question

Telephone prescription from provider. The Nurse:

answer

Reads the prescription back to the provider.

question

Seizure disorder. Patient should:

answer

Keep a seizure chart.

question

Potassium level:

answer

3.5-5 mEq/L

question

Potassium level less then 3.5 mEq/L:

answer

Cardiac monitor for cardiac dysrhythmias.

question

Penicillin allergy requires incident report with what symptom:

answer

S.O.B.

question

Phenytoin (Dilantin) decreases effectiveness of:

answer

Ethinyl/desogestrel (Oral contraceptive)

question

Ergotamine (Ergostat) SL for migraine headache:

answer

1 SL tablet at onset of headache.

question

Digoxin level:

answer

1.0-2.0 ng/mL. Digoxin is toxic at 2.4 give Digoxin immune fab (Diggibind)

question

Avoid during metronidazole (Flagyl):

answer

Beer can cause disulfiram-reaction (Hypotension, vomiting, weakness)

question

Captopril (Capoten) cannot be used:

answer

With salt substitue with meal or potassium.

question

Mannitol (Osmitrol) achieving therapeutic effect:

answer

Decrease intraocular pressure for acute closure glaucoma.

question

Simvastatin (Zocor) teaching plan:

answer

Report muscle pain, do not take med with grapefruit juice, minimize alcohol intake, life long therapy, take in the evening.

question

Heparin and warfarin client with 4 times aPPT and INR of 2:

answer

Decrease the heparin.

question

aPPT (Activated partial thromboplastin time) plasma value:

answer

1.5-2 times the normal

question

INR (International Normalized Ratio) value:

answer

2.0-3.0. Target of 2.5. Higher the number bleeding disorder. Lower the number clotting disorder.

question

Oxytocin (Pitocin) by continuious IV, piggy backed into maintenance IV solution. FHR indicates late decelerations. The nurse first:

answer

Discontinue client's IV to reduce contractions.

question

Bupropion (Zyban) side effects:

answer

Insomnia (Stimulant).

question

Risedronate (Actonel) to treat osteoporosis. Client teaching:

answer

Take in the morning, sit up 30 mins after taking, take with food, swallow whole.

question

Haloperidol (Haldol) adverse effects (Used for treating vomiting):

answer

Akathisia (Restlessness).

question

Oprelvekin (Interleukin 11-WBC) effectiveness:

answer

Increase platelet count in chemotherapy patients.

question

Baclofen (Lioresal) therapeutic outcome:

answer

Decrease the frequency and severity of muscle spasms (MS).

question

Epoetin Alfa (Procrit) to treat anemia. Nurse should monitor:

answer

Increased blood pressure and seizures if hematocrit rises too quickly.

question

Tranylcpromine (Parnate) for depression. Client teaching:

answer

Move slowly when changing position because orthrostatic hypotension can result as a side effect.

question

Exenatide (Byetta) for type 2 diabetes mellitus. Nurse needs to monitor immediately:

answer

Abdominal pain due to pancreatitis. Secondary symptom for hyperglycemia: Increased thirst

question

Hypoglycemia symptoms:

answer

Diaphoresis and Irritability.

question

Prednisone (Deltasone) for chronic asthma. Nurse monitors:

answer

Blood glucose because steroid increase blood sugar.

question

NHP insulin and Regular insulin in a single syringe: Clear before cloudy.

answer

1. NPH (Cloudy) insert air 2. Regular (Clear) insert air 3. Draw up regular (Clear) 4. Draw up NPH (Cloudy)

question

Zidovudine (Retrovir) nurse should monitor:

answer

Hemoglobin level because it can cause anemia.

question

Timolol (Timoptic) for glaucoma. Client history concern:

answer

Its a Beta Blocker that can worsen bradycardia.

question

Newborn DTaP injection timeframe:

answer

2 months-1st 6 months- 3rd 15 months- 5th

question

Newborn Hep B vaccine:

answer

At birth

question

Warfain for AFIB. Nurse needs to check what prior to injection:

answer

INR value.

question

Hydroxyurea (Droxia) for sickle cell anemia. Nurse reports what to provider:

answer

Hemoglobin, platelets, neutrophils.

question

Hemoglobin, hematocrit, RBC, neutrophils, platelets value:

answer

...

