hesi final
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| The parent of a child with attention-deficit/hyperactivity disorder (ADHD) asks the nurse how a drug like methylphenidate (Ritalin), a CNS stimulant, can help the child. What is the nurse's best response? | show 🗑
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| What is a priority nursing action when taking care of a patient who is prescribed a central nervous system (CNS) stimulant? | show 🗑
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| When assessing for side effects expected in a client taking analeptics, what is a priority nursing action? | show 🗑
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| show | Assess for over-the-counter medication use
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| show | Ask the patient if he or she has been taking the medication regularly
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| A client is to be discharged home with a transdermal nitroglycerin patch. Which instruction will the nurse include in the client's teaching plan? | show 🗑
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| A nurse is monitoring a client with angina for therapeutic effects of nitroglycerin. Which assessment finding indicates that the nitroglycerin has been effective? | show 🗑
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| The nurse is monitoring a client during IV nitroglycerin infusion. Which assessment finding will cause the nurse to take action? | show 🗑
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| Which statement made by the client demonstrates a need for further instruction regarding the use of nitroglycerin? | show 🗑
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| Which client assessment would assist the nurse in evaluating therapeutic effects of a calcium channel blocker? | show 🗑
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| show | the medication will work for 24 hours and you will need to change the patch daily.
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| What will the nurse instruct the client to do to prevent the development of tolerance to nitroglycerin? | show 🗑
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| Before the nurse administers isosorbide mononitrate (Imdur), what is a priority nursing assessment? | show 🗑
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| show | It’s best to keep it in its original container away from heat and light
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| Which statement indicates to the nurse that the client understands sublingual nitroglycerin medication instructions? | show 🗑
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| show | Apply the ointment to a nonhairy part of the upper torso
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| show | Decrease the intravenous nitroglycerin by 10 mcg/min
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| show | Heart rate 58 beats per minute
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| show | Administer ordered dose of digoxin.
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| A client is taking digoxin (Lanoxin) 0.25 mg and furosemide (Lasix) 40 mg. When the nurse enters the room, the client states, "There are yellow halos around the lights." Which action will the nurse take? | show 🗑
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| show | Loss of appetite with slight bradycardia
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| The nurse reviews a client's laboratory values and finds a digoxin level of 10 ng/mL and a serum potassium level of 5.9 mEq/L. What is the nurse's primary intervention? | show 🗑
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| show | Monitor blood pressure continuously.
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| show | Rapid IV bolus of Adenosine (Adenocard)
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| show | Crackles in the lungs
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| What must the nurse monitor when titrating intravenous nitroglycerin for a client? | show 🗑
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| show | Fasting blood glucose level of 140 mg/dL
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| What is the best information for the nurse to provide to the client who is receiving spironolactone (Aldactone) and furosemide (Lasix) therapy? | show 🗑
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| The nurse is assessing a client who is taking furosemide (Lasix). The client's potassium level is 3.4 mEq/L, chloride is 90 mmol/L, and sodium is 140 mEq/L. What is the nurse's primary intervention? | show 🗑
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| show | The fact that Lasix has shown efficacy in treating persons with renal insufficiency
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| show | Fish ...Fish is an appropriate dietary choice, because it is low in potassium.
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| show | A 47-year-old client with anuria
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| A nurse is caring for a client receiving acetazolamide (Diamox). Which assessment finding will require immediate nursing intervention? | show 🗑
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| A client is ordered furosemide (Lasix) to be given via intravenous push. What interventions should the nurse perform? | show 🗑
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| show | Wear protective clothing and sunscreen while on this medication..Adverse effects associated with Thalitone include photosensitivity
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| A client with hyperaldosteronism is prescribed spironolactone (Aldactone). What assessment finding would the nurse evaluate as a positive outcome? | show 🗑
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| A client with acute pulmonary edema receives furosemide (Lasix). What assessment finding indicates that the intervention is working? | show 🗑
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| Which assessment indicates a therapeutic effect of mannitol (Osmitrol)? | show 🗑
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| show | Assess potassium levels....Triamterene (Dyrenium) is a potassium-sparing diuretic. The nurse should monitor potassium for potential hyperkalemia.
