Urine Output
Assessment needing completed before giving a thiazide diuretic when patient's potassium level is 2.9
What are heart rate and rhythm?
The patient is taking nitroglycerine ointment every 6 hours. The patient asks why he doesn't use it at night. What is the BEST response?
The drug loses its effectiveness when it is used continuously
Priority action to perform BEFORE giving digoxin to a CHF patient
Listen to apical heart rate for 1 full minute
This class of drugs should not be taken while pregnant or breastfeeding
What are statins?
Difference between anticoagulant drugs and thrombolytic drugs
Anticoagulants prevent clots from forming
Thrombolytics can dissolve clots that have already formed
A patient is being administered magnesium via IV. The patient has respirations of 10 per minute and shallow. What might be the cause?
Magnesium level is too high
Priority action before giving ANY dose of antihypertensive medication
What is assess BP & HR
Patient taking lisonpril reports a nagging, nonproductive cough - what is BEST FIRST action
Asking patient how much the cough is interfering with sleep or other activities
Explain how statin drugs lower LDL cholesterol level
Decrease normal liver production of cholesterol
Only drug used to prevent excess or inappropriate clotting NOT categorized as a high-alert drug
Aspirin
Two blood electrolyte levels a nurse will check BEFORE giving a loop diuretic
What are potassium & sodium?
List lifestyle changes for a patient who has been prescribed antihypertensive drugs to help with HTN managment (at least 4)
What is regular exercise, stop smoking, weight loss diet, choosing low-fat, low-salt foods
A patient in heart failure has 2 factors that are the result of treament with medication - what are the factors for improving cardiac output?
greater preload
reduced afterload
Swollen, painful, great toe
What is gout? Side effect of niacin medication
A patient has stroke symptoms 1 hour ago - which type of drug does nurse expect to administer
Thrombolytic
Life-threatening adverse effect from lisinopril
What is angioedema?
Patient given furosemide now has potassium level of 3.0. What is the nurse's BEST action?
Hold drug and call provider
Teaching points for patients taking ANY antihyperlipidemic drug (4)
Follow low fat diet
Consult with provider before taking OTC
Fast at least 8 hours before blood lipids drawn
Regular exercise
Patient on warfarin has an INR of 5 - what action should the nurse be prepared to take?
What is administer IV vitamin K
Patient teaching for furosemide - at least 3 teaching points
What are urine output increase dramatically, photosensitivity, decrease in hearing or ringing in ears
Side effects expected in a patient that is on angiotensin II receptor blocker (ARB) for HTN with a BP of 90/68. Name at least 4
What is light-headedness, nausea, dizziness, abnormal potassium level
Patient on diuretic - what are s/sx of dehydration (4-5)
Decreased blood pressure
Increased thirst
Dry mouth
Skin tenting
Decreased urine output
Late symptoms of liver disease for patient taking lipid-lowering drug (3)
Pain on right side just below the ribs
Pale, gray-colored stool
Yellowing of skin
Teaching about administration for patient being sent home with enoxaprin
Rotate sites on abdomen
Remain 2 inches away from umbilicus