Term 2,

Question 0

When teaching the client about topical nasal decongestants, the nurse should warn them that overuse of such medication is likely to result in which adverse effect?

Answer 0

Rebound congestion with nasal stiffness.

Question 1

If you’re going to give the patient a nasal decongestion medication. What is the length of time you can give that?.

Answer 1

3-5days

Question 2

You’re going to give the patient 3 different types of TB medications. Patient asks you why? You as a nurse are going to tell them what?

Answer 2

It helps fight the bacteria more effectively it will decrease mutation and resistance.

Question 3

What is the prophylactic drug therapy of choice when exposed to TB?

Answer 3

Isoniazed (INH),

Question 4

Whenever you see an answer that says arrested disease. It means to destroy or kill the disease. So the purpose of giving the patient TB medication is to basically do what to the disease?

Answer 4

Arrest the disease.

Question 5

Which TB medication will turn your urine red or orange?

Answer 5

Rifampin.

Question 6

Aminopylline is used for what?

Answer 6

It’s a bronchodilator. Dilate the airways of the respiratory tree, making air exchange and respirations easier for the client. Relax the smooth muscle of the bronchi.

Question 7

What is a antihistamine?

Answer 7

Blocks an allergic trigger. Used for asthma and allergic reactions. Use with caution with asthma attack.

Question 8

What should you tell the patient who is taking codeine suppressive type cough syrup? What should you tell the patient to watch for? What side effect?

Answer 8

constipation

Question 9

An antitussive does what?

Answer 9

Acts in suppressing the cough reflex when excessive coughing causes respiratory distress. Do not use it on a patient with pneumonia.

Question 10

11) Expectorants do what?

Answer 10

liquefies ….Aids hydration of dry, irritated tissues, by loosening bronchial secretions, stimulating flow of secretions. You take it by NPO for at least 15-30 minutes.

Question 11

12) What can you use Benadryl for?

Answer 11

Antihistamine.

Question 12

13) Enzyme put on a decubitus is meant to do what?

Answer 12

Debridement. Trying to dissolve the dead tissue.

Question 13

14) If you have a burn patient what’s the proper technique to use on them?

Answer 13

Sterile and put on isolation.

Question 14

15) Herpes simplex type 1 and 2, and herpes zoster. What is the medication of choice?

Answer 14

Zovirax.

Question 15

If patient has impetigo. Is it contagious? What type of medication are they going to be given?

Answer 15

Yes it is contagious. And you give them antibacterial medication to kill it.

Question 16

What type of disorder is lamisil going to be used for?

Answer 16

Antifungal medication used for ringworm, pedis.

Question 17

What type of disorder is kwell use for ?.

Answer 17

Scabies and pediculosis (lice).

Question 18

What do you use silvadene (silver sulfadiazine)?

Answer 18

It’s an Antimicrobial agent. Used for burn patients. For 2nd and 3rd degrees.

Question 19

How do you apply lotions on a lesion?

Answer 19

Start in worth to Outward in a circular motion.

Question 20

Overdose from heparin you give what as an antidote?

Answer 20

Protamine sulfate 1%.

Question 21

Overdose from Coumadin you give what as an antidote? Vitamin K.

Answer 21

Vitamin K.

Question 22

What makes a clot?

Answer 22

Fibrin.

Question 23

When heparin is given sub-Q do you aspirate?

Answer 23

NO.

Question 24

Where is heparin injected?

Answer 24

Fatty tissue areas. Rotate sites, and after removing needle you apply gentle pressure.

Question 25

What labs are used to check Coumadin?

Answer 25

PT/INR.

Question 26

Best absorption of an oral Iron is when? Between meals. And if patient has GI upset?

Answer 26

Before meals or with meals.

Question 27

A medication that’s thrombolytic that’s given to a new onset MI?

Answer 27

Streptokinase. Breaks down clots, it’s going to dissolve it.

Question 28

An oral anticoagulant is known to interact with what type of medication?

Answer 28

Aspirin (ASA).

Question 29

If you give too much anticoagulant. What type of conditions will you see?

Answer 29

Hemorrhaging and Bleeding.

Question 30

What condition do you give Epoetin (Procrit) for?

Answer 30

Patients with renal failure who are unable to produce their own endogenous erythropoietin or chemotherapy. It helps increase RBC’S.

Question 31

When does Epogen do?

Answer 31

Increases RBC’s.

Question 32

If patient with leukemia is undergoing chemotherapy. And you have to monitor the WBC’s count. What do you give?

Answer 32

Neupogen (Fligrastim) will make WBC’s.

Question 33

What does Neulasta do?

Answer 33

Increases WBC’s.

Question 34

Pernicious anemia intrinsic factor is missing? Where is it?

Answer 34

Vitamin B-12 and it’s in the lining of the stomach.

Question 35

Where is the location site to give an IM Z-track injection?

Answer 35

Dorsoglulteal muscle.

Question 36

If patient is receiving oral iron what should they anticipate when they go to the restroom?

Answer 36

Dark tarry stools.

Question 37

If you give a patient a diuretic. What should you monitor for?

Answer 37

Daily weights same time everyday.

Question 38

When is the best time to give the patient a diuretic?

Answer 38

In the morning.

Question 39

You are going to give a thyroid medicine to a patient with hypothyroidism. What are the signs if you give too much?

Answer 39

Hyperthyroidism. What are the S/S you will see right away tachycardia, irritation.

Question 40

How do you perform a postprandial glucose test?

Answer 40

You check their blood glucose level fasting. Then you have the patient drink an orange glucose drink and two hours later you will check the blood sugar level again.

Question 41

If you have NPH insulin (suspension) what do you do before you administer it?

Answer 41

You roll it gently between your palms to mix it. Never shake it.