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| The client asks the nurse why the health care provider prescribed acetazolamide (Diamox), a diuretic, to treat gout. What is the nurse's best response? | show 🗑
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| show | I will check my blood pressure daily and take my medication when it is over 140/90.
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| A nurse is caring for a client who is taking an angiotensin-converting enzyme inhibitor and develops a dry, nonproductive cough. What is the nurse's priority action? | show 🗑
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| The nurse is reviewing a medication history on a client taking an ACE inhibitor. The nurse plans to contact the health care provider if the client is also taking which medication | show 🗑
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| A client is prescribed a noncardioselective beta1 blocker. What nursing intervention is a priority for this client | show 🗑
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| show | The client who has stopped taking a beta blocker due to cost Abrupt discontinuation of the antihypertensive drug may cause rebound hypertension.
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| The nurse is caring for a client with hypertension who is prescribed Clonidine transdermal preparation. What is the correct information to teach this client? | show 🗑
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| The client taking Methyldopa (Aldomet) has elevated liver function tests. What is the nurse's best action? | show 🗑
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| show | Determine the client’s history..The desired therapeutic effect of prazosin may not fully occur for 4 weeks.
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| show | Hypotension...Calcium channel blockers cause vasodilation and thus a drop in blood pressure
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| show | “Increasing fluid and fiber in your diet can help prevent the side effect of constipation.”....
Constipation is a controllable side effect of clonidine (Catapres).
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| During assessment of a client diagnosed with pheochromocytoma, the nurse auscultates a blood pressure of 210/110 mm Hg. What is the nurse's best action? | show 🗑
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| show | Alteration in cardiac output related to effects on the sympathetic nervous system...
Circulation is always a priority over fatigue, pain, and knowledge deficit.
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| show | Client has not had a bowel movement in 3 days
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| show | Client taking magnesium-containing antacids who has renal failure
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| show | Assess for metabolic alkalosis.
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| Which nursing diagnoses is appropriate for a client receiving famotidine (Pepcid)? | show 🗑
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| show | Smoking decreases the effects of this medication, so I should look into cessation programs.”
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| show | Administer the medications and assess the client for relief
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| show | pantoprazole (Protonix
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| show | Decrease in gastric motility....
Diphenoxylate (Lomotil) acts on the smooth muscle of the intestinal tract to inhibit gastrointestinal motility
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| show | Administer 30 minutes before meals and at bedtime
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| In developing a plan of care for a client receiving an antihistamine antiemetic agent, which nursing diagnosis would be of highest priority | show 🗑
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| What instruction is most important for the nurse to teach a client who is taking an anticholinergic agent to treat nausea and vomiting? | show 🗑
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| Which assessment is most important for the client who is taking stimulant laxatives | show 🗑
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| show | Administer just before meals...Ranitidine (Zantac) should be given just before meals to decrease food-induced acid secretion, or at bedtime.
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| The health care provider prescribes lansoprazole (Prevacid) to a client. Which assessment indicates to the nurse that the medication has had a therapeutic effect? | show 🗑
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| show | Make sure the client eats breakfast
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| The client newly diagnosed with type 2 diabetes mellitus has been ordered insulin glargine (Lantus). What information is essential for the nurse to teach this client? | show 🗑
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| show | Make sure the pump is set to the correct rate.
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| show |
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| administer insulin. What information is essential to include in the plan? | show 🗑
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| The nurse administers NPH insulin at 8 AM. What intervention is essential for the nurse to perform? | show 🗑
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| What is the most important information for the nurse to teach the client who has been prescribed an alpha-glucosidase inhibitor? | show 🗑
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| The client with type 1 diabetes mellitus asks "Why can't I take a sulfonylurea like my friend who has diabetes?" What is the nurse's best response? | show 🗑
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| The nurse is teaching a client with type 1 diabetes and hypertension. The client currently takes insulin and Inderal. What is the most important information for the nurse to teach this client? | show 🗑
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| show | You cannot mix this insulin with any other insulin in the same syringe.”
