Just Breathe
I will anticipate monitoring this lab when a patient is on long term montelukast (or other leukotriene modifiers) therapy
What is liver function? (Is montelukast treatment or prophylaxis? Would it be PRN?
In order to prevent a medication error when taking a telephone or verbal order a nurse should ?
What is read back the order? (What else can you do to prevent med errors?
A patient is instructed to take this medication for osteoporosis with at least 8 ounces of water and remain upright for at least 30 minutes after taking it
What is alendronate (Fosamax) (what are some risk factors for osteoporosis?)
TRUE or FALSE:
A patient taking somatropin would be expected to experience a slowed or decrease in skeletal growth
What is FALSE
A patient experiencing severe hypoglycemia after a central line administering TPN is abruptly pulled out by the patient should be given THIS as soon as possible
What is Dextrose?
Beta adrenergic agonists can be used to treat asthma by dilating the bronchioles. These other side effects may be expected, especially with non-selective ones
What are tachycardia, tremors, palpitations - what are some examples of what could be used to treat acute asthma attack or bronchospasm/dyspnea?
A patient is prescribed 120mg/hr of furosemide(Lasix). You receive a bag from the pharmacy 500mg in 250mL. How many mL/hr will you set the pump?
What is 60mL/hr
Use of this category of medications is contraindicated for a patient also on sildenafil or other phosphodiesterase inhibitors
What are nitrates (isosorbide mononitrate; nitroglycerin) What in a patient's medical history would warrant reconsideration of prescribing a PDE inhibitors?
A patient with a pituitary hormone deficiency would expect to be on their hormone replacement therapy regimen for how long?
What is indefinitely - (these patients should not stop taking them when symptoms resolve; treatment is not curative)
A patient with an intact GI tract would be given this type of supplemental nutrition?
What is Enteral Nutrition
This common side effect of glucocorticoid use for asthma may occur especially with incorrect use of the inhaler
Oral candidiasis (what can help prevent this?) If a patient is on a bronchodilater as well, which would you expect the patient to take first?
If an order reads: 'Give fentanyl 25mcg every 1-2 hrs as needed for pain'. What do you need to clarify before proceeding?
What is 'the route' (if handwriting is difficult to read, if you take a verbal/phone order, if an alert and oriented patient questions the medication.. seek clarification)
TRUE or FALSE - estrogen patches are the first choice method for prevention of osteoporosis
What is FALSE. (Why not? What are some methods for prevention?) What are some contraindications for estrogen therapy?
As a nurse I may expect a patient to be prescribed this medication to treat diabetes insipidus and expect which therapeutic outcome
What is vasopressin or desmopressin which will reduce urinary output
A patient with severe traumatic burns is given TPN for this reason even if their GI tract is intact
What is improved wound healing? (What is a parameter of central vs. peripherally placed TPN?)
A patient should expect this therapeutic effect from their bronchodilator, aminophylline, (or other bronchodilators)
What is decreased work of breathing? What is an example of another 'xanthine'? What are some patient teaching points with 'xanthines'? What are some indications of toxicity and how can you check?
Patient is prescribed 1000mL to be infused over 12 hours. The IV tubing has a drop factor of 15 gtt/mL How many gtt/min will you infuse? (round to the 10th)
What is 20.8 gtt/min
A patient on androgen therapy would expect to monitor this lab closely
Medication (synthetic hormone) used to diagnose adrenocortical insufficiency (or Addison's disease)
What is cosyntropin (this medication does what?)
A patient with diabetes and THESE telltale symptoms is likely experiencing hyperglycemia
Nausea, excess thirst, headache, frequent urination.. (how would you confirm your suspicion? how would a patient present if HYPOglycemic)
Ipratropium or tiotropium are in this class of medication that can cause side effects such urinary retention, constipation, dry mouth, arthralgia
What is anti-cholinergic.
A patient is prescribed a IM injection weekly of 250mg per dose. The medication is available in 125mg/mL strength. How many mL will you draw for each injection? (round to the nearest 100th)
What is 2mL
Endometrial cancer may be prevented with the use of this hormone replacement therapy?
What is PROGESTIN (why?) (what does the estrogen part of the combined HT treat? What are some other medications that may help relieve menopausal symptoms? What should you monitor if a patient is on clonidine?)
A patient is undergoing dialysis and has multiple medications due shortly before the scheduled dialysis. A nurse's primary nursing action regarding the medications is ______________
What is 'Hold the medication' until dialysis is complete.
A patient on TPN requires these nursing interventions
Monitoring blood glucose, monitoring for infection, measure intake and output (why? what are signs of fluid overload?), weight if possible, daily labs (electrolytes, hydration, etc.)