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5 Written Questions

5 Matching Questions

  1. Neuromuscular Blockers (succinylchoine)
  2. What is c. diff? What causes it? What treats it?
  3. What nursing care is involved when providing care of a client w/ neutropenia?
  4. Heparin
  5. Pseudoephredine (Sudafed)
  1. a indications: flaccid paralysis, procedures, endoscopy
    AE: apnea, hypotension, malignant hyperthermia, hyperkalemia w/ cardiac arrest, muscle pain,
    * contraindicated for pt with Myasthenia Gravis
    *does not block pt's conscious- can feel pain and hear
    antidote for mailgnant hyperthermia = dantrolene
  2. b indications: anticoagulant uses - prophylaxis of DVT, PE, anticoagulant used during pregnancy, evolveing stroke, massive DVT, acute MI
    AE: hemorrhage, thrombocytopenia, hypersensitivity
    Antidote: protamine sulfaet
    Labs: PTT normal 40 secs, on heparin 60-80 secs
  3. c indications: nasal decongestant, causes vasoconstriction of blood vessels in nose
    AE: CNS stimulation (restlessness, irritability, anxiety), use cautiously in pts w/ HTN and CAD
  4. d cause: clindamycin, amoxicillin, ampicillin, cephalexin
    bacterial infection - contact, hand sanitizer doesn't kill it!
    treatments: metronidiazole (Flagyl) or vanco
  5. e - incidence and severity of infections are increased
    - no fresh fruit or veggies due to bacteria
    - normal neutrophil count is 2500-7000 cells/mm3 if it drops below 500 cells/mm3 chemo should be withheld
    - must be in isolation room
    - monitor for fever!

5 Multiple Choice Questions

  1. administration of antiemetics
  2. indications: dysrhythmias, <3 failure,
    AE: dysrhythmias, hypokalemia, toxicity, n/v, halos,
    *pulse must be at least 60 bpm
    *therapeutic leve = 0.5-0.8
  3. - to minimize the risk of injury, IV admin should be performed only into a vein w/ good flow.
    - Sites of previous irradiation should be avoided
    - If extravasation occurs, infusion d/c immediately
    - extreme caution should be employed
  4. indications: treats streptococcus pneumonia and pyrogenes
    AE: allergic reactions, pain at injection site, sensory/motor dysfunction, neurotoxicity if blood levels too high
    *alternative = erythromycin
  5. *inhaled glucocorticoid
    indications: long term asthma, nasal congestion, seasonal and perennial rhinitis
    AE: adrenal suppression and bone loss, oral & pharyngeal candidiasis, disphonia (hoarseness)

5 True/False Questions

  1. Tetracyclinesindications: chlamydia, mycoplasma, H. pylori, bacillus anthracis, rocky mt. spotted fever, cholera, lyme disease, acne, and peridontal disease
    AE: GI upset, teeth discoloration, c. diff, candida, hepatotoxic, nephrotoxic, photosensitive, and super infection
    * do not give to pregnant women or children under 8

          

  2. 2nd Generation Antipsychotics (atypical)Oanzapine (zyprexa)- schizophrenia and bipolar disorder
    AE: weigth gain, dislipidemia, and diabetes
    Ziprasidone (geodon) - schizophrenia and bipolar disorder
    AE: somnolence, orthostatic hypotension, rash, prolonged QT interval

          

  3. Propylthiouracil (PTU)indications: HTN, edema, diabetes insipidus
    AE: hyponatremia, hypochloremia, hypokalemia, dehydration, hyperglycemia, hyperuricemia, increase LDL, increase excretion of mg
    - monitor i/o, weigh pt
    -do not take while pregnant or breast-feeding
    - interacts with digoxin, antihypertensive drugs, lithium, and NSAIDs

          

  4. What is the nurses role in preventing medication errors?fast acting due to skipping the absorption period
    control of drug levels in blood
    use of large fluid volumes
    use of irritant drugs
    - can't reverse w/o antidote, expensive

          

  5. Beta Blockers (Propranolol/Inderol)indications: COPD, asthma, bronchospasm
    - used PRN, wait 1 min btwn puffs
    AE: tachycardia, angina, tremor, nervousness, restlessness, paradoxical bronchospasm, chest pain, palpitations

          

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