How does salmeterol work ?
decrease inflammation in the bronchi
increase inflammation in the bronchi
vasodilation
vasoconstriction
what are some adverse reactions of opioids? select all that apply
respiratory depression
sedation
itchiness
Tachy/Brady cardia
hypotension
What is the therapeutic effect of adrenergic drugs?
relax smooth muscle
constrict smooth muscle
bronchoconstriction
What is the most common side effect of an antiemetic?
drowsiness
lethargy
indigestion
polydipsia
What are some nursing interventions for antiemetics? Select all that apply
I & O
Fluid and electrolyte balance
comfort measures ( cold compress, Dim lights)
monitor heart rate
How long can insulin be stored in room temperature?
30 days
60 days
24 hours
48 hours
What would you include in patient teaching for insulin ? select all that apply
If insulin is cloudy , get rid of it
rotate injection sites
watch for s/s of hypo/hyperglycemia
you do not need to refridgerate insulin at all
What is considered hypoglycemia?
under 60
under 100
75
150
What would you do for a patient who is hypoglycemic , with a gag reflex ?
Give OJ & PB crackers
glucagon shot
lots of water
CPR
What should you do for a patient who is hypoglycemic and has no gag relfex?
Pb crackers and OJ
What are some signs of hyperglycemia? Select all that apply
Polydipsia
polyuria
polyphagia
lethargic
hypertension
What is the insulin that can be given IV?
NPH
regular
short acting
long acting
What is Type 1 diabetes?
the beta cells do not produce insulin properly
the body is resistant to insulin
What is Type 2 Diabetes?
Body is resistant to insulin
the beta cells in the pancreas do not produce insulin
When Mixing insulin, how do you mix it?
cloudy- clear-clear - cloudy
clear- cloudy - cloudy - clear
Clear- cloudy -Clear - Cloudy
What is the onset, peak, and duration of the rapid insulin?
15 minutes, 1 hour, 3 hours
30 minutes, 2 hours, 8 hours
2 hours, 8 hours, 16 hours
2 hours, none, 24 hours
What is the onset, peak, and duration for short acting insulin?
15 minutes, 1 hours, 3 hours
2 hours, no peak, 24 hours
What is the onset, peak, and duration of intermediate insulin?
What is the onset, peak and duration of long acting insulin?
2 hours, 8 hours , 16 hours
What does prednisone do to blood sugar?
raises them
lowers them
no changes
What drug is used for opioid overdose?
naloxone
levothyroxine
niacin
digoxin
When taking niacin do you take the med with food?
yes
no
When teaching a patient about levothyroxine (synthroid) , what should be included? Select all that apply
Do not take with omeprazole
do not crush
watch for s/s of hyperthyroidism
take on an empty stomach
take at night
When taking aspirin, what do you need to be watching for?
bleeding
vomiting
diarrhea
rashes
If a child has chicken pox , what medication can cause reyes syndrome?
acetaminophen
aspirin
NSAIDS
opioids
What are some contributing factors for peptic ulcers? Select all that apply
medications
acidic foods
stress
low blood sugar
What is subjective data?
symptoms
measurable data
goals
interventions
What is objective data?
When teaching a patient about oral drugs, what should be included? select all that apply
take with a full glass of water
it is okay to crush or chew medications
do not change the dose of medications without informing doctor first
keep a list
What are controlled substances?
substance that everyone has access too
drugs that have a high potential for dependency/ abuse
over the counter drugs
drugs that have a low potention for dependency/ abuse
What does the liver do with medications?
metabolizes the medications
does nothing
turns it into energy
excretes it
What is the slowest drug action route?
oral
IM
IV
dermal
What is a major side effect of nitroglycerin?
headache
nausea
what is the main adverse effect of spironolactone?
hyperkalemia
hypokalemia
hypercalcemia
hypocalcemia
when patient teaching with alprazolam (xanax) , what should be included? select all that apply
do not d/c abruptly
take as directed, dependency possible
can cause drowsiness
can cause constipation
When a patient is taking furosemide (lasix) , what lab values should be monitored? Select all that apply
potassium
electrolytes
BUN/creatinine
RBC
What is monitored when a patient is on warfarin?