Question 42

Do you refrigerate insulin? No should be room temperature. If for some reason they do have it refrigerate what can you cause the patient?

Answer 42

Lipodystrophy.

Question 43

What if you gave to much insulin? What are you signs you will see right away?

Answer 43

Clammy, sweating, nervousness and anxiety. Check the blood sugar and if it’s low give them 4oz of juice if alert. If unconscious IM or IV.

Question 44

For an oral hypoglycemic when should they take the drug?

Answer 44

30 minutes before meals. If only taken once a day before breakfast.

Question 45

If patient is prescribed the medication PTU (Propylthiouracil)? What are they diagnosed with?

Answer 45

Hyperthyroidism. (Grave’s disease).

Question 46

What is the only insulin that can be given IV?

Answer 46

Clear regular.

Question 47

What is the only insulin that needs to be given by itself?

Answer 47

Glargine (Lantus). Do Not Mix.

Question 48

If you give a long acting and NPH insulin. What is vital that the patient should have before they go to bed? .

Answer 48

Snacks.

Question 49

What is the protocol for acute angina? As far as medication?

Answer 49

Sublingual should have a tingling feeling. Vasodilator- Nitrate or Nitroglycerin. Always the drug of choice. Given 5 minutes apart no more than 3. For test call 911 after third one is given without therapy.

Question 50

What is the common side effect from nitro? .

Answer 50

Decrease blood pressures always give while sitting down. Adverse effect is headaches.

Question 51

Before administering a cardiac glycoside (Digoxin). What should assess on the patient first?

Answer 51

Check apical pulse for 1 minute. Hold if Adult pulse is less than 60, Child 70, and infant 90.

Question 52

If patient has dig toxicity? What other medication should not be taken

Answer 52

diuretic.

Question 53

When you give a cardiac glycoside for heart congestion failure that is back flowing to lungs how do you check to see if medication is working?

Answer 53

Check both lung sounds.

Question 54

If patient is taking a anticoagulant daily. What signs should you tell the patient to come see the DR right away?

Answer 54

Tarry stools.

Question 55

What is a common side effect of a vasodilator? .

Answer 55

Low Blood Pressure

Question 56

What time is most common for heart attacks? .

Answer 56

Midnight to 3 am

Question 57

When you give nitro paste. How do you apply it on the patient?

Answer 57

Gloves, put patch on their chest. Patch is 12 hours on 12 hours off.

Question 58

Nasal Gastric Tube answer is

Answer 58

crush medication put in apple sauce and use syringe).

Question 59

What’s transdermal Patch.

Answer 59

Placement of choice is the chest, arms and sides.

Question 60

When administering regular and intermediate (NPH) insulin?

Answer 60

You inject air into cloudy, inject air into clear. Then you draw up clear and then you draw up cloudy.

Question 61

when giving cardiac glycoside what test do want to check ?

Answer 61

serum digoxin level

Question 62

why is cholesterol taken at night ?

Answer 62

because that's when cholesterol is produced

Question 63

what is essential hypertension ?

Answer 63

unknown cause

Question 64

what are signs and symptoms of hypertension ?

Answer 64

vertigo , blurred vision , chest pain , headache

Question 65

how do you know the med cardiac glycoside given for CHF is effective `

Answer 65

lungs are clear

Question 66

if your going to put codeine in a cough syrup , whats the purpose of codeine

Answer 66

suppresses the cough

Question 67

what is insulin reaction

Answer 67

too much insulin hypoglycemia shaky nervous / shaky / anxious / diaphoresis

Question 68

if your going to give a narcotic cough suppressant , what should you look for in the patient ?

Answer 68

decrease resp drive

Question 69

what is the purpose of a bronchodialator ?

Answer 69

and adverse effect | bronchoconstriction

Question 70

why do we give more than one medication to a TB patient at a time

Answer 70

so the TB wont become resistant

Question 71

what is impetigo ?

Answer 71

contagious bacteria , | treat with antibiotics

Question 72

what is tinea ?

Answer 72

fungus | treat with antifungal / fungoid

Question 73

how do we avoid formation of anykind of hematoma?

Answer 73

rotate site , abd area 2 inch from the iliac crest

Question 74

how is vitamin k given ?

Answer 74

subquatenous

Question 75

what is a z track method ?

Answer 75

giving iron | give deeply to prevent irriatation

Question 76

on a heparin drip , how would you administer oral care to pt

Answer 76

swabs ,because pt can bleed

Question 77

what is Lasix ?

Answer 77

loop diuretic | take in the morning

Question 78

if your going to monitor urine output with Lasix , what are you looking for when monitoring ?

Answer 78

dehydration

Question 79

if a medication is substituted for another do you give that med ?

Answer 79

no

Question 80

if the pharmacy substitute a med , who do you call to fix it ?

Answer 80

the pharmacy

Question 81

if you don't understand what the doctor wrote on a prescription , what do you do ?

Answer 81

call the doctor to verify

Question 82

if a patient complains of pain what do you do ?

Answer 82

assess the patient first before administering and meds

Question 83

what are the 7 rights

Answer 83

``` Right drug Right dose Right time Right route Right patient Right documentation Right to refuse ```

Question 84

injections

Answer 84

Transdermal – a method of applying a drug to unbroken skin. The drug is absorbed continuously and produces a systemic effect (packaged in an adhesive-backed disk)  Parenteral – Any route of administration not involving the gastrointestinal tract, e.g., topical, inhalation or injection (parentaral medication for injection must be in a liquid form and administered by one four methods: intradermal, intramuscular, intravenous or subcutaneous  Intradermal (ID) – a small amount of medication is injected just beneath the epidermis  Intramuscular (IM) – The medication is injected directly into large muscles.  Intravenous (IV) – The medication is injected directly into the vein, entering the bloodstream immediately