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Questions and Answers
A nurse is caring for a client who is experiencing respiratory depression after taking an excessive dose of oxycodone. Which of the following medications should the nurse expect to administer?
A nurse is caring for a client who is experiencing respiratory depression after taking an excessive dose of oxycodone. Which of the following medications should the nurse expect to administer?
- Bisacodyl
- Naloxone (correct)
- Pentazocine
- Flumazenil
A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following manifestations should the nurse report to the provider as an indication of digoxin toxicity?
A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following manifestations should the nurse report to the provider as an indication of digoxin toxicity?
- Vomiting (correct)
- Dilated pupils
- Peripheral edema
- Bruising
A nurse is caring for a client who is at risk for alcohol withdrawal delirium. Which of the following medications should the nurse expect the provider to prescribe?
A nurse is caring for a client who is at risk for alcohol withdrawal delirium. Which of the following medications should the nurse expect the provider to prescribe?
- Naloxone
- Chlordiazepoxide (correct)
- Bupropion
- Methadone
A nurse is caring for a client who is receiving morphine. Which of the following assessments should the nurse perform first?
A nurse is caring for a client who is receiving morphine. Which of the following assessments should the nurse perform first?
A nurse is providing discharge instructions to a client who has a new prescription for omeprazole for the treatment of GERD. Which of the following statements by the client indicates an understanding of the teaching?
A nurse is providing discharge instructions to a client who has a new prescription for omeprazole for the treatment of GERD. Which of the following statements by the client indicates an understanding of the teaching?
The nurse is developing a teaching plan for an elderly patient who will begin taking an antihypertensive drug that causes dizziness and orthostatic hypotension. Which nursing diagnosis is appropriate for this patient?
The nurse is developing a teaching plan for an elderly patient who will begin taking an antihypertensive drug that causes dizziness and orthostatic hypotension. Which nursing diagnosis is appropriate for this patient?
A 70-year-old patient has just received a drug that can cause sedation. What would be the priority nursing diagnosis for this patient?
A 70-year-old patient has just received a drug that can cause sedation. What would be the priority nursing diagnosis for this patient?
A nurse is providing an in-service on the complications of overdosing on morphine, such as the opioid toxicity triad. Which of the following signs and symptoms should the nurse include in her in-service about opioid toxicity triad?
A nurse is providing an in-service on the complications of overdosing on morphine, such as the opioid toxicity triad. Which of the following signs and symptoms should the nurse include in her in-service about opioid toxicity triad?
A nurse is providing an in-service on the complications of naloxone (Narcan), such as abstinence syndrome. Which of the following signs and symptoms should the nurse include in her in-service about abstinence syndrome?
A nurse is providing an in-service on the complications of naloxone (Narcan), such as abstinence syndrome. Which of the following signs and symptoms should the nurse include in her in-service about abstinence syndrome?
A nurse is teaching diabetic clients about the use of insulin. For which of the following types of insulin should the nurse tell the clients to expect an onset of 15 to 30 minutes?
A nurse is teaching diabetic clients about the use of insulin. For which of the following types of insulin should the nurse tell the clients to expect an onset of 15 to 30 minutes?
A nurse is preparing to administer naloxone (Narcan). The nurse understands that this medication has a rapid first-pass inactivation. The nurse understands that naloxone (Narcan) be administered in all of the following routes EXCEPT for:
A nurse is preparing to administer naloxone (Narcan). The nurse understands that this medication has a rapid first-pass inactivation. The nurse understands that naloxone (Narcan) be administered in all of the following routes EXCEPT for:
A nurse is caring for a client that is newly prescribed with omeprazole (Prilosec). Which of the following options is a correct indication for omeprazole Prilosec)?
A nurse is caring for a client that is newly prescribed with omeprazole (Prilosec). Which of the following options is a correct indication for omeprazole Prilosec)?
You are caring for a new client that got admitted to the unit for abdominal pain. The client takes levothyroxine (Synthroid) at home. The nurse understands that the client is taking levothyroxine (Synthroid) to treat which of the following conditions?
You are caring for a new client that got admitted to the unit for abdominal pain. The client takes levothyroxine (Synthroid) at home. The nurse understands that the client is taking levothyroxine (Synthroid) to treat which of the following conditions?
