Deck 1 Flashcards

1
Q

What are the symptoms of “red man syndrome”? What medication causes this and what intervention should be done?

A

Flushing of the neck, face, upper torso
• Tachycardia
• Vancomycin
• Decrease the infusion rate

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2
Q

If you have a client in cardiogenic shock, what type of medication would you expect to be ordered and why?

A

•Vasopressors
• Sympathomimetics
Act as a vasoconstrictor - They increase BP - important for shock

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3
Q

What increased vital sign would you expect with acute pain and why?

A

Increased HR

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4
Q

What is most important to do regarding medication reconciliation?

A

Provide a list of the client’s current medications/supplements

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5
Q

You’re doing med reconciliation on a client with a new diagnosis of a small bowel obstruction, here are their medications:
- Morphine
- Ondansetron
- Gabapentin
- Senna
- Claritin
Which of these medications are you going to educate the patient to withhold?

A

Senna (stimulant laxative, we don’t want to increase bowel motility when there’s a block)

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6
Q

What medication combo do we expect to be ordered for Parkinsons’ Disease?

A

Carbidopa/Levodopa

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7
Q

What is the therapeutic outcome or effect we expect when using sucralfate?

A

Relief of GI pain

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8
Q

Which direction do you pull the pinna to instill ear drops on a
3-year-old child?

A

Down and back

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9
Q

Which direction do you pull the pinna to instill ear drops on an adult?

A

Up an back

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10
Q

Your client has a new prescription for Aluminum hydroxide to treat heartburn. What adverse reaction should the client monitor for and report to the provider?

A

Constipation

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11
Q

What vital sign is the nurse’s priority to assess with a patient on morphine?

A

Respiratory Rate

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12
Q

What does it mean if you have a terminal cancer client on hospice care, and despite receiving their doses of morphine, they are still complaining of pain?

A

They have built tolerance to the medication

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13
Q

What are the drugs used to dilate pupils called?

A

Mydriatics

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14
Q

What ocular drug used in glaucoma treatment can cause permanent eye color change?

A

prostaglandin antagonists

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15
Q

What medication is contraindicated in a patient using sildenafil for erectile dysfunction?

A

Nitroglycerin

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16
Q

Name an ophthalmic anesthetic used in cataract surgery

A

Tetracaine

17
Q

What are early signs of hypoglycemia?

A

Confusion, sweating

18
Q

What anticoagulant is used prophylactically for postoperative thrombus formation?

A

Enoxaparin (low molecular heparin)

19
Q

Teach the client to administer nitroglycerin

A

Place tablet under tongue between cheek and gum and let dissolve

20
Q

Your patient taking an adrenergic beta 2 antagonist (ex: albuterol) for asthma is experiencing palpitations, chest pain, and headache - what is your nursing intervention?

A

Withhold the drug and notify the provider

21
Q

You have a client with paranoid schizophrenia who is taking antipsychotics. What is a possible side effect of antipsychotics?

A

Shuffling gait