My heart
Name an anticoagulant?
Heparin or Warfarin (Coumadin)
Name an antiplatelet?
Aspirin or Clopidogrel (Plavix)
What is the antidote for Warfarin?
Vitamin K
What is the brand name for Losartan
Cozaar
Name a thrombolytic drug?
TPA (tissue plasminogen activator) or alteplase, reteplase, streptase, streptokinase, anistreplase.
Low platelet
What is the antidote for heparin
Protamine sulfate
What are the adverse drug reactions associated with Losartan?
Angioedema, headache, dizziness, hypotension & insomnia.
Potassium
Diuretics, Barbiturates, Aminoglycosides or Corticosteroids
6 hours
What are client interventions for Losartan?
Naloxone (NARCAN)
1000
Which actions by the nurse while administering enoxaparin sodium (Lovenox) are the most correct?
What are the therapeutic uses for spironolactone?
Treats HTN and symptoms of HF following an MI.
Cipro
Methotrexate, Naprosyn, ASA , Plaquenil
Before administering sodium polystyrene sulfonate (Kayexalate) to a client with hyperkalemia, the nurse should assess for:
Bowel Sounds
What is the brand name for Spironolactone?
Aldactone
Zinc, Vitamin E, Magnesium, Iron
Which over-the-counter drug could be dangerous if taken in conjunction with clopidogrel (PLAVIX)?
What are the adverse drug reactions associated with Spironolactone?
Hyperkalemia
Which cardiac medications calms the heart and/or lowers the BP or HR?
Ace inhibitors, Beta blockers, Calcium Channel Blockers, Digoxin, Diuretics
When should Digoxin be held?
Apical pulse rate for a full minute that is 60 beats or less
Potassium 3.5 or less
N/V, dizziness and fatigue=Dig toxicity >2.0
A 78-year-old patient is prescribed cyclobenzaprine hydrochloride (FLEXERIL)for low back pain. The nurse is alert to which anticholinergic side effect?
Which sign would be of most concern if observed in the patient taking azithromycin (Zithromax) and warfarin (COUMADIN)?
What are therapeutic uses for Losartan?
Treats HTN & HF, prevents stroke, manages diabetic neuropathy, prevents migraine headaches.
The nurse answers questions of the children of a patient with mild Alzheimer’s disease. Which statement by the daughter indicates understanding of the drug donezepil (ARICEPT)?
Which instructions are most important for the nurse when teaching a client with hypertension about clonidine (CATAPRES)?
Which of the following is the analgesic of choice for burn pain?
Morphine sulfate
A patient asks the nurse to explain why the doctor changed his arthritis medicine from prescription strength ibuprofen (Motrin) to celecoxib (Celebrex). Which statement by the nurse is the best response?
A patient calls the clinic at 4:30 pm to ask the nurse what to do about his missed dose of digoxin (LANOXIN). He reported that he forgot to take his 9:00 am dose today. What should the nurse tell the patient about the missed dose?
The nurse is caring for a hospitalized client who asks for a prescription for his seasonal allergies. The primary provider orders fexofenadine (ALLEGRA). What is the main action of this medication?
The nurse questions and examines a patient daily prior to fluoruracil (5-FU) treatment. Which assessment findings should the nurse communicate immediately to the primary provider?
A patient is taking co-trimoxazole (BACTRIM). Which of the following signs would be of greatest concern?
The nurse is evaluating the effectiveness of education related to dietary management of hypercholesterolemia for a patient initiating a trial on ezetimibe (ZETIA). Which menu selection by the patient indicates an understanding of a heart-healthy diet?
A mother of a child just diagnosed with a viral respiratory infection asks the nurse why her child cannot get a prescription for amoxicillin (AMOXIL). The mother indicates that her child’s best friend had the same respiratory symptoms and received amoxicillin (AMOXIL). What is the nurse’s best reply?
Which potential nursing diagnoses are high priorities for an ambulatory geriatric patient receiving furosemide (LASIX)? Select all that apply.
A patient is admitted to the ICU after a craniotomy. As the nurse administers a 4 mg dose of IV dexamethasone sodium phosphate, the parents ask questions about the medication. What is the most likely purpose for the patient receiving this drug?
What is the therapeutic range for INR?
INR for Heart valve replacements?
2-3
2.5-3.5
Which drug is used to treat amebas in the intestines?
Which assessment finding for a pregnant woman with preeclampsia alerts the nurse to possible toxic effects of magnesium sulfate?
A client with chronic renal failure is scheduled for hemodialysis this morning is due to a daily dose of lisinopril. The nurse should plan to administer this medication:
Which type of insulin has an onset of 1-2 hours?
Patient is receiving a heparin gtt and bleeding is noted from the IV site, what is the nurse priority actions?
Stop the gtt and notify the MD, prepare the antidote and reassess the labs in 1 hour.
Which vitamin deficiency is common in patients taking isoniazid (INH)?
A new mother who wants to breastfeed her baby asks the nurse if she should when she is taking antiretroviral drugs including abacavir (ZIAGEN). Which response by the nurse is correct?
A patient is started on tamsulosin hydrochloride (Flomax). Which instruction by the nurse is the most critical at the start of drug therapy?
T/F? Antibiotics can increase the risk for bleeding?
True
INR is increased and the antibiotics kills the intestinal bacteria therefore killing the bacteria that produces vitamin K.
T/F? Warfarin is taking life long for patients with Afib or artificial/mechanical heart valve replacements?
True
The HCP added an antihyperglycemic agent, metformin hydrochloride extended-release tablets (GLUCOPHAGE XR), to the patient's management plan. How should he nurse instruct the patient to take this medication?