The nurse is caring for a client who received a high amount of fentanyl three hours ago. The nurse understands that she should anticipate a prescription for naloxone (Narcan). Which of the following signs is suggestive of opioid toxicity triad?
The nurse is caring for a client who received a high amount of fentanyl three hours ago. The nurse understands that she should anticipate a prescription for naloxone (Narcan). Which of the following signs is suggestive of opioid toxicity triad?
A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer?
A nurse is caring for a client who is on warfarin therapy for atrial fibrillation. The client's INR is 5.2. Which of the following medications should the nurse prepare to administer?
A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?
A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?
A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a priority to report?
A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings is a priority to report?
A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider?
A nurse is reviewing the health history for a client who has angina pectoris and a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider?
A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching?
A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching?
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric- coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric- coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide?
A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?
A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?
A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?
A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?
A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide?
A nurse is providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide?
A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?
A nurse is caring for a client who has atrial fibrillation and receives digoxin daily. Before administering this medication, which of the following actions should the nurse take?
A nurse is caring for a client that is newly diagnosed with hypertension. The client noted that the provider will prescribe a medication to treat angina and hypertension. Which of the following medications should the nurse expect the provider to prescribe?
A nurse is caring for a client that is newly diagnosed with hypertension. The client noted that the provider will prescribe a medication to treat angina and hypertension. Which of the following medications should the nurse expect the provider to prescribe?
A nurse is caring for a client who is prescribed warfarin via oral (PO) route. Two hours after the administration of warfarin, the client reports having dark tarry stools and petechiae. Based on the client's presenting symptoms, which of the following options is an antidote for warfarin toxicity?
A nurse is caring for a client who is prescribed warfarin via oral (PO) route. Two hours after the administration of warfarin, the client reports having dark tarry stools and petechiae. Based on the client's presenting symptoms, which of the following options is an antidote for warfarin toxicity?
The nurse is caring for a new client that got admitted to the unit for abdominal discomfort. The nurse notes that the client takes levothyroxine (Synthroid) at home. The nurse understands that the client is taking levothyroxine (Synthroid) to treat which of the following conditions?
The nurse is caring for a new client that got admitted to the unit for abdominal discomfort. The nurse notes that the client takes levothyroxine (Synthroid) at home. The nurse understands that the client is taking levothyroxine (Synthroid) to treat which of the following conditions?
A nurse is caring for a client with a new prescription for digoxin for one week. The client reported having blurred vision, vomiting, and weight loss of 4 pounds in one week. Which of the following medications should the nurse anticipate to give to the client based on the presenting symptoms?
A nurse is caring for a client with a new prescription for digoxin for one week. The client reported having blurred vision, vomiting, and weight loss of 4 pounds in one week. Which of the following medications should the nurse anticipate to give to the client based on the presenting symptoms?
A client has a new prescription for naloxone (Narcan). Which of the following statements indicates the correct therapeutic use of this medication?
A client has a new prescription for naloxone (Narcan). Which of the following statements indicates the correct therapeutic use of this medication?
A nurse is preparing to educate a patient who has newly been prescribed sucralfate (Carafate) for the management of peptic ulcer disease (PUD). What is the mechanism of action for this medication?
A nurse is preparing to educate a patient who has newly been prescribed sucralfate (Carafate) for the management of peptic ulcer disease (PUD). What is the mechanism of action for this medication?
Which of the following options is a correct indication for omeprazole (Prilosec)?
Which of the following options is a correct indication for omeprazole (Prilosec)?
A nurse is caring for a client with hypertension.Which of the following medications is a vasodilator and is indicated for a hypertensive crisis?
A nurse is caring for a client with hypertension.Which of the following medications is a vasodilator and is indicated for a hypertensive crisis?
A nurse is caring for a client that is newly diagnosed with hypertension.Which of the following medications is a beta-adrenergic blocker that has a mechanism of action to decrease heart rate, myocardial contractility, and cardiac output, and is also used to treat hypertension?
A nurse is caring for a client that is newly diagnosed with hypertension.Which of the following medications is a beta-adrenergic blocker that has a mechanism of action to decrease heart rate, myocardial contractility, and cardiac output, and is also used to treat hypertension?
A nurse is caring for a client who has a new prescription for warfarin.Which of the following is a therapeutic use of this medication?
A nurse is caring for a client who has a new prescription for warfarin.Which of the following is a therapeutic use of this medication?
