N180 MIDTERM STUDY GUIDE 2024/26
QUESTIONS WITH CORRECT ANSWERS.
1 of 52
Definition
Dizziness, headache, weakness, hypotension GI
distress, constipation, hyperglycemia
Electrolyte imbalances, urticarial, hyperuricemia
Blood dyscrasias, renal failure
Give this one a try later!
The patient complains of dizziness and
nausea and becomes lethargic; Morphine medication side effects
serum sodium level treatment
, Potassium chloride Hydrochlorothiazide
(KCI) intravenous (IV) (HCTZ) side effects
outcomes
Don't know?
2 of 52
Term
What medications can cause glucose intolerance
Give this one a try later!
-Past allergic reactions to any opioids
-History of substance abuse
-Drug interactions that can increase the risk of respiratory depression:
benzodiazepines or muscle relaxants
-CYP450
-BI, liver, or kidney issues
-Respiratory issues such as COPD
-elderly/ babies
- Avoid use of potassium-based salt substitutes
- When in direct sunlight, use sunscreen
- Avoid performing tasks that require mental alertness
- DO NOT eat excess amounts of food high in potassium: AVOID IF
POSSIBLE
-Do NOT drink grapefruit juice due to CYP3A4 enzyme
-Administer early in the day to prevent nocturia
-Use sunscreen to decrease photosensitivity
-Take potassium supplements if ordered
-Consume potassium-rich foods
-Report any tenderness or pain in joints
, -Instruct to change positions slowly from lying to standing because
dizziness may occur
Prednisone- can increase blood sugar levels
Hydrochlorothiazide: thiazide diureticcna elevate
glucose levels
Beta-blockers- can affect insulin secretion and glucose
metabolism Hiv meds: Protease inhibitors can cause
glucose metabolism changes Niacin: can raise blood sugar
Antipsychotics ( Clozapine, Olanzapine): can increase the risk of
insulin resistance
Don't know?
3 of 52
Term
Thiazide diuretics to treat heart failure are not
recommended to use with clients with what other
conditions?
Give this one a try later!
Contraindications:
-Hypersensitivity to acetaminophen
-Phenacetin
-Chronic alcoholism
-Avoid in clients who have hypersensitivity to a component, severe
liver impairments or disease, kidney impairment, chronic alcohol use
disorder, or malnutriton
-Use with caution in pregnant or lactating women
-Not effective in pts with severe renal failure
-Gout: thiazides can increase uric acid levels, which can trigger
gout attacks
-Hypokalemia: thiazides can lower potassium levels
, -Hyponatremia: thiazides can further sodium depletion in those
with low sodium
- Pts Usually includes a history of diabetes or hypertension
- Dietary management: restriction of protein, reduction of sodium,
potassium, phosphorus, magnesium
-IMPORTANT SAFETY PRECAUTION: Require less than average
doses of medication
-Do not give to patients receiving anticoagulant therapy such as
warfarin and heparin due to it increases bleeding time
-ASA is an antiplatelet agent that inhibits platelet aggregation, while
warfarin is an anticoagulant, and when combined, it can increase
the risk of bleeding.
Don't know?
4 of 52
Definition
-Take oral meds with food or after meals
- Take antidiarrheal as prescribed
- Notify the provider if bleeding, bruising, or sore throat
occur
- Avoid grapefruit juice because it can increase adverse
effects
- Avoid alcohol, red meats
- Ensure adequate water intake, and exercise regularly
Give this one a try later!
Adverse effects associated Potassium chloride (KCI)
with morphine intravenous (IV) outcomes
QUESTIONS WITH CORRECT ANSWERS.
1 of 52
Definition
Dizziness, headache, weakness, hypotension GI
distress, constipation, hyperglycemia
Electrolyte imbalances, urticarial, hyperuricemia
Blood dyscrasias, renal failure
Give this one a try later!
The patient complains of dizziness and
nausea and becomes lethargic; Morphine medication side effects
serum sodium level treatment
, Potassium chloride Hydrochlorothiazide
(KCI) intravenous (IV) (HCTZ) side effects
outcomes
Don't know?
2 of 52
Term
What medications can cause glucose intolerance
Give this one a try later!
-Past allergic reactions to any opioids
-History of substance abuse
-Drug interactions that can increase the risk of respiratory depression:
benzodiazepines or muscle relaxants
-CYP450
-BI, liver, or kidney issues
-Respiratory issues such as COPD
-elderly/ babies
- Avoid use of potassium-based salt substitutes
- When in direct sunlight, use sunscreen
- Avoid performing tasks that require mental alertness
- DO NOT eat excess amounts of food high in potassium: AVOID IF
POSSIBLE
-Do NOT drink grapefruit juice due to CYP3A4 enzyme
-Administer early in the day to prevent nocturia
-Use sunscreen to decrease photosensitivity
-Take potassium supplements if ordered
-Consume potassium-rich foods
-Report any tenderness or pain in joints
, -Instruct to change positions slowly from lying to standing because
dizziness may occur
Prednisone- can increase blood sugar levels
Hydrochlorothiazide: thiazide diureticcna elevate
glucose levels
Beta-blockers- can affect insulin secretion and glucose
metabolism Hiv meds: Protease inhibitors can cause
glucose metabolism changes Niacin: can raise blood sugar
Antipsychotics ( Clozapine, Olanzapine): can increase the risk of
insulin resistance
Don't know?
3 of 52
Term
Thiazide diuretics to treat heart failure are not
recommended to use with clients with what other
conditions?
Give this one a try later!
Contraindications:
-Hypersensitivity to acetaminophen
-Phenacetin
-Chronic alcoholism
-Avoid in clients who have hypersensitivity to a component, severe
liver impairments or disease, kidney impairment, chronic alcohol use
disorder, or malnutriton
-Use with caution in pregnant or lactating women
-Not effective in pts with severe renal failure
-Gout: thiazides can increase uric acid levels, which can trigger
gout attacks
-Hypokalemia: thiazides can lower potassium levels
, -Hyponatremia: thiazides can further sodium depletion in those
with low sodium
- Pts Usually includes a history of diabetes or hypertension
- Dietary management: restriction of protein, reduction of sodium,
potassium, phosphorus, magnesium
-IMPORTANT SAFETY PRECAUTION: Require less than average
doses of medication
-Do not give to patients receiving anticoagulant therapy such as
warfarin and heparin due to it increases bleeding time
-ASA is an antiplatelet agent that inhibits platelet aggregation, while
warfarin is an anticoagulant, and when combined, it can increase
the risk of bleeding.
Don't know?
4 of 52
Definition
-Take oral meds with food or after meals
- Take antidiarrheal as prescribed
- Notify the provider if bleeding, bruising, or sore throat
occur
- Avoid grapefruit juice because it can increase adverse
effects
- Avoid alcohol, red meats
- Ensure adequate water intake, and exercise regularly
Give this one a try later!
Adverse effects associated Potassium chloride (KCI)
with morphine intravenous (IV) outcomes
