NR 293 - Final Exam Review Questions
1. What is a normal aPTT time for someone on continuous heparin infusion?:
60-100 seconds
2. What are serious side effects of propranolol (Inderal)?: Hypotension
Bradycardia
Hypoglycemia
Expiratory wheezing
Shortness of breath
3. What foods should be limited with Spironolactone (Aldactone) therapy?: -
Foods high in potassium
4. What medications can be used for C. diff related diarrhea?: Fidaxomicin
Florastor
Vancomycyn
5. Patients taking cholesterol medications such as Atorvastatin (Lipitor)
should get which lab frequently checked?: Live enzymes/liver tests.Can
cause hepatotoxicity.
6. Patients on diuretics therapy should report...?: Signs and symptoms of
dehydration (dizziness, weakness, etc), weight gain, difficulty breathing, crackles,
etc.
Patients can exhibit symptoms of dehydration but also symptoms of fluid overload
if diuretic isn't working.
7. What are some things that decrease patients compliance with medication
in general?: Lack of education
Side effects
Large/difficult to swallow pills
Long duration/course of medication
8. ACE inhibitors such as Lisinopril and captopril are safe for liver
dysfunction patients, but other ACE inhibitors are not. Why?: Lisinopril and
captopril are not pro drug and are not metabolized by the liver..
9. What do you need to know about sublingual nitroglycerin?: Used for angina.
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, NR 293 - Final Exam Review Questions
You can take up to three doses, five minutes apart. If chest pain persists, go to the
hospital
Can not be taken with Viagra.
Frequently causes headaches.
10. What drug is used as the first line treatment for a newly diagnosed
diabetic type 2 patient?: Metformin
11 Which foods should patients on Warfarin (coumadin) avoid?: Foods high in
Vitamin K.
Ex - Kale, spinach, Brussel sprouts, collards, mustard greens, chard, broccoli,
asparagus
12. Which lab value is most important with diuretic therapy?: Potassium.
Sodium is also important, but potassium is the most important.
13. Which lab value is most important with digoxin therapy?: Digoxin Lab Value
- 0.5-2
Potassium. (Digoxin can cause dysrhythmias, and digoxin toxicity causes
potassium deficiency. Cardiac drugs in general, potassium lab values are important)
14. What lab values should the nurse watch for a patient on gentamicin
(garamycin) therapy?: Kidney related labs. BUN and creatinine.
Gentamicin (garamycin) can cause nephrotoxicity
15. What medication would be the first choice to treat genital Herpes?:
Acyclovir (Zovirax)
16. Dobutamine for heart failure is an adrenergic agonist. What does
adrenergic agonist mean?: Positive ionotropic Positive chronotropic
Positive dromotropic.
Stimulates heartbeat, maintains electrical conduction, improves pumping.
17. List four symptoms of hypoglycemia.: Dizziness
2/6
1. What is a normal aPTT time for someone on continuous heparin infusion?:
60-100 seconds
2. What are serious side effects of propranolol (Inderal)?: Hypotension
Bradycardia
Hypoglycemia
Expiratory wheezing
Shortness of breath
3. What foods should be limited with Spironolactone (Aldactone) therapy?: -
Foods high in potassium
4. What medications can be used for C. diff related diarrhea?: Fidaxomicin
Florastor
Vancomycyn
5. Patients taking cholesterol medications such as Atorvastatin (Lipitor)
should get which lab frequently checked?: Live enzymes/liver tests.Can
cause hepatotoxicity.
6. Patients on diuretics therapy should report...?: Signs and symptoms of
dehydration (dizziness, weakness, etc), weight gain, difficulty breathing, crackles,
etc.
Patients can exhibit symptoms of dehydration but also symptoms of fluid overload
if diuretic isn't working.
7. What are some things that decrease patients compliance with medication
in general?: Lack of education
Side effects
Large/difficult to swallow pills
Long duration/course of medication
8. ACE inhibitors such as Lisinopril and captopril are safe for liver
dysfunction patients, but other ACE inhibitors are not. Why?: Lisinopril and
captopril are not pro drug and are not metabolized by the liver..
9. What do you need to know about sublingual nitroglycerin?: Used for angina.
1/6
, NR 293 - Final Exam Review Questions
You can take up to three doses, five minutes apart. If chest pain persists, go to the
hospital
Can not be taken with Viagra.
Frequently causes headaches.
10. What drug is used as the first line treatment for a newly diagnosed
diabetic type 2 patient?: Metformin
11 Which foods should patients on Warfarin (coumadin) avoid?: Foods high in
Vitamin K.
Ex - Kale, spinach, Brussel sprouts, collards, mustard greens, chard, broccoli,
asparagus
12. Which lab value is most important with diuretic therapy?: Potassium.
Sodium is also important, but potassium is the most important.
13. Which lab value is most important with digoxin therapy?: Digoxin Lab Value
- 0.5-2
Potassium. (Digoxin can cause dysrhythmias, and digoxin toxicity causes
potassium deficiency. Cardiac drugs in general, potassium lab values are important)
14. What lab values should the nurse watch for a patient on gentamicin
(garamycin) therapy?: Kidney related labs. BUN and creatinine.
Gentamicin (garamycin) can cause nephrotoxicity
15. What medication would be the first choice to treat genital Herpes?:
Acyclovir (Zovirax)
16. Dobutamine for heart failure is an adrenergic agonist. What does
adrenergic agonist mean?: Positive ionotropic Positive chronotropic
Positive dromotropic.
Stimulates heartbeat, maintains electrical conduction, improves pumping.
17. List four symptoms of hypoglycemia.: Dizziness
2/6
