Cardiac II Pharmacology
The nurse is instructing a patient on the importance of eating foods rich in potassium while taking a diuretic that causes hypokalemia. Name 2 diuretics that require potassium supplements and diets rich in potassium?
furosemide and hydrochlorothiazide
The LPN is teaching a patient about the proper use of inhalers for her new diagnosis of asthma. The LPN is correct in educating the patient that which inhaler should be used as a rescue inhaler for acute asthma exacerbations?
Albuterol
The LPN is preparing an NPH insulin injection that consists of an insulin suspension (liquid with particles that will settle on standing). What should the nurse do prior to drawing up this insulin and how?
Gently roll the vial back and forth.
The school nurse explains to group of adolescents at the school health fair that this medication is an effective anti-acne agent but causes birth defects and students should not be pregnant or become pregnant for at least a year once it is discontinued.
Accutane
3 components of seizure precautions.
Turn on side, suction, keep safe, don't put anything in their mouth, start time, end time
Which medication would be of most help to increase myocardial contractility and the strength of the heart’s contractions in a patient with heart failure?
Digoxin
The client tells the nurse that her nasal congestion initially improved while using oxymetazoline (Afrin) for nasal congestion, but has now become worse after 7 days of use. What is possibly occurring?
Rebound congestion
3 signs and symptoms of hypothyroidism
Fatigue, cold sensitivity, constipation, dry skin, and unexplained weight gain
In the emergent phase of treatment for a patient with a third degree burn, this is the most important complication the nurse must watch for and prevent first:
Hypovolemia/Hypovolemic Shock
2 signs of increased ICP
Vomiting, ataxia, nausea, increased confusion and headache
What is the antidote to warfarin?
Vitamin K
What is the antidote for heparin?
Inhaled corticosteroids increase a patients risk for what if the mouth is not rinsed after use?
thrush
List three major endocrine glands.
The major organs of the endocrine system include the: 1. Hypothalamus 2. Pituitary 3. Thyroid gland 4. Parathyroid glands 5. Thymus gland 6. Pineal gland 7. Pancreas 8. Adrenal glands 9. Gonads
Propranolol, gabapentin, and baclofen are drugs that could be indicated for this type of pain occurring after an amputation.
Phantom limb pain. Beta blockers (propranolol) are indicated for constant, dull, burning pain. Antiepileptics (gabapentin) are indicated for sharp, knife-like pain. Antispasmodics (baclofen) are indicated for muscle spasms. Opiods (like morphine) are effective for incisional and residual limb pain (post op pain).
The client presents with fever, chills, positive Kernig and Brudinski as well as nucchal rigidity. What disorder is suspected here?
Meningitis
What is the greatest risk to a patient who received Alteplase?
Why would a patient receive alteplase?
What type of patients should avoid taking antihistamines due to their mechanism of action?
Glaucoma, BPH
Which two hormones are produced by the pancreas to regulate blood glucose levels?
Insulin and glucagon
Patient was discharged after a total knee replacement. Redness and warmth in calf after discharge may be evidence of this type of post operative complication.
DVT
What do you never do to the leg of a patient with a DVT?
What other conditions could occur from a DVT?
What does the acronym for stroke recognition BEFAST stand for?
Balance, eyes, face, arms, speech, time
What serious musculoskeletal adverse effect is associated with statin drugs?
Rhabdomyolysis
What assessment findings would we look for?
What can this lead to if not treated?
Before administering albuterol to a client, which pre-admission assessments should the nurse complete?
BP, Pulse, Lung Sounds, RR
Which lab values would you anticipate seeing for a client diagnosed with hyperthyroidism?
↓TSH, ↑ T3, ↑ T4
You are assessing the CMS of your patient with a cast. The findings from your assessment include pain, paresthesia, pulse deficit, pallor, and paralysis of the affected limb. What are you concerned about?
Compartment syndrome
What do you do next?
Diagnosis of stroke (including extent of involvement) is accomplished with these two tests.
CT and MRI