpn fundamentals test 3. 46 terms. Images. alessing88. Sets found in the same folder. CH 11 Professional Development. 22 terms. CrazyMel91. Fundamentals quiz bank LPN. 60 terms. nurseangel2021.Test your knowledge of nursing fundamentals with this free practice test. Choose your answer to 15 multiple choice questions and see your results instantly.Test your knowledge of nursing fundamentals with this free practice test. Choose your answer to 15 multiple choice questions and see your results instantly.Nursing 265 Final Exam . 70 terms. bgfulmer. Preview. Module 9 small animal nursing EXAM 2. 82 terms. AggravatedOpossum. Preview. NUR 230 Final Exam Study Guide Description. 131 terms. ... Nursing Fundamentals - Stress and Coping + Communication. 50 terms. emilyysansone. Preview. PDx Final. 18 terms. dxd627. Preview. nursing process chap 6. 26 ...Gather as much relevant information as possible about the situation/dilemma. Reflect on your own values as you evaluate the dilemma. State the ethical dilemma, including all surrounding issues and the individuals that it involves. List and analyze all possible options for resolving the dilemma with the implications of each option. ….

Medicine. Nursing. Fundamentals of Nursing, NRSG 100, Ivy Tech Exam 1. Nightengale School for Nurses was opened in ______ and is considered the first official nursing program. Click the card to flip 👆. 1860. Click the card to flip 👆. 1 / 317.Nursing Fundamentals Final Exam. Share. Flashcards; Learn; Test; ... In your role as a nursing assistant, you are able to: a. ... 620 Adult - Women's Health - AG and FNP Certi… 103 terms. Empire5274. NMTT 2201: Radiopharmacy Lab Final - Wordbank. 30 terms. Empire5274. NMTT 2201: Radiopharmacy Lab Final. 175 terms. Empire5274.Explanation: Network A needs to use 192.168.0.128 /25, which yields 128 host addresses. Network B needs to use 192.168.0.0 /26, which yields 64 host addresses. Network C needs to use 192.168.0.96 /27, which yields 32 host addresses. Network D needs to use 192.168.0.80/30, which yields 4 host addresses.Communicator (Psychosocial Module A).docx. 1 Jefferson State Community College NUR 112 (Shelby-Day) Communication I. The Process of Communication: Communication skills are the building blocks of professional relationships between nurse and patient, nurse and nurse, and nurse and other health-team. Solutions available.hypotension. low blood pressure- 100/60 or lower (20-30 below the patents norm) Korotkoff sounds. 5 sounds heard when you deflate the cuff: 1. clear tapping sound gradually increasing. 2. soft swishing or murmuring sounds (turbulent blood flow) 3. sharp crisp rhythmic sound. 4. soft muffling sound. 5. silence.7 Tips for Studying Nursing Fundamentals. Use flashcards to memorize key facts. Don’t cram the night before an exam. Cramming doesn’t allow for adequate time to comprehend new information into existing knowledge. Don’t be afraid to ask questions, during or after lectures. Identify your strengths and weaknesses.Nursing Fundamentals Final Exam Study Guide *As a reminder, study guides are not all encompassing. Be sure to review prep packets, PowerPoints, readings and objectives associated with each competency. Competency 1: Scope of Practice Steps to becoming a nurse Nurse Practice Acts Ethical responsibilities in nursing Role of Evidence-Based Practice in nursing Professional nursing values Competency ...ATI Nursing Fundamentals Final Exam Questions and Answers (2024 / 2025) (Verified Answers) ATI Nursing Fundamentals Final Exam Questions and Answers (2024 / 2025) (Verified Answers) 100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached.Fundamentals of Nursing I: Exam 5. In the community a safe environment means that basic needs are: Click the card to flip 👆. 1. Achievable. 2. Physical hazards are reduced. 3. Transmission of pathogens and parasites is reduced. Nursing fundamentals final exam, Quiz yourself with questions and answers for Nursing Fundamentals Final Exam Practice Questions 8, so you can be ready for test day. ... The scope of Nursing Practice, the established educational requirements for nurses, and the distinction between nursing and medical practice is defined by: Statutory law., The patient frequently cleans out his ears with a cotton swab. b. The patient turns one ear toward the nurse during conversation. c. The patient isolates himself from social situations. d. The patient asks the nurse to speak loudly during conversations. The patient turns one ear toward the nurse during conversation., ATI Nursing Fundamentals Final Exam Questions and Answers (2024 / 2025) (Verified Answers) ATI Nursing Fundamentals Final Exam Questions and Answers (2024 / 2025) (Verified Answers) 100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached., 2. Providing a class on hygiene for an elementary school class. 