A home care nurse administers oral morphine to the patient with cancer pain. When will the nurse expect the medication to reach peak activity?
A home care nurse administers oral morphine to the patient with cancer pain. When will the nurse expect the medication to reach peak activity?
What assessment finding would indicate the patient's left-sided heart failure is worsening?
What assessment finding would indicate the patient's left-sided heart failure is worsening?
The nurse is preparing to assist with blood collection on a newly admitted patient who has been taking phenytoin for several years. The provider has ordered a complete blood count and liver function tests. Which other blood test will the nurse discuss with the provider?
The nurse is preparing to assist with blood collection on a newly admitted patient who has been taking phenytoin for several years. The provider has ordered a complete blood count and liver function tests. Which other blood test will the nurse discuss with the provider?
A nurse is caring for a newly admitted patient who will receive Digoxin to treat cardiac dysrhythmia. The patient takes hydrochlorothiazide and reports regular use of OTC laxatives. Before administering the first dose of Digoxin, the nurse will review the patient’s electrolyte levels with careful attention to which electrolytes?
A nurse is caring for a newly admitted patient who will receive Digoxin to treat cardiac dysrhythmia. The patient takes hydrochlorothiazide and reports regular use of OTC laxatives. Before administering the first dose of Digoxin, the nurse will review the patient’s electrolyte levels with careful attention to which electrolytes?
The nurse is preparing to administer digoxin (Lanoxin) to a client experiencing atrial fibrillation. Which of the following electrolyte imbalances would the nurse assess to reduce the incidence of toxicity with digoxin?
The nurse is preparing to administer digoxin (Lanoxin) to a client experiencing atrial fibrillation. Which of the following electrolyte imbalances would the nurse assess to reduce the incidence of toxicity with digoxin?
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?
A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?
A patient in a rehabilitation center is beginning to experience opioid withdrawal symptoms. The nurse expects to administer which drug as part of the treatment?
A patient in a rehabilitation center is beginning to experience opioid withdrawal symptoms. The nurse expects to administer which drug as part of the treatment?
The nurse has given medication instructions to a patient receiving phenytoin. Which statement by the patient indicates that the patient has an adequate understanding of the instructions?
The nurse has given medication instructions to a patient receiving phenytoin. Which statement by the patient indicates that the patient has an adequate understanding of the instructions?
The nurse is caring for a 64-year-old male client with diabetes who is being treated with a nonselective beta-blocker. What health education should the nurse prioritize with this client?
The nurse is caring for a 64-year-old male client with diabetes who is being treated with a nonselective beta-blocker. What health education should the nurse prioritize with this client?
A nurse is preparing regular and NPH insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take?
A nurse is preparing regular and NPH insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take?
Flashcards
Naloxone
Naloxone
Reverses the effects of opioid overdose by blocking opioid receptors.
Vomiting
Vomiting
A common sign of digoxin toxicity affecting the gastrointestinal system.
Chlordiazepoxide
Chlordiazepoxide
A benzodiazepine used to manage alcohol withdrawal symptoms.
Respiratory Rate
Respiratory Rate
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Omeprazole Action
Omeprazole Action
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Risk for Injury
Risk for Injury
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Risk for Injury
Risk for Injury
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Opioid Toxicity Triad
Opioid Toxicity Triad
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Opioid Abstinence Syndrome Signs
Opioid Abstinence Syndrome Signs
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Insulin Lispro Onset
Insulin Lispro Onset
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Naloxone Route
Naloxone Route
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Omeprazole Use
Omeprazole Use
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Levothyroxine Use
Levothyroxine Use
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Fentanyl overdose
Fentanyl overdose
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Vitamin K
Vitamin K
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Nausea
Nausea
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Angioedema
Angioedema
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Propranolol Contraindication
Propranolol Contraindication
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Nitroglycerin Patch
Nitroglycerin Patch
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Enteric-Coated Aspirin
Enteric-Coated Aspirin
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Nitroglycerin Headache
Nitroglycerin Headache
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Lisinopril Effect
Lisinopril Effect
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Hydrochlorothiazide Timing
Hydrochlorothiazide Timing
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Digoxin Administration
Digoxin Administration
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Nifedipine
Nifedipine
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Vitamin K1
Vitamin K1
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Levothyroxine Use
Levothyroxine Use
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Digoxin Immune Fab
Digoxin Immune Fab
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Naloxone Use
Naloxone Use
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Sucralfate Mechanism
Sucralfate Mechanism
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Omeprazole Use
Omeprazole Use
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Nitroglycerin
Nitroglycerin
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Metoprolol Use
Metoprolol Use
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Warfarin Use
Warfarin Use
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Morphine Peak
Morphine Peak
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Increased Crackles
Increased Crackles
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Liver Function Test
Liver Function Test
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Electrolyte levels
Electrolyte levels
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Hypokalemia
Hypokalemia
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Phenytoin Teaching
Phenytoin Teaching
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Study Notes
Medications and Antidotes
- Naloxone is administered for respiratory depression caused by excessive oxycodone.