question

Acetaminophen/oxycodone (Percocet) for breakthrough pain PRN and Acetaminophen every 4 hours. The nurse should:

answer

Notify the provider due to possible overdose.

question

Sucralfate (Carafate) for PUD:

answer

Form protective barrier around ulcer (mucosal protectant).

question

Client teaching for Warfain:

answer

Limit green leafy veggies, get blood drawn regularly, notify doctor if you bleed of bruise easily, and do not take Aspirin or Tylenol.

question

Pregnant with Pneumonia contraindication:

answer

Deoxycycline (Doxycin), Tetracycline due to adverse effects on bones.

question

Lisinopril (Zestril) for HTN. The client should monitor:

answer

Dry cough due to build up of bradykinin.

question

ACE-Inhibitor cause:

answer

Dry cough.

question

Nitroglycerin (Nitro-Bid IV) for blood pressure:

answer

Lower systolic blood pressure.

question

Procainamide (Pronestyl) with acute MI and premature ventricular beats. The nurse should withhold if:

answer

QRS (Contraction) widening of more then 50% and long QT intervals (Rest period) indicates cardiotoxictiy.

question

Tamoxifen (Nolvadex) for breast cancer adverse side effects:

answer

Menstrual irregularity, hot flashes, vaginal discharge.

question

Beclomenthasone (QVAR) for chronic asthma teaching plan:

answer

Rinse your mouth.

question

HX of HTN uses OTC oral decongestants for nasal congestion. The nurse advises patient that decongestants:

answer

Constricts blood vessels (Sympathomimetics)

question

Phenazopyridine HCL (Pyridium) for acute cystitis will:

answer

Urine will turn a red-orange color.

question

Trimethoprim/sulfamethoxazole (Bactrim DS) side effects:

answer

Vesicular, crusty rash is a sign of Stevens-Johnson syndrome. (Photosensitivity-Limited sun exposure)

question

Propylthiouracil (PTU) outcomes:

answer

Decrease T4, decrease heart rate, decrease body temp, weight gain.

question

Transdermal Nitroglycerin (Minitran) teaching plan:

answer

Take patch each evening for medication free time of 12-14 before each new patch.

question

Amoxicillin/calavulaic acid (Augmentin) allergy to penicillin. The nurse should first:

answer

Hold the medication.

question

Morphine and discharge teaching:

answer

Increase fiber due to possible constipation.

question

Ampotericin B (Fungizone) for histoplasmosis (Skin) adverse effects:

answer

Fever and chills are signs of infusion reaction.

question

Aspirin for arthritis. Signs of salicylism:

answer

Tinnitus, sweating headache, dizziness.

question

Breakthrough pain. 8 of 10 on scale.

answer

Hydromorphone (Dilaudid) pure opioid for sever pain.

question

Methylphenidate (Ritalin) for ADHD intervention in adverse effects:

answer

Maintain age-appropriate weight.

question

Sumatriptan (Imitrex) patient teaching:

answer

Use medication upon first sign of headache. Should dissipate 30-50 mins. *Up to 2 dose after 2 hours of initial dose. Side effect: Tightness of chest

question

PCA of Morphine Sulfate, patient Resp. 10/min, unresponsive to touch. Nurse first:

answer

Administer NarCan into patient IV.

question

Beginning Prednisone (Deltasone) therapy for acute bronchitis:

answer

Wait until complete therapy due to glucocorticoids reducing antibody response of live vaccine. Increase risk on infection.

question

Ferrous Sulfate teaching plan:

answer

Black stools are common, take on empty stomach for absorption, no bruising.

question

Phenytoin (Dilantin) teaching plan:

answer

Tell dentist because drug can cause gingival hyperplasia, report eye movement.

question

Dilantin level:

answer

10-20 mcg/L Below 10- Seizures Above 20- Toxic can cause Nystagmus (Eye movement)

question

Ranitidine (Zantac) for GERD adverse effects:

answer

Green Sputum from low stomach PH (Pneumonia)

question

Effects oral contraceptives:

answer

Carbamazepine (Tegretol) inactivates oral contraceptives

question

Isoniazid (INH) for TB adverse effects:

answer

Yellow skin tones (Jaundice)

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