NUR 257 Exam 3 Key Concepts Questions With Complete
Solutions
What side effects can H2 receptor antagonists cause in men?
Erectile dysfunction and gynecomastia and confusion in the
elderly
How often should H2 receptor antagonists be taken?
4 times a day and at bedtime
parafate 1 hr b4 for protective coating
Naproxen
- Gastric ulcers
- NSAID
- Aleve
What is Metoclopramide used for?
It controls nausea and vomiting (NV)
What type of medication is Metoclopramide?
It is a prokinetic agent
What effect does Metoclopramide have on gastrointestinal
mobility?
It increases motility (peristalsis)
In which condition can Metoclopramide be used?
,It can be used for gastroparesis
What are some extrapyramidal symptoms associated with
Metoclopramide use?
EPS: Tremors and shaking
Sucralfate
- Coats the stomach (liquid band aide)
- Give 1h before meds, meal, & water do NOT take with water
-DO NOT TAKE WITH ANTIACID
Docusate
stool softener
-drink with water to lubricate
What type of medication is Omeprazole?
PPI (Proton Pump Inhibitor)
When should Omeprazole be taken?
PPI 30 minutes before a meal
What are potential risks of long-term use of Omeprazole?
C. diff, pneumonia, wrist fracture, and acid rebound
Is Omeprazole safe for short-term use?
Yes, it is okay for short term
Can EC tablets of Omeprazole be crushed?
No, do not crush EC tablets
Levothyroxine
, Take in the am by itself
How should TPN solution be increased or decreased?
Slowly increase and slowly decrease
What should you never do when administering TPN solution?
Never abruptly stop the infusion (hyperglycemic coma)
What can happen if TPN is abruptly stopped?
Hyperglycemia during infusion, hypoglycemia when stopping
How often should the tubing and bag for TPN be changed?
Every 24 hours
What should be kept on hand when administering TPN?
10% dextrose
-D10 hypertonic
How long should TPN solution sit out to reach room
temperature?
1 hour
What is Refeeding Syndrome?
A condition that can occur when feeding is restarted in
malnourished patients
What types of feeding can lead to Refeeding Syndrome?
Enteral or Total Parenteral Nutrition (TPN) - go low and slow
What causes Refeeding Syndrome?
Rapid infusion of food and electrolytes
Solutions
What side effects can H2 receptor antagonists cause in men?
Erectile dysfunction and gynecomastia and confusion in the
elderly
How often should H2 receptor antagonists be taken?
4 times a day and at bedtime
parafate 1 hr b4 for protective coating
Naproxen
- Gastric ulcers
- NSAID
- Aleve
What is Metoclopramide used for?
It controls nausea and vomiting (NV)
What type of medication is Metoclopramide?
It is a prokinetic agent
What effect does Metoclopramide have on gastrointestinal
mobility?
It increases motility (peristalsis)
In which condition can Metoclopramide be used?
,It can be used for gastroparesis
What are some extrapyramidal symptoms associated with
Metoclopramide use?
EPS: Tremors and shaking
Sucralfate
- Coats the stomach (liquid band aide)
- Give 1h before meds, meal, & water do NOT take with water
-DO NOT TAKE WITH ANTIACID
Docusate
stool softener
-drink with water to lubricate
What type of medication is Omeprazole?
PPI (Proton Pump Inhibitor)
When should Omeprazole be taken?
PPI 30 minutes before a meal
What are potential risks of long-term use of Omeprazole?
C. diff, pneumonia, wrist fracture, and acid rebound
Is Omeprazole safe for short-term use?
Yes, it is okay for short term
Can EC tablets of Omeprazole be crushed?
No, do not crush EC tablets
Levothyroxine
, Take in the am by itself
How should TPN solution be increased or decreased?
Slowly increase and slowly decrease
What should you never do when administering TPN solution?
Never abruptly stop the infusion (hyperglycemic coma)
What can happen if TPN is abruptly stopped?
Hyperglycemia during infusion, hypoglycemia when stopping
How often should the tubing and bag for TPN be changed?
Every 24 hours
What should be kept on hand when administering TPN?
10% dextrose
-D10 hypertonic
How long should TPN solution sit out to reach room
temperature?
1 hour
What is Refeeding Syndrome?
A condition that can occur when feeding is restarted in
malnourished patients
What types of feeding can lead to Refeeding Syndrome?
Enteral or Total Parenteral Nutrition (TPN) - go low and slow
What causes Refeeding Syndrome?
Rapid infusion of food and electrolytes
