Management of Patient Care
Documenting the patient's therapeutic response to a particular medication
What is evaluation?
New blood pressure medications is administered IV to reduce hypertension, however blood pressure drops extremely low, very quickly, patient becomes lethargic and is now difficult to awaken
What is a pharmacologic reaction?
Administering opioid medications around the clock to an advanced cancer patient as he nears the end of his life is known as what type of therapy
What is palliative therapy?
A clinic RN is reviewing the teaching plan for a patient who was seen for a sinus infection. What will reflect an affective domain of learning?
What is the patient will take the prescribed antibiotic for the full 14 days of the prescription?
FIRST priority for a suspected overdose
What is maintain the airway and support respirations?
Patients taking PO bisphosphonate alendronate (Fosamax) should be educated to take this medication when
What is in the morning with an 8 ounce glass of water?
Best illustrates an outcome criterion for a newly diagnosed patient with type 1 diabetes mellitus
What is demonstrating correct blood glucose testing technique?
Mechanism of action of diuretics
What is rapid onset of action and rapid diuresis?
Medication for hypothyroidism is taken lifelong and should never be
What is discontinued?
Patients with peptic ulcer disease should use what with caution
What is caffeine?
The RN would expect to administer what drug to a patient in a rehabilitation center that is beginning to experience opioid withdrawal symptoms
What is methadone?
If a trach patient is having difficulty removing excessive thick mucus from the respiratory tract the nurse should request what medication
What is guaifenesin?
Patients taking digoxin therapy are urged to avoid which foods
What are foods high in bran i.e. bran muffins?
End stage breast cancer patient is on around the clock pain medications, however still experiences breakthrough pain. What type of medication would the RN expect to administer
What is an immediate release opioid?
Which cultural group must the HCP respect the value placed on preserving harmony with nature and the belief that the disease is a result of ill spirits
What are Native Americans?
SSRI Sertraline will interact with this herbal therapy
What is St Johns wort?
When administering digoxin immune Fab for severe digoxin toxicity - the RN knows that each vial can bind with how much digoxin
What is 0.5 mg?
Therapeutic results of antibiotic therapy in a patient with an infection would show what in their lab panel
What is a decreased white blood cell count?
Patient counseling about the possible adverse effects of antihypertensive medications would include what
What is impotence?
RN is administered a medication that is highly protein bound, assuming the patients albumin levels are normal, the nurse would expect what type of result as opposed to a medication that is not highly protein bound
What is the duration of action of the medication will be longer?
Oxytocin is administered how
What is an IV infusion pump?
Pregnant woman wants to go "all natural" and not take any prescription medication during her pregnancy. What should the RN educate her about?
What is the the importance of understanding that all herbal remedies do not have proven safety ratings for pregnant women?
What is daytime sleepiness?
Antibiotics ordered to be taken one week prior to the surgical procedure are known as
What are prophylactic antibiotics?
Chest pain that occurs towards the end of an activity and is relieved after one or two sublingual nitroglycerin tablets and rest is known as what
What is classic angina?
ACE inhibitors can have serious interactions with this
What are NSAIDS?
A patient having an active MI is given a thrombolytic drug for what purpose
What is to dissolve the clot in the coronary artery?
Food restrictions for patients taking MAOI inhibitors include this
What is a salami sandwich?
Patient with restlessness, hyperactive reflexes, talkativeness, confusion, periods of panic and tachycardia should be screened for which substance
What are stimulants?
What antiseptic agent is contraindicated in patients with an allergy to seafood
What is povidone iodine?
Which assessment measures would best reflect a patients fluid volume status
What are intake, output, and daily weight?
Adjuvant medication for tendonitis of the knee
What is a corticosteroid?
What is nonopioid analgesics, such as indomethacin?
Nursing diagnosis for nursing student who takes caffeine tablets
What is altered need for sleep?
Dietary restrictions for patients taking a MAOI phenelzine
What are avoid all foods that contain tyramine, including beer?
Patient taking isoniazid has a new prescription for pyridoxine to prevent what condition
What is peripheral neuropathy?
Milrinone is known to have a positive inotropic effect which means what
What is increased force of cardiac contractions?
The term legend drug refers to what
What is prescription drugs?
Patient taking the SERM raloxifene who is taking a long flight across the country should be educated to
What is stop taking the medication at least 72 hours before the trip?
Thyroid replacement therapy medication is taken when
What is first thing in the morning?
Extended release methylphenidate hydrochloride (Ritalin) should be given when
What is 4 to 6 hours before bedtime?
Improvement in a patient taking antitubercular therapy for the last 3 months can be seen by this
What are a decrease in symptoms of tuberculosis along with the improved chest x-ray and improved sputum cultures?
New onset of rapid rate atrial fibrillation the nurse would expect which drug would be ordered to infuse
What is Diltiazem?
Glipizide is taken when
What is in the morning, 30 minutes before breakfast?
The reversal agent for opioids
What is naloxone (Narcan)?
Heparin and coumadin given together for what reason
What is heparin is used to start anticoagulation so as to allow time for the blood levels of warfarin to reach adequate levels?
Normally used as the first line of treatment for a patient started on a diuretic for antihypertensive therapy
What are thiazide diuretics?
Bismuth subsalicylate is known to have a significant interaction with this
What is warfarin?
Expected outcome when administering somatropin
What is increased growth?
Maximum amount of acetaminophen that is recommended in a 24 hour period
What is 3000 mg?
Age group of patients at the highest risk for an altered response to anesthesia
What is over 80 years of age?
A patient taking progestin therapy should be educated to report what
What is a weight gain of 5 pounds of more per week?
Class of diuretic used to reduce intracranial pressure
What are osmotic diuretics?
Cytotec prescribed for patients with osteoarthritis for prevention of this
What is prevention of gastric ulcers for patients taking long term NSAIDS?
Patient education for leukotriene receptor antagonist (LTRA) montelukast should be educated to
What is take the medication everyday on a continuous schedule even if symptoms improve?
Corticosteroids are known to increase what
What is blood glucose levels?
A patient who is taking systemically administered glucocorticoid the nurse should monitor for what
What is hypokalemia?
Selective estrogen receptor modulators (SERMS) for postmenopausal osteoporosis are contraindicated for patients with a history of
What are venous thromboembolisms?
Primary condition that cosyntropin is used to help diagnose
What is adrenocortical insufficiency?
Malaria prophylactic therapy with hydroxychloroquine is taken when
What is 1 to 2 weeks before traveling to endemic areas and is continued for 4 weeks after leaving the area?