DURETICS
A nurse is caring for a patient who has heart failure and a new prescription for furosemide. Which adverse effect should the nurse monitor as priority?
What is hypokalemia?
If a patient's TSH is elevated and their T4 is decreased, they have a diagnosis of:
What is hypothyroidism?
The nurse should flush the Y-tubing prior to infusing packed red blood cells with what solution?
What is normal saline (NS)?
Name the crisis that can occur if prednisone is abruptly discontinued.
What is an adrenal crisis that looks like Addison's?
Name the most appropriate timing regarding the nurse’s administration of a rapid-acting insulin to a hospitalized patient.
What is: Give it 15 minutes before the patient begins a meal?
What does ADH stand for?
What is antidiuretic hormone?
Do not take this class of medications with nitrates.
What are ~fils?
Biphosphates need to be administered very specifically as to prevent esophageal erosion. Name the medication and the proper teaching for administration to a patient.
What is alendronate and take on an empty stomach and do not lay down for 30 mins or more?
Which two electrolytes should the nurse monitor closely when taking a loop diuretic?
What is sodium and potassium?
Levothyroxine should be administered at which particular time:
What is an hour before breatkfast?
While monitoring a patient who is receiving an infusion of a crystalloid solution, the nurse will monitor for which potential problem.
What is fluid overload?
Name 3 cushiod symptoms.
What are moon face, buffalo hump, HTN, mood swings, inc sodium, dec potassium, osteoporosis, hirtuism, bruising?
This is a diabetic medication that can have the adverse effect of exacerbating heart failure.
What is pioglitazone?
This disease is a rare chronic condition where the adrenal glands do not produce enough hormones, particularly cortisol and aldosterone.
What is Addison's disease?
A contraceptive injection that prevents ovulation and provides effective birth control for up to three months.
What is medroxyprogesterone (Depo-Provera).
This GLP-1 slows gastric emptying, stimulates insulin release after meals, and suppresses appetite.
What is semaglutide?
Which statement related to diet must be included when the nurse provides education to a patient with heart failure who is taking daily doses of spironolactone?
What is decrease K foods from diet?
Name 2 high iodine foods:
What are soybeans, tofu, cod, shrimp, egg, ionized salt, seaweed, milk, fortified breads, tuna, baked potato with skin?
The nurse is administering an IV solution that contains potassium chloride to a patient in the critical care unit who has a severely decreased serum potassium level. Name the action that is inappropriate related to the admission of potassium.
What is giving K in a peripheral IV line?
Name a common folate-antagonist that can be used in a common connective tissue disorder.
What is methotrexate?
Name 4 s/s of hypoglycemia.
What are: increased HR, shaking, sweating, hunger, dizziness, feeling anxious, confusion, bs < 70, unconsciousness, coma
Human GH is effective in stimulating skeletal growth in patients with an inadequate secretion of normal endogenous GH, such as those with hypopituitary dwarfism, delayed bone growth, and are also used for wasting associated with human immunodeficiency virus (HIV) infection.
What is somatropin?
This cancer medication for women can cause hot flashes, night sweats, and vaginal dryness, weight changes, fluid retention, and menstrual irregularities.
What is tamoxifen?
First line medication for Graves disease.
What is methimazole?
The order reads: Give mannitol 0.5 g/kg IV now, over 2 hours. The patient weighs 165 lb and you have a 100-mL vial of 20% mannitol. How many grams will the patient receive? How many milliliters of mannitol will you prepare for this infusion?
What is 37.5 mls?
Which 2 priority laboratory tests does the nurse know are used to monitor thyroid hormone replacement therapy.
What is TSH and thyroid hormones (T3, T4)?
The nurse is preparing an infusion for a patient who has a deficiency in clotting factors. Name the type of infusion is that is most appropriate.
What is fresh frozen plasma?
Nutrition advice for a patient taking prednisone:
What is decrease sodium and increase potassium foods?
A patient with type 2 diabetes has a new prescription for repaglinide. After 1 week, she calls the office to ask what to do, because she keeps missing meals. As the nurse, please provide advice.
What is: "if you skip a meal, skip the med too"
Name 2 contraindications of using oral conctraceptives?
What is smoking, pregnancy, blood clots, breast cancer, stroke, MI, PE
A nurse is caring for a patient who has advanced cancer and has experienced significant unintentional weight loss. The physician prescribes ___________ to stimulate appetite. This medication can also cause edema and deep vein thrombosis.
What is Megace (megestrol)?
A patient is taking an aminoglycoside antibiotic for pneumonia and will also be taking the loop diuretic furosemide because of fluid overload. The nurse will monitor carefully for which potential adverse effect from the interaction of these two drugs?
What is ototoxicity?
The nurse is teaching a patient who has a new prescription for the antithyroid drug propylthiouracil. Patient should avoid which foods:
What are high iodine foods?
When preparing an IV solution that contains potassium, which of these conditions must a nurse recognize as a contraindication to the potassium infusion?
What is a potassium greater than 5.0 (hyperkalemia)?
The nurse is assessing a patient who has developed anemia after multiple rounds of chemotherapy. Name 4 s/s of anemia.
What is: fatigue, hypoxia, SOB, pale skin, dec H and H, dizziness, lightheadedness, cold extremities, irregular heartbeat
Autoimmune destruction of pancreatic beta cells results in absolute insulin deficiency.
What is the pathophysiology of diabetes type 1.
A patient is experiencing, flushing, life-threatening hypotension, and severe diarrhea associated with carcinoid crisis. The nurse will prepare to administer which drug.
What is octreotide?
A 53-year-old client comes to the clinic reporting irregular menstrual cycles over the past year, hot flashes, night sweats, and mood swings.
What is perimenopause/menopause?
This crisis presents with hyperthermia, tachycardia, hypertension, and exaggerated s/s of hyperthyroidism.
What is a thyroid storm?
This class of diuretics decreases preload and afterload.
What are thiazides?
______________works by destroying the thyroid gland. It is a commonly used treatment for both hyperthyroidism and thyroid cancer.
What is radioactive iodine?
This colloid is a natural protein that is normally produced by the liver. It is responsible for generating approximately 70% of the colloid oncotic pressure.
What is albumin?
This is a common metabolic complication of chemotherapy for rapidly growing tumors. It is characterized by the presence of excessive cellular waste products and electrolytes; to include increased uric acid, increased phosphate, increased potassium, and by reduced serum calcium levels.
What is tumor lysis syndrome?
When a patient with type 2 diabetes mellitus takes __________(sulfonyurea), it rapidly stimulates the pancreas to release insulin.
What is glipizide?
This medication can help with bed-wetting.
What is desmopressin?
A nurse is providing discharge teaching to a male client who has been prescribed finasteride for benign prostatic hyperplasia (BPH). Name 2 adverse effects of this medication.
What is loss of libido, loss of erection, ejaculatory dysfunction, hypersensitivity reactions, gynecomastia, and severe myopathy?
During a blood transfusion, the nurse should use a________gauge needle (or larger), observe the patient for the first_________, and administer the blood within a ____________timeframe?
What is 20-gauge,15 mins, and 4 hours?