Nursing II Flashcards
A pt with acute angle closure glaucoma is receiving a continuous IV infusion of mannitol 25% for 1 hr. What AE should the nurse report?
- Vomiting
- Increased thirst
- Peripheral edema
- Muscle cramps
Peripheral Edema
Nurse explains that the med sucralfate does what?
- Decreases stomach acid secretion
- Neutralizes acids in the stomach
- Forms a protective barrier over ulcers
- Treats ulcers by eradicating H. pylori
Forms a protective barrier over ulcers
Pt has been taking morphine sulfate PRN for incisional pain. Nurse should assess what AE?
- Urinary retention
- Tachycardia
- Hyperthermia
- Dilated pupils
Urinary retention
What should the nurse include in the instructions when teaching about insulin glargine to a pt with type 1 diabetes mellitus?
- Observe for hypoglycemia when insulin peaks
- Adm. insulin immediately before meals
- Don’t mix med in syringe with other insulin
- Rotate bottle gently prior to drawing up insulin
Don’t mix med in syringe with other insulin
Glargine does not cause peak instead it maintains a steady blood lvl over 24 hr period which reduces the risk of hypoglycemia
Pt is taking acetazolamide for chronic open angle glaucoma. Instruct pt to monitor and report what?
- Blurring of vision
- Tinnitus
- Tingling of fingers
- Hypoglycemia
Tingling of fingers
Hyperglycemia rather than hypoglycemia is an AE of acetazolamide
Patient diagnosed with TB is prescribed 4 medication regimen of isoniazid, rifampin, pyrazinamide, and ethambutol. Pt asks why he has so many pills.
This regimen will eliminate various combinations of resistant strains of TB
Pt is receiving long-term tx for systemic lupus erythematosus with prednisone. Pt should expect to undergo which of the following diagnostic tests to monitor for long-term complications?
- Pulmonary function tests
- Electrocardiograms
- Liver function studies
- Bone density scans
Bone density scans
AE of glucocorticoids include osteoporosis which is monitored with regular schedule bone density scans
Pt has pneumonia and reports she is pregnant. Which medication should the nurse question?
- Acetaminophen
- Doxycycline
- Docusate sodium
- Regular insulin
Doxycycline
Pt with Heart failure is prescribed enalapril. Nurse should monitor for which of the following?
- Bradycardia
- Hyperkalemia
- Blurred vision
- Hypoglycemia
Hyperkalemia
- An ACE inhibitor
- Can develop Hyperkalemia due to potassium retention by the kidneys
A pt has been taking aspirin daily for the past yr. Which finding should the nurse report immediately?
- Hyperventilation
- Heartburn
- Anorexia
- Swollen ankles
Hyperventilation
May cause gastrointestinal distress including heartburn but not the most urgent finding
Pt is prescribed warfarin. What medication should nurse adm if patient experiences bleeding?
- Vit K
- Protamine sulfate
- Calcium gluconate
- Acetylcysteine
Vit K
Acetylcysteine is the antidote for acetaminophen toxicity
Sx of magnesium toxicity?
- Clonus
- Raised BP
- Decreased lvl of consciousness
- Agitation
Decreased lvl of consciousness
Magnesium toxicity results in CNS depression
SE of tamoxifen for the tx of breast cancer: SATA
- Bradycardia
- Menstrual irregularities
- Jaundice
- Hot flashes
- Bruising
- Menstrual irregularities
- Hot flashes
- Bruising
Antidote for diazepam OD
- Naloxone
- Atropine sulfate
- Neostigmine
- Flumazenil
Flumazenil
Pt is taking propylthiouracil for tx of Graves’ disease. Which indicates effectiveness of the medication?
- Decrease in white blood cell count
- Decrease in amount of time sleeping
- Increase in appetite
- Increase in ability to focus
Increase in ability to focus
Pt with Graves disease has difficulty focusing and increased ability to focus indicate effectiveness of the medication
Should you take acetaminophen instead of ibuprofen for headaches while on fluoxetine?
Yes
What should you monitor with Benztropine?
- Urinary frequency
- Hyperglycemia
- Diarrhea
- Tachycardia
Tachycardia
Benztropine is an anti-cholinergic agent
What should a client use during an acute asthma attack?
- Montelukast
- Albuterol
- Beclomethasone
- Nedocromil
Albuterol
Albuterol is short acting beta 2 adrenergic agonist which is a Bronchodilator, relieves bronchospasm
Instruction regarding adm of ferrous sulfate:
- Take an acid with this medication
- Call provider if your stools are black
- Take tablet on an empty stomach
- Call provider if you begin to bruise easily
Take tablet on empty stomach
Black stools are a common and harmless SE of oral iron adm.
Patient is taking a tetracycline PO and reports a G.I. distress. What can the nurse include in the teaching?
- Take medication with antacid
- Take medication at bedtime
- Take medication with applesauce
- Take medication on empty stomach
Take medication with applesauce
To reduce G.I. distress the client should take medication with food such as applesauce
Pt is to start digoxin. What should the nurse report and monitor?
- Dry cough
- Pedal edema
- Bruising
- Yellow tinged vision
Yellow tinged vision
A sign of dig toxicity
Pt has candidiasis. Which medication should the nurse administer?
- Fluconazole
- Metronidazole
- Linezolid
- Nitrofurantoin
Fluconazole
An antifungal med for treating oral pharyngeal and systemic candidiasis
