200 Dynamic ATI Questions Part 1 Flashcards
(135 cards)
1
Q
Premenopausal Combination Oral Contraceptives adverse effect
A
Adverse: DVT
~Positive bone mass
~Positive decreasing effects on LDL cholesterol
-Deficiency in estrogen = Midcycle bleeding
2
Q
Epoetin Alfa function
A
Increases blood cells
~Causes hypertension
-Monitor BP
3
Q
Indication of Thyrotoxiosis
A
Levothyroxine accumulation
-CM: Chest pain, tachy, insomnia, tremors, hyperthermia
~usually loose weight, constipation normal, fatigue common
4
Q
How should subcutaneous Heparin be administered
A
In client’s abdomen with 25 in gauge
5
Q
Diltiazem function
A
Anti arrhythmic
-Reduces AFIB
6
Q
Clopidogrel function
A
Anti platelet
-Stops thrombolitic events like ischemic stroke, MI, Peripheral vascular disease
7
Q
Acarbose administration
A
Helps Type 2 diabetes
-Take with food
-Ok to use with insulin
8
Q
Rifampin adverse effect
A
Orange urine
9
Q
Theophylline contraindication with what med
A
-Contraindication: Zafirlukast (asthma maintanence)
10
Q
Baclofen administration
A
Muscle relaxant
-Do not stop abruptly this can lead to seizure, hallucination, paranoid
-Causes urinary retention
11
Q
Fludrocortisone adverse effect
A
Steroid
-Adverse: Hypokalemia b/c increase sodium = decrease in potassium
-Hypertension
12
Q
Epinephrine adverse effect
A
-Adverse: Tachy and Dysrhythmias
-When taken with lidocaine, epi decreases blood flow & delays absorption of lidocaine
13
Q
Nitroglyercin treats
A
Treats angina/chest pain
-Vasodilator
14
Q
Subcutaneous Insulin Infusion Pump
A
Plan to use a short duration insulin
15
Q
Clonidine causes
A
Antihypertensive
-Causes: drowsiness, sedation so DO NOT DRIVE
~Do not stop abruptly
~Dry mouth expected
16
Q
Glucocorticoids long term use adverse effect
A
Long term use = Osteoporosis
~Weight gain, hypertension, restlessness, agitation, anxiety
-Adverse: Peptic ulcer
17
Q
Infliximab contraindicated with what disease
A
TNF antibody (immunosuppressant)
-Increase risk of infection
-Contraindicated: Hep B
18
Q
Alosetron administration
A
-Fatal constipation and bowel obstruction
-Client must sign a agreement with provider before administering
19
Q
Amlodipine adverse effect
A
-Adverse: Dizziness, palpitations, peripheral edema
20
Q
Vitamin A (eyes) deficiency can cause
A
Deficiency can cause night blindness
-Teratogenic
-No high doses
-Damages bones
21
Q
Nifedipine function
A
Stops preterm labor
22
Q
Scopolamine (motion sickness patches) administration
A
-Place patch behind ear
-Replace every 72 hrs
-No alcohol wipe prior needed
-1 patch at a time
23
Q
Digoxin function
A
Decreases HR
-Less than 60 bpm = Report and hold
24
Q
Hydromorphone IV administration
A
- Administer 4-5 min to prevent respiratory depression & cardiac arrest
- Review vitals
~Supine position when administering
25
Chlordiazepoxide treats
Benzodiazepine (facilitates withdrawal)
-Administer for ACUTE ALCOHOL WITHDRAWL
-Prevents seizures
-Give FIRST then disulfiram when they are detoxified
26
Lactulose function
Laxative
-Promotes excretion of ammonia (decrease ammonia levels)
-Does not: prevent bleeding, increase BP or decrease HR
27
Doxycycline adverse effect
Tetracycline antibiotic
-Adverse: Photosensitivity
28
Misoprostol contraindicated
-Softens cervix before labor
-Contraindicated: Past cesarean delivery
-Increases uterine tachysystole
29
Ceftriaxone contraindicated with
Cephalosporin
-Contraindicated: Penicillin (piperacillin)
30
Morphine PO peak effect
60-90 min (greatest effect)
31
Prednisone adverse effect
Treats chronic asthma
-Adverse: weight gain
32
Verapamil for hypertension function
-Increase amount of fiber in the diet to prevent constipation
33
Captopril for hypertension monitor
-Monitor for neutropenia = Monitor CBC
34
IV Nitroprusside for hypertension adverse effect
Adverse: Delirium
35
Levothyroxine for hyperthyroidism adverse effect
Tachycardia b/c HR is greater than 100
36
Warfarin monitor
INR: 2-3
37
Fentanyl patch contraindicated
No grapefruit juice! bc increases absorption = bad
38
Sucralfate tablets administration
Huge so don't have to swallow whole
Wait 30 min after taking antacid
39
Hep A normal side effect
Loss of apetite
40
Chlorpromazine side effect
Orthostatic hypotension
41
Amytriptyline causes
Antidepressant
Orthostatic hypotension
42
Ezetimbe for hyperlipidemia adverse effect
Decreases cholesterol
-See jaundice = Notify provider
43
Saw Palmetto for BPH therapeutic effect
Urinary health promotion
44
Clopidogrel adverse effect
Blood thinner
Bleeding
45
Dantrolene contraindications
Treats muscle spasms & hepatoxic
History of cirrhosis
46
Telavancin IV check for
Pruritus indicating a rapid infusion
47
Ethambutol adverse effect
Loss of red/green color discrimination
48
Mineral corticoids for Addison's disease (decrease cortisol & aldosterone) function
Maintain e- fluid imbalance
49
Pregnant client responding to a med. What physiological effects should the nurse consider?