PT/ INR
CMP
BUN
BMP
When teaching for a patient on statins, what all should be included? Select all that apply
avoid grapefruit juice
take in the evening
monitor liver function tests
do not mix with omeprazole
What are some s/s of digoxin toxicity? select all that apply
seeing yellow
tachycardia
blurred vision
muscle weakness
What should be included in patient teaching for a patient taking Montelukast (singluar) ? Select all that apply
only take if 12 years old or older
take in the morning
When taking a beta blocker, such as propranolol or atenlol , what would be included in patient teaching? select all that apply
sit on the side of bed before standing up
check pulse before taking medication
do not take if depressed
what is the transmitting substance for the parasympathetic nervous system?
acetylcholine
dopamine
epinephrine
serotonin
How do you read a culture sensitivity test?
no growth around the disk = right antibiotic
growth around the disk= right antibiotic
what are some side effects of sulfonamides? select all that apply
SJS; lesions
thrombocytopenia (GI Bleeding)
leukopenia
orange urine
What are some examples of bulk-forming laxatives? select all that apply
psyllium
polycarbophil
imodium
lamactil
What are the side effects of clindamycin hydrochloride? select all that apply
N/V/D
abdominal pain
rash/ thrush
bruising
What is a side effect of activase (thrombolytic drug) ?
Bleeding
spasms
heartburn
What does heparin do?
prevents aggregation of platelets
decreases blood pressure
increases heart rate
increases respirations
What medication treats h-pylori?
tetracyclines
sulfonamides
macrolides
metformin
What effects does methimazole have on the body? select all that apply
inhibits the manufacture of thyroid hormones
manufacture thyroid hormones
weight gain
decreased heart rate
decrease respiratory rate
What are MAOI drugs used for?
depression
infections
blood thinner
seiures
What are side effects of antiparkinsonism drugs? select all that apply
dizziness/drowsiness
dry mouth
anorexia
ferrous sulfate causes what?
black -tarry stool
constipation
dehydration
if you are allergic to penicillin you are most likely to be allergic to what?
cephalosporins
anti depressants
What can occur with long term use of hydantoins? select all that apply
toxicity
decrease in plasma cells
Gingivitis
hypoglycemia
what is a synergist?
unusal physical reaction to a drug
drug that interacts with another causing effects to be stronger ( 1+1=4)
drug that causes an adverse reaction
drug that causes another drug to weaken
what are examples of clotting factors
blood and plasma
Fibrinogen and prothrombin
blood and water
blood and thrombocytes
you should receive IV heparin , while starting a new prescription for warfarin for as long as it takes for you labs such as PTT and INR are stable
when you have photosensitivity, what are you sensitive to?
sun
pictures
plants
air
when administering ear drops which way do you turn the head?
toward the unaffected side
toward the affected side
down
up
when administering eye drops, where do the drops go?
outer canthus
inner canthus
conjunctival sac
the whites of the eye
When taking bulk laxatives, what do you need to make sure the patient does ?
Increase fluid intake
Eat several small meals a day
Take everyday
Take with food
What kind of diet should a patient with DM follow ?
Carbohydrate controlled
No restrictions
Salt restricted
Added potassium
Aspirin shouldn’t be given to who ? Select all that apply
Pregnant women
Kids
Adults
Everybody
When should you hold a beta blocker like propranolol or atenolol ?
Pulse under 60
Pulse of 100
Pulse above 120
Pulse at 75
What is an example of rapid acting insulin ?
Humalog/novalog
Humalin/novalin
Nph
Levemir/Lantus
What is an example of short acting insulin ?
Humalin N NPH
Levemir /lantus
What is an example of intermediate insulin ?
Humalin R nph
Levemir/lantus
What is an example of long acting insulin ?
Humalin/ novalin
Lantus/levemir /lispro
