Podcast
Questions and Answers
Glipizide primarily works by:
Glipizide primarily works by:
- Decreasing glucose absorption in the intestines.
- Increasing the sensitivity of peripheral tissues to insulin.
- Stimulating the pancreas to release more insulin. (correct)
- Inhibiting the breakdown of incretin hormones.
NPH insulin typically reaches its peak effect within which timeframe?
NPH insulin typically reaches its peak effect within which timeframe?
- 4-12 hours (correct)
- 12-18 hours
- 18-24 hours
- 1-3 hours
When mixing rapid-acting and intermediate-acting insulin, what is the MOST important step to perform first?
When mixing rapid-acting and intermediate-acting insulin, what is the MOST important step to perform first?
- Draw up the intermediate-acting insulin first.
- Inject air into the intermediate-acting insulin vial.
- Inject air into the rapid-acting insulin vial. (correct)
- Draw up the rapid-acting insulin first.
A patient refuses to take their prescribed oral medication. What is the nurse's MOST appropriate initial action?
A patient refuses to take their prescribed oral medication. What is the nurse's MOST appropriate initial action?
Which medication is commonly prescribed to treat hypothyroidism?
Which medication is commonly prescribed to treat hypothyroidism?
Lisinopril is effective in managing hypertension by which mechanism?
Lisinopril is effective in managing hypertension by which mechanism?
A patient taking digoxin presents with nausea, vomiting, and visual disturbances (halos around lights). These findings are MOST indicative of:
A patient taking digoxin presents with nausea, vomiting, and visual disturbances (halos around lights). These findings are MOST indicative of:
Which of the following is a common adverse effect associated with digoxin therapy?
Which of the following is a common adverse effect associated with digoxin therapy?
Which electrolyte imbalance MOST significantly increases the risk of digoxin toxicity?
Which electrolyte imbalance MOST significantly increases the risk of digoxin toxicity?
A patient taking nitroglycerin complains of a headache. What is the MOST appropriate initial nursing intervention?
A patient taking nitroglycerin complains of a headache. What is the MOST appropriate initial nursing intervention?
Before administering digoxin, the nurse should assess which vital sign as a priority?
Before administering digoxin, the nurse should assess which vital sign as a priority?
What is the antidote for warfarin?
What is the antidote for warfarin?
Which of the following medications is MOST likely to be contraindicated in a patient taking warfarin?
Which of the following medications is MOST likely to be contraindicated in a patient taking warfarin?
When monitoring a patient taking a beta-blocker, which adverse effect requires careful assessment?
When monitoring a patient taking a beta-blocker, which adverse effect requires careful assessment?
A patient with chronic pain requires increasingly higher doses of a narcotic medication to achieve the same level of pain relief. This phenomenon is BEST described as:
A patient with chronic pain requires increasingly higher doses of a narcotic medication to achieve the same level of pain relief. This phenomenon is BEST described as:
Which of the following is a manifestation of lithium toxicity?
Which of the following is a manifestation of lithium toxicity?
Which of the following is a potential adverse effect of metronidazole?
Which of the following is a potential adverse effect of metronidazole?
Which class of medications is MOST likely to increase a patient's risk of falls?
Which class of medications is MOST likely to increase a patient's risk of falls?
A patient taking disulfiram (Antabuse) for alcohol use disorder should be educated to AVOID which of the following?
A patient taking disulfiram (Antabuse) for alcohol use disorder should be educated to AVOID which of the following?
A patient taking alprazolam for anxiety should be educated to AVOID what activity?
A patient taking alprazolam for anxiety should be educated to AVOID what activity?
What is a common side effect/adverse effect of diazepam?
What is a common side effect/adverse effect of diazepam?
Which adverse effect of phenytoin would warrant immediate discontinuation of the medication?
Which adverse effect of phenytoin would warrant immediate discontinuation of the medication?
What is the antidote for morphine?
What is the antidote for morphine?
A patient overdoses on an opioid analgesic. Which medication should the nurse prepare to administer?
A patient overdoses on an opioid analgesic. Which medication should the nurse prepare to administer?
What is the antagonist for benzodiazepines?
What is the antagonist for benzodiazepines?
Which manifestation indicates that omeprazole is effective in treating peptic ulcer disease?
Which manifestation indicates that omeprazole is effective in treating peptic ulcer disease?
Which of the following is a modifiable risk factor for hypertension?