Accelerated excretion of fluids bc of increased renal blood flow
50
Insulin lispro (rapid acting) has a onset of
15 min
51
Raloxifene for osteoporosis adverse effect
Sudden onset of dyspnea
52
Vitamin D defficiency risk factor
Obesity
~Light skin can increase vitamin D
53
Prednisone longterm adverse effect
Gastric ulceration, stress fractures
54
Is metroprolol photosensitivity
NO (tim can go in the sun)
55
Combo oral contraceptive contraindication
Liver disease
56
Rotavirus vax contraindicated
Infants with history of intussuseption
57
Brimonidine (longterm) expect
Treats open angle glaucoma
Decrease in intraocular pressure
58
Pancreatic enzyme replacement for cystic fibrosis therapeutic response
Client is having 1-2 bowel movements a day
59
When do you take Donepezil
Late in the evening
60
Enteric coating meds cause
Less gastric irritaiton
61
PCA pump you should
Ambulate
62
Interferon Beta 1 adverse effect
Body aches
63
Antidote for Amantadine (antiparkinson)
Chlorpromazine
64
Streptomycin contraindicated with
Furosemide bc increases ototoxicity
65
Varicella vax contraindicated with ___ allergies
Gelatin
66
Administering med parenterally. What will reduce fluctuation in plasma blood med levels?
Administering a continuous infusion of the dose
67
Combo oral contraceptives. What indicates progestin (menstrual cycle) deficiency?
Amenorrhea (no menstrual period)
68
Performance deficit give what type of injection
IM injection given instead of SubQ injection
69
Imipenem (antibiotic) adverse effect
Seizures
70
Epoetin Alfa (increases blood production to help bone marrow) adverse effect
HTN
71
Vassopressin what do you monitor
Treats diabetes & regulates water in kidney
Monitor creatinine clearance less than 87 bc this indicates renal failure
72
Phenytoin (antiseizure) adverse effects
Status epilepticus (seizure)
73
Furosemide (loop diuretic) adverse effect
Tinnitus bc very ototoxic
74
Spinal anesthesia teaching what is an adverse effect
Hypotension
75
Corticosteroid inhaler long term adverse effect
Stunts growth in children
76
Lactulose (laxative) treats cirrhosis by
Decreasing ammonia levels
77
Propylthiouracil treats
Hyperthyroidism
78
Gentamicin (nephrotoxic) adverse effects
Proteinuria, oliguria, hematuria
79
Hydroxycholorquine (antimalarial) adverse effects
Eye blindness/changes in vision
80
Ergotamine (antimigraine) if you overuse the med you might
Get addicted
Adverse: tingling (ergotoxic) & restlessness
81
Vax contraindication
If they have a mild illness with NO FEVER so you have to postpone the vax till they don't have any illness
82
Raloxifene (decreases bone reabsoroption) contraindicated with
DVT bc it is a estrogen receptor
-decreases MI risk bc of decrease LDL
83
Ticarcillin - clavulanate (penicillin = kidney) monitor
BUN/Creatinine
84
When Methotrexate is added to regimen
This med was added to delay disease progression (delay joint damage)
85
Tobramycin therapeutic range
5-10
86
Spironolactone (P sparing diuretic) teaching
Will increase breast tissue growth while taking this med
-Limit P foods, no salt substitutes, don't increase water
87
Cefotetan (antibiotic) affects vitamin K (bleeding) adverse effect
Epistaxis (bleeding from the nose)
88
Ototoxicity results from
Chronic use of salicylates (aspirin)
89
Frequent use of steroids results in
Decrease bone density and visual complications
90
Nifedipine (CCB) causes uterine contraction by
blocking flow of calcium to uterus
91
Diphenhydramine IV bolus. Client has IV infusion containing a med incompatible with Diphenhydramine. What action should the nurse do?
