Most common antibiotic resistant microbe seen in the hospital setting
MRSA (Methicillin resistant staph aureus)
The adrenergic drug used in emergencies to combat a life threatening allergic reaction is
epinephrine (Adrenalin)
Mucolytics are agents used in chronic lung disease to
Break down thick secretions
Which medication will dissolve a clot?
alteplase (Activase)
main ingredient in most OTC sleep aids
diphenhydramine (Benadryl®)
When instructing a client who uses an inhaler about strategies to prevent Candidial infections, what teaching should be included?
Rinse the mouth with water after each use
A patient with a respiratory bacterial infection asks why a sputum sample is being collected before starting antibacterial drug therapy. What is the nurse's best response?
A sputum sample will help us determine which drug will work best against your infection
Why use a steroid inhaler instead of taking a pill, for asthma?
Inhalers work directly in the lungs and cause fewer side effects in the whole body
Good OTC pain relief for someone on coumadin
acetaminophen (Tylenol)
Hypertension, "moon" face, edema, thinning skin, and salt retention are potential side effects of
steroids (Prednisone)
What does the nurse observe with the onset of pseudomembranous colitis
bowel movements
Crystalluria is a common problem with sulfonamides. Nursing interventions to prevent this include:
increase fluid intake
A client taking an antipsychotic medication suddenly gets very hot and confused. What condition is the LPN concerned about?
Neuroleptic Malignant Syndrome (NMS)
A client takes aspirin regularly. Which symptom is of most concern to the nurse
bleeding
intense abdominal pain
What medication schedule (DEA - Controlled Substances Act) will be considered to have a high abuse potential and no acceptable medical use?
Scheduled 1 controlled substances
Pt taking tetracycline for acne complains of a "sore mouth" and his oral mucosa appears inflamed with white patches; what is likely going on?
fungal superinfection
antacids like Mylanta act by
Neutralizing hydrochloric acid (HCL)
The purpose for administering both carbidopa and levodopa (Sinemet) to a patient with Parkinson’s
permits more levodopa to reach the brain and be converted to dopamine
Client is to receive a dose of Humulin R insulin supplied in a vial containing a U-500 concentration. The nurse or client uses which syringe to prepare the dose?
U 500 syringe
Important teaching about someone on oral steroids greater than 2 weeks
For dosing > 2 weeks, you must wean off to avoid adrenal insufficiency
Directions for metformin if that patient is having IV contrast for a CT
Hold the day before, the day of, and two days after the test (renal function has to return)
LPN checks on a client 1 hour after giving a pain medication. The client is asleep and breathing slowly (10 breaths per minute). What should the LPN do first?
Try to wake the client up and have them take some deep breaths
what is the desired effect of taking a daily baby aspirin (81 mg)
decreased platelet function
A client has developed tolerance to oxycodone, an opiate given for pain relief. Which of the following is the best description of tolerance?
The client has a diminished response to the opiates over time
most important action for the nurse to perform before administering a patient's daily dose of digoxin (Lanoxin)
Check the apical pulse for a full 60 seconds