"I AM A PAIN"
IV PAIN MEDS
"DON'T BLEED ON ME"
ANTICOAGULANTS
"UP IN THE AIR"
HYPERTENSION MEDS
"BUG OFF"
ANTIFUNGAL/
ANTIBIOTIC
"JIMMY JOHNS"
DELIVERY METHODS
100
This route of administration is preferable for administration of daily analgesics (if all body systems are functional)
What is oral
100
A patient is being discharged on anticoagulant therapy. The nurse tells the patient to avoid this herbal product
What is ginko
100
This hypertension drug is the first choice for diabetic and renal failure pts.
What is Loop Diurectic
100
Penicillin agents in general are a 1st line therapy for these conditions
What is Upper respiratory infections (streptococci, staphyococci), Pneumonia (pneumococci)
100
The nurse is administering topical nitroglycerin ointment, the nurse would place in this area
What is clean, dry, hairless skin of the upper arms or body
200
A nurse is caring for a cancer patient receiving subcutaneous morphine sulfate for pain. The nurse monitors this closely
What is Respiratory Rate
200
A patient has been anticoagulated with warfarin (Coumadin) for AFib admitted for GI bleeding. The history and physical examination indicates that the patient may have taken too much warfarin. The nurse anticipates that the patient will need to receive this antidote
What is Vitamin K
200
A patient who has been taking antihypertensive drugs for a few months complains of having a persistent dry cough. This class of med is known to have as an adverse effect
What is ACE inhibitors
200
This would be the most important instructions a nurse can give a patient regarding the use of the antibiotic ampicillin prescribed for her
What is take all of the medication prescribed even if the symptoms stop sooner
200
An order is written to start an IV on a 74-year-old client who is getting ready to go to the operating room for a total hip replacement. This would be the correct gauge of catheter that would best meet the needs of this client
What is 18g This is large enough to handle blood products safely and to allow rapid administration of large amounts of fluid if indicated during the perioperative period. An 18-gauge catheter is recommended. A 20-gauge catheter is a second choice. A 21-gauge needle is too small and a butterfly too unstable for a client going to surgery. A 25-gauge needle is too small.
300
A patient is receiving morphine sulfate intravenously (IV) for right flank pain associated with a kidney stone in the right ureter. The patient also complains of right inner thigh pain and asks the nurse whether something is wrong with the right leg. In responding to the question, the nurse understands that the patient
What is experiencing referred pain from the kidney stone.
300
A patient will be receiving a thrombolytic drug as part of the treatment for acute myocardial infarction. The nurse explains to the patient that this drug is used for this purpose
What is to dissolve a clot in coronary artery
300
A client is receiving spironolactone to treat hypertension. The nurse instructs the client to avoid this
What is salt substitutes
300
Cefazolin (Ancef, Kefzol) and Cephalexin (Keflex)
What are 1st generation Cephalosporins
300
This route of administration is preferable for administration of daily analgesics (if all body systems are functional)
What is oral
400
Serious consequences: sterility, cardiovascular diseases, and liver cancer. Schedule III controlled substances by the U.S. Drug Enforcement Administration and misuse of these drugs can lead to psychological or physical dependence or both.
What is Androgens
400
This laxative can cause Magnesium toxicity (with renal insufficiency) and is associated with Cramping Electrolyte imbalances.
What is a saline laxative.
400
Patient is going on lisinopril. The nurse would tell the patient this regarding how the med works
What is It blocks the angiotensin I from turning into angiotensin II, leaving the vessels dilated for better blood flow.
400
This would be a special consideration for the storage of pen V
What is keep refrigerated
400
The nurse is administering an intramuscular (IM) injection. The Z-track method is recommended for IM injections because of this reason
What is "It minimizes local skin irritation by sealing the medication in muscle tissue."
500
Morphine 10 mg IV every 4 to 6 hours prn is ordered for a patient with a pancreatic tumor who has a distant history of opioid abuse. After 3 days of receiving the morphine every 6 hours, the patient tells the nurse that the medication is needed more frequently to control the pain. This would be best initial action by the nurse
administer the morphine every 4 hours as needed These patient data indicate that tolerance for the morphine is developing and more frequent administration is needed to maintain pain control. A weaning protocol is not indicated, since the patient still has the pancreatic tumor and there is no indication that the physiologic basis of the pain has changed. Although the patient may be at risk for addiction, adequate pain management is the priority at present. Alternative therapies may be a useful adjuvant to the morphine but should not be the first nursing action.
500
A client who has been receiving heparin therapy also is started on warfarin. The client asks a nurse why both medications are being administered. The nurse states this is the reason
What is Warfarin works in the liver and it takes 3 to 4 days before the therapeutic effect of warfarin is exhibited
500
Aldactone can cause this side effects?
What is Hyperkalemia
500
This would be the Azithromycin (Zpak) administration
What is Day 1: 2 caps and 1 cap x4D 
500
is commonly used in hospitalized patients as an antiemetic. The preferred route is oral or intramuscular.
What is Phenergan
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