Podcast
Questions and Answers
A patient taking spironolactone is prescribed a daily multivitamin. Which instruction should the nurse emphasize regarding the patient's diet?
A patient taking spironolactone is prescribed a daily multivitamin. Which instruction should the nurse emphasize regarding the patient's diet?
- Maintain a consistent sodium intake.
- Consume foods high in vitamin D.
- Increase intake of potassium-rich foods.
- Avoid excessive intake of potassium. (correct)
A client is prescribed losartan. The nurse understands this medication belongs to which class of drugs?
A client is prescribed losartan. The nurse understands this medication belongs to which class of drugs?
- Angiotensin receptor blockers (ARBs) (correct)
- Beta blockers
- ACE inhibitors
- Potassium-sparing diuretics
A patient is prescribed metoprolol. What is the most important teaching point the nurse should include?
A patient is prescribed metoprolol. What is the most important teaching point the nurse should include?
- Report any persistent cough to the healthcare provider.
- Instruct patient to monitor their heart rate and blood pressure regularly. (correct)
- Take the medication with food to enhance absorption.
- Monitor for signs of hyperkalemia.
A patient receives regular insulin at 7:00 AM. At what time should the nurse be most vigilant in monitoring for potential hypoglycemia?
A patient receives regular insulin at 7:00 AM. At what time should the nurse be most vigilant in monitoring for potential hypoglycemia?
A nurse reviews a medication order that reads 'furosemide 40 mg qid'. What action should the nurse take first?
A nurse reviews a medication order that reads 'furosemide 40 mg qid'. What action should the nurse take first?
A nurse is preparing to administer glargine insulin. Which consideration is most important for the nurse to keep in mind?
A nurse is preparing to administer glargine insulin. Which consideration is most important for the nurse to keep in mind?
A patient is scheduled for a coronary angiogram. The patient's medication list includes metformin. What is the most appropriate action by the nurse?
A patient is scheduled for a coronary angiogram. The patient's medication list includes metformin. What is the most appropriate action by the nurse?
During labor, a patient receiving oxytocin exhibits late decelerations on the fetal heart monitor. What is the priority nursing intervention?
During labor, a patient receiving oxytocin exhibits late decelerations on the fetal heart monitor. What is the priority nursing intervention?
A patient is on a potassium-wasting diuretic. Which medication is classified as a potassium-wasting diuretic?
A patient is on a potassium-wasting diuretic. Which medication is classified as a potassium-wasting diuretic?
Which of the following findings on a fetal heart rate monitor is most reassuring?
Which of the following findings on a fetal heart rate monitor is most reassuring?
A nurse is preparing to administer NPH insulin at bedtime. Which of the following is the most appropriate nursing intervention?
A nurse is preparing to administer NPH insulin at bedtime. Which of the following is the most appropriate nursing intervention?
A medication order reads 'administer 5.0 mg of warfarin'. What is the most appropriate action for the nurse to take?
A medication order reads 'administer 5.0 mg of warfarin'. What is the most appropriate action for the nurse to take?
A nurse is caring for a patient receiving oxytocin for labor induction. Which assessment finding requires immediate intervention?
A nurse is caring for a patient receiving oxytocin for labor induction. Which assessment finding requires immediate intervention?
Which statement best describes the difference between questioning an order and clarifying an order?
Which statement best describes the difference between questioning an order and clarifying an order?
A nurse is teaching a patient about the proper administration of regular insulin. Which statement indicates the patient understands the instructions?
A nurse is teaching a patient about the proper administration of regular insulin. Which statement indicates the patient understands the instructions?
A nursing student is preparing to administer hydralazine to a patient with hypertension. Which statement indicates the student understands the medication's classification?
A nursing student is preparing to administer hydralazine to a patient with hypertension. Which statement indicates the student understands the medication's classification?
Which fetal heart rate characteristic is most concerning and requires immediate nursing intervention?
Which fetal heart rate characteristic is most concerning and requires immediate nursing intervention?
A nurse is reviewing a patient's medication list and notes an order for 'enalapril 10 mg daily'. Enalapril belongs to which drug class?
