Side Effects
What are some common side effects of NSAIDs?
GI upset, diarrhea, vomiting, nausea, anorexia, abdominal pain
Bonus Points: What type of medications can you give to help alleviate symptoms?
What type of medication would be prescribed in a patient with Hepatitis B?
Antivirals
Bonus Points: Name an antiviral medication
After a thyroidectomy, the client exhibits tremors and carpopedal spasms. They report feeling tingling in their fingers and around their mouth. What medication would the nurse expect the primary health care provider to prescribe?
Calcium gluconate. The patient is exhibiting signs of hypocalcemia.
Before administering digoxin, what should be assessed first?
Assess apical heart rate for one full minute (hold if less than 60 bpm)
Which is the priority nursing intervention for a young infant who has an intravenous (IV) line in place after undergoing abdominal surgery?
A. Administering oral fluids
B. Limiting handling by the parent
C. Weighing diapers after each voiding
D. Maintaining patency of the intravenous infusion
D. Signs of obstruction or infiltration must be detected, and, if needed, a new means of circulatory access must be obtained quickly.
What is the main adverse effect of Loop and Thiazide diuretics?
Hypokalemia
Name the three types of diuretics
Bonus Points: What does each one do?
A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. Which intervention would the nurse offer?
A. Have the child rest as much as possible.
B. Check the child's eosinophil count daily.
C. Prevent exposure of the child to infection.
D. Restrict oral fluids while on prednisone.
C. Prevent exposure of the child to infection
Before the administration of Coumadin, what values need to be obtained from the lab?
PT and INR
What are some possible manifestations you would see in a patient who was prescribed thyroid hormone replacement therapy and uses it excessively?
Palpitations, Nervousness, Tremor, Weight loss, Muscle Weakness, and Heat Intolerance are all signs of hyperthyroidism
Which information from the client's history does the nurse identify as a risk factor for developing osteoporosis?
A. Receives long-term steroid therapy
B. Has a history of hypoparathyroidism
C. Engages in strenuous physical activity
D. Consumes high doses of the hormone estrogen
A. Increased levels of steroids will accelerate bone demineralization
What is the onset and duration of Insulin Aspart?
Onset: 10-20 minutes
Duration: 3-6 hours
Which statement provides evidence that the client understands the discharge instructions for the prescribed high-dose penicillin?
A. "I should take this medication with meals."
B. "I can stop taking this medication when I feel better."
C. "I will miss eating my yogurt while taking this medication."
D. "I must increase my intake of fluids while taking this medication."
D. High-doses of penicillin are nephrotoxic
After a thyroidectomy, what medication is typically prescribed to replace the production of the T4 hormone?
Levothyroxine
Bonus Points: How long does a typical levothyroxine therapy last?
What types of medications should be "banned" in asthma patients?
Beta blockers
Aspirin
NSAIDS
A client reports nausea, vomiting, and seeing a yellow light around objects. A diagnosis of hypokalemia is made. Upon a review of the client's prescribed medication list, which medication would the nurse determine is the likely cause of the clinical findings?
A. Digoxin
B. Furosemide
C. Propranolol
D. Spironolactone
A. These are signs of digitalis toxicity
Benzodiazepines are mainly prescribed for...?
Acute anxiety, sedation/muscle relaxant, seizures, alcohol withdrawal
Bonus points: What is the antidote?
Propylthiouracil (PTU) is typically prescribed to a patient with what condition?
Hyperthyroidism. PTU interferes with the synthesis of thyroid hormone
Which client taking rifampin for the treatment of tuberculosis presents a specific concern for the nurse?
A. 45-year-old taking a loop diuretic
B. 26-year-old taking oral contraceptives
C. 32-year-old taking a proton pump inhibitor
D. 72-year-old taking intermediate-acting insulin
After the administration of an inhaled corticosteroid, rinsing the mouth decreases the risk of contracting what condition?
Thrush: a type of yeast infection
A. Extrapyramidal Syndrome
B. Akathisia
C. Acute Dystonias
D. Tardive Dyskinesia
A, B, C, D.
Name the drug used to treat hyperthyroidism and hypothyroidism
Proplythiouracil (PTU) and Levothyroxine
Which insulin should the nurse prepare for the emergency treatment of ketoacidosis?
Insulin aspart
A patient is prescribed alendronate for the treatment of osteoporosis. What is some patient education you can provide regarding the medication? Select all that apply.
A. Stay upright for 30 minutes
B. Take with food to help prevent upset stomach
C. Encourage increased intake of calcium & Vitamin D
D. Encourage weight-bearing exercises
E. NSAIDs can help prevent stomach discomfort
A, C, D.
B. Take it on an empty stomach with only water.
E. Taking NSAIDs can increase the risk of GI ulcers
Order the following insulin from Rapid, Short, Intermediate, and Long-acting...
1. Novolog
2. Novolin N
3. Lantus
4. Humilin R
Rapid = Novolog
Short = Humilin R
Intermediate = Novolin N
Long = Lantus