Alcohol & Drugs
Tubes, Alarms & Precautions
Heart & Rhythms
Calcium Channel Blockers
Acid & Bases
100
Aminoglycosides include the following medications except for which? Canomycin, Vancomycin, Zythromycin, Gentamycin, Clarithromycin and Streptomycin.
Zythromycin and Clarithromycin
100
Your patient is on a vent and you here a high pressure alarm go off. You know this could be mucus in the patient's airway so before suctioning you do what action?
Turn, cough and deep breathe.
100
Name the rhythm
A flutter
100
What do calcium channel blockers do to the heart?
Cardiac depressant, weakens and slows it down. (Valium for the heart).
100
While listening to a patient's abdomen, you note they have hyperactive bowel sounds. When charting, you note this as
Borborygmi
200
These two medications can be taken orally to sterilize the bowel.
Neomycin and Canomycin
200
C. Diff, RSV and Hepatitis A all need what type of precaution?
Contact
200
All children born with congenital heart defects will have what two things?
Heart murmur and echocardiogram
200
You are preparing to give your patient his morning medications which includes Amlodipine. The PCA reported his vitals to be HR- 84, RR-18, BP- 97/82 and O2- 98%. How should the nurse proceed?
Hold the Amlodipine due to BP under 100.
200
You ran an ABG on a patient and see the following values. pH= 7.22, PaCO2= 49, HCO3= 24. What is the interpretation?
Uncompensated respiratory acidosis
300
Alcoholism can cause a certain type of psychosis induced by Vitamin B1/Thiamine deficiency.
Wernicke Korsakoff
300
You notice your patient with a chest tube has intermittent bubbling in the suction chamber. What action should you take?
Turn the suction on higher.
300
Name the two medications given when a patient is in asystole in order of how they should be given.
Epinephrine then Atropine
300
CCB's are negative inotropics, negative dromotropics and what else?
Negative chromotropics
300
A nurse gave you report for a shift change. When introducing yourself to a patient here for acidosis, what do you check to ensure is at the patient's bedside?
Ambu bag due to risk of respiratory depression.
400
Alcoholics have small risk of going into a dangerous state within 72 hours of having no alcohol in their system. This state is called
Delirium Tremens
400
This disease is spread by droplets during coughing or sneezing but all patients must be on this precaution and use what PPE?
Tuberculosis with a filtered mask (N95).
400
The ABCD's of cardiac arrhythmias stand for what?
Adenosine, Beta Blockers, Calcium channel blockers and Digoxin/Digitalis
400
What medications are used as a continuous IV drip?
Verapamil and Cardizem
400
What acid-base disorder is seen in the shock phase of a burn?
Metabolic acidosis
500
These medications are used for alcohol aversion therapy taking two weeks to get in and out of one's system.
Antabuse (Disufiram) and ReVia (Naltrexone)
500
What should be done if the water seal breaks in a chest tube collection chamber?
Clamp the water seal, cut it away, submerge in sterilized water and unclamp.
500
What are the main defects of tetralogy of fallot?
Ventricular defect, pulmonary stenosis, overriding aorta and right hypertrophy.
500
What ailments do calcium channel blockers treat?
Hypertension, angina and atrial arrhythmias
500
A new patient has come in very irritable, hyper-excitable and claiming to have been vomiting for two days. The nurse suspects what ABG interpretation and what electrolyte to be abnormal?
Metabolic alkalosis with low potassium (K+)