Name that drug
A patient being treated for tuberculosis reports that their urine and tears have turned an orange-red color. The nurse reassures the patient that this is a harmless side effect of which medication?
Rifampin
When teaching a patient how to use a metered dose inhaler, they ask what the purpose of using a spacer is. What education would you provide to the patient?
What is the normal blood glucose range?
70-100
A trauma patient’s blood type is unknown and they require an immediate transfusion. Which blood type should the nurse administer?
O negative
A nurse instructs a patient to avoid grapefruit juice while taking this antihypertensive medication because it can increase serum levels and cause hypotension. Which medication is this?
Diltiazem
You are caring for a patient with pneumonia and they are having trouble expectorating thick secretions. What nursing intervention will you implement for this patient?
Encourage increased fluid intake to loosen the secretions
A patient with diabetes becomes diaphoretic, anxious, and shaky 1 hour after an insulin injection. The nurse recognized this as
Hypoglycemia
A patient receiving a transfusion develops flushing, dyspnea, and wheezing. What kind of reaction is this?
Anaphylactic
A nurse is about to administer a bronchodilator that provides quick relief of acute asthma symptoms by relaxing airway smooth muscle. The medication is usually given via inhaler. What drug is this?
Albuterol
What should you ask a patient before you give them a PPD test?
Have you ever had a positive PPD test before?
Have you ever had TB in the past?
Have you ever got the BCG vaccine?
This metabolic emergency results from absolute insulin deficiency, leading to hyperglycemia, ketosis, and metabolic acidosis.
DKA
A patient on warfarin has an INR of 6.0 and is slightly confused. What does this value mean and what should the nurse do next?
1. Increased risk for bleeding
2. Hold, notify HCP, monitor for bleeding, prepare to administer vitamin K
A patient with hypertension develops a persistent dry cough after starting a new medication. The nurse knows this adverse effect is most commonly associated with which drug?
Lisinopril
What nutritional therapy should you provide to a patient with COPD?
Rest 30 minutes prior to eating
Eat 5-6 small meals with high calorie and high protein throughout the day
Avoid foods that require a lot of chewing
Fluids in between meals
Put patient on supplemental O2 via nasal cannula while they eat
The nurse knows that this rapid-acting insulin must be administered within 15 minutes of a meal.
Humalog or Novolog
What IV gauge and tubing type is used for administering blood products?
18-20 gauge, y-type with a filter
The nurse is monitoring a patient receiving therapy for heart failure. The patient’s apical pulse is 52 bpm. The nurse withholds the next dose of this cardiac glycoside and notifies the provider. Which medication is this?
Digoxin
pH: 7.31
paCO2: 35mmHg
HCO3: 17 mEq/L
metabolic acidosis, uncompensated
The nurse knows that in DKA the fruity odor coming from the patient's breath is caused by what ketone body?
Acetone
What deficiency does this patient have?
Hemoglobin: 7.5 g/dL
Hematocrit: 22%
MCV: 68 fL (normal: 80-100)
MCH: 22 pg (normal: 27-33)
Iron deficiency, Labs show microcytic and hypochromic