Unit Test Flashcards

1
Q

The treatment of Anemia secondary to renal failure is?

A

Erythropoietin

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2
Q

Diuretics are drugs that alter the volume and composition of body fluids, indicated for treatment of the following condition. EXCEPT

A

Dehydration

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3
Q

The nurse is monitoring a patient with Thiazide treatment. she will watch out for the following signs of?

A

Hyperuricemia
Hyperglycemia
Hypokalemia
Hyperlipidemia

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4
Q

All of which of are example of Loop diuretics? EXCEPT.

A

Mannitol

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5
Q

Which of the following is an example of Osmotic diuretics?

A

Mannitol

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6
Q

Which of the following is NOT The action of Osmotic diuretics?

A

Potent Potassium sparing

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7
Q

A Carbonic anhydrase inhibitor Used primarily to decrease IOP in open-angle glaucoma.

A

Acetazolamide

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8
Q

Potassium sparing diuretics (Spirinalastone, aldactone) Is given to a patent with edema. The nursing management would be? Select all that apply
Monitor for Hyperkalemia may occur if potassium supplement is given simultaneously.
Avoid K-rich food
Monitor K-level (3.5-5.5 meg)
Eat food like avocado, spinach, potato

A

1,2,3

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9
Q

All are drugs for prostate, except?

A

Amiloride

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10
Q

Which of the following symptoms do you expect to see in a patient diagnose with acute pyelonephritis?

A

costovertebral angle tenderness and chills

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11
Q

Which instructions do you include in the teaching care plan for a patient with cystitis receiving phenazopyridine (Pyridium)?

A

After painful urination is relieved, stop taking phenazopyridine

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12
Q

The nurse would first take this situation about the pain felt by the patient as?

A

Pain is subjective response a patient and true to one to believe

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13
Q

Gate Control Theory of Pain describes that pain is/are: Select all that applies
1. is not a direct result of activation of pain receptor neurons
2. is perception is modulated by interaction between different neurons
3. Pain is transmitted to spinal cord by A delta fibers and c fibers
4. Pain signal is transmitted to the spinal cord, hypothalamus, and cerebral cortex

A

1,2,3,4

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14
Q

A nerve fiver also called FAST channels that transmit pain impulses from the periphery to spinal cord and brain.

A

Delta fiber

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15
Q

A nerve fiver also called SLOW channels that transmit pain impulses from the periphery to sanel cord and brain.

A

Fivers

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16
Q

Pain Impulses are intercepted in the dorsal horns of the spinal cord, it is called?

A

Substancia gelatinosa

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17
Q

The relay station for incoming stimuli, including pain.

A

Thalamus

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18
Q

Narcotics or Opioids are strong drugs that are sometimes used to treat pain. What health education should the nurse provide to the client? Narcotics or opioids causes:

A

Respiratory depression

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19
Q

Nurse Amy is reviewing the additional effects of narcotics with a patient. Besides pain relief, which of the following effects do narcotics include?

A

Euphoria
Nausea and vomitting
miosis

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20
Q

A patient with severe post operative pain is prescribed hydromorphone 2mg IV every 4 hours PRN. What should the nurse do?

A

Administer medication as ordered
Check the patient’s Allergic history
Monitor for respiratory depression

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21
Q

A patient rates their pain as 8/10 on the Pain Numeric Rating Scale (PNRS). What should the nurse do next?

A

Evaluate the patient’s Pain characteristic

22
Q

A patient with chronic back pain asks about alternative therapies. Which intervention should the nurse suggest?

A

Meditation

23
Q

A 4-year-old patient with a fractured arm rates their pain as 6/10 on the Faces Pain Scale (FPS). What should the nurse do?

A

Administer acetaminophen
Use Distraction technique
Provide emotional support

24
Q

What is the most accurate description of fentanyl?

A

80x more potent than morphine

25
Q

What is more likely the side effect of meperidine than other opiates?

A

Convulsive seizures

26
Q

What occurs during the vascular phase of inflammation?

A

vasodilation with increase capillary permeability

27
Q

Which of the following statements about intravenous administration of steroids is true?

A

Stereoid administered iv can be either in diluted or undiluted form

28
Q

A patient has been prescribed salicylates as an analgesic agent. Which of the following adverse reactions caused by salicylates should the nurse monitor for?

A

Gi bleeding

29
Q

The treatment for patient with hypervolemia secondary to renal failure is

A

Diuretics

30
Q

For which of the following patients are salicylates is NOT contraindicated

A

Patient with influenza or viral illness

31
Q

Which of the following are said to be the Cyclooxygenase inhibitor?

A

NSAIDs

32
Q

Which of the following analgesics is available in “Lollipop” form?

A

Fentanyl

33
Q

Mr. Glen, 36 years old male, visited by his doctor and was prescribed a Misoprostol to be taken in conjunction with the NSAID. The purpose of misoprostol in a client who chronically uses NSAIDs is

A

Relief of epigastric pain

34
Q

All of the following drugs are disease- modifying antirheumatic drugs (DMARDs), except;

A

Anticougulant

35
Q

All of the following are considered as the key therapeutic effects of NSAIDs (Non Steroidal Anti-inflammatory Drugs)

A

Relief pain
Supress inflammation
Reduce fever

36
Q

An arachidonic acid has been converted by cyclooxygenase enzyme into which mediator?

A

Prostanoids

37
Q

The nurse is checking Ms. Almira’s medical record as she is about to give her Celecoxib (Celebrex) as ordered. Before administering this drug, she check if this patient is taking which of the following medications that would increase the risk of adverse effects?

A

Acetaminophen

38
Q

Prostaglandin are found in most tissues and organs and was produced by the Arachidonic acid, these are the functions of prostaglandin. except?

A

Reliefs pain and fever

39
Q

Your patient is post-op from surgery and is receiving Morphine, suddenly after taking medicine she experienced severe respiratory depression. What medication below do you anticipate the physician to order for this patient?

A

Naloxone

40
Q

Mr. Jerry is taking Ibuprofen for his arthritis.The nurse understand that COX-1 and COX-2 inhibitors are different in that Ibuprofen is more likely than Celecoxib to cause which adverse effect?

A

Peptic ulcer disease

41
Q

A patient refuses pain medication due to concerns about addiction. What ethical principle should guide the nurse’s response?

A

Autonomy

42
Q

The nurse confirmed on the patient’s chart that Mr. Julian, with Meperidine is not taking a MAO Inhibitor. A combination of these drugs may lead to which of the following?

A

Hyperpyrexia syndrome

43
Q

Which age group is particularly susceptible to side effects from NSAIDs?

A

Older adults

44
Q

One of the first NSAIDs introduced which is very irritating to the stomach and should be taken with food,

A

Indomethacin

45
Q

An antimicrobial medication that has selective toxicity has which characteristic?

A

Ability to avoid injury post cells

46
Q

The development of a new infection as a result of the elimination of normal flora by an antibiotic is referred to as what?

A

Superinfection

47
Q

A microbe acquires antibiotic resistance by which means?

A

Transfer of DNA coding to another bacteria

48
Q

What is the minimum concentration bactericidal (MBC)?

A

Lowest Concentration of an antibiotic needed to reduce the number of bacterial colonies by 99.9%

49
Q

A patient has acquired an infection while in the hospital the nurse identifies this type of infection as what?

A

Nosocomial Infection

50
Q

To what foreign country did we acquire the “BAHALA NA” syndrome?

A

Spain