Chapters 31-35
Penicillamine is a chelating agent that binds copper, lead, mercury, and ___________to form soluble complexes that are secreted in urine.
B12
Ch. 35, Pg. 721
T/F ( Patient Teaching for motion sickness)
Motion sickness is caused by rapid changes in body motion that stimulate receptors in the inner ear, prompting the vomiting center.
True
Ch. 38, pg. 765
What would be your patient teaching for a patient taking Somatropin?
*Keep all follow-up appointments
* Report hair loss to health care practitioner
*Report new knee, hip pain or limping
*monitor glucose level
Ch. 43, pg. 873
Hydrocortisone is a popular drug combination of a mineralocorticoid and adrenocorticoid used to treat what condition.
Addison's Disease ( also useful in treating congenital adrenal hyperplasia)
Ch. 45, pg. 905
What part of the stomach connects to the esophagus?
Cardia
Ch37. pg 746
T/F
Phentermine is well absorbed orally, metabolized by the kidneys, and primarily excreted by the liver.
True
pg. 735, Ch. 36
Pt. has Rheumatoid arthritis and has a history of excessive NSAID use. Now comes in with s/s of peptic ulcer. What medication should the nurse anticipate an order for?
Misoprostol is approved for use concurrently with NSAIDs for arthritis and older adult patients to protect the gastric mucosa from NSAID-induced erosion and ulceration Ch. 37 pg. 757
What medications increase the effects of levothyroxine?
Albuterol, Venlafaxine, nasal contestants
Ch. 42, p 859
T/ F
Do not take Ketoconazole with fruit juice, tea, or coffee due to GI upset.
False
Take it with fruit juice, tea, or coffee. acidic drinks help enhance the absorption.
Chm 45, Pg. 909
A woman visits the clinic. She states that she has been satisfying her recent cravings for salt by eating large quantities of potato chips and other salty foods. She has been under a great deal of stress, and last week, she received treatment for pneumonia. What do these symptoms suggest?
acute adrenal crisis
Ch. 45, p 902
What are the two types of vitamins?
Water soluble and fat soluble
Ch. 35 pg 697
This medication is commonly used in conjunction with antibiotics to treat H. pylori.
Bismuth Subsalicylate
Ch. 37, pg. 759
Which insulin has a rapid onset and can be given IV?
Regular insulin ( Humulin, Novolin,)
Ch.41 p. 820
How long does Fludrocortisone (mineralocorticoid) take to reach its peak serum level?
Fludrocortisone is rapidly and completely absorbed and is 42% bound to proteins. It reaches its peak concentration in just 1.7 hours after administration.
Ch. 45, pg. 906
The nurse is caring for a client with a history of cirrhosis and alcoholism. The client is currently hospitalized with a fever. Based on the nurse’s knowledge of the client’s past medical history, the nurse knows administration of this drug would be contraindicated.
Tylenol
Ch. 16 p. 313
What vitamin deficiency is pernicious anemia a result of?
Vitamin B12
Ch. 35, pg. 702
T/F
Gerd is an uncommon disorder of the esophagus.
False
GERD is the most common disorder of the esophagus, is a chronic digestive disease that occurs when the stomach acid refluxes into the esophagus
Ch. 37 pg. 746
A pt is taking NPH insulin once a day in the morning. What is the most likely time for a hypoglycemic reaction?
4-12 hours after administration
Ch 41 p 820
A patient receives a diagnosis of Cushing's disease. What hormone does she have an excess of
Corticotropin
Ch. 45, 904 NCLEX success
Potentially adverse effects of Isoniazid include?
Hepatotoxicity and peripheral neuropathy
Ch.22 p 422
Vitamin excess states occur as a result of excessive of what kind of vitamins.
Fat-soluble vitamins
CH. 35, PG. 697
Is a patient with a BMI of 27 considered underweight, overweight, obese, or desired weight?
