Prioritization
Client is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?
Check their vital signs
Morphine and Acetaminophen
What is Respiratory depression?
What is liver impairment?
When do we hold a blood pressure medication
parameters not met, low BP, low HR
Albuterol
Beta2 adrenergic receptor; bronchodilation
Pregnant women on warfarin
NO, do not take! Contraindicated in pregnancy!
For 100 bonus points what is a safe OTC analgesic medication for pregos?
Nitroglycerin should never be taken if the client is also on what type of mendication
phosphodiesterase inhibitors aka erectile dysfunction medications
When should Alendronate be taken?
In the morning before breakfast AND clients need to stay up (sitting or standing) for at least ONE hour ofter their dose.
Potassium
3.5 to 5.2
for bonus 200 points what do we give to someone has a critically high potassium level?
Vancomycin
You are administering Penicillin G by intermittent IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should you take first?
Stop the infusion
rifampin
What are red-orange body fluids?
True or false it is safe to take Amoxicillin-clavulanate if you have a PCN allergy?
FALSE
How do you administer ophthalmic ointments
into the conjunctival sac
Heparin
Heparin does not dissolve clots. It stops new clots from forming.
When should diuretics be administered?
Not close to bed time! Morning time or earlier in the day.
Compliance with Phenytoin (Dilantin)
What is do not stop this medication abruptly, withdrawal seizures may occur if not titrated?
medications that end in LOL are
beta blockers
BUN
7-20
metronidazole
metalic taste
What priority assessment is done before and after administration of morphine?
respiratory
erythromycin
What is Ototoxicity?
True or False: it is safe to give NSAIDs to a client with an active GI bleed?
What position should a client be placed in when administering a rectal suppositiory?
Sims
prednisone
suppresses the immune system, decreasing inflammation
Why should clients wash/ rinse out their mouth after receiving fluticasone/salmeterol
to prevent thrush
your clients states they take aspirin for the peptic ulcer pain, how do you education them?
Aspirin/NSAIDs are not recommend for patients with GI ulcers due to risk for GI bleed, but it is safe to take acetaminophen.
medications that end in PRIL are
Ace Inhibitors
for bonus 200 points what are 2 of the most common AE of these drugs?
What diuretic puts clients at risk for both hyperkalemia and hyponatremia
spirinolactone
After a dose of PCN a client begins to experience dyspnea and tongue swelling, what medication order should you anticipate?
epinephrine, ASAP!!! STAT!!! NOW!!!
for bonus 100 points how do we know this treatment was effective?
methotrexate
bone marrow suppression
Your patient has a surgery scheduled tomorrow but they have been on blood thinners... what should you do?
Notify the MD ASAP patients should typically be off all blood thinners 3-5 prior to any surgery.
oral vancomycin is indicated for treatment of which superinfection?
What is c-diff
for bonus 100 point what other superinfection does Vanco treat?
Levodopa/carbidopa
increases dopamine in the brain, used for treatment of parkinson's disease
Excessive IV fluid therapy (at least 2)
Edema, bounding pulses, weight gain, shortness of breath, hypertention
Should I take my propranolol before my inhaler?
Propranolol is a beta-blocker and can cause bronchospasm, please notify your PCP ASAP about your Asthma.
Indication for enaxoparin
post op and general prevention of clot (DVT, PE, CVA, MI) and treatment of a clot
What is a normal INR when on warfarin?
IRN 2.0 to 3.0
For bonus 100 points what medication would be administered if INR was very high?
When giving propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions
Asthma
Anticholingeric effects (list 4)
A newborn who has respiratory depression what do we give?
naloxone
metoclopramide
increase peristalsis, promoting gastric emptying
Blood thinners (at least 4)
soft bristle tooth brush, electric razor, home fall prevention strategies, go to ED ASAP if fall and hit head
Your client wants to stop taking their lactulose because they are no longer constipated but they are taking lactulose for liver failure, what do you educate the client about how this medication helps with this condition?
lactulose is used to decrease levels of ammonia in the bloodstream
These are s/s of digoxin toxcity.
What are nausea, dizziness, vision changes, confusion? (Check VS)
What are peak and trough, when are they done?
A way to monitor medication with narrow therapeutic index. Peak 30 min after a dose and Trough immediately before a dose.
benzodiazepines (at least 4)
sedation, dizziness, confusion, impaired coordination, memory problems, respiratory depression