Diet Considerations
As a smarty pants baby nurse you know that while your patient is taking adalimumab they should not consume which of Jenna's favorite foods?
A. Sautéed Spinach with Olive Oil and Garlic
B. McDonalds Cheeseburger with Mac Sauce
C. Spicy Tuna Crispy Rice
D. Penne Vodka with Grilled Chicken
C. Spicy Tuna Crispy Rice
Eat raw sushi while on adalimumab (Humira) because it can increase the risk of infection from harmful bacteria. Adalimumabn(Humira) suppresses your immune system, making it more vulnerable to foodborne illnesses.
Why should Lactulose be used with caution in the elderly population?
Diarrhea induced electrolyte imbalances leading to possible cardiac dysrhythmias or dehydration.
This medication is given in patients with Diabetes Insipidus (DI) since the body is unable to produce it.
Vasopressin
As a new nurse you know (because Jenna was your clinical instructor) which medication should not be given at the same time as Diphenhydramine?
Dilaudid
Both Dilaudid and Benadryl are CNS depressants. When used together, their depressant effects are additive or synergistic, meaning the combined effect is greater than either drug alone
What should the nurse assess for in a patient on Furosemide (Lasix).
A. Cardiac Arrhythmias
B. Urinary Retention
C. Tachypnea
D. Vision Changes
A. Cardiac Arrhythmias
Furosemide is a potassium-wasting diuretic, therefore hypokalemia is common, possibly leading to cardiac rhythm changes.
Your patient is taking escitalopram, what food would you tell them to avoid?
A. Grapefruit
B. Leafy Greens
C. Tyramine rich foods
D. Liver, Eggs, and Cheeses
A. Grapefruit
AI Overview
Your patient is on Dexamethasone to reduce neuroinflammation within the brain s/p a TBI. What additional process may be occurring in the body due to the introduction of this drug?
Hyperglycemia
Memantine is used to treat the symptoms of what disease?
Alzheimer's disease
What is the earliest someone can take disulfiram after alcohol consumption?
A. 6 Hours
B. 48 Hours
C. 12 Hours
D. No time frame.
C. 12 hours
Disulfiram can be taken after having achieved initial abstinence (at least 12-24 hours without alcohol).
Your patient has an order for PO potassium due to her level this morning being <3.5, as the nurse which consideration is correct?
A. Replete the patients potassium at least 2 hours before the patient eats/drinks again.
B. You should question the order due to your patient having an active GI bleed.
C. All forms of PO potassium need to be diluted prior to administration.
B. You should question the order due to your patient having an active GI bleed.
Potassium should be taken with food.
What is primary concern for clients taking monoamine oxidase inhibitors (MAOIs) like phenelzine?
A. Patient has a less than optimal daily water intake.
B. Patient enjoys a nightly charcuterie and cheese board.
C. Patient is a vegetarian.
D. Patient has a lactose allergy.
B. Patient enjoys a nightly charcuterie and cheese board
A dangerous side effect of monoamine oxidase inhibitors (MAOIs) like phenelzine is hypertensive crisis, which is most commonly seen when combined with tyramine-rich food and drinks, such as cheese, red wine, and beer. Patients that develop hypertensive crisis typically present with hypertension, tachycardia, arrhythmias, hyperthermia, and agitation.
What is a common sign of Lidocaine Toxicity?
A. Muscle Twitching
B. Hives
C. Tachycardia
D. Incontinence
A. Muscle Twitching
Your patient has just been diagnosed with Endocarditis and will need to be on antibiotics for 4-6 weeks. which medication will the patient most likely be prescribed?
A. Clindamycin
B. Bactrim
C. Ceftriaxone
D. Clindamycin
A. Ceftriaxone
This drug was once used to assist in diagnosing Myasthenia Gravis by injecting via an IV and monitor the patient for signs of increased muscle strength, such as improved eye movement, with the effects being temporary. This "test" was discontinued in 2018 due to its questionable accuracy.
Edrophonium Bromide (Tensilon)
What is the therapeutic range of Digoxin?
A. 0.5 - 2.0
B. 1.0 - 3.5
C. 3.0 - 5.0
D. 0.25 - 1.5
A. 0.5 to 2.0
Your patient is on Lithium, as you are aware patients on this medication gain increased hunger. As their nurse what is a diet you should avoid?
A. Low Fiber Diet
B. Keto Diet
C. Low Residual Diet
D. Low Sodium Diet
D. Low Sodium Diet.
You should avoid a low-salt (low-sodium) diet while taking lithium because it can cause dangerously high lithium levels in your blood and increase the risk of side effects and toxicity. It is important to maintain a consistent and normal salt intake, as both sudden increases and decreases in sodium can affect lithium levels
When on amitryptaline, what is a possible side effect?A. Insomnia
B. Hypertension
C. Urinary Retention
D. High Blood Glucose
C. Urinary Retention
Due to its significant anticholinergic properties, which affect the bladder's ability to contract and empty properly.
Your patient is s/p valve replacement for their Aortic Valve stenosis, what medication do you anticipate they will be started on?
Warfarin
What is a contraindication to Ondansetron?
Patients with Prolonged QT Syndrome or patients who measure a prolonged QT via EKG
(Normal QTC < 0.45)
Your patient tells you at her primary care office visit she and her husband are trying for a baby. Which medication would you advise her to discuss with her doctor?
A. Tylenol
B. Spironolactone
C. Diphenhydramine
D. Zithromycin
B. Spironolactone
Spironolactone is not recommended during pregnancy due to potential risks, including the feminization of male fetuses, because of its anti-androgen effects.
Your patient has completed chemotherapy for her Breast Cancer and is now on hormonal maintenance therapy. While taking Tamoxifen, which food/bevy should she avoid?
A. Cheese
B. Grapefruit Juice
C. Leafy Greens
D. Caffine
B. Grapefruit Juice.
Grapefruit Juice is known to reduce the effectiveness of Tamoxifen.
Your patient is complaining of bone pain, after reviewing their PMH and current home medications you educate the patient and let them know that what is most likely the cause of the complaint?
Filgrastim
This Beta Blocker has been found to assist in the treatment of addiction and its withdrawal symptoms
Propanolol
Why is Portal HTN and Esophageal Varices a possible contraindication for Albumin?
Albumin expands plasma volume, which can be dangerous for patients at risk of fluid overload. Must be use with caution as this increased pressure could cause bleeding.
As a nurse, you know succinylcholine is avoided in patients is brain injuries for what reason?
succinylcholine has shown to increase ICPs and increase mortality rates.