Podcast
Questions and Answers
Levothyroxine increases the effects of which medication?
Levothyroxine increases the effects of which medication?
- Acetaminophen
- Aspirin
- Ibuprofen
- Warfarin (correct)
Never give potassium IM, sub q, IV push.
Never give potassium IM, sub q, IV push.
True (A)
What condition is characterized by enlarged joints?
What condition is characterized by enlarged joints?
Osteoarthritis
Obese individuals are at a higher risk for which joint condition?
Obese individuals are at a higher risk for which joint condition?
Metoprolol masks the effects of hypoglycemia.
Metoprolol masks the effects of hypoglycemia.
Cardiovascular disease is a risk factor for gout.
Cardiovascular disease is a risk factor for gout.
Why is vomiting not induced during intoxication?
Why is vomiting not induced during intoxication?
What is the method for opening an airway in a client without suspected spinal cord injury?
What is the method for opening an airway in a client without suspected spinal cord injury?
What method should be used for a client suspected of spinal cord injury?
What method should be used for a client suspected of spinal cord injury?
An epidural blood patch is used if the puncture site for lumbar puncture doesn't seal.
An epidural blood patch is used if the puncture site for lumbar puncture doesn't seal.
Clients should be NPO 4-6 hours prior to a cerebral angiogram.
Clients should be NPO 4-6 hours prior to a cerebral angiogram.
What should be done with hair before an EEG?
What should be done with hair before an EEG?
What are common side effects of opioids?
What are common side effects of opioids?
What does a positive Brudzinski and Kernig's sign indicate?
What does a positive Brudzinski and Kernig's sign indicate?
What are the steps for the Brudzinski test?
What are the steps for the Brudzinski test?
What is the priority after a seizure?
What is the priority after a seizure?
What teaching point is important for phenytoin?
What teaching point is important for phenytoin?
Privacy should be provided during a seizure.
Privacy should be provided during a seizure.
Which one triggers a seizure?
Which one triggers a seizure?
How should a client with Parkinson's be positioned for eating?
How should a client with Parkinson's be positioned for eating?
What should be monitored weekly for clients with Parkinson's?
What should be monitored weekly for clients with Parkinson's?
Bromocriptine can cause orthostatic hypotension.
Bromocriptine can cause orthostatic hypotension.
What color should urine turn with COMT inhibitors?
What color should urine turn with COMT inhibitors?
Expect skin discoloration with the antiviral medication amantadine.
Expect skin discoloration with the antiviral medication amantadine.
What theory is linked to the development of Alzheimer's?
What theory is linked to the development of Alzheimer's?
What medication is used to improve function in Alzheimer's patients?
What medication is used to improve function in Alzheimer's patients?
Difficulty with ambulation is present in early and middle stages of Alzheimer's.
Difficulty with ambulation is present in early and middle stages of Alzheimer's.
What are the risk factors for Alzheimer's?
What are the risk factors for Alzheimer's?
Hydrocephalus is a potential complication after craniotomy.
Hydrocephalus is a potential complication after craniotomy.
Opioids should be given to patients post-op craniotomy.
Opioids should be given to patients post-op craniotomy.
What changes are common with increased intracranial pressure?
What changes are common with increased intracranial pressure?
What does the Romberg's test assess?
What does the Romberg's test assess?
Loss of cognition can occur with multiple sclerosis.
Loss of cognition can occur with multiple sclerosis.
Baclofen can cause jaundice of the skin.
Baclofen can cause jaundice of the skin.
Foods containing tyramine can cause what?
Foods containing tyramine can cause what?
What is abortive therapy used for?
What is abortive therapy used for?
Triptan drugs are used for treating severe migraines.
Triptan drugs are used for treating severe migraines.
What are common side effects of zolmitriptan?
What are common side effects of zolmitriptan?
Nasal congestion can occur with cluster headaches.
Nasal congestion can occur with cluster headaches.
What type of pain is associated with cluster headaches?
What type of pain is associated with cluster headaches?
Artificial sweeteners contain tyramine and can trigger a headache.
Artificial sweeteners contain tyramine and can trigger a headache.
Open-angle glaucoma is characterized by what?
Open-angle glaucoma is characterized by what?
What should be limited after cataract replacement?
What should be limited after cataract replacement?
