Oh Come On...
Seriously??
I Got This!
Say What??
Give Me a Break
100
Vitamin K and Protamine Sulfate
What are the antidotes to coumadin and heparin respectively?
100
Assessments required prior to administering metoprolol
What are apical pulse, blood pressure, and lung sounds?
100
These medications are contraindicated in patients with CHF, COPD, and asthma
What are Betablockers?
100
Patient teaching for a patient who needs to take Nitroglycerine sublingual tablets
What is sit or lay when taking, take tablets 15 minutes apart, if you need to take a 3rd dose call 911, wear medic alert bracelet,
100
The goal with a patient who has angina pectoris
What is to increase oxygenated blood to myocardium by dilating coronoary and systems blood vessels?
200
"-pril"
"-olol"
What are the endings for Ace Inhibitors and Beta Blockers?
200
They produce general dilation of systemic veins and arteries which decreases preload resulting in vasodilation and in increase in perfusion to the heart muscle.
What are nitrates?
200
Visual disturbances, headache, nausea, vomiting, anorexia, extreme fatigue
What are the signs of Digoxin toxicity?
200
5 assessment criteria to monitor in a patient receiving Digoxin
What are BP, AP, I&O, weight, edema?
200
Route, needle size, administration considerations for administering lovenox/heparin
What is SQ, 25-27 gauge, abdomen, do not aspirate, rub, rotate sites, dual sign off.
300
Chest pain that occurs because of a mismatch between oxygen supply and demand
What is angina pectoris?
300
The time of day Statins are given and why?
What is in the evening because cholesterol is manufactured at night?
300
Nursing considerations for a giving nitroglycerine paste or patches.
What is wear gloves, do not touch the paste or patch, remove prior patch and document, rotate sites, place on non hairy location, place above the elbow and knees?
300
The first line of treatment for essential hypertension
What are diuretics?
300
Adverse effects are muscle pain/weakness that can lead to rhambomyolyss
What is lipitor?
400
This results from an inadequate pumping of the heart.
What is Congestive Heart Failure or "CHF"
400
Electrolyte to monitor in patients taking digoxin and lasix.
What is potassium?
400
3 classes of medications that treat CHF (must get 2 to get full credit)
What are Cardiac Glycosides, Adrenergic agonists, and diuretics?
400
True or False- Anti-coagulants dissolve blood clots. If false, give the correction
False- they prevent formation and/or extension of existing clots
400
These medications cause vasoconstriction resulting in blood going to the heart and a rise in blood pressure. Give an example.
What are Adrenergic Agonists? What is epinephrine?
500
Dietary considerations for patients taking anti-coagulants
What is don’t eat large amounts of green leafy vegetables (spinach), tomatoes,
bananas, or fish. They contain Vitamin K and may decrease anticoagulation?
500
The information you must provide to your clinical instructor prior to giving Lasix. Must give at least 3 and 2 in particular must be included.
What are potassium level, BP, I&O, daily weight, lung sounds?
500
Name at least 3 of the 5 groups of diuretics
What are Thiazide, loop, K sparing, osmotic, thiazide- like
500
The medication that has a longer half life- Heparin or Coumadin?
What is coumadin?
500
An example of a normal and a high dose of furosemide (Lasix).
What is 20 mg (normal) 120mg (high)
600
A patient is started on oral Lasix (furosemide) 40mg BID. The nurse would question administering the medicine if the serum potassium level was:
1. 3.8mEq/L
2. 4.2mEq/L
3. 2.5mEq/L
4. 6.1mEq/L
What is 2.5 mEq/L?
600
What lab results are monitored to assess for the therapeutic effects of coumadin? Select all that apply.
1. Activated partial thromboplastin time (APTT)
2. Prothrombin time (PT)
3. Iron
4. International normalized ratio (INR)
What are PT and INR?
600
The nurse is preparing to administer Plavix (clopidogrel bisulfate). Which statement is true of this medication?
1. It will decrease the heart rate so the heart doesn't work so hard
2. It will decrease cholesterol level.
3. It will help prevent the blood from clotting in the arteries around where a stent was placed
4. It will decrease blood pressure.
What is it will help prevent the blood from clotting in the arteries around where a stent was placed?
600
A patient is receiving a diuretic. Which patient assessments reflect a therapeutic response to the diuretic therapy? Choose all that apply:
1. Decreased weight
2. increased appetite
3. increased urine output
4. increased blood pressure
5. decreased calcium level
What is decreased weight and increased urine output?
600
A patient is anxious about the heparin therapy that has been ordered. The nurse explains that the purpose of heparin therapy is to:
1. Promote healing of phlebitis
2. Decrease the time it takes for blood to clot
3. Increase the time it takes for blood to clot.
4. Dissolve a clot in the vascular system.
What is increase the time it takes for the blood to clot?