Overweight
Ch. 36 pg. 729
A patient complaints of diarrhea. The nurse notes an allergy to salicylate. What medication for diarrhea should not be prescribed for the client due to the allergy?
Bismuth subsalicylate
Ch. 40 p 804
Which chronic metabolic disorder requires lifelong hormone replacement?
Addison's disease
Ch. 45 pg 912 key concepts
A client presents to a walk-in clinic complaining of a racing heart. The nurse reviews the client’s medications and medical history, which includes recent allergy problems and hyperthyroidism. The client reports taking pseudoephedrine for the past several days. What is the best nursing recommendation to the client?
Advise that the pseudoephedrine may be causing their heart to race
Ch. 31 p 622
A common mucolytic used to liquefy mucus in the respiratory tract is called?
Acetylcysteine
Ch. 31 pg. 627
What type of antacid should a patient with renal impairment not take?
Magnesium based
Ch. 37 pg. 748
Glyburide is only used for patients with what type of diabetes?
Type 2
Ch 41. p. 829
Most reported adverse effects of ketoconazole?
Pruitis, headache, sedation, Nausea, vomiting, abdominal pain
Ch. 45 pg. 908
How soon after birth should an IM injection be given to prevent hemorrhagic disease in newborns?
1 hour
Ch.35 p. 708
During a severe allergic reaction with anaphylaxis, a nurse should anticipate an order for ...
Epinephrine
Ch.32 pg. 636
How does the drug phentermine aid in weight loss?
By increasing satiety and the feeling of fullness
Ch. 36 pg 736
A client was admitted to the Emergency Department with a diagnosis of hyperthyroidism. Vital signs reveal a blood pressure of 188/96, a heart rate of 126, and a temperature of 37.6. Which of the following medications might a physician prescribe for this client based on their vital signs?
Propranolol
CH. 42 p. 857
What hormone is responsible for decreasing calcium in the blood?
Calcitonin
Ch. 44, pg. 886
Which of the following drugs does NOT reduce the effects of corticosteroids: Antacids, Rifampin, Carbamazepine, or Ketoconazole?
Ketoconazole
Ch. 17 p. 348
Antihistamines are most effective if given ________exposure to the stimulant that causes a histamine release.
before
Ch.32 pg. 642
For patients on hemodialysis, cimetidine administration should occur prior to dialysis.
False, should be administered at the end of the dialysis treatment.
Ch. 37 pg 753
The nurse is teaching a client about a new prescription for Bisacodyl. Which important considerations should the nurse include?
Take on a full stomach.
Swallow the drug whole
Take at bedtime
Ch. 39 p. 791
The health care provider has prescribed alendronate to a patient. What should the nurse include in discharge teaching?
Take alendronate first thing in the morning with water. Not juice or coffee , 30 minutes before a meal
Ch.44 pag. 895
A patient is receiving IV Furosemide for symptoms of severe heart failure. The nurse recognizes that administering the drug by slow IV push reduces the likelihood of which adverse effect?
Ototoxicity
Ch34. pg 684
Indications for nasal decongestants are the relief of nasal obstruction and discharge. Adrenergic drugs are most often used for this purpose. Adrenergic drugs are also known as...
Sympathomimetic
Ch 31 pg 620
Which weight loss medication prevents the absorption of fat-soluble vitamins from food or multivitamin preparations if taken at the same time?
Orlistat
Ch 36 pg. 737
A patient with type 2 diabetes is scheduled for a heart catheterization in 1 week. What teaching should be done for his metformin regarding the procedure?
Do not take metformin 48 hours before and after the procedure. Contrast media containing iodine may cause renal failure or lactic acidosis.
Ch 41 p 833
The patient is receiving an IV infusion of calcium. What would be most important for the nurse to monitor?
Cardiac Rhythm
Ch. 44 pg. 891
Which abbreviation is on the official, "Do Not Use" list?
QD, BID, QID, AC HS
QD
Ch 1, p.10