Nursing 176 Exam 3 with correct detailed solutions ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Digoxin (Lanoxin) - correct answer✔✔-Assess apical pulse for one full minute
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-If less than 60 hold Digoxin
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Watch for signs of Digoxin toxicity (Nausea, double vision, loss of appetite)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Warfarin (Coumadin) - correct answer✔✔-Normal INR=2-3 ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-If greater than 3, hold med
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Watch for bleeding ||\\//|| ||\\//||
-Call doctor and give antidote if greater than 3
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Nitroglycerin - correct answer✔✔-One tablet sublingual, every 5 minutes ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-3 doses is the max
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Dilates coronary arteries ||\\//|| ||\\//||
Beta blockers - correct answer✔✔-Ends in -olol (metoprolol, propanolol, carvedilol ,atenolol)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Assess blood and apical pulse for 60 seconds
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Aspirin - correct answer✔✔-Thins blood to allow easier blood flow
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Lasix (Furosemide) - correct answer✔✔-Diuretic
||\\//|| ||\\//|| ||\\//|| ||\\//||
-Watch for hypokalemia ||\\//|| ||\\//||
-Eat more potassium
||\\//|| ||\\//||
MONA-chest pain - correct answer✔✔-Morphine ||\\//|| ||\\//|| ||\\//|| ||\\//||
, -Oxygen
-Nitroglycerin
-Aspirin
Clopidogrel (Plavix) - correct answer✔✔-Prevents clots from forming in heart stents
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Lovenox (enoxaparin) - correct answer✔✔-Prevents blood clots to legs
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Good for bed ridden patients
||\\//|| ||\\//|| ||\\//|| ||\\//||
-is low molecular weight anticoagulant
||\\//|| ||\\//|| ||\\//|| ||\\//||
Appendicitis: Early signs - correct answer✔✔-Abdominal pain ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Lack of appetite
||\\//|| ||\\//|| ||\\//||
-Nausea
-Vomiting
Appendicitis - correct answer✔✔-Sudden disappearance of pain may indicate appendix ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
rupture
-Watch for peritonitis- priority (Elevated WBC's and temp)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
McBurney's sign - correct answer✔✔-Significant pain is elicited by palpating this area in RLQ
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Classic symptom of appendicitis ||\\//|| ||\\//|| ||\\//||
Abdominal assessment order - correct answer✔✔-Inspection, auscultation, percussion,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
palpation
Irritable bowel syndrome: Signs and symptoms - correct answer✔✔-Cramping
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Abdominal pain ||\\//||
Digoxin (Lanoxin) - correct answer✔✔-Assess apical pulse for one full minute
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-If less than 60 hold Digoxin
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Watch for signs of Digoxin toxicity (Nausea, double vision, loss of appetite)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Warfarin (Coumadin) - correct answer✔✔-Normal INR=2-3 ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-If greater than 3, hold med
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Watch for bleeding ||\\//|| ||\\//||
-Call doctor and give antidote if greater than 3
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Nitroglycerin - correct answer✔✔-One tablet sublingual, every 5 minutes ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-3 doses is the max
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Dilates coronary arteries ||\\//|| ||\\//||
Beta blockers - correct answer✔✔-Ends in -olol (metoprolol, propanolol, carvedilol ,atenolol)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Assess blood and apical pulse for 60 seconds
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Aspirin - correct answer✔✔-Thins blood to allow easier blood flow
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Lasix (Furosemide) - correct answer✔✔-Diuretic
||\\//|| ||\\//|| ||\\//|| ||\\//||
-Watch for hypokalemia ||\\//|| ||\\//||
-Eat more potassium
||\\//|| ||\\//||
MONA-chest pain - correct answer✔✔-Morphine ||\\//|| ||\\//|| ||\\//|| ||\\//||
, -Oxygen
-Nitroglycerin
-Aspirin
Clopidogrel (Plavix) - correct answer✔✔-Prevents clots from forming in heart stents
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Lovenox (enoxaparin) - correct answer✔✔-Prevents blood clots to legs
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Good for bed ridden patients
||\\//|| ||\\//|| ||\\//|| ||\\//||
-is low molecular weight anticoagulant
||\\//|| ||\\//|| ||\\//|| ||\\//||
Appendicitis: Early signs - correct answer✔✔-Abdominal pain ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Lack of appetite
||\\//|| ||\\//|| ||\\//||
-Nausea
-Vomiting
Appendicitis - correct answer✔✔-Sudden disappearance of pain may indicate appendix ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
rupture
-Watch for peritonitis- priority (Elevated WBC's and temp)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
McBurney's sign - correct answer✔✔-Significant pain is elicited by palpating this area in RLQ
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Classic symptom of appendicitis ||\\//|| ||\\//|| ||\\//||
Abdominal assessment order - correct answer✔✔-Inspection, auscultation, percussion,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
palpation
Irritable bowel syndrome: Signs and symptoms - correct answer✔✔-Cramping
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Abdominal pain ||\\//||
