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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| show | Monitor the patient for seizure activity.
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| show | Assessing patient for nervousness
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| The nurse is caring for a child taking methylphenidate for ADHD. Assessment reveals a heart rate of 110, and the child is complaining of chest pain. What is the nurse's best action? | show 🗑
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| show | Ask the patient if he or she has been taking the medication regularly
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| show | Apply the patch to a non-hairy area of the upper torso or arm
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| show | Client states pain is 0 out of 10
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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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| show | the client stat that she has not chest pain
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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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| show | apply the nitro patch for 14 hours and remove it for 10 hours at night
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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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| show | I should sit or lie down after I take a nitro tablet to prevent dizziness
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| What instruction should the nurse provide to the client who needs to apply nitroglycerin ointment? | show 🗑
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| show | Decrease the intravenous nitroglycerin by 10 mcg/min
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| The nurse is monitoring a client taking digoxin (Lanoxin) for treatment of heart failure. Which assessment finding indicates a therapeutic effect of the drug? | show 🗑
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| A client's serum digoxin level is drawn, and it is 0.4 ng/mL. What is the nurse's priority action? | show 🗑
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| show | Evaluate digoxin levels
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| show | Loss of appetite with slight bradycardia
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| show | To administer digoxin immune FAB
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| A client is to begin treatment for short-term management of heart failure with milrinone lactate (Primacor). What is the priority nursing action? | show 🗑
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| show | Rapid IV bolus of Adenosine (Adenocard)
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| show | Crackles in the lungs
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| show | Continuous blood pressure and presence of chest pain
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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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| A nurse admits a client diagnosed with pneumonia. The client has a history of chronic renal insufficiency, and the health care provider orders furosemide (Lasix) 40 mg twice a day. What is most important to include in the teaching plan for this client? | show 🗑
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| show | Fish ...Fish is an appropriate dietary choice, because it is low in potassium.
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| Which client would the nurse need to assess first if the client is receiving mannitol (Osmitrol)? | show 🗑
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| show | A decrease in arterial pH
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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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| A client is prescribed Thalitone (chlorthalidone). What is the most important information the nurse should teach the client? | show 🗑
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| show | Decreased aldosterone Spironolactone (Aldactone) is the direct antagonist for aldosterone.
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| show | Lungs clear . .
Furosemide (Lasix) is a potent, rapid-acting diuretic that would be the drug of choice to treat acute pulmonary edema.
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| show | Decreased intracranial pressure...is osmotic diuretic that pulls fluid from extravascular spaces into the bloodstream to be excreted in urine..decreases intracranial pressure, decrease urine osmolality, and increase serum osmolality.
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| Which intervention will the nurse perform when monitoring a client receiving triamterene (Dyrenium | show 🗑
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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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| client taking prazosin has a blood pressure of 140/90. The client is complaining of swollen feet. What is the nurse's best action? | show 🗑
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| A calcium channel blocker has been ordered for a client. Which condition in the client's history is a contraindication to this medication? | show 🗑
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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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| Which assessment finding will need intervention and is related to the client's use of aluminum hydroxide (Amphojel | show 🗑
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| Which client needs immediate intervention? | show 🗑
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| show | Assess for metabolic alkalosis.
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| show | Potential risk for bleeding related to thrombocytopenia
....A serious side effect of famotidine (Pepcid) is thrombocytopenia
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| Which statement demonstrates to the nurse that the client understands instructions regarding the use of histamine2-receptor antagonists? | show 🗑
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| A client is prescribed Lorazepam (Ativan) and a glucocorticoid during chemotherapy treatments. What is the nurse's best action | show 🗑
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| A nurse is caring for a client who is unable to tolerate oral medications. The nurse anticipates that the client may be prescribed which proton pump inhibitor to be administered intravenously? | show 🗑
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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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| show | Brush your teeth and gargle to help with dryness in your mouth...
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| show | Monitor signs and symptoms of fluid and electrolyte imbalance
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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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| A client with type 1 diabetes mellitus has been ordered insulin aspart (NovoLog) 10 units at 7:00 AM. What nursing intervention will the nurse perform after administering this medication? | show 🗑
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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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| The nurse is monitoring the client receiving an IV infusion of insulin. What intervention is essential for this client? | show 🗑
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| The nurse is teaching the client how to administer insulin. What information is essential to include in the plan? | show 🗑
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| show | For the most consistent absorption, inject the insulin into the abdomen.”
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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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| show | Sulfonylurea increases beta-cell stimulation to secrete insulin, and with your type of diabetes, the beta cells do not contain insulin. This medication will not work for you.
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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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| The nurse would include which statement when teaching a client about insulin glargine? | show 🗑
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| show | Administer glucagon..Glucagon stimulates glycogenolysis, raising serum glucose levels. The client is showing signs of hypoglycemia
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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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| show | activated charcoal..
There is no antidote for barbiturates. The use of activated charcoal absorbs any drug in the gastrointestinal tract, preventing absorption.
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| show | Assess muscle tone.
