Jeopardy Questions Flashcards

1
Q

A healthcare professional administers fentanyl to a patient to reduce pain. Which of the following drugs should the professional have available to reverse the effects of fentanyl?

A

Naloxone (Narcan)

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2
Q

The nurse cares for a client admitted for a possible herniated intervertebral disk. Ibuprofen, Vicodin and benzaprine hydrochloride are ordered PRN. Several hours after admission, the client complains of pain. What should the nurse do first?

A

Assess the client for pain

Gather more information about the complain

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3
Q

Because of the potential for adverse effects, which of the following should a health care provider recommend for patients who begin taking carbamezapine?

A

Begin Taking the Drug at a Lower Dose

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4
Q

What classification is carbamezapine and what are some side effects?

A

Anticonvulsant

Visual distrubancs, vertigo, and ataxia

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5
Q

A client with metastatic cancer has been prescribed hydromorphone per to help manage his pain. The nurse knows the rectal route of administration is contraindicated when what is present?

A

Neutropenia
Thrombocytopenia
Rectal Lesions
Mucositis

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6
Q

A client admitted with severe back pain is requesting pain medication. During the assessment the nurse noted that the client has been talking acetaminophen mg every 4 hours at home with minimal relief. Based on this information, which PRN medication should be considered?

A

Ibuprofen

- because the patient met their daily dosage of acetaminophen

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7
Q

A health care professional is talking to a patient who is about to begin taking Valporic Acid for a NEWLY DIAGNOSED seizure disorder. He should tell the patient, to watch for which of the following adverse effects?

A

Drowsiness and HA

- CNS depression because it counteracts seizures, which is overstimulation of CNS

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8
Q

What classification is Valporic Acid?

A

Anticonvulsant

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9
Q

The nurse is administering vancomycin. The nurse reminds the client to report symptoms associated with one of the serious side effect of the drug ototoxicity.
What should the client report?

A

Tinnitus

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10
Q

The client has been taking valporic acid for four months. What assessment data would warrant the medication being discontinued because the client is experiencing liver failure?

A

Jaundice

- key indicator of liver failure

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11
Q

A nurse is talking with a patient who is to begin taking valporic acid to treat a seizure disorder. He should advise the patient to monitor for which of the following adverse effects?

A

Jaundice

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12
Q

The client is receiving ATROPINE, to minimize the side effects of routine medication. What intervention will help the client tolerate this medication?

A

Carrying around chewing gum to combat decreased saliva production (dry mouth)

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13
Q

What does atropine do?

A

Slows Hear Rate and

Decrease Saliva Production for Surgery

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14
Q

What classification is phenytoin (Dilantin) and what is one major side effect?

A

Anti-Convulsants
Gingival Hyperplasia
(If a client is on phenytoin, they should see the dentist regularly)

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15
Q

What should the nurse do if the patient complains of ringing in the ear when administering gentamicin?

A

STOP the medication and ASSESS

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16
Q

The client is diagnosed with tuberculosis and prescribed rifampin and isoniazid. How long can the client expect to take this medication?

A

6-12 months

17
Q

What should the nurse tell the patient who is taking anti- seizure medications about stopping their medication?

A

Taper off the medication (Take less and less of the medication as time goes on.

18
Q

When taking erythromycin the nurse should tell the patient to avoid drinking this?

A

Orange Juice or Grape Juice

19
Q

The nurse should assess this as well as the pain level before administering pain medication?

A

Respiratory Rate

Due to respiratory depression

20
Q

This is a classic sign of aspirin or NSAID toxicity

A

Tinnitus

21
Q

This assessment indicates an adverse effect of naloxone?

A

Tremors

22
Q

This is the therapeutic phenytoin level for a client on the medication

A

10-20 mg

23
Q

Theses are the common side effects of chemotherapy?

A

Diarrhea, Nausea

24
Q

The client received Naloxone following surgery. What is the nurses highest priority?

A

Assess the client frequently and quickly do it

Narcan has a half life of 30 minutes and will be at risk for respiratory depression for several hours

25
Q

What advice should the nurse give to a patient with continuous diarrhea from chemotherapy?

A

Eat low residual diet and take lomotil

26
Q

The nurse just hung the 9 am broad spectrum antibiotic, when the provider orders a different antibiotic. When should the nurse hand the new antibiotic?

A

Administer the new antibiotic within 1 hours from the order

27
Q

The nurses needs to hang Vancomycin results from the trough have not been received. What should the nurse do?

A

Call the pharmacist to determine if it is safe to hand the medication

28
Q

The provider orders tetracycline for a three year old. What should the nurse do?

A

Question the order

Because tetracycline shouldn’t be given to anyone under 8 years old; causes tooth discoloration

29
Q

The nurse is preparing to administer the initial dose of an antibiotic in the emergency department, Which interventions should the nurse implement?

A
  • Ask the client his or her birthday
  • Assess for drug allergies
  • Collect needed specimens for a culture
  • Check he client’s armband