Transcript B261: Exam 3

B261: Exam 3
REVIEW SESSION
1
What are some early signs of
toxicity to digoxin (Lanoxin)?
Select all that apply
1. Nausea, loss of appetite
2. Dizziness
3. Confusion
4. Bradycardia
2
What is the intended action
of Heparin?
1. To dissolve blood clots
2. To prevent the formation of blood
clots
3
When using inhaled
corticosteroids, there is a risk
for:
1. Tachycardia
2. Constipation
3. Oral fungal infections
4. Headache
4
You can prevent an oral
fungal infection by:
1. Taking anti-fungal medications
2. Rinsing the mouth well after using
an inhaled corticosteroid
5
Beta-blockers include
which one of the following:
1. Digoxin (Lanoxin)
2. Nifedipine (Procardia)
3. Lisinopril (Zestril)
4. Propanolol (Inderal)
6
Beta-blockers have many uses,
but they should not be used in
patients with:
1. Asthma
2. Congestive heart failure
3. Hypertension
4. Migraine headaches
7
The most important vital sign
to check for administration of
Verapamil (Calan) is:
1. Respiratory rate
2. Blood pressure
3. Heart rate
4. Temperature
8
The most important vital sign
to check for administration of
Digoxin (Lanoxin) is:
1. Respiratory rate
2. Blood pressure
3. Heart rate
4. Temperature
9
The most significant vital sign
for giving a beta-blocker such
as propanolol is:
1. Respiratory rate of 22 per minute
2. Blood pressure of 148/86
3. Heart rate of 54
4. Temperature of 99.1
10
The most significant vital sign
for giving an inhaled betaadrenergic agonist such as
albuterol (Proventil)is:
1. Respiratory rate of 28 per minute
2. Blood pressure of 148/86
3. Heart rate of 88
4. Temperature of 99.1
11
Which categories of medications
can lower BP? (Select all that apply)
1.
2.
3.
4.
5.
Diuretics
Angiotensin Converting Enzyme
Inhibitors
Anti-lipidemics
Anti-coagulants
Calcium Channel Blocker
12
Patients who take anticoagulants at
home should:
Avoid herbal remedies such as
gingko biloba
2. Use regular safety razors to
shave
3. Avoid eating iceberg lettuce in
salads
1.
13
What is the most rapid-acting
treatment for an asthma attack?
An inhaled anti-cholinergic drug
such as ipratropium (Atrovent)
2. An inhaled beta adrenergic drug
such as albuterol (Proventil)
3. An inhaler steroid such as
salmeterol/fluticasone (Advair)
1.
14
Is warfarin (Coumadin) safe to use
in pregnancy?
Yes
2. No
1.
15
Nitrates include the following
drugs:
1.
2.
3.
4.
5.
Nitroprusside IV
Nitroglycerin sublingual tablets
Nitrodur skin patch
Losartan (Cozaar)
Amlodipine (Norvasc)
16
A common side effect of a nitrate is:
Stomachache
2. Angina
3. Headache
4. Shortness of breath
1.
17
When should a PRN
sublingual nitrate be given?
1. Every morning “just in case”
2. When anginal pain persists for
at least 10 minutes
3. Immediately at the onset of
anginal pain.
18
Other than medications, what
actions can a nurse take when
a client has angina?
19
If a client starts bleeding from too much
Heparin, the client may initially be
given:
A packed red blood cell
transfusions
2. An injection of Vitamin K
3. An injection of Protamine sulfate
1.
20
If a client starts bleeding from too much
warfarin (Coumadin), the client may
initially be given:
A packed red blood cell
transfusions
2. An injection of Vitamin K
3. An injection of Protamine sulfate
1.
21
Clients who take diuretics such as
furosemide (Lasix) or
hydrochlorothiazide (HCTZ) should
have this lab monitored closely:
Potassium (for hypokalemia)
2. Glucose (for hypoglycemia)
3. Albumin (for hypoproteinemia)
4. Red blood cells (for anemia)
1.
22
Clients who take furosemide or
hydrochlorothiazide should be
counseled to eat more foods
containing potassium.
O True
O False
23
Toxicity related to furosemide (Lasix)
includes which of the following (Select all
that apply):
O Nephropathy
O Cardiomyopathy
O Cardiac Arrthymias
O Hepatitis
O Ototoxicity
24
Fill in the blanks:
Dextromethorphan (Robitussin)
_______, while Guaifenesin
_______ .
25
Match labs with drug (can use
drug more than once):
O Heparin
O PTT
O Warfarin
O INR and PT
(Coumadin)
O Enoxaparin
(Lovenox)
O Clopidogrel
(Plavix)
O None needed
O White blood
cells
(neutrophils)
O Platelets
26
What are some common side
effects of all antihypertensive
drugs?
O Increased blood pressure
O Orthostatic hypotension
O Reduction in heart rate
O Dizziness
O Irritating and persistent cough
O Swelling around the face and neck
27
Angioedema
28
Which of the following drugs
is a “statin”?
1. Omega-3 Fatty Acid (Fish Oil)
2. Losartan (Cozaar)
3. Ezetimide (Zetia)
4. Atorvastatin (Lipitor)
29
Fill in the Blank:
Atorvastatin (Lipitor) works in
the ________ to prevent the
synthesis of cholesterol, while
Ezetimide (Zetia) works in the
__________ to reduce the
absorption of cholesterol.
30
Match Drug with Side Effect:
O Atorvastatin
(Lipitor)
O Ezetimide
(Zetia)
O Diarrhea and
GI cramps
O Muscle
cramps
31
Fill in the blank:
Albuterol (Proventil) is:
________________ while ipratropium
(Atrovent) is: ____________ .
O Adrenergic
O Anti-cholinergic
32
Nervous System
Parasympathetic Nervous
Review
System
Sympathetic Nervous System
O
O
O
O
O
O
ADRENERGIC
Fight-or-flight
Vasoconstriction
Bronchiole dilation
Increased BP
Increased HR
Increased
Respirations
CHOLINERGIC
O Many drugs are
antagonists (anticholinergic) and
cause:
O Relaxation of
bronchiole smooth
muscle
O Decreased GI Motility
33
What is a common side effect
of an anti-histamine?
1. Drowsiness
2. Tachycardia
3. Lowered blood pressure
4. Increase in salivation
34
Identify if the following risk factors for
stroke are modifiable (through
medications, diet or behavioral
changes) or are not modifiable.
1. High fat diet
2. Lack of exercise/Sedentary life style
3. Genetics
4. Ethnicity/race
5. Hypertension
6. Smoking
35
What are some signs of a DVT?
36
What are some nursing
interventions to reduce the
risk of developing a DVT?
37
What are some nursing
interventions to treat DVT?
38
A venous clot (emboli) that travels
(thrombus) can cause: (Select all
that apply):
1. A cerebrovascular accident
(stroke)
2. A myocardial infarction
3. Gangrene of an extremity
4. Pulmonary emboli
39
In an EKG (ECG), what does a
P-wave signify?
40
In an EKG (ECG), what does
the QRS complex signify?
41
What does a radial pulse feel
like in the presence of Atrial
Fibrillation?
42