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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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| toradol | show 🗑
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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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| show | removed nightly (8-12 hours rest) ...duration action is 24 hours
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| Nitro patch | show 🗑
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| THROMBOLYTICS - clot busters!!!!! | show 🗑
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| show | streptokianse, urokinaxe,alteplase, reteplaxe(retavase) and tenecteplase (TKNase)
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| show | hemorrhage
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| Thromobolytic (antidote) | show 🗑
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| show | CVA, Active bleeding, sever hypertension, and antigoagulant therapy
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| Do NOT give asprirn with Thrombolytics | show 🗑
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| show | diarrhea, nausea, and vomiting, (GI upsets)
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| AMARYL | show 🗑
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| show | decreases glucose levels
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| Actos | show 🗑
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| show | contraindication with Heart Disease
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| antiplatelets | show 🗑
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| show | to prevent MIcardio Infarction (MI)or stoke clients.... also prevention of TIA's
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| antiplatelets = | show 🗑
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| Zantac is used to treat | show 🗑
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| Zantac is taken with an antiacid .... | show 🗑
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| show | the first injectable NSAID..a non-opiod pain killer(short) ..can cause GI upset
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| show | antiemetic --- causes drowiness, headach, blurred vision...hypotension, muscle cramps, and extrapyramidal movements !!!!
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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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| digoxian toxicity | show 🗑
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| digoxian toxicity | show 🗑
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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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| Nitro patch | show 🗑
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| THROMBOLYTICS - clot busters!!!!! | show 🗑
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| show | streptokianse, urokinaxe,alteplase, reteplaxe(retavase) and tenecteplase (TKNase)
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| Thromobolytic - major complication | show 🗑
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| Thromobolytic (antidote) | show 🗑
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| show | CVA, Active bleeding, sever hypertension, and antigoagulant therapy
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| Do NOT give asprirn with Thrombolytics | show 🗑
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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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| antiplatelets | show 🗑
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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 | use to treat "stable and variant Angina", dysrythmia and HYPERTENSION !!!
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| show | decrease cardiac contractility, after load, and peripheral restance .... reduces the workload of the heart ....which in turn reduces the need for Oxygen.
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| show | Verapamil(calan) nifedipin (procardia, diltiazem (cardizem) ...not use in patients with AV block or HF
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| show | S/E tachycardia, hypotension, perpheral edema.
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| CCB | show 🗑
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| protein binding durgs | show 🗑
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| low Protein binding drugs | show 🗑
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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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| show | three (3) TYPES classic (stable)
unstable(pre-infarction)
variant - occurs durring rest
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| Classic angina | show 🗑
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| show | cause by vessel spasum (common to have both)
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| Unstable Angina | show 🗑
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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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| show | Rhabdomyolysis - muscle pain and weakness!!!!
muscles cramp and breakdown or apart
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| Crestor = | show 🗑
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| show | Pregnancy catg. = X
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| cholesterol | show 🗑
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| Triglycerides HDL | show 🗑
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| show | <100
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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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| Calcium Channel Blocker are used on | show 🗑
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| Nitrate for all types | show 🗑
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| Ginko - Morphine reaction | show 🗑
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| show | increase cerebral arterial dilation, and uptake of Oxygen
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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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| Spirva | show 🗑
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| Spirva (Tiotropium) inhaler | show 🗑
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| show | use for Bronchospasms of COPD
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| Spriva | show 🗑
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| show | loop- high ceiling-diuretic
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| show | Hypokalemia can result
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| Must increase potassium uptake (supplements) | show 🗑
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| use to treat | show 🗑
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| show | severe electrolyte inbalances, hypovolemia (low) hepatic coma, ....life threating RENAL failure
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| show | EKG readings, BUN, blood urin glucose.
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| show | do not use with a potassium wasting drug !!!!
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| Anaphylaxis shock | show 🗑
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| show | severe and mild
severe = anaphylaxis shock requrie ephinepherine, brochodilator, antihistamine
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| Barbituate refusal | show 🗑
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| show | determine the reason for refusal, documnet, notify Heath provider, try to get the client to take medication
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| show | administartion require SEPARATE line for IV meds.
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| show | highly irratable to veins, and can crystalize in solution
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| Nurse must always use | show 🗑
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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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| always flush the tubing | show 🗑
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| Antibotic Therapy | show 🗑
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| Antibiotic Therpay | show 🗑
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| show | must be infused slowly to avoid pain... PHELBITIS!!!!
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| show | take the entire regiment - most important
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| Theraputic levels can be maintained | show 🗑
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| A Culture should be taken | show 🗑
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| Dialantin | show 🗑
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| show | 10-20
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| show | use for migraine pain relief
to prevent or abort a migrane attack
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| Migranol can be given | show 🗑
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| show | X
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| Narcan = | show 🗑
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| Naloxone | show 🗑
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| Naloxone | show 🗑
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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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| show | usually decreases over time!!!! analgesic are titrated downward
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| nubain adverse effects = | show 🗑
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| nubain life threating effect | show 🗑
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| show | is an opioid antagonist !!!!
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| show | can be given for pain during labor!!!
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| show | not used for cancer pain ...
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| show | monitro liver and urine, peak 30 minuter, duration 5 hours
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| bactrium | show 🗑
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| show | to treat rheumatic fever, burns
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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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|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
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Created by:
bcreasy