3. Informing a client that her infant can be immunized at the health department. 4. Arranging for a hospice nurse to visit with the family of a client with lung cancer. Arranging for a hospice nurse to visit with the family of a client with lung cancer., Study with Quizlet and memorize flashcards containing terms like Nursing requires, Brenner's stages of nursing proficiency, Scope & Standard of Practice and more., a nurse who has had some level of experience with the situation. this experience may only be observational in nature, but the nurse is able to identify meaningful aspects or principles of nursing care. Competent. a nurse who has been in the same clinical position for 2 to 3 years; this nurse understands the organization and specific care ..., Final exam review and hints for studying fundamentals final review all questions we have seen before all mult choice ch review med rec diabetes (all of it foot ... Nursing fundamentals Workbook pages 115-119; Related documents. Ch.17 Vital Signs - vocabulary, chapter recap completed homework packet;, Medical vs. Nursing Assessments - Medical assessments target data pointing to pathologic conditions - Nursing assessments focus on the patient’s response to health problems. - Chapter 15 Evaluating Long-Term vs. Short-Term Outcomes - Long-term outcomes require a longer period to be achieved and may be used as discharge goals., Chapter 22 Ethics And Values, Chapter 23 Legal Implications In Nursing Practice, Chapter 6 Health And Wellness. 11. Decks. 431. Flashcards. 7. Learners. Study Ati Fundamentals Final using smart web & mobile flashcards created by top students, teachers, and professors. Prep for a quiz or learn for fun!, Nclex questions for Fundamentals of Nursing with rationale. 71 terms. Maggie84_ Preview. Fundamentals of Nursing Test 1 Practice Questions. ... CLS EXAM . 67 terms. acabrales775. Preview. English Comp Unit 2. 15 terms. groenewegblake. Preview. Glaucoma Drop Colors. ... English FInal. 36 terms. sc110044. Preview. English 1112 Self Test. 19 terms ..., Nursing Fundamentals Final Exam. 216 terms. jade_haney. Fundamentals of Nursing Final. 264 terms. dayters. Other sets by this creator. Unit 2 -- OB/PEDS. 84 terms. haleigh0923. Unit 1: OB/PEDS. 123 terms. haleigh0923. Med-Surg Final Lab Values. 30 terms. haleigh0923. Med-Surg Final Exam Medications., A. Discard the dressing in the bedside trash receptacle. B. Dispose of the dressing in a biohazardous waste container. C. Enclose the dressing in a single clear plastic bag and discard in the bedside trash receptacle., A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram., NG tube placement is meant to be a short-term solution for feeding problems. Patients that require long term tube feeding should have surgical placement of a gastrostomy tube or gastrostomy button. Long-term NG tube usage can cause nasal erosion, sinusitis, esophagitis, gastric ulceration, esophageal-tracheal fistula formation, oral infections ..., How to pass Nursing Fundamentals (Foundations) class in nursing school: This video gives you strategies on how to study for exams in fundamentals and how to concentrate on certain areas to..., Learning tools, flashcards, and textbook solutions | Quizlet, (Solved) Nursing Fundamentals Final Exam Questions and Correct Answers, With Complete Solution 2024. You enter a residents room and the resident has a new onset bedsore. You feel you need to document this in the medical record but also have a discussion with the nurse., Study with Quizlet and memorize flashcards containing terms like promote health, prevent illness, restore health, facilitate coping, Cognitive - critical thinking Technical - using equipment/epic Interpersonal - communication skills Ethical/legal - know scope of practice, operating under ethical guidelines, Why is nursing independent of medicine and other allied health? and more., A written holistic plan of care that addresses the patients unique problems and strengths. Unforeseen situations that arise during other nursing processes to be addressed. First patient contact, development of the initial comprehensive care plan. Changes made to the care plan through evaluation of response or new data., 7 Tips for Studying Nursing Fundamentals. Use flashcards to memorize key facts. Don’t cram the night before an exam. Cramming doesn’t allow for adequate time to comprehend new information into existing knowledge. Don’t be afraid to ask questions, during or after lectures. Identify your strengths and weaknesses., 2024 Nursing Fundamentals Final Exam $16.95 Add to Cart. Browse Study Resource | Subjects. chamberlain school of nursing. HEALTHCARE. 