A nurse is reviewing a patient's medication list and notes an order for 'enalapril 10 mg daily'. Enalapril belongs to which drug class?
A nurse is reviewing a medication order and sees '.2 mg of digoxin'. What should the nurse do?
A nurse is reviewing a medication order and sees '.2 mg of digoxin'. What should the nurse do?
A client asks the nurse, 'Why can't I just take my Glargine before lunch like the other insulin?' What is the nurse's best response?
A client asks the nurse, 'Why can't I just take my Glargine before lunch like the other insulin?' What is the nurse's best response?
Flashcards
Spironolactone
Spironolactone
A potassium-sparing diuretic; avoid extra potassium intake.
Direct Vasodilators
Direct Vasodilators
Examples include hydralazine.
ACE Inhibitors
ACE Inhibitors
Medications that typically end in 'pril' (e.g., lisinopril).
Angiotensin Receptor Blockers (ARBs)
Angiotensin Receptor Blockers (ARBs)
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Beta Blockers
Beta Blockers
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Furosemide
Furosemide
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Thiazide Diuretics
Thiazide Diuretics
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Regular Insulin
Regular Insulin
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Questioning an Order
Questioning an Order
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Clarifying an Order
Clarifying an Order
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Glargine
Glargine
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NPH Insulin
NPH Insulin
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Metformin
Metformin
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Late Decelerations
Late Decelerations
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After Oxytocin is off for Late Decelerations
After Oxytocin is off for Late Decelerations
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Late Decelerations
Late Decelerations
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Study Notes
Medications Overview
- The video series will cover 50 medications recommended for the NCLEX.
- Each video will focus on five medications, presented via questions.
- Taking notes is recommended, especially if you're unfamiliar with the medications.
Medication Classes and Examples
- Spironolactone is a potassium-sparing diuretic; avoid extra potassium intake.
- Direct vasodilators include hydralazine.
- ACE inhibitors end in "pril" (e.g., lisinopril).
- Angiotensin receptor blockers (ARBs) end in "sartan" (e.g., losartan).
- Beta blockers end in "olol" (e.g., metoprolol).
- Furosemide is a potassium-wasting diuretic.
- Thiazide diuretics (e.g., hydrochlorothiazide/HCTZ) are also potassium-wasting.
Insulin and Hypoglycemia
- For regular insulin, monitor for hypoglycemia at its peak time.
- Regular insulin typically peaks at two hours.
- If regular insulin is administered at 0800, watch for hypoglycemia at 10:00 am
- Patients should eat 30 minutes after recieving regular insulin
Questioning vs. Clarifying Orders
- Questioning an order means identifying orders that could harm the patient.
- Clarifying an order involves identifying orders that are incorrectly written.
- Incorrectly written orders may be missing the route, the frequency, or have an unapproved abbreviation
- "qid" should be written as "four times a day" or "four times daily."
- Avoid trailing zeros after a decimal (e.g., 12 mg, not 12.0 mg).
- Leading zeros are necessary before a decimal (e.g., 0.1 mg).
Insulin Types and Administration
- Glargine has no peak and is given once or twice a day.
- Giving glargine AC (before meals) and HS (at bedtime) is incorrect.
- NPH insulin is intermediate-acting and can be given twice a day.
- NPH at bedtime should be given with a snack.
- Glargine can be given at bedtime without a snack
Metformin and Dye Procedures
- Metformin is contraindicated with any procedure involving dye (e.g., coronary angiogram).
- Any procedure with gram in the word indicates a dye
- General knowledge for nurses is that Metformin is contraindicated with dye procedures
Oxytocin and Fetal Heart Monitoring
- Late decelerations in fetal heart monitoring are a problem.
- The first response is to turn off the oxytocin.
- Then, turn the patient to her left side, apply O2, and notify the obstetrician.
- Early decelerations are fine, high baseline variability is good, and low variability/fetal heart rate is bad.
- Low fetal heart rate is under 110 bpm.
- Low heart rate variability, low fetal heart rate and late decelerations are bad
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