Rex pn 111-300 (difficulty)(practice
questions)
potential adverse complication of propranolol (beat blockers) - Answer development of
expiratory wheezes
*particularly in pt w/ COPD or asthma
antidote for IV heparin therapy - Answer protamine sulphate
* use if excessive bleeing/hemorrhage should occur
antidote for warfarin sodium - Answer vitamin K
medication for potassium deficit - Answer potassium chloride
antidote for thrombolytic therapy - Answer Aminocaproic acid
early symptoms of BPH - Answer decreased force in stream of urine
BPH symptoms as they develop - Answer hematuria
frequency/urgency
urge incontinence
nocturia
trimethoprim-sulfamethoxazole intake considerations - Answer drink 8-10 glasses of
water per day
* used to treat urinary tract infections, middle ear infections (otitis media), bronchitis,
traveler's diarrhea, and shigellosis
bethanechol chloride contraindication - Answer urinary strictures
* as medication has ability to contract bladder and increase pressure within the urinary
tract
oxybutynin chloride for urge incontinence -> possible toxic effect - Answer restlessness
from overdosage
over dosage ex. nervousness, restlessness, hallucinations, irritability
other -> hyper/hypotension, confusion, tachycardia, flushed/red face, signs of resp
depression
early signs of cataracts - Answer Blurred Vision, Decreased color perception
use of miotic medication for glaucoma - Answer causes pupil to constrict and will lower
pressure in the eye
, Rex pn 111-300 (difficulty)(practice
questions)
high carbidopa-levodopa dosages adverse effects - Answer Dyskinesia and impaired
voluntary movements
codeine usage for pt plan of care - Answer monitor VS
assess for hypotension
increase fluid intake, palpate urinary retention
auscultate bowel sounds, monitor bowel activity and stool
*this medication can cause constipation
Early sign of compartment syndrome - Answer numbness and tingling in fingers
late sign of compartment syndrome - Answer cyanosis
pt had above knee amputation 2 days ago
residual limb was wrapped w/ an elastic compression bandage which came off ->
IMMEDIATE action the nurse should take - Answer rewrap the residual lumb w/ an
elastic compression bandage
* as excessive edema will form rapidly, can lead to delay in rehab
alendronate for osteoporosis patient administration - Answer with full glass of water
after rising in the morning
* should not eat/drink for 30 min following administration
* do not lie down after taking medication
oxazepam medication intervention for older patients - Answer implement fall
precautions
* confusion is an adverse effect for older clients for this medication
the nurse calls the primary health care provider (PHCP) regarding a new medication
prescription, because the dosage prescribed is higher than the recommended dosage.
The nurse is unable to locate the PHCP and the med is due, what should the nurse take
- Answer contact the nursing supervisor
* nurse should contact the nurse manager or nursing supervisor for further clarification
as to what the next step should be. Under no circumstances should the nurse proceed
to carry out the prescription until obtaining clarification.
questions)
potential adverse complication of propranolol (beat blockers) - Answer development of
expiratory wheezes
*particularly in pt w/ COPD or asthma
antidote for IV heparin therapy - Answer protamine sulphate
* use if excessive bleeing/hemorrhage should occur
antidote for warfarin sodium - Answer vitamin K
medication for potassium deficit - Answer potassium chloride
antidote for thrombolytic therapy - Answer Aminocaproic acid
early symptoms of BPH - Answer decreased force in stream of urine
BPH symptoms as they develop - Answer hematuria
frequency/urgency
urge incontinence
nocturia
trimethoprim-sulfamethoxazole intake considerations - Answer drink 8-10 glasses of
water per day
* used to treat urinary tract infections, middle ear infections (otitis media), bronchitis,
traveler's diarrhea, and shigellosis
bethanechol chloride contraindication - Answer urinary strictures
* as medication has ability to contract bladder and increase pressure within the urinary
tract
oxybutynin chloride for urge incontinence -> possible toxic effect - Answer restlessness
from overdosage
over dosage ex. nervousness, restlessness, hallucinations, irritability
other -> hyper/hypotension, confusion, tachycardia, flushed/red face, signs of resp
depression
early signs of cataracts - Answer Blurred Vision, Decreased color perception
use of miotic medication for glaucoma - Answer causes pupil to constrict and will lower
pressure in the eye
, Rex pn 111-300 (difficulty)(practice
questions)
high carbidopa-levodopa dosages adverse effects - Answer Dyskinesia and impaired
voluntary movements
codeine usage for pt plan of care - Answer monitor VS
assess for hypotension
increase fluid intake, palpate urinary retention
auscultate bowel sounds, monitor bowel activity and stool
*this medication can cause constipation
Early sign of compartment syndrome - Answer numbness and tingling in fingers
late sign of compartment syndrome - Answer cyanosis
pt had above knee amputation 2 days ago
residual limb was wrapped w/ an elastic compression bandage which came off ->
IMMEDIATE action the nurse should take - Answer rewrap the residual lumb w/ an
elastic compression bandage
* as excessive edema will form rapidly, can lead to delay in rehab
alendronate for osteoporosis patient administration - Answer with full glass of water
after rising in the morning
* should not eat/drink for 30 min following administration
* do not lie down after taking medication
oxazepam medication intervention for older patients - Answer implement fall
precautions
* confusion is an adverse effect for older clients for this medication
the nurse calls the primary health care provider (PHCP) regarding a new medication
prescription, because the dosage prescribed is higher than the recommended dosage.
The nurse is unable to locate the PHCP and the med is due, what should the nurse take
- Answer contact the nursing supervisor
* nurse should contact the nurse manager or nursing supervisor for further clarification
as to what the next step should be. Under no circumstances should the nurse proceed
to carry out the prescription until obtaining clarification.