What are the risk factors for glaucoma?
What are the risk factors for glaucoma?
When does graft vs host disease typically occur?
When does graft vs host disease typically occur?
What is the biggest concern immediately post-op transplant?
What is the biggest concern immediately post-op transplant?
Bone marrow is transfused through a central IV line.
Bone marrow is transfused through a central IV line.
Clients who are immunosuppressed from bone marrow transplant can go in public areas.
Clients who are immunosuppressed from bone marrow transplant can go in public areas.
What is intravesical therapy?
What is intravesical therapy?
How often should a patient be turned during intravesical therapy?
How often should a patient be turned during intravesical therapy?
Patients should not ambulate for 6 hours after peritoneal dialysis.
Patients should not ambulate for 6 hours after peritoneal dialysis.
What do casts in the urine indicate?
What do casts in the urine indicate?
What are the signs of a ruptured bladder?
What are the signs of a ruptured bladder?
What position is used for cystoscopy?
What position is used for cystoscopy?
Pink-tinged urine and burning during urination are expected after cystoscopy.
Pink-tinged urine and burning during urination are expected after cystoscopy.
Testing PSA should occur after a digital rectal exam.
Testing PSA should occur after a digital rectal exam.
Hypertension is a common adverse effect of Epoetin infusion.
Hypertension is a common adverse effect of Epoetin infusion.
Unstable angina lasts longer than 15 minutes.
Unstable angina lasts longer than 15 minutes.
Why is it important to medicate with antihypertensive medications with an abdominal aneurysm?
Why is it important to medicate with antihypertensive medications with an abdominal aneurysm?
What is pulses paradoxus?
What is pulses paradoxus?
Pulses paradoxus is a common finding with cardiac tamponade.
Pulses paradoxus is a common finding with cardiac tamponade.
Hypotension is associated with cardiac tamponade.
Hypotension is associated with cardiac tamponade.
Hiccups after pacemaker insertion can indicate that the pacemaker is pacing the diaphragm.
Hiccups after pacemaker insertion can indicate that the pacemaker is pacing the diaphragm.
What is hemophilia?
What is hemophilia?
Pain with inspiration is common with pericarditis.
Pain with inspiration is common with pericarditis.
Dyspnea and hiccups are manifestations of pericarditis.
Dyspnea and hiccups are manifestations of pericarditis.
Pain with pericarditis lessens when the client sits upright.
Pain with pericarditis lessens when the client sits upright.
Hematuria is a manifestation of bladder trauma.
Hematuria is a manifestation of bladder trauma.
What is silver sulfadiazine used for?
What is silver sulfadiazine used for?
Transient leukopenia can result from silver sulfadiazine use.
Transient leukopenia can result from silver sulfadiazine use.
What is a heterograft?
What is a heterograft?
What are the signs of melanoma growth?
What are the signs of melanoma growth?
What should be done if a snakebite occurs?
What should be done if a snakebite occurs?
What is the first intervention for chest pain and difficulty with inspiration?
What is the first intervention for chest pain and difficulty with inspiration?
What should be applied when withdrawing the tracheostomy catheter?
What should be applied when withdrawing the tracheostomy catheter?
What protective equipment should be used during a thoracentesis?
What protective equipment should be used during a thoracentesis?
When transfusing blood, the first action is to check the type and units of blood.
When transfusing blood, the first action is to check the type and units of blood.
What symptoms are associated with a left side stroke?
What symptoms are associated with a left side stroke?
What behavior is common in a right-side stroke?
What behavior is common in a right-side stroke?
Salt substitutes contain potassium.
Salt substitutes contain potassium.
Pancreatitis can cause paralytic ileus.
Pancreatitis can cause paralytic ileus.
What are the signs and symptoms of multiple sclerosis?
What are the signs and symptoms of multiple sclerosis?
What effect can Baclofen have on urine?
What effect can Baclofen have on urine?
Migraine headaches can be triggered by tyramine-containing foods.
Migraine headaches can be triggered by tyramine-containing foods.
Zolmitriptan is used for abortive therapy for migraines.
Zolmitriptan is used for abortive therapy for migraines.
What are characteristics of cluster headaches?
What are characteristics of cluster headaches?
Artificial sweeteners can cause migraines.
Artificial sweeteners can cause migraines.
