Medications
Patient Education
Disorders
Infections & Body Processes
Miscellaneous
100

This/these route(s) of medications undergo the first pass effect

What is by mouth (PO)?

100

This is what you would tell a patient taking doxycycline. 

What is wear sun protection?

100

Hemolysis can be described as:

What is the destruction of the red blood cells?

100

This is the cause of GERD

What is weak or incompetant lower esophageal sphincter

100

This the most important side effect to montior for when administering opioids (ex: hydromorphone)

What is respiratory depression

200

Vancomycin (Vancocin) needs to have a trough level drawn during this time

What is before the 4th dose?

200

This is the patient education for cholestyramine (Questran)

What is take 2 hours before or 4 hours after other meds including supplements?

200

This is how you diagnose Hodgkin's Lymphoma.

What is a lymph node biopsy?

200

These are signs of respiratory distress in a child

What are shallow, fast respirations, grunting during expiration, nasal flaring, and inspiratory retractions

200

This is how you would diagnose meningitis

What is a lumbar puncture

300
The provider will order this to monitor the patient's warfarin (Coumadin). 

What is PT/INR?

300

The patient will be told this after being sent home with salmeterol (Severent Diskus).

What is this is not for acute attacks?

300

The following all fall into this category: pregnancy, use of oral contraceptives, postsurgical state, immobility, congestive heart
failure, malignant diseases, genetic disorders (primary)

What is a hypercoaguable state?

300

This is the pathophysiology of ectopic pregnancy

What is when a fertilized ovum implants outside the uterine cavity, often the fallopian tube

Can cause lower abdominal pain, spotting, syncope, referred shoulder pain, amenorrhea

300

This is the cause of diabetic retinopathy

What is hyperglyemia that causes damage to blood vessels that nourish the retina

400

This insulin can cause overnight hypoglycemia because of its peak time of 4-12 hours. 

What is isophane (NPH)

400

This is what you will teach the patient when they are taking adalimumab (Humira).

What are signs and symptoms of infection?

Bonus 100 points if you can name at least four signs of infection. 

400

These are the characteristics, depth, and pain level associated with a full thickness burn

What is extends to the subq tissue (Depth), leathery/stiff/dry/non-blanchable (Characteristics), and no pain 
400

These are the clinical manifestations of a UTI

What are urinary frequency, lower abdominal/back discomfort, burning and pain with urination (dysuria), cloudy and foul-smelling urine, change in mental status (older adults), unexplained fever

400

This is a unique nursing implication of epinephrine (Adrenalin)

What is checking POC blood glucose levels q30 mins

(You would administer regular insulin IV if needed)

500

These are the side effects of bumetanide (Bumex).

What is hypokalemia, dehydration, hypotension, ototoxicity?

500

When the patient asks if there is anything they need to know about using ethinyl estradiol/etonogestrel (NuvaRing) you will tell them this. 

What is you may experience vaginal discomfort, nausea, vaginal spotting, and thrombolitic events. Points will be given if: "the ring will be inserted for 3 weeks then removed for 4th week for 7 days.

500

These are 5 causes of tinnitus

What is impacted serum, noise-induced hearing loss, presbycusis, hypertension, atherosclerosis, head injury, cochlear or labryinthine infection

Will also accept medications that have a side effect of tinnitus

500

These are the differences between the s/s of left-sided versus right-sided heart failure

What is....

R-sided: congestion of peripheral tissues. This causes edema and ascites, GI tract congestion (anorexia, wt loss), liver congestion

L-sided: decreased cardiac output and pulmonary congestion. This causes pulmonary edema, issues with gas exchange, cyanosis, hypoxemia, cough with frothy sputum 

500

These antihypertensives lower heart rate

What are...

- beta blockers (ex: metoprolol)

- NONselecive calcium channel blockers (diltiazem and verapamil)

- adrenergic blockers (carvedilol and labetalol)

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