3, 2, 1... Action!
With a side of...
Nursing implications, please!
What's in a name?
"S" is for safety
100

This antibiotic binds bacterial cell walls, causing cell death

Amoxicillin

100

This is the major side effect of the blood thinner warfarin

Bleeding

100

This medication requires the nurse to educate the patient on how to use an inhaler

Albuterol

100

The brand name of this laxative is Colace

Docusate sodium

100

A nurse should be on the lookout for ____ (hyper- or hypo-) glycemia as an adverse effect when administering metformin 

Hypoglycemia

200

This medication decreases glucose production in the liver, decreases glucose absorption in the stomach and increases sensitivity to insulin

Metformin

200

A major adverse side effect of pantoprazole and amoxicillin is diarrhea caused by this bacteria 

Clostridium difficile (C-diff)

200

This steroid medication should be given with meals to avoid GI irritation

Prednisone

200

The brand name of this blood pressure medication is Lopressor

Metoprolol

200

This drug has a high risk for opioid addiction, abuse, or misuse

Hydrocodone

300

The action of this medication is to bind to enzymes in the presence of acidic gastric pH to prevent the final transport of hydrogen ions into the gastric lumen

Pantoprazole

300

Dangerous side effects of ____ often involve rashes including Steven Johnson syndrome, toxic epidermal necrolysis, and erythema multiforme. 

1) Docusate sodium

2) Furosemide

3) Metoprolol

4) Warfarin


Furosemide

300

The following vital sign is most concerning for a patient receiving metoprolol and requires follow up from the nurse:

1) Temp 101F

2) RR 28

3) HR 49

4) BP 145/77

HR 49

Must take the apical pulse prior to PO administration and hold when HR <50 bpm

300

This medication is a loop diuretic

Furosemide

300

Patients taking prednisone should be taught that the medicine:

1) Should be taken on an empty stomach

2) Should be tapered instead of abruptly stopped

3) Should eat extra calories as the medication causes weight loss

Should be tapered instead of abruptly stopped

400

Metoprolol works on __ adrenergic receptors receptors

1) Alpha 1

2) Alpha 2

3) Beta 1 

4) Beta 2

Beta 1 

Metoprolol is selective for beta 1 receptors. Beta 1 are located in the heart muscles, so metoprolol usually doesn't affect beta 2 receptors in the lungs, vascular system or GI tract.

400

Chills, diarrhea, dizziness, low BP, muscle pain, slow pulse, sleepiness, weakness and trouble breathing are all symptoms of this major adverse effect of metformin

Lactic Acidosis

400

The amount of time it takes hydrocodone to peak and when the nurse should reassess pain after administration

1 hour 

400

This medication is a bronchodilator 

Albulterol

400

The antidote for warfarin

Vitamin K

500

The action of docusate sodium is to _____

Draw water into stool to soften stool 

500

Instead of relieving this symptom, some patient experience worsening wheezing with albuterol called ____ 

Paradoxical bronchospasms

500

The therapeutic range of INR for a patient on warfarin

2.5-3.5

500

The brand name for warfarin

Coumadin

500

Which of the following statements by a patient requires follow-up teaching?

1) I will stop taking my amoxicillin when my infection clears up

2) I should eat a consistent amount of leafy greens while taking warfarin

3) I will notify the doctor if I experience worsening wheezing when I am taking albuterol

I will stop taking my amoxicillin when my infection clears up