Urinary
What drug can relieve dysuria, frequency, & urgency with a UTI, this drug then will be given to a client that c/o of bladder pain and spasms?
This med also turns the urine what color?
In addition to urine discoloration, this can also become discolored?
What is phenazopyridine (Pyridium)
What is orange
What is sclera
1. LPN is instilling eye drops to produce mydriasis, what is this?
2. What is the proper technique to instill eyedrops?
3. For more than one eye drop with glaucoma, how long do you wait between each med?
1. Dilate pupils
1. Have client to remove contacts. Check expiration date. Wash hands, place lid on clean surface area to prevent contamination, clean eye from inner canthus to outer canthus. With infection of eye have separate bottle so not to cross contaminate.
2. Hand client a tissue. Have client to look up, drop med into lower eyelid, gentle pressure on the inner canthus to block the tear duct for 3-5 minutes. Don't touch the eye with tip of bottle
3. Wait 5 minutes
True or False
Combination chemo is the adm. of antineoplastic drugs, which results in cell death during different phases of the cell cycle? It is more successful that single chemo.
True
T or F
Pt. has neuroleptic malignant syndrome and has fever of 106, this is from an antipsychotic. The nurse is knows that pt. will be prescribed Dantrolene (antispasmodic). p.698
TRUE
Will relax the muscles in upper and lower limbs
True or False
Corticosteroids:
1. May cause elevated blood sugars, and may have to have their insulin doses changed>
2. With high doses may cause psychotic behaviors.
3. Pt. may be more susceptible to infection.
4. Long term effects of these meds can cause osteoporosis.
1. True
2. True
3. True
4. True
Drug class:
Treats hypertension & urinary hesitancy?
Treat ED?
Drug class for Detrol (tolterodine) and action?
What are
1. Alpha 1 adrenergic antagonist
2. Phosphodiesterase type 5 inhibitor
Drug class for Detrol is anticholinergic such as antispasmodic. Which decrease the erge tovoid.
What is a trabeculectomy and pt. education?
Treats glaucoma by decrease eye pressure inside eye, creates a new channel pathway.
Educate patient to lay of the opposite of the eye that had surgery.
Redness in the eye, pain and swelling are common after this surgery.
Do not strain when having BM, coughing
Hand hygiene, Eye drop education
1. This med works on ALL, Hodgkin lymphoma and neuroblastoma and works on cell's life cycle (Mitotic phase)? p. 687
2. When are cancer cells most sensitive to chemotherapy?
a. Go - resting phase
b. G1 - gap 1 phase
c. G2 - gap 2 phase
d. mitosis
e. synthesis
1. Vincristine
2. d. Mitotic phase
What is complication of IV calcium?
bradycardia and hypotension
1. True or False
Pt. with HIV says that his meds will completely eradicate the virus from his body.
2. What is the drug class to tx HIV that does not have any interactions?
3. How do antiretroviral agents work?
1. False
2. Fusion entry inhibitors
3. Preventing HIV replication
1. Action of drug class antimicrobial
2. Assessment to eval. on client that has been on this class of drug that you would ask client about. (5)
3. Which is the drug class that is most common for UTI?
1. What is have an antiseptic effect on the urine & urinary tract?
2. Assess for complete empty of bladder, amt. of pain with voiding and frequency, Daily fluid intake, any GI issues, blood in urine
3. E-coli
1. For eye exam, what med is used that causes mydriasis?
2. Action of maleate (Timoptic)?
1. Alpha 1-adrenergic agent- phenylephrine
2. Beta-adrenergic agent - decreases production of aqueous humor
1. Which assessment finding would be a sign of neurotoxicity R/T chemotherapy?
a. paresthesia
b. euphoria
c. nausea
d. hallucinations
2. List home care instructions for pt. chemo?
1. a. paresthesia
2. Wash laundry separate from others, Flush toilet 2-3 times after use. Bleeding safety measures too - use elec. razor, avoid sharp knives, wear thimble when sewing, avoid aspirin, report coffee-ground emesis, bruising, bld in urine, prolong flow, coffee ground emesis.
Key proper nursing intervention for adm. Calcitonin?
Alternate nostrils daily when using spray
TB
1. Goal for client with TB at end of their therapy?
2. Who can not be given INH.
3. What vitamin should be given to prevent adverse SE of INH?
4. How long should TB meds given for?
1. neg sputum culture
2. pts. with cirrhosis
3. B6
4. 6-7 months
What are some interventions that the LPN would teaching someone on a anticholergic?
1. For dry mouth chew gum or suck on sugar free hard candy.
2. Drink plenty of fluids
3. Eat high fiber foods
4. Don't drive if you have blurred vision
1. What is open angle glaucoma.
2. What drug class inhibits an enzyme and decreases production of aqueous humor, thus decreasing IOP?
1. Reduced outflow of aqueous humor, initially no symptoms, will see reduced peripheral vision loss gradually, irreversible blindness if let untreated. Pressure (IOP) builds up and damages the optic disk.
2. carbonic anhydrase inhibitors - Note that if have sulfa allergy hold med and call HCP
Which outcome is intended with the use of chemoprotective drug amifostine?
a. decreased renal toxicity
b. decreased N/V
c. Maintain body wt.
d. Increased effectiveness of the chemo.
2. What is purpose of giving filgrastim to a post-op pt. that dx with cancer?
1. a. decreased renal toxicity
2. Increase WBC's
1. What is time frame to separate calcium and thyroid meds?
1. 4 hours
Which information should the nurse educate a pt. to report to their HCP that are going home on corticosteroids? List 5
Report:
productive cough
chest pain
weight gain
confusion
dyspnea
1. Which properties of a UA would indicate infection? SATA
1. Yellow Urine
2. Foul Odor
3. Trace of glucose
4. pH 8.2
5. Specific gravity 1.028
2. What condition of a preg. woman would you collect a UA?
1. What are:
Foul odor
pH 8.2
2. Preeclampsia (toxemia) - urine will be frothy (protein in urine)
What are some functions of aqueous humor?
What are:
1. Bathe and feeds the lens, posterior surface of the cornea, iris
2. Drains out of the eye through channels located near the junction of the cornea and sclera.
FYI - It flows out of the canal of Schemm into the venous of the eye.
1. Rationale for why bone stimulants are used in cancer tx?
2. Pt. has breast cancer and reports frequent watery stools after chemo treatments. What should educ. pt on?
a. eliminate spicy foods
b. eat low protein foods
c. implement high-roughage diet
d. eat high-fat foods
1. They enhance immune system during tx.
2. a. eliminate spicy foods
Pt. has a dislocated shoulder and is in the ER, what will you assess for? SATA
a. how it happened
b. degree of impairment
c. pain level
d. inspect affected part for swelling, cap refill, bruising, redness, tenderness & location, deformity, paresthesia
e. elevation of the affected extremity
A,B,C,D
True or false glucocorticoid have anti-inflammatory effects.
True