possible exam 3 question fro audio 2013 Flashcards
A cleint has diabetes insipidus and is receiving DDAVP(ADH)
this med is going to keep water reabsorption
the client has been diagnosed with cushing syndrome what will the nursing assessment reveal?
Upper body obesity,(adrenal cortex issue), hyperglycemia, hypernatremia
which vital sign is the greatest to observe for digoxin
HR, apical less than 60 NO administration
a client is receiving hydrocortisone therapy the nurse will primarily asses for which electrolyte disturbance
hypernatremia (due to sodium)
the nurse plans to administer intransala DDAVP to the client, what would be the best plan by the nurse include
direct the spray high in the nasal cavity (you want it to go to the source-nasal cavity pituitary gland)
vassopresors are used in the treatment of
HYPOtension
function of thyroid gland is to
control basal metabolism
which of the following is a s/s of hypothyroidism
bradycardi
the primary pharmacotherapy goal in HYPER thyroidism in graves disease is to
lower the activity
Select all that apply: a client has been RX levothyroxine, what medication information should the nurse
do not start a fibrolaxative without discussing(can cause constipation), take this med same time everyday in the morning
the md orders insulin homolog when will the nurse admin med
when meal tray arrives on the floor
md writes orders with diabetes which oder will the nurse validate with the physician
lantus 20 units BID its supposed to be DAILY insulin
a client with diabetes mellitus is taking oral agents and is scheduled for diagnostic tests that is NPO
get orders-ms needs to know that
a client with diabetes mellitus type II the nurse taught that the client about illness that learning has occurred
my cells cannot use the insulin that my pancreas makes
client has type 1 diabetes and ska the nurse why can’t i take pills
stomach destroys pills can’t be absorbed in the GI tract
highest risk for developing diabtes
42 y/o client overweight
the client injects insuin and gets busy forgets to eat
cleint wi have moist skin
clioent receives metformin select all that apply
decrease sugar in liver, rediuce insulin resistance
md orders iv inslin for client with BG 563 nurse administered pro humaloig inslun
should have used regular because its fast acting(reg insulin is only one IV.
nurse understands that which of thje following drugs falls under that classification of begoinides
metformin
client has been Rx Byetta (type 2) what med education should the nurse prescribe
take this med twice a day, this drug will help you secrete more insulin
a lot of diabetic meds can cause
go issues
plan to med edu with client rx viagra
be sure to take 1 pill
client comes to clinician for rx for viagra
don’t use nitro
rn teaching student about histamines what statement was not right…
h1 receptors are found in the stomach
select all that apply
A,D,E place the patch where theres no hair, change daily, observe rash, keep away from kids
24 y/o F pt with MS(interferon) beta 1 therapy
monitor signs of bone marrow suppression
APTT
for Heparin
md rx flexeril for pt whe ding med edu what will be the best
anticholinergic effects–increase fiber( causes major constipation)
pt receives Dantrium which lab would you look at
liver alt and ast
which of the following most likely will be an initial tx for alxzherimers
arocept
pt receive cognex for tx of alheimers disease what will nurse primarily asses
LFT-excreted through the liver
amylase
pancreatitis
pt rcves ldopa rn compeltes edu determines learning occurs whe pt makes which statement
Increase fiber can cause constipation
which drug types used for depression
1st line std for depressionSSRI’s
which of the folioing foods to avoid when taking MAOI
chocolate, wine, aged cheese (tyramine)
pt has pca pump following surgery keeps narcan per protocol what does the rn recognize as a rationale
reverse opioid effects
what is a priority assessment question prior to
how would you rate your pain
depression that occurs during cld winter moths
seasonal affective disorder
what is priority outcome assessment 6 y/o pt to using ritalin
pt will use age appropriate play with peers
identify correct statemnt er opioid recpetors
opioid agnist will activate the kappa receptors
which of the following szr meds would be administered IV and show signs of excevisation(purple glove)
dilantin
the pt has bipolar disorder and is a manic phase(lithium levels 0.8-1.2) PT HAS A LOW LITHUM LEVEL..what will the nurse expect to asses in the patient
hyperactivity and increased manic behavior
eledely pt is taking lumenol what is the most important nursing assesment
resperations
young child has absence szrs, md rx depakote and determines that learning has occurred when she makes this statmentq
I will not use with carbonated beverages
pt receing depaoite and aspirin…profilactically
bleeding from the gums
md ordered dilatin and dextrose(dextrose is only compatible with normal saline )
use large vein for infusion and iv line with salineA,C
mdordered IV dilatnin nurse does not read drug label IM, what is the most response from the pt
local tissue damage
md ordered IV diazapam valium
status epilepticus
duing administration what is the nurse
respirations
The nurse iOS connecting medication from the past with a pt with epilepsy, what s the best
pt will recognize that the anitszr med must be continued
pt has epilespsy dilantin has been seizure free and asks the nurse why he still needs blood tests
depakote
pt syas to the nurse my md says i have epilespy
yes take meds to regular basis to control seizures
pt taking what meds should avoid food high in tyramine
MAOI’s
which explanation best explains why barbiturates are rarely used to Tx ANXIETY
addictive properties
which of the following have adverse effects must be stressed by the nurse during pt discharge(SSRI)
wt gaina nd sexual dysfunction
whats the best way to manage stress
determine the cause and act accordingly
patient will verbalize why stopping the drug abruptly(panics attacks clonapion
safety
pt recving amben for short term insomnia..primary safety concern when pt taking meds
sleepwalking
pt comes to ed after overseen of ativan nurse plans to administer
romazacon
pt taking ativan for two years manufacture plants shuts for rat droppings stop taking meds best nurse assessment for stopping medication wha best described nurse assessment after
increased heart rate fever muscle cramps(detox)
pt has been treated by same md for two years and has had insomnia the entire time, many different meds have been tried with limited success, what should be the nurses primary assessment
asses for primary sleep disorder such as sleep apnea
which the following response are regulated by the SNS
relaxation of bl;adde and pupil
nurse will adminster meds to a group of pt and one will get atropine the drug is contraindicated with which patent ?
pt with glycoma
pt received albuterol(proventil) and andrcholinergic drug. a consulting physician orders cartrol, what best described the nurse assessment
the affects of albuterol will be decreased
