NCLEX MEDS 2024 ACTUAL EXAM QUESTIONS AND
VERIFIED COMPLETE CORRECT ANSWERS LATEST
UPDATED 100% GUARANTEED PASS
Morphine Sulfate
Opioid Analgesic
Morphine Sulfate Nursing implications?
Reassess pain after administration of morphine. Monitor for respiratory depression
and hypotension frequently up to 24 hours after administration of morphine. Place call
light signal close to patient. Accompany patient if need to get out of bed to minimize risk
of falls.
Morphine Antidote?
Naloxone (Narcan)
Furosemide (Lasix)
loop diuretic
Furosemide Nursing Implications?
(Assess patients for sulfa allergies)
Monitor signs of fluid, electrolyte, or acid-base imbalances, including dizziness,
drowsiness, blurred vision, confusion, hypotension, or muscle cramps and
weakness. Report excessive or prolonged symptoms to the physician.
Diseases/Illnesses tx Furosemide?
-hypertension
-fluid retention (edema)/swelling (oedema)
-congestive heart failure
-liver disease
-kidney disease
Morphine S/E?
Resp. depression*, sedation, constipation
Furosemide S/E?
,-peeing more than normal
-feeling thirsy
-dry mouth
-headache
-feeling confused or dizzy
-N/V
Furosemide avoid?
Too much salt in food
-such as processed foods or ready-meals-
(causes it to stop working)
Furosemide most serious side effect?
-very low levels of potassium (hypokalemia)
which then can cause life-threatening heartbeat problems
Most serious side effect of Morphine?
respiratory depression
(monitor pt closely post-op)
Enapril (Vasotec)
ACE inhibitor
ACE inhibitors
"PRIL" Captopril, Enalapril, Afosiopril
Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II
(powerful vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium
and fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension
ACE inhibitors adverse effects
Fatigue
Dizziness
,Headache
Mood changes
Impaired taste
Possible hyperkalemia
Dry, nonproductive cough, which reverses when therapy is stopped
Angioedema: rare but potentially fatal
Note: First-dose hypotensive effect may occur
Enalapril Maleate
Vasotec, Epaned
Antihypertensive
Ace inhibitors nursing considerations?
Monitor her vital signs regularly and her WBC count and serum electrolytes,
especially potassium level, periodically. Give potassium supplements and
potassium-sparing diuretics cautiously because ACE inhibitors can cause potassium
retention and hyperkalemia.
When starting an ACE inhibitor?
need blood tests to monitor your kidney function and potassium levels
Enapril side effects?
The side effect most commonly encountered with ACE inhibitors is cough. The cough is
characteristically non-productive and stops with the discontinuation of the drug. Other
adverse effects of enalapril are hypotension, hyperkalemia, angioedema, cholestatic
jaundice, and hypersensitivity reaction
Beta Blockers
-olol: slow HR, decrease vasoconstriction, decrease O2 consumption.
* Used in: HF, HTN, HR control, angina, migraine. AE: HF, bronchospasm, dizzy,
constipation, suppresses hypoglycemia indicators. Contra: asthma, bradycardia, SSS.
Nursing: check HR before giving. Teach: take med at bedtime, do not stop abruptly.
Propranolol=essential tremors, Parkinsons
When to take beta blockers?
, take med at nighttime
-do not stop taking abruptly-
(nurse check hr before giving)
when to take ACE inhibitors
-take 20 minutes to one hour before meals
-food decreases 35% of captopril absorption
what disease/illnesses associated with ace inhibitor?
-hypertension
-diabetes
-certain chronic kidney disease
-coronary artery disease(cad)
-heart failure/heart attacks
-scleroderma
-stroke
-other cardiovascular conditions
Spironolactone (Aldactone)
potassium sparing diuretic
Spironolactone S/E?
hyperkalemia
-feeling dizzy
-feeling/being sick
-muscle/leg cramps
-feeling tired/low energy
-breat pain/enlargement esp in men
Who takes Spironolactone?
-Treats hypertension and heart failure
-liver disease
-ascites
-reduce risk of strokes and heart attacks
-leak large amounts of protein into your pee(nephritic syndrome)
VERIFIED COMPLETE CORRECT ANSWERS LATEST
UPDATED 100% GUARANTEED PASS
Morphine Sulfate
Opioid Analgesic
Morphine Sulfate Nursing implications?
