NUR 425 FINAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS); ALREADY GRADED A+
3% NaCl - correct answer- uses: SIADH, IICP
action: draws fluid into extracellular space from the intracellular
due to hypertonicity
side effects: fluid volume overload
nursing considerations: watch for seizures, never give faster
than 30mL/h, always give through a central line (if possible)
Amioderone - correct answer- uses: dysrhythmias, ACLS,
PALS
action: prolongs action potential
side effects: dizziness, fatigue, bradycardia, hypotension,
nausea, vomiting, photosensitivity, ataxia, tremor, parasethsia.
pulmonary toxicity & fibrosis
,nursing considerations: monitor EKG, assess for pulmonary
toxicity, assess for S/S of ARDS
Aspirin - correct answer- uses: chest pain, clotting
action: antiplatelet
side effects: bleeding, GI distress, renal impairment,
vasoconstriction
nursing considerations:
-contraindications:
o Hemorrhagic stroke
o Peptic Ulcer Disease (PUD)
-must be stopped 7 days before surgery
-cannot be given in children, leads to reyes syndrome
, Atropine - correct answer- uses: symptomatic
bradycardia, neurogenic shock, Second degree type 1 AVB,
Junctional rhythm,
action: anticholinergic that induces tachycardia
side effects: anticholinergic side effects (can't see, can't pee,
can't spit, can't shit!), drowsiness, tachycardia
nursing considerations: assess vitals & EKG, monitor intake and
output, take efforts to decrease anticholinergic effects
D5W - correct answer- uses: DI
action: hypotonic fluid
nursing considerations: assess sodium level & volume status
Diphenhydramine (Benadryl) - correct answer- uses: pre-
medication for blood transfusion, anaphylactic shock,
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS); ALREADY GRADED A+
3% NaCl - correct answer- uses: SIADH, IICP
action: draws fluid into extracellular space from the intracellular
due to hypertonicity
side effects: fluid volume overload
nursing considerations: watch for seizures, never give faster
than 30mL/h, always give through a central line (if possible)
Amioderone - correct answer- uses: dysrhythmias, ACLS,
PALS
action: prolongs action potential
side effects: dizziness, fatigue, bradycardia, hypotension,
nausea, vomiting, photosensitivity, ataxia, tremor, parasethsia.
pulmonary toxicity & fibrosis
,nursing considerations: monitor EKG, assess for pulmonary
toxicity, assess for S/S of ARDS
Aspirin - correct answer- uses: chest pain, clotting
action: antiplatelet
side effects: bleeding, GI distress, renal impairment,
vasoconstriction
nursing considerations:
-contraindications:
o Hemorrhagic stroke
o Peptic Ulcer Disease (PUD)
-must be stopped 7 days before surgery
-cannot be given in children, leads to reyes syndrome
, Atropine - correct answer- uses: symptomatic
bradycardia, neurogenic shock, Second degree type 1 AVB,
Junctional rhythm,
action: anticholinergic that induces tachycardia
side effects: anticholinergic side effects (can't see, can't pee,
can't spit, can't shit!), drowsiness, tachycardia
nursing considerations: assess vitals & EKG, monitor intake and
output, take efforts to decrease anticholinergic effects
D5W - correct answer- uses: DI
action: hypotonic fluid
nursing considerations: assess sodium level & volume status
Diphenhydramine (Benadryl) - correct answer- uses: pre-
medication for blood transfusion, anaphylactic shock,
