Clinical Judgment, Med Management- EXAM 4

Question 1

Clinical decision making

Answer 1

Process in clinical setting to evaluate and select the best actions to meet desired goals

Question 2

Clinical judgment

Answer 2

Nurse’s determination and provision of appropriate patient care
Requires knowledge of the patients situation

Question 3

Steps in clinical judgment

Answer 3

1.Getting the info
2.Making meaning of the info
3.Determining actions to take
4.Taking action
5.Evaluating outcomes and your thinking

Question 4

What factors contribute to medication errors

Answer 4

Giving a med that was prepared by another person
Not double checking meds when px raises concerns
Breaking non scored tablet
Not cleaning out crushing device
Not administering meds when scheduled
Failing to give meds as directed, with food, empty stomach, whole

Question 5

Losartan

Answer 5

Antihypertensive
Angioedema, CVA, Monitor electrolytes

Question 6

Amlodipine

Answer 6

CCB
Assess for angina Monitor BP ( below 100, hold )

Question 7

Fluticasone

Answer 7

Corticosteroid and Antiasthmatic
Assess Respiratory status

Question 8

LISINIPRO

Answer 8

Antihypertensive, Decreased BP and HF symptoms
High potassium food should be avoided
NSAIDS can decrease effect

Question 9

Metformin

Answer 9

Antidiabetic

Question 10

Metoprolol

Answer 10

Antihypertensive
Monitor BP, I&O, Assess for edema, JVD, crackles, dyspnea

Question 11

Naproxen

Answer 11

NSAID
Decreases platelet aggregation

Question 12

Riveroxaban

Answer 12

Blood thinner, Prevents emboli

Question 13

Omeprazole

Answer 13

OTC, Antiulcer-GERD
Assess for Cdiff and electrolyte imbalance

Question 14

Sertraline

Answer 14

SSRI

Question 15

Terazosin

Answer 15

Antihypertensive
Monitor BP, Assess urinary patterns, Give without food

Question 16

Hydrochlorothiazide

Answer 16

Diuretic
Assess fluid volume status: crackles in lungs,pitting edema, moist mucous membrane, dehydration, decreased output, hypotension, dry mouth,

Question 17

Sildenafil

Answer 17

Erectile dysfunction

Question 18

Zolpidem

Answer 18

sedative-hypnotic
Drowsiness and dizziness. At risk for injury, sleep driving/eating

Question 19

Tramadol

Answer 19

Sedative, non opioid
Promotes comfort to rest and sleep

Question 20

Pregabalin

Answer 20

Anti-epileptic
Used for diabetic nerve pain and seizures

Question 21

Simvastatin

Answer 21

HMG-CoA
Treats high cholesterol

Question 22

Empagliflozin

Answer 22

SGLT-2 Inhibitor
Anti-diabetic

Question 23

Glyburdie

Answer 23

Sulfonylurea
Anti diabetic, relievers polyurea
High alert medication

Question 24

Finasteride

Answer 24

5 Alpha- reductase
For enlarged prostate, encourages testosterone to reduce swelling

Question 25

Celecobix

Answer 25

NSAID
For arthritis, decreased pain
11 hour half life