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| The nurse finds a client with type 1 diabetes mellitus unresponsive, cold, and clammy. What is the nurse's best action? | show 🗑
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| The health care provider orders doxapram hydrochloride (Dopram) for a client in the emergency department. What is the most important nursing intervention for this client? | show 🗑
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| A client is admitted to the emergency department with an overdose of a benzodiazepine. Which antidote will the nurse administer? | show 🗑
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| A client is admitted to the emergency department with an overdose of a barbiturate. The nurse immediately prepares to administer which medication? | show 🗑
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| The client's chart notes the administration of dantrolene (Dantrium) immediately postoperatively. What will the nurse need to do to monitor the effect of this medication? | show 🗑
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| Zantac is used to treat | show 🗑
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| show | 1 hour apart from each other --is H2 blocker
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| show | the first injectable NSAID..a non-opiod pain killer(short) ..can cause GI upset
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| Tigan - used during pregnancy | show 🗑
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| ORAL hypoglycemics | show 🗑
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| H2 ..action in GI | show 🗑
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| show | take before meals and at bedtime... reduce dosage for older adutls
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| show | cause anorexia, nausea, vommiting, blurred vision, cardia dysrhythias, premature ventricular contractions, visul illusions, (white, Geen, Yellow hallos)
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| show | use digibind
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| show | used to control angina pectoris pain
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| show | removed nightly (8-12 hours rest) ...duration action is 24 hours
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| show | taper off over weeks ...to prevent rebound effect or severe pain...due to MI
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| THROMBOLYTICS - clot busters!!!!! | show 🗑
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| thormobolytics include | show 🗑
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| Thromobolytic - major complication | show 🗑
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| show | AMICR (I am i the car...to strop the bleedig)
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| show | CVA, Active bleeding, sever hypertension, and antigoagulant therapy
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| show | give tylenol
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| Amaryl | show 🗑
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| show | is used to manage type II diabetes melitus,
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| amaryl | show 🗑
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| Actos | show 🗑
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| Actos is | show 🗑
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| show | used to prevent thrombosis - .. by surpressing platelet aggrigation
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| antiplatelets are used | show 🗑
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| show | aspirin, Plavix (discontiune dong quai, feverfew, garlic ginko at leat 7 days b-4 surgery)
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| show | peptic ulcers, and GERD, and stress ulcers
avoid smoking and alcohol, caffeom
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| show | 1 hour apart from each other --is H2 blocker
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| show | the first injectable NSAID..a non-opiod pain killer(short) ..can cause GI upset
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| Tigan - used during pregnancy | show 🗑
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| show | are synthetic drugs --that stimulate insulin release ....alter the metabolic response to hyperglycemia
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| H2 ..action in GI | show 🗑
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| H2 blocker | show 🗑
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| show | cause anorexia, nausea, vommiting, blurred vision, cardia dysrhythias, premature ventricular contractions, visul illusions, (white, Geen, Yellow hallos)
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| show | use digibind
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| show | used to control angina pectoris pain
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| Nitro patch | show 🗑
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| Nitro patch | show 🗑
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| show | 3 hours within a sroke, 4 hours after acute MI
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| thormobolytics include | show 🗑
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| Thromobolytic - major complication | show 🗑
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| Thromobolytic (antidote) | show 🗑
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| Thromobolytic contraindications | show 🗑
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| Do NOT give asprirn with Thrombolytics | show 🗑
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| Amaryl | show 🗑
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| AMARYL | show 🗑
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| show | decreases glucose levels
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| show | hypoglycemic drug ---must monitor Liver enzymes..... cause Blood Glucose to fall!!!!