- Digoxin toxicity is indicated by vomiting and should be reported to the provider.
- Chlordiazepoxide is prescribed for clients at risk for alcohol withdrawal delirium.
- Respiratory rate should be assessed first in a client receiving morphine.
- Vitamin K is administered when a client's INR is 5.2 while on warfarin therapy.
- Digoxin immune fab (Digibind) is the antidote for digoxin toxicity and should be anticipated if a patient reports blurred vision, vomiting, and weight loss while taking digoxin.
- Naloxone (Narcan) is the reversal agent for the effects of opioids.
Medication Teaching and Understanding
- Omeprazole reduces stomach acid, indicating the client's understanding of the teaching
- A relevant nursing diagnosis for an elderly patient taking an antihypertensive drug causing dizziness and orthostatic hypotension is risk for injury related to side effects of the medication.
- The priority nursing diagnosis for a 70-year-old patient receiving a sedating drug is risk for injury related to adverse effects of the drug.
- A client prescribed transdermal nitroglycerin should apply the patch in the morning.
- A client taking lisinopril that has swelling of the tongue is a priority to report.
- Clients with a bronchial asthma history should not take propranolol hydrochloride.
- The client should be told that crushing enteric-coated aspirin may cause a stomachache or indigestion
- A headache is an expected adverse effect of nitroglycerin.
- Hydrochlorothiazide should be taken early in the day.
- A client should not stop taking Phenytoin even when seizures resolve
- Clients on Phenytoin need to take extra care of their gums and teeth
Opioid Toxicity and Withdrawal
- The opioid toxicity triad includes pinpoint pupils, respiratory depression, and coma.
- Abstinence syndrome includes fever, hypertension, vomiting, anxiety, and abdominal cramping.
Insulin
- Insulin lispro (Humalog) has an onset of 15 to 30 minutes.
Medication Routes
- Naloxone (Narcan) should not be administered orally due to rapid first-pass inactivation.
Medication Indications
- Omeprazole (Prilosec) is indicated for the prevention of stress ulcers for at-risk clients experiencing acute events, and to treat peptic ulcers and prevent gastric ulcers
- Levothyroxine (Synthroid) treats hypothyroidism.
- Nifedipine is prescribed to treat angina and hypertension.
- Warfarin prevents venous thrombosis.
Assessments and Labs
- Apical pulse should be measured before administering digoxin.
- Serum electrolytes, with specific attention to potassium, need to be reviewed before administering Digoxin because Hypokalemia increases the risk of Digoxin toxicity.
- Renal function tests will need to be discussed with the provider when assisting with blood collection on a patient who has been taking Phenytoin for several years.
- In patients with left-sided heart failure, increased crackles in the lung fields would indicate the patient's condition is worsening.
Medication Effects
- A therapeutic effect of lisinopril is decreased blood pressure.
- A therapeutic use of naloxone (Narcan) is the reversal of opioid effects.
- Metoprolol is a beta-adrenergic blocker that decreases heart rate, myocardial contractility, and cardiac output, and is used to treat hypertension.
- The peak activity of oral morphine is expected at 60 minutes.
Other
- Perform more frequent blood glucose checks due to effects of the drug in diabetic clients being treated with a nonselective beta-blocker
- Methadone is administered as part of the treatment for opioid withdrawal symptoms.
- Sucralfate (Carafate) a protective barrier that adheres to an ulcer for up to 6 hours.
- To administer regular and NPH insulin: Inject air into NPH insulin first, then inject air into regular insulin, withdraw regular insulin, and then withdraw NPH insulin.
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