Which of the following is a modifiable risk factor for hypertension?
What is the primary action of aspirin (Ecotrin) during a heart attack?
What is the primary action of aspirin (Ecotrin) during a heart attack?
Which of the following is a non-modifiable risk factor for stroke?
Which of the following is a non-modifiable risk factor for stroke?
If a nurse administers the wrong medication to a patient, what is the priority nursing action?
If a nurse administers the wrong medication to a patient, what is the priority nursing action?
Where should the nurse auscultate to assess the apical pulse?
Where should the nurse auscultate to assess the apical pulse?
Which of the following is a modifiable risk factor for heart disease?
Which of the following is a modifiable risk factor for heart disease?
A patient has an elevated INR while taking warfarin. What is the nurse's MOST appropriate action?
A patient has an elevated INR while taking warfarin. What is the nurse's MOST appropriate action?
Cardiac output is directly influenced by:
Cardiac output is directly influenced by:
Which neurological function is MOST directly associated with cognition?
Which neurological function is MOST directly associated with cognition?
The digestion phase of dietary intake primarily involves:
The digestion phase of dietary intake primarily involves:
Maintenance of stable blood glucose levels MOST directly demonstrates which body function?
Maintenance of stable blood glucose levels MOST directly demonstrates which body function?
Which of the following laboratory values is MOST important to monitor in a patient receiving warfarin?
Which of the following laboratory values is MOST important to monitor in a patient receiving warfarin?
Which of the following actions should a nurse take first when preparing to administer medication?
Which of the following actions should a nurse take first when preparing to administer medication?
A client exhibits signs of acute digoxin toxicity. Which of the following is the priority nursing intervention?
A client exhibits signs of acute digoxin toxicity. Which of the following is the priority nursing intervention?
A patient on lithium reports experiencing increased thirst, frequent urination, and mild hand tremors. The nurse should:
A patient on lithium reports experiencing increased thirst, frequent urination, and mild hand tremors. The nurse should:
A client taking glipizide reports feeling shaky and lightheaded. What is the MOST likely mechanism contributing to these symptoms?
A client taking glipizide reports feeling shaky and lightheaded. What is the MOST likely mechanism contributing to these symptoms?
A patient received NPH insulin at 0700. At which time of day is the patient MOST at risk for experiencing hypoglycemia due to the insulin's peak effect?
A patient received NPH insulin at 0700. At which time of day is the patient MOST at risk for experiencing hypoglycemia due to the insulin's peak effect?
When mixing rapid-acting insulin (lispro) with intermediate-acting insulin (NPH), what is the rationale behind drawing up the rapid-acting insulin first?
When mixing rapid-acting insulin (lispro) with intermediate-acting insulin (NPH), what is the rationale behind drawing up the rapid-acting insulin first?
A patient with end-stage renal disease consistently refuses to take an oral medication, stating it makes them feel nauseous. After exploring the reasons and educating the patient about the medication's importance, what is the nurse's NEXT appropriate action?
A patient with end-stage renal disease consistently refuses to take an oral medication, stating it makes them feel nauseous. After exploring the reasons and educating the patient about the medication's importance, what is the nurse's NEXT appropriate action?
A patient has been newly diagnosed with hypothyroidism. What mechanism of action explains how levothyroxine improves the patient's symptoms?
A patient has been newly diagnosed with hypothyroidism. What mechanism of action explains how levothyroxine improves the patient's symptoms?
How does lisinopril effectively lower blood pressure in hypertensive patients?
How does lisinopril effectively lower blood pressure in hypertensive patients?
A patient on digoxin exhibits new symptoms of anorexia, blurred vision, and a green tinge to their visual fields. What is the MOST likely underlying cause of these findings?
A patient on digoxin exhibits new symptoms of anorexia, blurred vision, and a green tinge to their visual fields. What is the MOST likely underlying cause of these findings?
Which of the following is a common adverse effect associated with digoxin therapy, necessitating careful monitoring?
Which of the following is a common adverse effect associated with digoxin therapy, necessitating careful monitoring?
A patient taking digoxin is also prescribed furosemide. The nurse understands that which electrolyte imbalance poses the GREATEST risk for precipitating digoxin toxicity in this patient?
A patient taking digoxin is also prescribed furosemide. The nurse understands that which electrolyte imbalance poses the GREATEST risk for precipitating digoxin toxicity in this patient?
