Final Review

Question 1

What is the action of Zofran? What are side effects of Zofran?

Answer 1

Zofran blocks serotonin in the CTZ

Side effects: HA and constipation

Question 2

When administering blood, what is the ration in which you want to see the H&H rise?

Answer 2

1 point to 3% ratio

Question 3

The overuse of Tums (Ca Carbonate)may cause….

Answer 3

Hypercalcemia

Question 4

What are the side effects of Diltiazem?

Answer 4

Bradycardia and peripheral edema

Question 5

What are side effects of hydroxyl ing (Visteril)?

Answer 5

Dry mouth and drowsiness

Anticholinergic effects

Question 6

How can you prevent crystalluria with sulfonamides?

Answer 6

Increase fluids

Question 7

When titrating mannitol, what does the urine output minimum need to be?

Answer 7

Minimum output of 30mL/hr

Question 8

HHNK (HHS) and DKA develop because of what cause:

Answer 8

Insulin deficiency

Question 9

What do you need to assess first with zithromycin?

Answer 9

Assess for allergies first,

then obtain blood cultures before ABX use

Question 10

A patient experiences pain during admin of a chemo medication, what action is first?

Answer 10

STOP the infusion

Question 11

What is the antidote for benzodiazapines?

Answer 11

Flumazenil

Question 12

What is drug distribution?

Answer 12

Drug distribution occurs when a drug is administered and carried to the desired site for action.

Question 13

What is the half life of Bactrium?

Answer 13

12 hours, give medication at 8am and 8pm

Question 14

What can result from increased levels of vasopressin?

Answer 14

Water intoxication 
(S/Sx: crackles, edema, HTN, tachycardia, altered LOC)

Question 15

After an ABX is ordered, what is the next action?

Answer 15

Obtain cultures before the initial dose is given.

Question 16

A patient has Diabetes Incipidus and is concerned about taking desmopressin, what do you do?

Answer 16

Ask: Tell me your concerns

Ask open-ended questions

Question 17

What are the adverse effects of propofol?

Answer 17

Respiratory depression, hypotension, and bacterial growth

Should NOT have anxiety

Question 18

What is a therapeutic effect of vasopressin?

Answer 18

Decreased urine output

Question 19

What is patient education regarding topical nitro?

Answer 19

Remove old patch before a new patch is applied

Question 20

Why do you increase fluids with Cyclophophamide?

Chemo med

Answer 20

To prevent hemorrhagic cystitis

Question 21

What are S/Sx of hypoglycemia?

Answer 21

Weakness, altered LOC, hungar, HA

Question 22

When is a drug level considered effective?

Answer 22

When the drug is maintained above the minimum therapeutic effective level

Question 23

With AIDS medications, what is the goal of antiretrovirals?

Answer 23

Slow decline of CD4 cells
Decrease viral load
Decrease resistance of infection
Decrease ability of oppertunistic infections

Question 24

What are adverse effects of administering COLD blood?

Answer 24

Dysrhythmias

Have patient on a cardiac monitor

Question 25

During blood transfusions, the nurse is responsible for:

Answer 25

Stay with the patient for 15-20 minutes, administer blood slowly

Question 26

What is the timeframe to administer blood?

Answer 26

2-4 hours

Question 27

Which insulin lasts 24 hours and a flat peak?

Answer 27

Lactus (glargine)

Question 28

What IVF do you give Piggyback with blood transfusions?

Answer 28

Normal Saline

Question 29

What are indications for administering Fresh Frozen Plasma?

Answer 29

Deficiency in clotting factor, put is bleeding

Question 30

What IVF do you hang when TPN runs out before the next feeding?

Answer 30

10% dextrose

Question 31

Thrombolitic therapy for CVA is given within:

Answer 31

3 hours of symptom onset

Question 32

Which heart medication has a persistent cough?

Answer 32

ACE inhibitors

Question 33

What is the reversal agent for conscious sedation agents?

Answer 33

Narcan

Question 34

How quickly can you decrease a blood sugar by?

Answer 34

50-75 per hour If insulin drip is lowering a sugar faster than that, SLOW the drip

Question 35

You are administering PRBCs and the patient has a reaction, stop the infusion and then do what?

Answer 35

Send blood and urine for samples

Question 36

Check blood sugar when taking which med?

Answer 36

Corticosteroids

Question 37

Multiple units of PRBC are given, which electrolyte needs replaced?

Answer 37

Calcium | You will have hypocalcemia and hyperkalemia

Question 38

When PCA is initiated, you want to see:

Answer 38

Minimal pain and reasonably comfortable

Question 39

Class 1B antidysrhythmia also used for seizures?

Answer 39

Phenytoin (Dilantin)

Question 40

A patient has HTN and is newly diagnosed with DM, which medication will you give?

Answer 40

Lisinopril (ACE inhibitor with less side effects)

Question 41

White patches present in mouth, what do you do?

Answer 41

Notify PCP for prescription of nystatin

Question 42

Medication to prevent premature ovulation, to control ovarian stimulation?

Answer 42

HCG CLomide is used to stimulate egg production

Question 43

What do you want to teach pt taking doxorubicin

Answer 43

Report SOB, palpitations and edema

Question 44

What timeframe do you give salvaged RBCs

Answer 44

6 hours from removal

Question 45

Heartburn that doesn't go away with tums, what do you respond?

Answer 45

Does it radiate to the arm or jaw

Question 46

Give blood within 2-4 hours to prevent:

Answer 46

R/F infections (Pathogen growth)

Question 47

When monitoring for reaction during blood admin, the nurse

Answer 47

Stays with the pt for the first 15-20 minutes

Question 48

Antiretrovirals in combo for HIV/AIDS because:

Answer 48

Prevents resistance to antiretrovirals

Question 49

Zithromycin given how many times per day?

Answer 49

1 time per day

Question 50

What is the action of estrogen therapy?

Answer 50

Suppress tumor growth

Question 51

Albumin helps with hypovolemia by

Answer 51

Pulling the fluid from the extravascular space into the INTRAVASCULAR

Question 52

Which insulin can be given SubQ or IV?

Answer 52

Regular insulin

Question 53

Which insulin do you NOT mix?

Answer 53

Lantus

Question 54

R/F oversedation with PCA, assess

Answer 54

How easily the patient can be aroused