Final Review (part 3) Flashcards
A narcotic would not be the analgesic of choice in which of the following clients
A. COPD client having SOB
B. Client with severe chronic pain
C. Client with severe post-op pain
D. Client with severe productive and irritating cough
A. COPD client having SOB
Narcotics can cause respiratory depression
What is a primary assessment question post surgical prior to administration of an opioid analgesic
A. Can you rate your pain on a scale on 1-10?
B. Have you ever been addicted to prescription medications?
C. Why do you want to receive this medication?
D. Would you like me to help you change your position for you comfort?
A. Can you rate your pain on a scale on 1-10?
Client is on a barbituate and wants to get pregnant. What would you tell her
A. You need the medication to help you not get seizures while you’re pregnant
B. You need to increase medication due to pregnancy
C. Talk to your doctor, barbiturates are contraindicated in pregnanacy
D. Talk to your doctor to get a safer drug like Depakote
C. Talk to your doctor, barbiturates are contraindicated in pregnanacy
The doctor orders diazepam/Valium, a benzodiazepine, IV for a client in status epilecticus. Which assessment would be priority when administering medication?
A. BP
B. LOC
C. Pulse for bradycardia
D. RR q 5-15 mins
D. RR q 5-15 mins
Respiratory depression is common.
Valium would cause hypotension and tachycardia.
CNS depression would occur later.
A client with a hx of seizures is receiving valproic acid for tx. He is also taking aspirin for a heart condition. What assessment would be priority?
A. Steven-Johnson syndrome and calf pain
B. Bleeding from gum
C. Irritability
D. Increased seizure and somnolence
B. Bleeding from gum
Bleeding is the priority assessment.
SJS is s/e of Depakene, DVT is not (calf pain)
The nurse is preparing to give ethosuximude, an anticonvulsant. For which type of seizure would this drug be most effective in helping?
A. Absence
B. Simple partial
C. Complex partial
D. Tonic-clonic
A. Absence
A client has diabetes insipidus and receives vasopressin. The nurse evaluates learning has learned if based on what statement?
A. This medication increases water reabsorption in my kidneys.
B. This medication will dilate my blood pressure can fall.
C. The medication promotes diuresis which will cause my BP to rise
D. The medication will suppress hormones
A. This medication increases water reabsorption in my kidneys.
Vasopressin work the same as ADH and acts on the collecting ducts in the kidney to increase water reabsorption.
A client is on predinisone 20mg for two months. What indication would cause the nurse to suspect over medication
A. Low blood pressure
B. General loss of hair on the body
C. Thickened skin with bruising
D. Upper body obesity and thinning of limbs
D. Upper body obesity and thinning of limbs
Elderly client has hypothyroidism and is on synthroid. What assessment would you report
A. Constipation
B. Respiratory rate 12
C. Tachycardia with palpitation
D. Vivd visual hallucinations
C. Tachycardia with palpitation
Tachycardia is s/s of Hyperthyroidism.
A male has hyperthyroidism and is on methimazole. Which lab values would the nurse question
A. Hct- 48%
B. Hgb- 11 mg/dL
C. Platelets- Platelets 130,000 mm
D. WBC- 2500 cells/mcl
D. WBC- 2500 cells/mcl
Anti-thyroid drugs can cause agranulocytosis. Low white count is most significant.
A client takes 5 units of regular insulin at 0700. He forgets to eat breakfast what happens at 0900 would you expect?
A. He will be thirsty
B. He will be nauseated
C. He will be irritable
D. He will need to urinate
C. He will be irritable
Irritability is a s/s of hypoglycemia
Client with Cushing’s is started Cytadren. Which is true?
A. It works on pancreatic beta cells
B. It inhibits the synthesis of steriods
C. It causes hyperthyroidism
D. It can be used safely up to 6 months
B. It inhibits the synthesis of steriods
A client is on metformin. Which of the following is not an action of this drug?
A. Decreases sugar production
B. Inhibits absorption of carbohydrates
C. Must be taken with meals
D. Reduce insulin resistance
B. Inhibits absorption of carbohydrates
The physician orders cytotec. What is a priority question?
A. Do you plan on becoming pregnant?
B. Are you sexually active?
C. Are your menstrual cycles irregular?
D. Are you pregnant?
D. Are you pregnant?
Which would cause the nurse to hold a stool softener and notify the physician?
A. Complaints of rectal tenderness
B. Numbness and tingling in the hands and feet
C. Increased amount of stools per bowel
D. Hyperactive bowel sounds and increased perstalsis
B. Numbness and tingling in the hands and feet
Numbness and tingling are s/s of hypokalemia
