Neurological
This type of diet can interfere with the absorption of carbidopa-levodopa, potentially reducing its effectiveness in treating Parkinson’s disease.
What is a high-protein diet?
Patients with renal insufficiency should use caution when taking this NSAID, as it can further impair kidney function and increase the risk of acute renal failure.
What is ibuprofen?
To ensure proper absorption, patients taking risedronate should be instructed to take the medication with a full glass of water and remain upright for at least this amount of time after administration.
What is 30 minutes?
Cimetidine works by blocking this specific receptor in the stomach, reducing acid production and helping to treat conditions like ulcers and gastroesophageal reflux disease (GERD).
What is the histamine (H2) receptor?
Finasteride can lower this lab value, which is commonly used to screen for prostate cancer, potentially making it more difficult to detect prostate abnormalities.
What is prostate-specific antigen (PSA)?
An order is placed to give 500mL of 0.9% normal saline at 125mL/hr. The nurse starts the infusion at 1500. What time will the infusion be finished?
What is 1900?
Donepezil improves cognitive function in Alzheimer's disease by inhibiting this enzyme, which breaks down acetylcholine in the brain.
What is acetylcholinesterase?
To avoid the risk of liver toxicity, the maximum recommended daily dose of acetaminophen for an adult is this many milligrams.
What is 4,000 milligrams?
Long-term use of prednisone can suppress the production of this hormone, which can lead to a condition called adrenal insufficiency if the medication is abruptly discontinued.
What is cortisol?
Omeprazole is commonly prescribed for short-term treatment of this condition, where stomach acid causes an open sore in the stomach or duodenum lining.
What is a peptic ulcer?
Methylergonovine, a drug used to manage postpartum hemorrhage, is contraindicated in patients with this condition.
What is hypertension?
Order: Ancef 750mg in 100mL 0.9% NaCl to run over 45 minutes q8h. The drop factor on the tubing is 15 drops/mL. What drip rate will the nurse use to administer the medication?
What is 33 drops per minute?
Nurses should teach patients taking phenytoin to maintain good oral hygiene to prevent this common side effect involving gum overgrowth.
What is gingival hyperplasia?
When discontinuing zolpidem, it is important to gradually reduce the dosage to prevent this common withdrawal symptom.
What is rebound insomnia?
Benadryl can cause this class of side effects, which may lead to dry mouth, constipation, and urinary retention.
What is anticholinergic effects?
Both cimetidine and omeprazole can cause this type of side effect, especially in elderly patients.
What is confusion or delirium?
A rare but serious side effect of methylergonovine, can occur when excessive fluid is retained, potentially causing confusion, seizures, or coma.
What is water intoxication or hyponatremia?
Calculate Patient A's intake in mL:
0.5L water
2oz ice chips
3T broth
Continuous IV infusion of 0.9% NS @ 105mL/hr x 8hr
What is 1414.3mL?
When administering haloperidol, nurses should monitor the ECG for this cardiac abnormality, which increases the risk of ventricular arrhythmias.
What is QT interval prolongation?
This medication is administered to reverse the effects of opioid overdose, especially respiratory depression, and may need to be repeated due to its shorter half-life compared to most opioids.
What is Narcan (naloxone)?
Because zidovudine can cause bone marrow suppression, it is important to monitor this lab value regularly.
What is hemoglobin?
Ondansetron can prolong this part of the ECG, which increases the risk of a serious arrhythmia, particularly in patients with electrolyte imbalances or those on certain other medications.
What is the QT interval?
This condition, where the baby's head is too large or the pelvis is too small to allow for vaginal delivery, is a contraindication to oxytocin, as the medication could increase the risk of uterine rupture or fetal distress.
What is cephalopelvic disproportion (CPD)?
An order is written to infuse amiodarone 450mg/250mL at 33mL/hr for 6 hours. The patient weighs 220lbs. How many total grams of the medication will the patient receive after the infusion is complete?
What is 0.36g?
These drug-induced movement disorders, including dystonia, akathisia, and parkinsonism, are grouped under this term and are common side effects of antipsychotics.
What are extrapyramidal symptoms?
This opioid is approximately 100 times more potent than morphine, which is why it requires careful monitoring during administration.
What is fentanyl?
Prednisone can increase the risk of this bone condition, so patients may be prescribed calcium and vitamin D supplements to help prevent it.
What is osteoporosis?
Ondansetron should be administered at least 30 minutes before the expected onset of symptoms for this condition, which involves nausea and vomiting due to travel or movement.
What is motion sickness?
Taking sildenafil with this medication, commonly used to treat angina, can cause a severe drop in blood pressure, leading to dizziness, fainting, or even shock.
What is nitroglycerin?
An order is written for labetalol 40mg IV push every 10 minutes until the blood pressure is lower than 140/90mmHg. The vial supplied by pharmacy is 100mg/20mL. What volume will be administered per dose?
What is 8mL?
Nurses should this electrolyte level closely in patients taking lithium because this electrolyte imbalance can increase lithium reabsorption and risk of toxicity.
What is hyponatremia?
This antidote is used to treat acetaminophen overdose by replenishing glutathione stores in the liver and preventing further liver damage.
What is Mucomyst (acetylcysteine)?
Risedronate, a bisphosphonate used to treat osteoporosis, can increase the risk of this electrolyte imbalance, which may lead to muscle spasms, tingling, and seizures if left untreated.
What is hypocalcemia?
Long-term use of omeprazole can increase the risk of this potentially life-threatening infection, as the medication reduces stomach acid, which normally helps kill harmful bacteria.
What is Clostridium difficile (C. diff) infection?
Methylergonovine is primarily used to manage this condition following childbirth by stimulating uterine contractions.
What is postpartum hemorrhage?
The provider orders propofol to infuse at 35mcg/kg/min for an intubated patient. The bottle of propofol has a concentration of 1000mg/100mL. The patient weighs 72kg. What rate will the nurse set the infusion pump?
What is 15.12mL/hr?
The motor symptoms of Parkinson’s disease are primarily caused by a deficiency of this neurotransmitter in the substantia nigra region of the brain.
What is dopamine?
Before administering oxycodone, it is essential to monitor this vital sign to assess for a potentially dangerous side effect of opioids.
What is respiratory rate?
Methotrexate is associated with a potentially serious side effect, which can cause damage to this organ, so regular monitoring is essential during treatment.
What is the liver?
Omeprazole should be administered at least 30 minutes before this meal to ensure maximum effectiveness in reducing stomach acid production.
What is breakfast?
When administering finasteride, it is important to take precautions to avoid exposure to this group of individuals.
Who are pregnant women?
There is an order to administer lidocaine at a rate of 30mL/hr using a concentration of 4mg/mL. Determine how many mg/min the patient is receiving.
What is 2mg/min?