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| show | contraindication with Heart Disease
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| antiplatelets | show 🗑
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| antiplatelets are used | show 🗑
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| antiplatelets = | show 🗑
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| Calcium channel blockers | show 🗑
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| CCB | show 🗑
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| show | Verapamil(calan) nifedipin (procardia, diltiazem (cardizem) ...not use in patients with AV block or HF
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| CCB | show 🗑
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| show | alwasy monitor Liver enzymes
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| show | two strong PB drgus will compete... this more free drug exist in serem blood
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| show | also allows free drugs to stay in serem blood ...leading to toxicity
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| show | Natrual = without previous exposure
Acquired = with prior exposure
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| Antibotic resistance is caused by | show 🗑
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| Angina | show 🗑
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| Classic angina | show 🗑
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| variant | show 🗑
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| show | impending MI..... ****emergency****
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| show | avoid heav meals, smoking, extereme weather changes, strenous excercise, emtional upset
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| preventing angina -nonmpharmacological | show 🗑
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| crestor - Strong STATIN drug | show 🗑
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| Crestor = | show 🗑
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| crestor = serious complications | show 🗑
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| Crestor = | show 🗑
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| Crestor = | show 🗑
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| cholesterol | show 🗑
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| show | 40-50
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| LDL | show 🗑
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| THE PRIORITY OF DRUG ADMINISTATION FOR ANGINA | show 🗑
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| Beta Bloicker are used | show 🗑
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| show | variant (unstable) angina
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| show | in this order: Nitrates, Beta Blocker, Calcium Channel Blockers
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| show | ginko effects the CNS past the blood brain barrier,
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| Ginko | show 🗑
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| Ginko | show 🗑
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| Phenergan (Promethazine) major side effect | show 🗑
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| show | 6x's more powerful than Morphine - fever hypnotice effects, less GI distress
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| Dilaudid - always monitor | show 🗑
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| Dilaudid also causes | show 🗑
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| Dilaudid ... the classic sign for toxicity | show 🗑
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| show | physical and psychological dependence may occur
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| show | in NOT for irritable Bowell syndrome
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| show | used with COPD
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| show | 1 capsule = daily inhaler
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| show | use for Bronchospasms of COPD
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| show | is the FIRST long acting inhaled ANTI-cholingeric drug ---for COPD treatment
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| Lasix (LOOP) (LOOP) | show 🗑
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| show | Hypokalemia can result
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| show | with Lasix
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| use to treat | show 🗑
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| Contraindication | show 🗑
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| Lasix will alter | show 🗑
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| LASix | show 🗑
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| Anaphylaxis shock | show 🗑
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| TWO kinds of allergic reactions | show 🗑
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| Barbituate refusal | show 🗑
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| Barbituate... the nurse must | show 🗑
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| Manitol | show 🗑
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| Manitol= | show 🗑
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| show | a FILTER needle when administoring ... because crystals may form and inadvetedly injected!
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| show | is highly Individualize!!!!
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| MANITOL | show 🗑
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| Manitol | show 🗑
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| show | vefify the compatability of the IV solution and the drug!!!!!
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| show | before administering and after administering
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| show | is given IV,PO, IM
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| show | if you miss a dosage ......DO not double the next!!!!!
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| show | must be infused slowly to avoid pain... PHELBITIS!!!!
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| Antibotic compliance. | show 🗑
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| show | by monitoring of peaks and troughs ...to avoid toxicity!!!!!
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| show | before administering antibotic therapy ....to identify the bacteria!!!!!!!
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| Dialantin | show 🗑
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| show | 10-20
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| Migranol | show 🗑
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| show | IV, Intrnasal, IM
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| Pregnancy cat | show 🗑
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| show | Naloxone
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| Naloxone | show 🗑
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| show | should be given if concurrent opioid use is suspected (over dose)
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| Naloxone | show 🗑
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| show | also used in neonatl respiratory depression
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| post op pain | show 🗑
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| post op pain | show 🗑
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| show | bradycardia, tachycardia, hypotension, dyspena, hallucinaitons
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| show | respiratory depression
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| show | is an opioid antagonist !!!!
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| nubain | show 🗑
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| nubain | show 🗑
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| nubain | show 🗑
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| bactrium | show 🗑
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| Bactium is used | show 🗑
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| show | inhibition of protein synthesis of nucleic acids bactericial effect
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| Bactium S/E | show 🗑
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| show | sore throat - from hematologic reaction !!!!
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| Bactium (timethoprim-sulfamethoxazole) | show 🗑
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| Macrodantin - adminstration | show 🗑
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| Macrodantin | show 🗑
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| show | well absorbed in GI tract, taken with food
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| show | moderatly protein bound, with renal function drug is rapidly eliminated(short half life)
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|
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Created by:
bcreasy