2023/2024 Nursing Fundamentals Final Exam Review Q&As (Verified Solutions), Quizlet has study tools to help you learn anything. Improve your grades and reach your goals with flashcards, practice tests and expert-written solutions today., Study with Quizlet and memorize flashcards containing terms like Why are the basic concepts of theory important in nursing practice?, What are the 4 metaparadigms of nursing theory?, What are the characteristics of a profession? and more., Fundamentals of Nursing Final Exam Review. 342 terms. jrbraaten. Preview. Chp1 & 2: What & Why, EBP. 13 terms. sir_happy_feet. Preview. NUR105 Chapter 29 30 & 34 #1. 96 terms. LivingOnAPrayer_RNZO. Preview. Nursing Fundamentals Final Exam. 216 terms. bianca14. Preview. Final Exam review of funda of NRSG. 134 terms., We prepared a quiz of practice test questions on the fundamentals of nursing, similar to the ones you’ll find in the NCLEX exam. This test bank of 25 multiple choice questions will challenge your knowledge of nursing fundamentals in several categories, including Physiological Adaptation, Pharmacology, Basic Care & Comfort …, Study with Quizlet and memorize flashcards containing terms like You enter a residents room and the resident has a new onset bedsore. You feel you need to document this in the medical record but also have a discussion with the nurse. Where would you opt to have this discussion? a. In the patients room b. In the hallway with the family c. In private d. At the local bar, To prevent shampoo from ..., Temperature 98.9 f, pulse 94, respirations 20, blood pressure 144 / 94, pulse ox 94 percent. what is the priority action of the nurse. Apply a cool washcloth to the patient's forehead. Administer oxygen at 2 L / minute via nasal cannula. Ask the patient about his usual blood pressure results., ATI Fundamentals of Nursing Final Exam Help! Studying/Testing. Hi! So, I have recently taking both practice assessment A and B one time each and scored63%. My final exam is an ATI proctored exam and I am very concerned about doing well. I know that I can use the Ati website to do practice quizzes and stuff like that., The nurse's auto insurance. 2. The nurse's homeowner's insurance. 3. The Good Samaritan laws, which grant immunity from suit if there is no gross negligence. 4. The Patient Care Partnership, which may grant immunity from suit if the injured party contends. 3. A nurse is planning care for a patient going to surgery., ATI Fundamentals Exam Nursing 100 Exam 3 Review Practice Mode Exam Mode. ATI NURSING 137 Exam 3 Fall 2023 ... ATI custom fundamentals final exam fall 2023 Review Practice Mode Exam Mode. ATI custom fundamentals chapter 31 ALL Review Practice Mode Exam Mode. Ivy Tech exam 2 Fundamentals - All ..., 1. Inflammatory (initial) -immediate phase, lasts about 3 days. -increased blood supply and phagocytosis (delivers oxygen, wbcs, and nutrient to the wound to support healing) -control bleeding for clot formation. 2. Proliferative (granulation) -second phase. -fibroblasts synthesize collagen., The Fundamentals of Nursing Review Module provides a comprehensive review of key content and is ideal for remediation. $60. Edition 11.0. Add to Cart., Medical vs. Nursing Assessments - Medical assessments target data pointing to pathologic conditions - Nursing assessments focus on the patient’s response to health problems. - Chapter 15 Evaluating Long-Term vs. Short-Term Outcomes - Long-term outcomes require a longer period to be achieved and may be used as discharge goals., PCN. - interferes with cell wall synthesis. - Uses: infections caused by gram (+) cocci & bacilli & some gram (-) cocci. - SE: Hypersensitivity, N,V,D, overgrowth of non susceptible organisms, decreased effectiveness of birth control. Nursing Considerations (PCN) -Assess for allergies. - Take on empty stomach w/full glass of water 1 hr before ...