Jeopardy Questions Flashcards

1
Q

A healthcare professional administers fentanyl to a patient to reduce pain. Which of the following drugs should the professional have available to reverse the effects of fentanyl?

A

Naloxone (Narcan)

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2
Q

The nurse cares for a client admitted for a possible herniated intervertebral disk. Ibuprofen, Vicodin and benzaprine hydrochloride are ordered PRN. Several hours after admission, the client complains of pain. What should the nurse do first?

A

Assess the client for pain

Gather more information about the complain

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3
Q

Because of the potential for adverse effects, which of the following should a health care provider recommend for patients who begin taking carbamezapine?

A

Begin Taking the Drug at a Lower Dose

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4
Q

What classification is carbamezapine and what are some side effects?

A

Anticonvulsant

Visual distrubancs, vertigo, and ataxia

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5
Q

A client with metastatic cancer has been prescribed hydromorphone per to help manage his pain. The nurse knows the rectal route of administration is contraindicated when what is present?

A

Neutropenia
Thrombocytopenia
Rectal Lesions
Mucositis

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6
Q

A client admitted with severe back pain is requesting pain medication. During the assessment the nurse noted that the client has been talking acetaminophen mg every 4 hours at home with minimal relief. Based on this information, which PRN medication should be considered?

A

Ibuprofen

- because the patient met their daily dosage of acetaminophen

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7
Q

A health care professional is talking to a patient who is about to begin taking Valporic Acid for a NEWLY DIAGNOSED seizure disorder. He should tell the patient, to watch for which of the following adverse effects?

A

Drowsiness and HA

- CNS depression because it counteracts seizures, which is overstimulation of CNS

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8
Q

What classification is Valporic Acid?

A

Anticonvulsant

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9
Q

The nurse is administering vancomycin. The nurse reminds the client to report symptoms associated with one of the serious side effect of the drug ototoxicity.
What should the client report?

A

Tinnitus

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10
Q

The client has been taking valporic acid for four months. What assessment data would warrant the medication being discontinued because the client is experiencing liver failure?

A

Jaundice

- key indicator of liver failure

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11
Q

A nurse is talking with a patient who is to begin taking valporic acid to treat a seizure disorder. He should advise the patient to monitor for which of the following adverse effects?

A

Jaundice

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12
Q

The client is receiving ATROPINE, to minimize the side effects of routine medication. What intervention will help the client tolerate this medication?

A

Carrying around chewing gum to combat decreased saliva production (dry mouth)

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13
Q

What does atropine do?

A

Slows Hear Rate and

Decrease Saliva Production for Surgery

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14
Q

What classification is phenytoin (Dilantin) and what is one major side effect?

A

Anti-Convulsants
Gingival Hyperplasia
(If a client is on phenytoin, they should see the dentist regularly)

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15
Q

What should the nurse do if the patient complains of ringing in the ear when administering gentamicin?

A

STOP the medication and ASSESS

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16
Q

The client is diagnosed with tuberculosis and prescribed rifampin and isoniazid. How long can the client expect to take this medication?

A

6-12 months

17
Q

What should the nurse tell the patient who is taking anti- seizure medications about stopping their medication?

A

Taper off the medication (Take less and less of the medication as time goes on.

18
Q

When taking erythromycin the nurse should tell the patient to avoid drinking this?

A

Orange Juice or Grape Juice

19
Q

The nurse should assess this as well as the pain level before administering pain medication?

A

Respiratory Rate

Due to respiratory depression

20
Q

This is a classic sign of aspirin or NSAID toxicity

21
Q

This assessment indicates an adverse effect of naloxone?

22
Q

This is the therapeutic phenytoin level for a client on the medication

23
Q

Theses are the common side effects of chemotherapy?

A

Diarrhea, Nausea

24
Q

The client received Naloxone following surgery. What is the nurses highest priority?

A

Assess the client frequently and quickly do it

Narcan has a half life of 30 minutes and will be at risk for respiratory depression for several hours

25
What advice should the nurse give to a patient with continuous diarrhea from chemotherapy?
Eat low residual diet and take lomotil
26
The nurse just hung the 9 am broad spectrum antibiotic, when the provider orders a different antibiotic. When should the nurse hand the new antibiotic?
Administer the new antibiotic within 1 hours from the order
27
The nurses needs to hang Vancomycin results from the trough have not been received. What should the nurse do?
Call the pharmacist to determine if it is safe to hand the medication
28
The provider orders tetracycline for a three year old. What should the nurse do?
Question the order | Because tetracycline shouldn't be given to anyone under 8 years old; causes tooth discoloration
29
The nurse is preparing to administer the initial dose of an antibiotic in the emergency department, Which interventions should the nurse implement?
- Ask the client his or her birthday - Assess for drug allergies - Collect needed specimens for a culture - Check he client's armband