Neuro/Psych
Neuro/Psych
Skills
Pain
Cardiac
100
Patient starting levodopa for Parkinson’s disease. The nurse should place a high priority on teaching the client which information prior to discharge?
Avoid taking with high protein meals.
100
Priority assessment after administering diazepam?
Monitoring respirations at least every 5-15 minutes.
100
A nurse is preparing to administer an intradermal injection for a client who requires a tuberculin skin test. Which action should the nurse take?
.
Pull the Client’s skin so that it is taut and insert the needle at a 5º to 15º angle, almost parallel to the Client’s skin and with the bevel facing up
100
Which of the following data in the client's history should the nurse realize might be a contraindication to taking aspirin?
Aspirin inhibits platelet aggregation and should not be taken by clients who have bleeding disorders, such as a history of vitamin K deficiency.
100
Contraindication of sildenafil use?
Nitroglycerin use.
200
Which medication should the nurse identify as a monoamine oxidase inhibitor?
Phenelzine
200
Important data for the nurse to collect, before giving disulfiram?
When patient had his last drink.
(Disulfiram used concurrently with alcohol will cause acetaldehyde syndrome to occur. Effects include nausea, vomiting, weakness, sweating, palpitations, and hypotension.)
200
What is the safest way to administer multiple medications via a feeding tube?
Administer each medication individually, followed by flushing the tube.
200
Patient c/o nausea, vomiting, and diarrhea after taking acetaminophen. What medication should the nurse prepare to administer?
Acetylcysteine
200
What is the nurse's priority assessment before administering prescribed dose of digoxin to a client?
Priority assessment findings heart rate <50. Signs of toxicity including vision changes hypokalemia anorexia and gi upset.
300
Antidote for benzodiazepine overdose?
Flumazenil
300
Patient admitted for COPD tells the nurse "I cannot sleep without diazepam. What is the priority action by the nurse?
Obtain an order for benzodiazepines.
300
How to prepare an intramuscular injection using medication from an ampule. How should the nurse break the ampule to avoid injury?
Bend the top of the ampule toward the nurse to break the ampule.
300
Patient who is receiving fentanyl for pain. The client is unresponsive and has a RR of 12 breaths per minute. Which medication should the nurse plan to administer?
Naloxone.
300
Which of the following instructions should the nurse include for patient taking sublingual nitroglycerin?
Nitroglycerin tablets require moisture to dissolve completely, patient should take a sip of water before putting the tablet under the tongue if the mouth is very dry.
400
Patient indicates an understanding about sertraline when they say?
I should take the medication in the morning to prevent sleep disturbances.
400
The nurse is preparing to administer diphenhydramine to a client who takes a monoamine oxidase inhibitor for depression. What should the nurse anticipate the outcome to be?
The client may develop a hypertensive crisis.
400
Enteric-coated naproxen patient teaching?
Do not crush an enteric-coated tablet, because this will interfere with the coating and allow the medication to dissolve in the stomach, resulting in gastric irritation.
400
Post-op patient who has been given hydromorphone. Which adverse effect should the nurse prioritize?
Opioids can cause bradycardia. HR<60 should be reported to LIP.
400
What medical conditions would be a contradiction for a patient with hypertension and a prescription for propranolol?
Heart failure (due to the depressive effect on myocardial contractility).
500
Some side effects of selective serotonin reuptake inhibitors include?
Weight gain and sexual dysfunction.
500
Side effects of prescribed methylphenidate?
Restlessness, insomnia, hallucinations and weight loss are side effects of CNS stimulants.
500
Where the nurse should place the stethoscope to auscultate the apical pulse?
On the fifth intercostal space at the left midclavicular line.
500
Post-surgical client, who has a patient-controlled analgesia pump, what should the nurse explain to the patient who is afraid of overdosing on pain medication?
“Patient-controlled analgesic pumps will not allow excessive dosing”.
500
A nurse in a provider’s office is reviewing the laboratory results of four clients who take digoxin. Which of the following clients is at risk for developing digoxin toxicity?
Loop diuretics such as furosemide can cause hypokalemia, which greatly increases the risk of digoxin toxicity.
600
Indications for ketamine use?
Management of migraine headaches.
To manage acute pain in patients with opioid-resistant pain.
As an anesthetic used to induce a loss of consciousness for surgical procedures.
600
Selective serotonin reuptake inhibitors (SSRIs) effects start to occur in which time frame?
1-3 weeks
600
To administer a rectal suppository to a client, the nurse should instruct the client to lie in which position while in bed?
Sims
600
Patient taking diuretics, s/s of hypokalemia?
Leg Cramping.