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56 Cards in this Set
- Front
- Back
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What is the anticipated increase lab value with a client receiving methylprednisolone?
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Serum glucose
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LMWH or low molecular weight heparin, is given for what reason?
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It is a blood thinner given to prevent blood clot formation
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A client has a possible myasthenia gravis. You prepare an IV admin. of edrophonium chloride (Tensilon). What is the expected outcome for the client?
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Decreased muscle weakness
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What is the desired effect of administrating subQ nitroglycerin to a client experiencing an acute anginal attack?
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client states chest pain is relieved
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Which morning schedule would indicate the client has been properly taught the most effective time for taking alendronate (Fosamax) for osteoporosis?
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take medication, go for a 30 min. morning walk, then eat breakfast.
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Which symptoms are serious adverse effects of beta-adrenergic blockers such as propranolol?
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Wheezing, hypotension, and AV block
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Which diagnostic test monitored regularly for a client prescribed warfarin?
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PT/INR, prothrombin time
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A client is prescribed Dilaudid IV and Butorphanol tartrate (Stadol) IV q4h PRN for pain. What is the correct intervention should the pt need pain relief?
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Administer only the Dilaudid (opioid), not the Stadol (opioid agonist-antoagonist)
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Which lab finding should the nurse identify that places a client at risk who is taking digoxin for the onset of supraventricular tachycardia (SVT)?
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hypokalemia
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Is glipizide (Glugotrol) an oral insulin?
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No, can only be used with some beta cell function.
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What is Glipizide (Glucotrol)?
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An oral hypoglycemic agent that enhances pancreatic production of insulin.
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A client taking high dose aspirin for arthritis is experiencing ringing in her ears, what does this indicate?
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Tinnitus is an early sign of salicylate toxicity and medication should be stopped immediately
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Which nursing intervention is most important when caring for a client receiving the antimetabolite cytosine arabinoside (Arc-C) for chemotherapy?
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Inspect the client's oral mucosa for ulcerations.
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What is the most important information regarding a clients diet modification when taking spironolactone (Aldactone)?
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refrain from eating foods high in potassium
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What is a potentially life-threatening complication of Lipitor (atorvastatin)?
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myopathy, suggested by muscle pain and weakness
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A client with hyperlipidemia receives a prescription for niacin (Niaspan). What can the client expect?
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duration of flushing of the face and neck, lasting up to an hour.
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Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for a client with which condition?
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Heart failure (beta-1 adrenergic agonist)
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Which method of medication administration provides the client with the greatest first-pass effect?
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oral
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What is the correct dosing schedule for a client using controlled-releases oxycodone prescription?
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every 12 hours
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Persons with myxedema, which results from a deficiency of thyroid hormone synthesis in adults, are dangerously hypersensitive to _______, _________, and ______?
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narcotics, barbiturates, and anesthetics
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An older client with a decreased % of lean body mass is likely to receive a prescription that is adjusted based on which pharmacokinetic process?
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Distriution
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What is the action of propylthiouracil (PTU) used to treat hyperthyroidism?
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inhibit synthesis of T3 & T$ by the thyroid gland.
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When should a client, given a prescription for a scopolamine patch (Transderm Scop) for motion sickness, apply the patch?
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Apply the patch at least 4 hours prior to departure
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What is a important part of teaching a client who is taking misoprostol (Cytotec)?
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use contraception during intercourse because the drug can act as an abortifacient.
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How do you administer morphine sulfate and ketorolac (Toradol)?
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Together
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A postoperative client is receiving meperidine (Demerol), and has become increasingly restless, irritable, and confused with hallucinations. What should you do first?
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Decrease the rate of Demerol per protocol.
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Which drug decreases both preload and afterload? Nitroglycerin, Propranolol, Morphine, Captopril
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nitroglycerin
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What adverse effects are associated w/thyroid hormone toxicity?
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tachycardia and chest pain
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What should you do for a client who is scheduled for a dose of losartan (Cozaar), an ARG, whose serum potassium level is 5.9mEq/L?
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Withhold the scheduled dose, ARB's can cause hyperkalemia and the pt already has high serum K+ levels
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What should you do for a client taking Imdur who reports the onset of headached prior to the next scheduled dose?
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Take the dose along with acetaminophen
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What is the desired effect of clonidine (Catapres)?
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decrease in hypertension
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What allergy is a contraindication for taking celecoxib (Celebrex)
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Sulfur allergy
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A client w/ Parkinson's disease it taking carbidopa-levodopa (Sinemet). What is the desired outcome of the medication?
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lessening of tremors
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What is an important nursing diagnosis to include in the plan of care for a client receiving angiotensin-2 receptor antagonist irbesartan (Avapro)?
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Risk for injury
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What are S/S of digoxin (Lanoxin) toxicity? Does Lipitor increase or decrease the risk for digoxin toxicity?
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Vomiting, anorexia, and abdominal pain...increase
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What is the correct order of medications given for a client w/ acute status asthmaticus?
prednisone (orally) Gentamicin (IM) Albuterol (puffs) Aminophylline (IV) |
puffs, IV, orally, then IM
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What is a cross allergy to penicillin?
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Cephalosporins
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What do you want to do prior to the administration of the antiarrhythmic drug adenosine (Adenocard)?
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apply continuous cardiac monitoring
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Where would assess for someone who overdosed on acetaminophen? (feel pain)
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abdomen
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How does Maalox work for a client with peptic ulcer disease?
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maintain a gastric pH of 3.5 or above
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What does Doxorubicin, if extravasated, cause?
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Inflammation, blistering, and necrosis of tissue
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What is the expected outcome if lactulose (Cephulac) is working?
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2 or 3 soft stools per day
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What would be an indication of an overdose of lactulose?
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watery, diarrhea stools
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What is the optimum time for the nurse to obtain the trough level?
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Immediately before the next antibiotic dose is given
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What is the desired effect of the angiotensin II receptor antagonist valsartan (Diovan)?
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decrease in blood pressure
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What is the most common adverse effect of all penicillins?
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Rash
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Keflex is a _________ and therefore you must check for what cross-allergy?
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Cephalosporins, check for penicillin allergy
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Which drug is used as a palliative treatment for a client w/ tumor-induced spinal cord compression?
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Dexamethasone (Decadron)
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A medication that is classified as a beta-1 agonist is most commonly prescribed for a client w/ which condition?
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heart failure
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What assessment is most important for the nurse to obtain with someone receiving metoprolol (Lopressor SR)?
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blood pressure
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ACE inhibitor captopril (Capoten), should be cautioned that this drug can cause what?
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hypotension resulting in dizziness
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How do you take Flagyl? Why?
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take with food/full stomach to decrease gastric distress
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Aspirin combined with __________ increases the potential for salicylate toxicity.
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Pepto Bismol
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What occurs in about 50% of clients taking cyclosporine for a liver transplant and should be reported?
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presence of hand tremors or other neurological complications
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________ will precipitate digitais toxicity in persons receiving digoxin.
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Hypokalemia
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A client receiving albuterol tablets complains of nausea every evening with her 9 p.m. dose. What can you do to alleviate this side effect?
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administer the dose with a snack.
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