Migraine headaches can be predicted if there is a family history.
Migraine headaches can be predicted if there is a family history.
What should be avoided post-op cataract surgery?
What should be avoided post-op cataract surgery?
What is the role of the retina?
What is the role of the retina?
Eye pain is common with glaucoma.
Eye pain is common with glaucoma.
Floating spots are common with retinal detachment.
Floating spots are common with retinal detachment.
Blurred vision and white pupils are common with cataracts.
Blurred vision and white pupils are common with cataracts.
Red reflexes are normal with eyes.
Red reflexes are normal with eyes.
Dry macular degeneration results from lack of blood flow to the macula.
Dry macular degeneration results from lack of blood flow to the macula.
Wet macular degeneration is caused by popped blood vessels in the macula.
Wet macular degeneration is caused by popped blood vessels in the macula.
What should not be done to help heal macular degeneration?
What should not be done to help heal macular degeneration?
Eye drops are used for glaucoma treatment.
Eye drops are used for glaucoma treatment.
Furosemide can cause ototoxicity and hearing loss.
Furosemide can cause ototoxicity and hearing loss.
What happens to the tympanic membrane during an ear infection?
What happens to the tympanic membrane during an ear infection?
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Study Notes
Medication Interactions and Effects
- Levothyroxine enhances the anticoagulant effects of warfarin.
- Potassium should only be administered IVPB or PO; never by IM, subcutaneous, or IV push.
- Metoprolol can hide symptoms of hypoglycemia in patients, making monitoring critical.
Osteoarthritis Considerations
- Osteoarthritis often presents with enlarged joints, affecting mobility and quality of life.
- Obesity significantly increases the risk and severity of osteoarthritis.
Seizures and Neurological Assessments
- Vomiting should not be induced during intoxication to avoid aspiration; ipecac is contraindicated.
- Post-seizure care includes positioning the client on their side to prevent aspiration.
- Brudzinski and Kernig's signs indicate possible meningitis; assessments should include client positioning and neck flexion.
Airway Management
- The head tilt-chin lift technique is suitable for clients not suspected of a spinal cord injury when opening the airway.
- The jaw thrust method is preferred for clients suspected of spinal cord injuries.
Diagnostic Procedures
- Clients must remain NPO for 4-6 hours before a cerebral angiogram to minimize aspiration risks.
- EEG preparations include washing hair to remove oils and staying awake the night before to stress the brain.
Pain Management and Side Effects
- Opioids can induce side effects like constipation, respiratory depression, and sedation, necessitating careful monitoring.
- Baclofen, an anti-spasmodic for conditions like MS, can cause jaundice and yellow urine.
Alzheimer's Disease
- Alzeheimer's is theorized to result from decreased acetylcholine levels, manifesting in cognitive impairments.
- Risk factors include age, genetics, toxic exposure, and notable demographics such as being female or African American.
Headaches and Migraines
- Foods containing tyramine trigger migraines; common sources include nuts and artificial sweeteners.
- Symptoms of migraines include unilateral pain, nausea, and sensitivity to light; these can be managed with triptans or abortive therapy.
Cardiovascular and Respiratory Health
- Gout is associated with cardiovascular disease as a critical risk factor.
- Comfort breathing is crucial in conditions such as pericarditis and cardiac tamponade, with positional management often alleviating pain.
Surgical and Post-operative Care
- After cataract surgery, patients must avoid activities that increase intraocular pressure and maintain eye hygiene.
- Clients receiving bone marrow transplants must limit public exposure due to immunosuppression.
Renal and Urinary Concerns
- Casts in urine indicate potential kidney damage or infection, while signs of a ruptured bladder include hematuria and oliguria.
- Cytoscopy procedures require clients to be positioned in lithotomy, with expected symptoms including pink-tinged urine post-procedure.
Eye and Vision Health
- Open-angle glaucoma causes a progressive loss of peripheral vision; regular screenings are essential.
- Macular degeneration types reflect different etiologies: dry due to lack of blood flow and wet due to ruptured blood vessels.
Miscellaneous Topics
- Intravesical therapy treats bladder issues with interferon for chemotherapy purposes, requiring patient positioning for effective drug distribution.
- Silver sulfadiazine used for burns can cause transient leukopenia as a side effect.
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