Nursing Actions

Question 1

Cardiac glycosidese

Answer 1

Assess: APICAL PULSE (for 1 full min, do not give if bpm under 60)
Labs: BUN, Creatnine, digoxin, Na, K, Mg

Come back in 15 mins to reassess apical pulse

Question 2

ACE Inhibitors

Answer 2

Assess: BP, pulse
Labs: BUN, Creatnine, Na, K

Question 3

Corticosteroids

Answer 3

Assess: Bp, pulse, respirations, lung sounds

Have patient rinse mouth after use

Question 4

Adrenergic bronchodilators

Answer 4

Assess: lung sounds, pulse, BP, O2

New inhaler: shake for 30 secs, prime by 1-2 sprays
Allow 1 min between inhales

Question 5

Nitrates

Answer 5

Assess: BP, pulse, pain,
Labs: BUN, Creatnine

COME BACK IN 5 mins to assess chest pain

Question 6

Opioids

Answer 6

Assess: pain (COLDSPA), BP, pulse, respirations
Labs: creatinine, BUN, AST, ALT

Question 7

Acetaminophen

Answer 7

Assess: Pain, Temp, pulse
Labs: BUN, Creatnine, AST, ALT,

Do not take over 3 g a day

Question 8

Colace

Answer 8

Assess: bowel sounds, abdominal pain
Labs: Na, K

Give with glass of water

Question 9

Potassium depleting diuretics

Answer 9

Assess: turgor, BP, pulse, input/output
Labs: Na, K, glucose, BUN, Creatnine

Give in MORNING

Question 10

Beta blockers

Answer 10

Assess: BP, Pulse, lung sounds

Labs: K, Na, glucose, BUN, Creatnine

DONT GIVE IF SYSTOLIC IS UNDER 100

Question 11

Sulfonylureas

Answer 11

Assess: weight, BP, pulse
Labs: AST, ALT, BUN, Creatnine, glucose

Question 12

Penicillins

Answer 12

Assess: BP, pulse, temp,
Labs: BUN, creatnine, WBC

give on empty stomach
Take full script

Question 13

Potassium chloride

Answer 13

assess: pulse, BP,
Labs: K, Na

Question 14

Levothroxyine

Answer 14

Assess: APICAL PULSE, BP
LABS: TSH, T4, glucose

Come back in 15 mins to reassess

Question 15

Calcium channel blocker’s

Answer 15

Assess: BP, pulse, chest pain
Labs: K, Na, glucose

Question 16

Potassium sparing diuretics

Answer 16

Labs: BUN, Creatnine, Na, K