Acid Controlling/Bowel Disorder Drugs
a. Proton Pump Inhibitors
b. H2 Receptor Antagonists
c. Antacids
D. GI protectants
What is B. H2 Receptor Antagonists
rationale: H2 Blockers (famotidine, ranitidine, cimetidine, nizatidine) block histamine 2 recptors on gastric parietal cells --> less acid production.
A nurse is teaching a patient about insulin. Which of the following is the primary action of insulin?
A. Moves glucose into cells for energy
B. Stimulates glucose production in the liver
C. Converts glycogen to glucose
D. Increases glucose excretion in the urine
What is A. moves glucose into cells for energy
A condition where breathing slows down or becomes shallow, resulting in inadequate oxygen intake and carbon dioxide buildup in the body, the most common side effect of opioids
What is respiratory depression?
You should avoid foods with tyramine while using this medication
what are MAOIs?
This drug helps with initiating and staying asleep
A patient is prescribed omeprazole. Which nursing consideration is most important to monitor during long-term therapy?
a. Kidney Function
b. Risk for Osteoporosis-related Fractures
c. Heart Rate
d. Liver enzyme Levels
What is B. Risk for osteoporosis-related fractures
Rationale: Long term use of PPIs can reduce calcium absorption, increasing risk for osteoporosis related fractures.
A patient is prescribed metformin (Glucophage). Which adverse effect should the nurse monitor for?
a. Hypoglycemia
b. lactic acidosis
c. hyperkalemia
d. bradycardia
What is B. Lactic Acidosis
When getting rid of a patch of this drug, you should ensure appropriate disposal so babies and dogs don't get to it.
What is lidoacaine?
A syndrome that involves pressured speech, hypertension, tachycardia, muscle rigidity and mydriasis
What is Serotonin syndrome
You should avoid driving while taking these kind of medication
What are antispasmodics?
When teaching a patient about sucralfate (Carafate), the nurse should include which instruction?
a. Take with meals for best absorption
b. Take 1 hour before meals and at bed time
c. Take with antacids to improve coating
d. Take immediately after meals
What is B. Take 1 hour before meals and at bed time
Rationale: Sucralfate forms a protective barrier over ulcers. It should be taken before eating and 2 hours after other meds to prevent absorption interference
a. hyperglycemia
b. hypoglycemia
c. lactic acidosis
d. hyperglycemic hypoerosmolar state
what is b.hypoglycemia
A long acting opioid agonist
What is methadone?
A drug that has a side effect of drug-reaction w/ eosinophilia and systemic symptoms (DRESS)
What is phenytoin (Dilantin)
This is the preferred medication for ADHD because there is no side effect of sudden death
What is atomoxetine?
A patient taking loperamide for diarrhea reports drowsiness and has not had a bowel movement in 3 days. What is the nurse's best action?
a. administers the next scheduled dose
b. hold the medication and notify the provider
c. encourage the patient to ambulate
d. give a dose of magnesium hydroxide to counteract constipation
Rationale: Loperamide can slow GI motility and cause constipation.
A patient recieves lispro (Humalog) at 0730. At what time should the nurse be most vigilant for hypoglycemia?
A. 0735-0745
B. 0800-0830
C. 0800-0900
D. 1030-1100
what is C.0800-0900
(Peak 0.5-1.5 hours after administration)
A medication used for both opioid and alcohol use disorder
What is naltrexone?
This second generation antipsychotic has the unique side effects of NMS and agranulocytosis
What is clozapine?
What is sumatriptan (Imitrex)
A patient is prescribed polyethylene glycol 3350 (MiraLax) for chronic constipation. Which of the following nursing interventions are appropriate? Select all that apply:
A. Assess bowel movement frequency and consistency
B. Ensure the patient drinks enough fluids with each dose
C. Monitor for abdominal cramping or bloating
D. administer the laxative immediately before bedtime for maximum effect
What is A,B,C
Rationale: monitoring bowel frequency and consistency ensures therapeutic effectiveness. Adequate fluid intake is essential for osmotic action. Abdominal cramping can indicate overuse of intolerance.
A hospitalized patient is lethargic, diaphoretic, and has a blood glucose of 42mg/dL. IV access is available. Which interventions should the nurse implement? Select all that apply:
A.Administer 50%
B.Give glucagon IM
C. Monitor blood glucose and LOC q15 minutes
D. administer glargine (Lantus) insulin
What is A,C,
Administer 50% dextrose IV push, monitor blood glucose and LOC q15 min.
A fatal side effect of naloxone(Narcan)
what are ventricular arrhythmias?
The therapeutic range for lithium
What is 0.6-1.2 mEq
You should only use this sleep aid for a max of 10 days
What is eszopiclone (Lunesta)