A patient taking sublingual nitroglycerin for angina reports a headache. Assuming the patient's blood pressure is stable, what is the nurse's MOST appropriate initial action?
A patient taking sublingual nitroglycerin for angina reports a headache. Assuming the patient's blood pressure is stable, what is the nurse's MOST appropriate initial action?
Prior to administering digoxin, what assessment finding requires careful documentation and possible withholding of the medication?
Prior to administering digoxin, what assessment finding requires careful documentation and possible withholding of the medication?
A patient is taking warfarin following a pulmonary embolism. What medication should the nurse have readily available in case of a significant overdose?
A patient is taking warfarin following a pulmonary embolism. What medication should the nurse have readily available in case of a significant overdose?
Which medication is MOST likely to increase the risk of bleeding in a patient already taking warfarin?
Which medication is MOST likely to increase the risk of bleeding in a patient already taking warfarin?
A diabetic patient is prescribed a beta-blocker for hypertension. What adverse effect requires careful assessment due to its potential to mask symptoms of hypoglycemia?
A diabetic patient is prescribed a beta-blocker for hypertension. What adverse effect requires careful assessment due to its potential to mask symptoms of hypoglycemia?
A patient with chronic back pain has been taking opioid medication for several months. They now require higher doses to achieve the same level of pain relief. What can explain this?
A patient with chronic back pain has been taking opioid medication for several months. They now require higher doses to achieve the same level of pain relief. What can explain this?
A patient on lithium therapy presents with coarse hand tremors, confusion, and persistent gastrointestinal upset. What condition is MOST likely indicated by these assessment findings?
A patient on lithium therapy presents with coarse hand tremors, confusion, and persistent gastrointestinal upset. What condition is MOST likely indicated by these assessment findings?
A patient taking metronidazole reports experiencing a metallic taste in their mouth, nausea, and abdominal cramping. What is the best course of action?
A patient taking metronidazole reports experiencing a metallic taste in their mouth, nausea, and abdominal cramping. What is the best course of action?
What class of medications can significantly increase a patient's risk of falls due to sedative effects and orthostatic hypotension?
What class of medications can significantly increase a patient's risk of falls due to sedative effects and orthostatic hypotension?
A patient prescribed disulfiram (Antabuse) for alcohol use disorder should be instructed to STRICTLY avoid which of the following?
A patient prescribed disulfiram (Antabuse) for alcohol use disorder should be instructed to STRICTLY avoid which of the following?
A patient taking alprazolam (Xanax) for anxiety should be educated to avoid what activity due to the medication's potential side effects?
A patient taking alprazolam (Xanax) for anxiety should be educated to avoid what activity due to the medication's potential side effects?
Which of the following adverse effects is MOST commonly associated with diazepam (Valium)?
Which of the following adverse effects is MOST commonly associated with diazepam (Valium)?
Which adverse effect of phenytoin requires immediate discontinuation of the medication?
Which adverse effect of phenytoin requires immediate discontinuation of the medication?
A patient receiving IV morphine demonstrates respiratory depression. Which medication should the nurse prepare to administer?
A patient receiving IV morphine demonstrates respiratory depression. Which medication should the nurse prepare to administer?
What medication reverses the effects of a benzodiazepine overdose?
What medication reverses the effects of a benzodiazepine overdose?
A patient is taking omeprazole for peptic ulcer disease. Which of the following indicates that the medication is having the desired therapeutic effect?
A patient is taking omeprazole for peptic ulcer disease. Which of the following indicates that the medication is having the desired therapeutic effect?
What lifestyle factor can a patient modify to help manage hypertension?
What lifestyle factor can a patient modify to help manage hypertension?
During a heart attack, aspirin (Ecotrin) is given to inhibit:
During a heart attack, aspirin (Ecotrin) is given to inhibit:
Which of the following is considered a non-modifiable risk factor for stroke?
Which of the following is considered a non-modifiable risk factor for stroke?
A nurse accidentally administers twice the prescribed dose of an intravenous antibiotic. After ensuring the patient's immediate safety, what is the nurse's NEXT priority action?
A nurse accidentally administers twice the prescribed dose of an intravenous antibiotic. After ensuring the patient's immediate safety, what is the nurse's NEXT priority action?
To accurately assess the apical pulse, the nurse should place the stethoscope at which location?