Reassess pain after administration of morphine. Monitor for respiratory depression
and hypotension frequently up to 24 hours after administration of morphine. Place call
light signal close to patient. Accompany patient if need to get out of bed to minimize risk
of falls.
Morphine Antidote?
Naloxone (Narcan)
Furosemide (Lasix)
loop diuretic
Furosemide Nursing Implications?
(Assess patients for sulfa allergies)
Monitor signs of fluid, electrolyte, or acid-base imbalances, including dizziness,
drowsiness, blurred vision, confusion, hypotension, or muscle cramps and
weakness. Report excessive or prolonged symptoms to the physician.
Diseases/Illnesses tx Furosemide?
-hypertension
-fluid retention (edema)/swelling (oedema)
-congestive heart failure
-liver disease
-kidney disease
Morphine S/E?
Resp. depression*, sedation, constipation
Furosemide S/E?
,-peeing more than normal
-feeling thirsy
-dry mouth
-headache
-feeling confused or dizzy
-N/V
Furosemide avoid?
Too much salt in food
-such as processed foods or ready-meals-
(causes it to stop working)
Furosemide most serious side effect?
-very low levels of potassium (hypokalemia)
which then can cause life-threatening heartbeat problems
Most serious side effect of Morphine?
respiratory depression
(monitor pt closely post-op)
Enapril (Vasotec)
ACE inhibitor
ACE inhibitors
"PRIL" Captopril, Enalapril, Afosiopril
Antihypertensive. Blocks ACE in lungs from converting angiotensin I to angiotensin II
(powerful vasoconstrictor). Decreases BP, Decreased Aldosterone secretions, Sodium
and fluid loss.
Check BP before giving (hypotension)
*Orthostatic Hypotension
ACE inhibitors adverse effects
Fatigue
Dizziness
,Headache
Mood changes
Impaired taste
Possible hyperkalemia
Dry, nonproductive cough, which reverses when therapy is stopped
Angioedema: rare but potentially fatal
Note: First-dose hypotensive effect may occur
Enalapril Maleate
Vasotec, Epaned
Antihypertensive
Ace inhibitors nursing considerations?
Monitor her vital signs regularly and her WBC count and serum electrolytes,
especially potassium level, periodically. Give potassium supplements and
potassium-sparing diuretics cautiously because ACE inhibitors can cause potassium
retention and hyperkalemia.
When starting an ACE inhibitor?
need blood tests to monitor your kidney function and potassium levels
Enapril side effects?
The side effect most commonly encountered with ACE inhibitors is cough. The cough is
characteristically non-productive and stops with the discontinuation of the drug. Other
adverse effects of enalapril are hypotension, hyperkalemia, angioedema, cholestatic
jaundice, and hypersensitivity reaction
Beta Blockers
-olol: slow HR, decrease vasoconstriction, decrease O2 consumption.
* Used in: HF, HTN, HR control, angina, migraine. AE: HF, bronchospasm, dizzy,
constipation, suppresses hypoglycemia indicators. Contra: asthma, bradycardia, SSS.
Nursing: check HR before giving. Teach: take med at bedtime, do not stop abruptly.
Propranolol=essential tremors, Parkinsons
When to take beta blockers?
, take med at nighttime
-do not stop taking abruptly-
(nurse check hr before giving)
when to take ACE inhibitors
-take 20 minutes to one hour before meals
-food decreases 35% of captopril absorption
what disease/illnesses associated with ace inhibitor?
-hypertension
-diabetes
-certain chronic kidney disease
-coronary artery disease(cad)
-heart failure/heart attacks
-scleroderma
-stroke
-other cardiovascular conditions
Spironolactone (Aldactone)
potassium sparing diuretic
Spironolactone S/E?
hyperkalemia
-feeling dizzy
-feeling/being sick
-muscle/leg cramps
-feeling tired/low energy
-breat pain/enlargement esp in men
Who takes Spironolactone?
-Treats hypertension and heart failure
-liver disease
-ascites
-reduce risk of strokes and heart attacks
-leak large amounts of protein into your pee(nephritic syndrome)
