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10 Cards in this Set
- Front
- Back
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An elderly client is admitted to the ICU with acute chest pain. A lidocaine (xylocaine) drip is started because of sinus tachycardia and frequent PVCs. Client becomes restless and dioriented. Why?
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Confusion is a common SE of lidocaine therapy.
R: Lidocaine has very low margin of safety. Confusion and drowsiness are frequent side effects of lidocaine therapy. As blood levels of lidocaine rise, clients tend to become apprehensive. SE and Adverse responses caused by lidocaine affect mainly CNS and cardiovascular. |
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What statement by a client would demonstrate to the nurse an understanding of how thrombolytic agents work? This med:
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Uses my body's natural clot dissolving system.
R: Thrombolytics activate the fibrinolytic system of the body by activating plasminogen which is converted to plasmin- the body's natural clot dissolving substance. |
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Metolazone (Mykrox) would prompt the nurse to asses the client taking digoxin for S&S of toxicity because..?
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Diuretic-induced hypokalemia can increase the sensitivity of the myocardium to digitalis glycosides.
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A nurse can anticipate diuresis will occur when a client is taking lisinopril (Zestril) because?
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Zestril is an antihypertensive ACE inhibitor: its action is to block the formation of angiotensin II. When this happens, diuresis and vasodilation occur, which will decrease blood volume and peripheral resistance, causing lowered bp.
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The nurse would include follow-up eye exams in the teaching plan for a client discharged with a prescription for amiodarone (Cordarone) because?
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Routine follow-up eye exams should be done to monitor for corneal microdeposits which appear in the majority of adults treated with cordarone. These microdeposits can lead to symptoms such as visual halos or blurred vision.
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The physician orders labetalol (trandate) for a client to treat severe hypertension secondary to a pheochromocytoma. the nurse recognizes this drug to be a potent antihypertensive because of its action as?
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An alpha- and beta-adrenergic blocker
R: nonselective beta-adrenergic blocker, blocks stimulation of beta-1 and beta-2 receptor sites as well as alpha-adrenergic receptors. This drug is extremely potent AntiHyp. agent. |
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It is important to advise a client taking aliskiren (Tekturna) to not use it if pregnant/or want to become pregnant because?
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Aliskiren (Tekturna) may cause damage or death to the fetus. It should not be used during pregnancy. clients should be advised to call the health care provider is pregnancy is suspected.
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Which info is least important for the nurse to include in a teaching plan for the client receiving Nitrolglycerin 0.4 mg SL Q5 minutes x 3 PRN angina?
monitor pulse rate daily Activate emergency med system after 3 doses place tab under tongue every 5 min Store in orginal glass container, air tight |
Monitor pulse rate daily, this med is prescribed on an as needed basis
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Client is discharged on oral flecainide (Tambocor). Why would taking pulse daily and reporting irregularities be an appropriate instruction to pt?
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Major life-threatening side effects of Tambocor therapy is arrhythmias, client should be taught to monitor the pulse daily (before getting out of bed) and report any evidence of palpitations or skipped beats to physician.
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Client is admitted in hypertensive crisis due to a pheochromocytoma. The physician orders nitroprusside (nitropress) IV at 3 mcg/kg/min. In addition to the routine assessments, why would obtaining an infusion pump for the Nitropress be important?
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Nitropress is a potent vasodilator with immediate onset of action, it must be administered via an infusion pump to ensure an accurate dosage rate.
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