To accurately assess the apical pulse, the nurse should place the stethoscope at which location?
Which of the following is a modifiable risk factor that individuals can change to reduce their risk of heart disease?
Which of the following is a modifiable risk factor that individuals can change to reduce their risk of heart disease?
A patient taking warfarin has an INR of 5.5. What is the nurse's MOST appropriate action based on this laboratory value?
A patient taking warfarin has an INR of 5.5. What is the nurse's MOST appropriate action based on this laboratory value?
Which of the following physiological factors directly influence cardiac output?
Which of the following physiological factors directly influence cardiac output?
Which neurological function is MOST directly associated with the ability to process information, learn, and remember?
Which neurological function is MOST directly associated with the ability to process information, learn, and remember?
The breaking down of dietary intake into smaller molecules primarily occurs during which phase of the digestive process?
The breaking down of dietary intake into smaller molecules primarily occurs during which phase of the digestive process?
The body using insulin to facilitate the movement of glucose from the bloodstream into cells to provide energy BEST demonstrates which body function?
The body using insulin to facilitate the movement of glucose from the bloodstream into cells to provide energy BEST demonstrates which body function?
Which laboratory value is MOST important for the nurse to monitor in a patient receiving warfarin?
Which laboratory value is MOST important for the nurse to monitor in a patient receiving warfarin?
Before administering any medication, what is the FIRST action a nurse should take to ensure safe medication administration?
Before administering any medication, what is the FIRST action a nurse should take to ensure safe medication administration?
A patient exhibits signs of acute digoxin toxicity. Which nursing intervention is the priority?
A patient exhibits signs of acute digoxin toxicity. Which nursing intervention is the priority?
A patient on lithium therapy reports increased thirst, frequent urination, and mild hand tremors. What action should the nurse take?
A patient on lithium therapy reports increased thirst, frequent urination, and mild hand tremors. What action should the nurse take?
Flashcards
Glipizide action
Glipizide action
Glipizide stimulates the pancreas to release insulin, lowering blood glucose levels.
NPH insulin peak
NPH insulin peak
NPH insulin typically peaks between 4-12 hours after administration.
Patient refusal of medication
Patient refusal of medication
Patients have the right to refuse medication. The nurse should assess the reason, educate about the medication, and notify the provider.
Hypothyroidism medication
Hypothyroidism medication
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Lisinopril mechanism & effectiveness
Lisinopril mechanism & effectiveness
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Digoxin toxicity manifestations
Digoxin toxicity manifestations
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Digoxin adverse effects
Digoxin adverse effects
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Electrolyte monitoring with digoxin
Electrolyte monitoring with digoxin
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Nitroglycerin adverse effects
Nitroglycerin adverse effects
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Pre-administration digoxin assessment
Pre-administration digoxin assessment
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Warfarin antidote
Warfarin antidote
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Warfarin contraindications
Warfarin contraindications
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Beta-blocker adverse effects
Beta-blocker adverse effects
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Narcotic tolerance
Narcotic tolerance
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Lithium toxicity manifestations
Lithium toxicity manifestations
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Metronidazole adverse effects
Metronidazole adverse effects
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Medication class increasing fall risk
Medication class increasing fall risk
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Disulfiram patient education
Disulfiram patient education
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Alprazolam patient education
Alprazolam patient education
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Diazepam side effects
Diazepam side effects
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Phenytoin adverse effects
Phenytoin adverse effects
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Morphine antidote
Morphine antidote
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Medication for opioid overdose
Medication for opioid overdose
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Benzodiazepine antagonist
Benzodiazepine antagonist
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Omeprazole therapeutic effects
Omeprazole therapeutic effects
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Hypertension risk factors & interventions
Hypertension risk factors & interventions
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Aspirin action in MI
Aspirin action in MI
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Non-modifiable stroke risk factors
Non-modifiable stroke risk factors
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Priority action for medication error
Priority action for medication error
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Apical pulse location
Apical pulse location
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Modifiable heart disease risk factors
Modifiable heart disease risk factors
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Elevated INR action
Elevated INR action
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Warfarin elevated INR intervention
Warfarin elevated INR intervention
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BP decrease - Lifestyle changes
BP decrease - Lifestyle changes
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Cardiac Output & Tissue Perfusion
Cardiac Output & Tissue Perfusion
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Cognition and Sensation Defined
Cognition and Sensation Defined
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Digestion & Elimination Overview
Digestion & Elimination Overview
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Regulation and Metabolism Defined
Regulation and Metabolism Defined
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Study Notes
- Glipizide stimulates the pancreas to release insulin, lowering blood glucose levels.
