Assessment
Labs/ Tests
Administration
Patient Education
Wild Card!
100
Focused assessments for GI issues would include what items - name 3.

Abdominal pain, bowl movement patterns, pain, s/s of blood in stool, presence of n/v, bowel sounds, palpation, what meds are they taking...

100

This is the normal potassium level

3.5-5.0 mEq/L

100

Pregnant women should not touch these medications.

What are 5-alpha reductase inhibitors 

can be absorbed through skin and cause fetal harm.

100

Patients with peptic ulcers should be told to avoid 2 specific drugs.

What are NSAIDS and Aspirin?

100

Alcoholics are likely to suffer from this vitamin deficiency.

What are vitamin B deficiencies. 

200

Name 2 signs/symptoms of hypoglycemia and hyperglycemia

Hypo- sweating, pale, hangry, anxious, shaky


Hyper - Increased urination, thirsty, vomiting, difficulty concentrating, weakness

200
Administration of sodium bicarb can put you at risk for this.
What is metabolic alkalosis

How would you monitor for this?

200

Take this medication 30 minutes before breakfast to help block the secretion of HCL acid.

What are Proton Pump Inhibitors "-zole" 

200
This laxatives should be given with plenty of water and is contraindicated for those with history of a bowl obstruction.   

What is psyllium?

200

This drug can mask symptoms of hypoglycemia including tachycardia and tremors, making it difficult for patient to identify by symptoms when their blood sugar is low.

What are Beta Blockers?

300

This patient presents with acetone breath and very rapid shallow breaths .

What is DKA?

300

This test should be ordered for any person with an ulcer.

What is H-pylori

300

These are the correct steps to mixing insulin.

Inspect for contaminants, Roll then inject air into NPH, inject air into regular, withdraw regular, withdraw NPH

300

These are four examples of long term side effects of steroid use.

What are osteoporosis, susceptibility to infections, muscle wasting, peptic ulcers and gi bleeding, hyperglycemia, nervousness, insomnia, mood changes...

300

This medication coats ulcers and acts like a 'bandaid' to promote healing.

sucralfate 

When should it be given?

400

Magnesium toxicity would appear as this during assessment. Name 3 findings.

What is flushing, sedation, confusion, muscle weakness, depressed or absent DTR's.

400

Labs you would monitor on pts on long term steroid therapy - name 2.

Electrolytes -Potassium (risk for hypokalemia)

WBC's risk for infection

Glucose - increases blood glucose

400

Patients should learn these are ANTI-mixing and should be given 2 hours before other meds.  

What are antacids?

400

Long-term use of these can lead to increased risk of osteoporosis, community acquired pneumonia, and C Diff

What are proton pump inhibitors? 

400
This would be a priority education - the patient MUST understand- when they are taking metformin

Do not drink alcohol

500
Name 3 s/s of both hypo and hyperthyroidism.

HYPO - bradycardia, constipation, weight gain, cold intolerance, depression, fatigue...

HYPER- anxiety, weight loss, insomnia, nervousness, palpations...

500

Appropriate times to check blood sugars for people using regular insulin - name 3.

  • Before you eat or drink anything.
  • Before a meal.
  • Two hours after a meal.
  • Before/during exercise 
  • At bedtime.
  • During times of illness
500

This medication is derived from sulfa and aspirin and should not be given to those with allergies to those drugs.

What is sulfasalazine?

500

This is a permanent solution to hyperthyroidism.

What is radioactive iodide 131?

500
This would be priority education for a patient taking sildenafil

Don't take with Nitrates.