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5 Written questions

5 Matching questions

  1. What is HGA1C?
  2. What nursing care is involved when providing care of a client w/ neutropenia?
  3. Long term complications of DM
  4. Penicillins
  5. Causes of Gastric Ulcers
  1. a indications: treats streptococcus pneumonia and pyrogenes
    AE: allergic reactions, pain at injection site, sensory/motor dysfunction, neurotoxicity if blood levels too high
    *alternative = erythromycin
  2. b -erosion of gastric wall due to long-term aspirin use
    -increased secretion of gastric acid and pepsin
    -decreased production of cytoprotective mucus and bicarbonate
    -decreased submucosal blood flow
    -infection of H. pylori
    -drugs that cause gastric ulcers = NSAIDs aspirin
  3. c - 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!
  4. d - a blood test done to check long-term blood sugar twice a tear over 3 months in diabetic pts.
    - fasting is not necessary
    - ideal value is <7% for diabetic, <6% for normal
  5. e macrovascular damage
    heart disease
    hypertension
    stroke
    hyperglycemia
    altered lipid metabolism
    retinopathy
    nephropathy
    neuropathy
    gastroparesis
    amputations
    erectile dysfunction

5 Multiple choice questions

  1. indications: decrease drowsiness, fatigue, peripheral vasodilation, CNS vasoconstriction, relaxation of bronchi, neonatal apnea
    AE: convulsions, tinnitus, flashing lights, palpitations, dizziness, diuresis, tachycardia, respiratory stimulation
  2. indications: prophylaxis of renal failure, reduction of intracranial/intraocular pressure
    - give IV
    AE: edema, HA, n/v, F&E imbalance
    - d/c if signs of pulmonary congestion, chronic heart failure, or renal failure develop
  3. *codeine
    indications: decrease frequency, intensity of cough. Suppresses the cough reflex directly at the cough center in the medulla
    AE: suppress respirations, cause drowsiness, dizziness, HA, blurred vision, upset stomach, nausea, constipation, dry mouth/nose/throat
  4. indications: UTIs
    AE: hypersensitivity, photosensitivity, Steven's Johnson Syndrome
  5. indications: HTN crisis, <3 failure, MI, pheochromocytoma, PVD, pulmonary arterial HTN, control hypotension during surgery, dilates veins and arteries, HTN, angina
    AE: orthostatic hypotension (venous), reflex tachycardia (arterioles), fluid retention

5 True/False questions

  1. Bulk forming Laxatives* metamucil, methylcellulose, citrucel
    indications: constipation, pts w/ diverticulosis and IBS, relief of diarrhea, reduce discomfort in pts w/ ileostomy/colostomy
    AE: esophageal obstruction if swallowed w/o enough fluids, intestinal obstruction or impaction

          

  2. NSAIDs (buprofen)indications: inflammation, mild to moderate pain, fever reduction, dysmenorrhea
    AE: mild GI reactions, ulceration, bleeding, increase for MI and stroke, renal impairment, hypersensitivity, reye's syndrome, conjunctivitis, nose bleed, steven's johnson syndrome

          

  3. Hydrochlorothiazide (HCTZ)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. Albuterol (proventil)indications: COPD, asthma, bronchospasm
    - used PRN, wait 1 min btwn puffs
    AE: tachycardia, angina, tremor, nervousness, restlessness, paradoxical bronchospasm, chest pain, palpitations

          

  5. ACE Inhibitors (captopril/captopen)indications: HTN, <3 failure, LVD after MI, diabetic neuropathy, decrease risk of cardiovascular mortality, reduces cardiac afterload, increases CO, increases regional blood flow, decreases pulmonary congestion and peripheral edema, increases renal blood flow, increases excretion of Na and H2O, decreases venous return to the <3
    AE: cough, angioedema, 1st dose orthostatic hypotension, hyperkalemia, fetal injury
    * tell pt to change positions slowly, let feet dangle before getting out of bed