ASPIRATE (pull back on syringe) to check IV patency before administering diphenhydramine
92
Dexamethasone (steroid that decreases inflammation by suppressing immune) teaching
Avoid large crowds/stay away from ill people bc immunosuppresion
93
Give which NSAID to someone with peptic ulcer disease
ACETAMINOPHEN no risk of bleeding
94
Salmeterol (LABA) function
Increases risk of asthma related death
95
Furosemide therapy range
40 mg UNdiluted over 2 min
-Max rate: 4 min
96
Child receiving IVIG. Parent wants them to get MMR too. Nurse says
Your child will not be able to recieve MMR vax until after 3 months of discharge
97
Lithium toxicity (kidney) results in
Vomiting or diarrhea bc e- imbalance leads to low sodium = Bad kidneys
98
Theophylline (bronchodilator) CNS toxicity causes
Tremors
99
Metformin (Lactic acid) adverse effect
Myalgia (muscle pain) from lactic acid buildup
-Does not cause hypoglycemia
100
Amitriptyline (tricyclic antidepressant) administer when
Before bedtime bc sedation
101
Memantine (increase cognition) what increases the risk for reduced clearance
Creatinine clearance not in the range of 87-139 = renal impariment
102
Feverfew treats/prevents
Headache
103
Phenelzine (MAOI antidepressant) can't have
Thymine rich foods
-Broiled steak ok
104
Meperidine (opioid) recommended range
50 mg every 3-4 hrs
Do not exceed 600 mg within 24 hrs
Contact provider for clarification of prescription
105
Celecoxib (NSAID) use for
New diagnose of RA
106
Anuerysm clipping contraindicated with ______ for increased bleeding
Garlic
107
Etonogestrel subdermal contraindicated with
St. Johns wort
108
Iron dextran IV administer
Small dose before giving full dose
109
Clozapine (antipsychotic) early indication of adverse effect
Temperature bc decrease WBC = risk of infection which is adverse
110
Acute Gout give
NSAIDS (naproxen) or Colchicine
111
Amphetamine (Causes HTN) adverse effect
Palpitations
112
Cosyntropin determines if client has adrenal insufficiency (Addisons disease)
Increase levels indicates it is within expected range
113
Ergotamine (vasoconstrictor) treats
Headache/migrane
114
Doxazosin (vasodilator) adverse effect
Hypotension
115
St Johns wort treats
Depression
116
Glucocorticoid therapy is bad for bones so
Increase Ca supplements while on this med to prevent osteoporosis
117
Cycloplegia results in
Blurred vision
118
Vitamin K deficiency will expect
Excessive bruising
119
When shoudl DMPA first dose be administered
6 weeks post pardem if exclusively breastfeeding
120
Ginko biloba interferes with
Warfarin (increase bleeding)
121
Tiazanidine (muscle relaxant) contraindicated with
Hepatitis (liver) bc increases adverse effects
122
Menopause - estrogen & prostegin (increase risk of breast cancer) why do we take both
Take these bc short term use to control urogenital atrophy (post menopause deficiency)
123
Bismuth subsalicylate can cause
Peptic ulcer disease bc it decreases bacteria (H Pylori)
124
SABA (PRN) if used more than twice a week
Notify provider bc might need to switch to LABA
125
Vancomycin (Nephrotoxic) monitor
Creatinine levels 0.5-1.3
126
Alosetron (IBS) adverse effect
Constipation
127
Levodopa full therapeutic range
May take several months
128
Sumatriptan (vasoconstrictor) contraindicated with
Any heart disease: Ischemic heart disease or MI
129
Otic med administration
Pull adult ear up and out
-Side lying position or sit in chair and lean to side
-1.3 cm away from ear
-Hold for 2-3 min after giving med
130
Slow infusion rate of morphine if
RR decreases
131
Chlorothiazide (antihypertension) adverse effect
Muscle weakness bc increase excretion of e- = hypokalemia
132
Filgrastim treats
Neutropenia (low WBC) so it increases neutrophil count
133
Hydrocortisone teaching
Carry a supply of pills and single use injectable prep at all times bc of unexpected times of stress
134
Furosemide causes Potassium LOSS and Digoxin adverse effect is hypokalemia so you
Increase P foods (fruits & veggies) everyday
135
Risedronate (Biphosphonate - increases bone density) administer
Take with full cup of water in the morning bc works best on empty stomach
