Podcast
Questions and Answers
What structure in the spinal cord is responsible for intercepting pain impulses?
What structure in the spinal cord is responsible for intercepting pain impulses?
Which of the following is NOT a common effect of narcotics or opioids?
Which of the following is NOT a common effect of narcotics or opioids?
What should a nurse do when a patient with severe postoperative pain is prescribed hydromorphone?
What should a nurse do when a patient with severe postoperative pain is prescribed hydromorphone?
During the vascular phase of inflammation, which physiological change occurs?
During the vascular phase of inflammation, which physiological change occurs?
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Which of the following statements about intravenous steroids is accurate?
Which of the following statements about intravenous steroids is accurate?
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What serious adverse reaction should a nurse monitor for in a patient taking salicylates?
What serious adverse reaction should a nurse monitor for in a patient taking salicylates?
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Which of the following analgesics is known to be available in 'lollipop' form?
Which of the following analgesics is known to be available in 'lollipop' form?
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For which patient is the use of salicylates NOT contraindicated?
For which patient is the use of salicylates NOT contraindicated?
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What is the primary purpose of misoprostol for a client who chronically uses NSAIDs?
What is the primary purpose of misoprostol for a client who chronically uses NSAIDs?
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Which of the following is not classified as a disease modifying antirheumatic drug (DMARD)?
Which of the following is not classified as a disease modifying antirheumatic drug (DMARD)?
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What is the result of arachidonic acid being acted upon by the cyclooxygenase enzyme?
What is the result of arachidonic acid being acted upon by the cyclooxygenase enzyme?
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What medication should the nurse check for when administering Celecoxib to Ms. Almira?
What medication should the nurse check for when administering Celecoxib to Ms. Almira?
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In patients taking NSAIDs, which adverse effect is more likely with Ibuprofen than Celecoxib?
In patients taking NSAIDs, which adverse effect is more likely with Ibuprofen than Celecoxib?
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Which combination of medications may lead to hyperpyrexia syndrome?
Which combination of medications may lead to hyperpyrexia syndrome?
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What defines an antimicrobial medication that demonstrates selective toxicity?
What defines an antimicrobial medication that demonstrates selective toxicity?
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What term describes the development of a new infection due to the elimination of normal flora by an antibiotic?
What term describes the development of a new infection due to the elimination of normal flora by an antibiotic?
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What is the primary treatment for anemia secondary to renal failure?
What is the primary treatment for anemia secondary to renal failure?
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Which diuretic is associated with the treatment of hypervolemia due to renal failure?
Which diuretic is associated with the treatment of hypervolemia due to renal failure?
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Which of the following is NOT a treatment indication for diuretics?
Which of the following is NOT a treatment indication for diuretics?
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Which side effect should a nurse monitor for in a patient receiving Thiazide diuretics?
Which side effect should a nurse monitor for in a patient receiving Thiazide diuretics?
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Which of the following is considered an osmotic diuretic?
Which of the following is considered an osmotic diuretic?
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What is NOT an action of osmotic diuretics?
What is NOT an action of osmotic diuretics?
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Which of the following symptoms is expected in acute pyelonephritis?
Which of the following symptoms is expected in acute pyelonephritis?
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What should be included in the teaching care plan for a patient receiving phenazopyridine for cystitis?
What should be included in the teaching care plan for a patient receiving phenazopyridine for cystitis?
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Study Notes
Renal Failure Treatments
- Anemia secondary to renal failure is treated with epoietin alfa (procrit, epogen).
- Hypervolemia (excess body fluid) secondary to renal failure is treated with loop diuretics.
Diuretic Actions and Conditions
- Diuretics alter body fluid volume and composition, used for conditions excluding dehydration.
- Thiazide treatment monitoring includes watching for hyperuricemia, hyperglycemia, hyperlipidemia, and hypokalemia.
- Loop diuretics include examples excluding mannitol.
- Mannitol is an example of an osmotic diuretic.
- Osmotic diuretics do not have a potent potassium-sparing action.
Glaucoma Treatment
- Acetazolamide is a carbonic anhydrase inhibitor used to decrease intraocular pressure (IOP) in open-angle glaucoma.
Potassium Sparing Diuretics
- Potassium-sparing diuretics (like Spironolactone) treatment for edema includes monitoring for hyperkalemia, avoiding potassium-rich foods, and monitoring potassium levels.
Pain Management and Medications
- Narcotics (opioids) relieve pain but cause respiratory depression.
- Hydromorphone is a narcotic prescribed for severe postoperative pain. Nurses need to watch for potential respiratory depression.
Pain and Inflammation
- Age group that is particularly susceptible to NSAID side effects is not specified but mentioned by the text.
- Acute pyelonephritis symptoms include costovertebral angle tenderness and chills.
- Cystitis patient instructions while taking phenazopyridine (Pyridium): stop medication after painful urination subsides.
Pain Perception
- Gate Control Theory of Pain is a concept, related to interaction between different neurons & transmission to spinal cord, hypothalamus, and cerebral cortex.
- Delta and C fibers transmit pain impulses.
- Pain impulses are intercepted by the substantia gelatinosa in the dorsal horns of the spinal cord.
- Thalamus is the relay station for incoming stimuli, including pain.
Infectious and Inflammatory Conditions
- Nosocomial infections are infections acquired during a hospital stay.
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Description
This quiz covers the treatments for renal failure, including the use of epoietin alfa and loop diuretics. It also explores diuretic actions, monitoring conditions associated with thiazides, and specific treatments for glaucoma and edema using potassium-sparing diuretics. Test your knowledge on these essential medical treatments!
