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Renal
Heart Failure
Diabetic
Cardiac
MISC
100
The physician has ordered the patient hydrochlorothiazide. What assessment should the nurse make before administering the first dose of hydrochlorothiazide?
Sulfonamide allergy
100
The home care nurse sees a patient for the first time. The patient has crackles in the lower lobes of the lungs, an audible S3, and pitting edema in the feet and ankles. What condition is the patient most likely experiencing?
heart failure
100
What is the onset for Rapid? Name one?
begins to work about 15 minutes after injection, peaks in about 1 hour, and continues to work for 2 to 4 hours. Types: Insulin glulisine (Apidra), insulin lispro (Humalog), and insulin aspart (NovoLog)
100
A patient is beginning therapy with isosorbide dinitrate (Isordil). When will the nurse know that the patient has maximal tolerance?
headache develops
100
Vitamin D assist in the utilization of calcium and phosphorous , and aids in skin repair. ______ enables the body to synthesize Vit D.
Sunlight
200
What foods are high in Phosphorus? Name two
cheese, milk, non-dairy creamer, cream soups carp, beef liver, sardines, baked beans, northern beans, bran cereal, dark colas, beer
200
A patient is diagnosed with heart failure. She asks the nurse for further details about heart failure. What does digoxin do?
digoxin will slow heart rate to make your heart more efficient
200
DAILY DOUBLE what are the signs and symptoms of hypo and hyperglycemia? State 2 for each
Hypo- sweating, headache, confusion, blurred vision, coma Hyper- thirst, excessive urination, excess hunger and eating, hyperventilation (kussmaul resp.) dehydration, fruity breath odor, seizures, decreased LOC
200
A patient with a long-standing diagnosis of asthma is prescribed a beta-blocker for the treatment of angina. The nurse should consequently prioritize assessment for what health problem?
Bronchospasm
200
What are the Food sources for Vit D ?
Fortified milk, cod liver oil, and eggs
300
What is the normal phosphorus Level?
2.5-4.5 mg/dL
300
A patient is admitted to the intensive care unit with an electrolyte imbalance. Which of the following imbalances will contraindicate the administration of digoxin (Lanoxin)
hypokaalemia
300
When does Regular Insulin peaks after injecting? What is one name of regular insulin?
usually reaches the bloodstream within 30 minutes after injection, peaks anywhere from 2 to 3 hours after injection, and is effective for approximately 3 to 6 hours. Types: Humulin R, Novolin R
300
Name a common beta blocker?
metropolol
300
An elderly patient has begun taking bisoprolol (Zebeta) 10 mg PO once daily for the treatment of angina. The nurse should administer this drug in the knowledge that it achieves a therapeutic effect in what way?
Decreasing heart rate
400
Foods high in Potassium Include? Name two
Potatoes Orange juice Sweet potatoes Dried fruits Bananas Vegetable juice canned meats
400
A patient is admitted to the emergency department with severe heart failure. Milrinone (Primacor) is administered IV. For what adverse effect should the patient be assessed?
atrial dysrhythmias
400
When does Intermediate-acting insulin peak? Name one.
generally reaches the bloodstream about 2 to 4 hours after injection, peaks 4 to 12 hours later, and is effective for about 12 to 18 hours. Types: NPH (Humulin N, Novolin N) - f
400
A patient is admitted to the emergency department with chest pain that is unrelieved with sublingual organic nitrates. What medication will most likely be administered?
Intravenous nitroglycerin
400
What are calcium channel Blockers?
Calcium channel blockers are drugs used to lower blood pressure. They work by slowing the movement of calcium into the cells of the heart and blood vessel walls, which makes it easier for the heart to pump and widens blood vessels. As a result, the heart doesn't have to work as hard, and blood pressure lowers
500
What is the range for BMI for overweight?
Normal/healthy BMI 18.5 to 24.9 Overweight 25-29.9 BMI Obesity equal or greater than 30 BMI=weight (kg) / height (m2)
500
What food sources are in Omega 3 Fatty Acids?
Fish, flax seed oil, soybeans, canola
500
DAILY DOUBLE What is Long-acting insulin? Name one.
reaches the bloodstream several hours after injection and tends to lower glucose levels fairly evenly over a 24-hour period. Types: Insulin detemir (Levemir) and insulin glargine (Lantus)
500
A patient is prescribed ranolazine (Ranexa) to treat chronic angina. Which of the following electrocardiogram changes will contraindicate the use of ranolazine?
QT prolongation
500
A teenage boy has been brought to the emergency department (ED) by his football coach, who states that the boy has not responded to his normal rescue inhaler. The care team has opted for the administration of subcutaneous epinephrine. The ED nurse should anticipate what assessment finding subsequent to the administration of this drug?
Bronchodilation within 5 to 10 minutes