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NUR 311 2022 > Exam 3 -Test > Flashcards

Exam 3 -Test Flashcards

1
Q

Risk for people on beta blocker and who are diabetics?

A

Masks hypoglycemia

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2
Q

If someone has primary hypertension, how long will they be on the medication?

A

For life

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3
Q

Someone taking an angiotensin converting (ACE) inhibitor, what electrolyte do you need to monitor?

A

Potassium

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4
Q

Pregnant women should never take:

A

Ace Inhibitors

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5
Q

Can someone take a beta blocker with an AV block?

A

No, can intensify the AV block

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6
Q

An antihypertensive medication, which do you have to monitor that level (thiocyanate levels)

A

Nitropress (vasodilator)

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7
Q

Thiazide diuretic with a beta blocker, what can happen?

A

Additive for hypotensive effects

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8
Q

Captopril (ACE inhibitor) they are just starting it brand new, what is a general nursing education point

A

Change position slowly as they can pass out, orthostatic hypotension.

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9
Q

Vasotec which is an ACE inhibitor, what is the primary (most common) side effect?

A

Dry cough, which can lead to low compliance with that medication

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10
Q

Angiotensin 2 receptor blocker, very rare side effect

A

Angioedema

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11
Q

Person is given both a beta blocker and calcium channel blocker, what do we watch for?

A

Bradycardia

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12
Q

What do you do before you give nitroglycerin ointment?

A

Check their blood pressure

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13
Q

Somebody has been taking nitroglycerin, what is a common side effect

A

Headache and flushing

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14
Q

Beta blockers are contraindicated for people who have allergies?

A

Can inhibit epinephrine

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15
Q

Dihydropyridines can cause? (amylodipine)

A

Reflexive tachycardia

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16
Q

Before you give Digoxin what do you do?

A

Apical pulse for a whole minute

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17
Q

What is a sign of Digoxin toxicity?

A

Yellow halos

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18
Q

Do not give a beta blocker if the pulse is what?

A

If the systolic blood pressure is below 90, or the pulse is under 50

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19
Q

Digoxin improves shortness of breath and pitting edema, why?

A

Positive inotropic action of Digoxin

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20
Q

If you give something that causes a low dose activation of dopamine receptors, what happens?

A

Renal blood pressure dilation, lowers blood pressure (kidneys directly affect blood pressure)

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21
Q

What is a risk of Lasix?

A

Hypokalemia

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22
Q

You give Lisinopril which is an ACE inhibitor and a diuretic to a patient, what are they at risk for?

A

Hyperkalemia

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23
Q

What is the risk if you combine Digoxin and Lasix?

A

Dehydration, arrhythmia

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24
Q

What allergy do you want to monitor for if the patient is getting a thiazide diuretic?

A

Sulfonamide

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25
Q

Lactulose is a laxative, what non-GI thing could you give it for?

A

High ammonia blood levels

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26
Q

For someone taking a large dose of loop diuretics what can it cause?

A

Ototoxicity

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27
Q

Low glomerular filtration pressure will make which medication ineffective?

A

Should not be giving thiazide

28
Q

Which diuretic do we give to decrease ICP (intracranial pressure)?

A

Osmotic diuretics

29
Q

A medication causes small stool, what is something you can take to bulk up their stool?

A

Metamucil, Psyllium

30
Q

Patient is getting a Barium swallow test and we are wanting to clear out the Barium, which laxative should not be given?

A

Milk of Magnesia

31
Q

Someone is getting fibric acid derivative, what should we expect a decrease in

A

Can lower triglycerides

32
Q

HMGcoA (Statins) should be taken when?

A

In the evening (once a day)

because cholesterol-making enzymes are more active at night

33
Q

Statins should not be given with which chronic disease

A

Hepatitis (can affect the liver)

34
Q

Giving Niacin what happens if you take Aspirin?

A

It can reduce the flushing that happens with Niacin

35
Q

How often should a normal healthy person be screened for LDL?

A

Every 5 years

36
Q

High cholesterol is not a contraindication for taking statins. True or False

A

True

37
Q

Bile acid sequest. which can lower LDL can cause a mal absorption of which vitamins

A

Fat soluble (A,D,E, and K)

38
Q

Why should a patient contact their doctor if they have muscle tenderness taking their statins

A

It can cause muscle damage

39
Q

Omega 3 fatty acids reduce what?

A

Triglycerides

40
Q

What does Zetia do (cholesterol med)?

A

It blocks intestinal absorption of biliary and dietary cholesterol

41
Q

What is the mechanism of action of heparin?

A

Prevents clot formation by assisting antithrombin

42
Q

What is the MOA of Coumadin

A

Interferes with vitamin K clotting factors

43
Q

How many days before sx do you stop Aspirin

A

7 days

44
Q

Can a person take Warfarin if pregnant?

A

No

45
Q

Therapeutic INR for warfarin is?

A

2-3

46
Q

If someone is on Heparin, you draw aPTT level that should be?

A

1.5-2x the control value

47
Q

Heparin should rotate the sites, where do we give?

A

Lower abdomen

48
Q

Whole wheat, broccoli, spinach, and cabbage are examples of?

A

Vitamin K food

49
Q

What is the reversal agent for heparin?

A

Protamine

50
Q

Risk of a thrombolytic?

A

Bleeding

51
Q

Beta blocker ends in what?

A

-olol

52
Q

HMGcoA inhibitors end in what?

A

-statins

53
Q

ARBs end in what?

A

-sartan

54
Q

Anticoagulants end in what?

A

-parin

55
Q

ACE inhibitors end in what?

A

-pril

56
Q

Major side effects of ACE inhibitor:

A

Dry Cough

57
Q

Common side effects of nitro:

A

headache, low BP, flushing

58
Q

Yellow halos around lights, may have OD on:

A

Digoxin

59
Q

Checking pulse on pt and pulse is below 50 and BP below 90, medication that is contraindicated:

A

metoprolol and beta blockers

60
Q

Digoxin mechanism of action:

A

positive inotropic action, helps heart to beat more efficiently

61
Q

Major risk of Lasix (electrolytes):

A

hypokalemia

62
Q

Allergy to sulfa what medications should you avoid:

A

thiazide diuretics

63
Q

Nitropress needs to have a specific monitoring of which level:

A

thiocyanide

64
Q

Rarely causes angioedema:

A

ARBs

65
Q

Checking pulse on pt and pulse is below 50 and BP below 90, medication that is contraindicated:

A

metoprolol and beta blockers

NUR 311 2022 (5 decks)

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