- NPH insulin typically peaks between 4-12 hours after administration.
- Insulin syringes can hold a maximum of 100 units.
- Patients have the right to refuse medication, based on the 10 Rights of Medication Administration.
- If a patient refuses medication:
- Explore the reasons for refusal.
- Educate the patient about the medication's importance.
- Notify the provider.
- Document the refusal and actions taken.
- Levothyroxine treats hypothyroidism.
- Lisinopril is an ACE inhibitor that blocks the conversion of angiotensin I to angiotensin II, leading to vasodilation and decreased blood pressure.
- Indications of effective Lisinopril:
- Decreased blood pressure
- Reduced heart failure symptoms
Digoxin
- Manifestations of digoxin toxicity:
- Nausea, vomiting, and anorexia
- Visual disturbances (blurred vision, yellow or green halos)
- Bradycardia and dysrhythmias
- Adverse effects of digoxin:
- Fatigue and muscle weakness
- Bradycardia
- Anorexia
- Potassium (K+) is the electrolyte to monitor for patients on digoxin.
- Hypokalemia can increase the risk of digoxin toxicity.
Nitroglycerin
- Adverse effects of nitroglycerin:
- Headache
- Hypotension
- Dizziness
- For a headache caused by nitroglycerin:
- Administer a mild analgesic.
- Reassure the patient that this is a common side effect.
- Expected adverse effects of nitroglycerin include hypotension and headache.
- Before administering digoxin:
- Assess apical pulse for one full minute, if less than 60 bpm, withhold the medication and notify the provider.
- Review digoxin and potassium levels.
- Assess for signs and symptoms of digoxin toxicity.
- Findings requiring documentation include:
- Apical pulse rate
- Digoxin level
- Potassium level
- Any signs of digoxin toxicity
- Vitamin K is the antidote for warfarin.
- Medications contraindicated with warfarin:
- NSAIDs
- Aspirin
- Other anticoagulants
Beta-Blockers
- An adverse effect to monitor for when taking beta-blockers is bradycardia.
- Tolerance to a narcotic medication means the patient requires more of the medication to achieve the same analgesic effect, thus requiring more of the medication.
- Manifestations of lithium toxicity:
- Tremors
- Confusion
- Nausea and vomiting
- Muscle weakness
- Incoordination
- Manifestations/adverse effects of metronidazole:
- Nausea
- Headache
- Metallic taste
- Darkened urine
Fall Risk
- Sedative-hypnotics can increase a patient's risk of falls.
- Disulfiram patient education:
- Avoid all forms of alcohol.
- Alprazolam patient education:
- Avoid alcohol
- Avoid driving
- Avoid operating heavy machinery
- A side effect/adverse effect of diazepam is respiratory depression.
- A common adverse effect of phenytoin that requires immediate discontinuation is Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN).
- The antidote/antagonist for morphine is naloxone.
- If a patient overdoses on an opioid analgesic, administer naloxone.
- Flumazenil is an antagonist for Benzodiazepines.
- Manifestations that omeprazole is effective:
- Decrease in heart burn
- Decrease in abdominal pain
Hypertension
- Modifiable risk factors for hypertension:
- Obesity
- High sodium intake
- Smoking
- Excessive alcohol consumption
- Physical inactivity
- Interventions to decrease blood pressure:
- Dietary changes (lower sodium, DASH diet)
- Increase physical activity
- Weight loss
- Smoking cessation
- Limit alcohol consumption
- Aspirin inhibits platelet aggregation, preventing further clot formation in a patient having a heart attack.
- Non-modifiable risk factors for stroke:
- Age
- Race
- Family history
- Genetics
- Priority nursing action for a medication error:
- Assess the patient for adverse effects.
- Notify the provider.
- Apical pulse assessment:
- Located at the fifth intercostal space at the midclavicular line.
- Modifiable risk factors for heart disease:
- High cholesterol
- Hypertension
- Smoking
- Obesity
- Physical inactivity
- Uncontrolled diabetes
- If a patient has an elevated INR:
- Notify the provider.
- Prepare to administer vitamin K.
- Monitor for signs of bleeding.
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