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THE NURSING PROCESS
Cyclosporine (Sandimmune)
Class: Immunosuppresent Agent
Uses: Prevent organ rejection after kidney, heart, or liver transplant. TX psoriasis or severe rheumatoid arthritis.
Avoid Grapefruit & grapefruit juice
What is the sequence of instructions that should be given to a person having chest pain and taking Nitrogylcerin?
nifedipine (Adalat)
classification: Calcium channel blockers.
Relaxes the muscles of your heart and blood vessels.
USES: treat hypertension (high blood pressure) and angina (chest pain)
Lasix (furosemide)
Classification: Loop diuretic (water pill)
Prevents your body from absorbing too much salt, allowing the salt to instead be passed in your urine.
Uses: Treats fluid retention (edema) in people with congestive heart failure, liver disease, or a kidney disorder such as nephrotic syndrome.
Appropriate nursing action to administer a Mantoux skin test for tuberculosis (TB)?
For long-term therapy of glucocorticoid therapy for asthma, what should be included in the discharge teaching plan?
Convert 2 oz, 3 oz, & 3 oz into mL?
bismuth subsalicylate (Pepto-Bismol) is used in the treatment of peptic clcer disease because of its?
What should be included in the discharge teaching of a client prescribed warfarin (Coumadin)?
A client with Congestive heart failure is being treated with digoxin (Lanoxin). The client feels get his breakfast tray and reports nausea. What action should be taken.
amitriptyline (Elavil)
Classification: Tricyclic Antidepressant
Uses: Treat symptoms of depression. Client needs further instruction when she states?
Prescribed Diuril 25mg/kg/day PO BID for infant weighing 6.5kg. Available is Diuril 100mg per 5 mL. Calculate the mL that the nurse is to give the child each dose.
hydralazine (Apresoline
Classification: Vasodilator
Action: Works by relaxing the muscle oin your blood vessels to help them dilate (widen)
Uses: Treat high blood pressure (Hypertension)
If switched from hydralazine to Lopressor the client would less likely experience what Side Effect?
If prescribed this drug what should the the client be assessed for routinely?
Metro prolol (Lopressor)
Classification: Beta-blocker
Action: Effects the heart and circulation (blood flow through arteries & veins)
If prescribed this drug for CHF. What statement requires further teaching?
spironolactone (Aldactone)
Classification: Potassium-sparing diuretic (water pill)
Action: Prevents your body from absorbing too much salt and keeps your potassium levels from getting to low.
Uses: Diagnose or treat condition of too much aldosterone (found in kidney: produced by kidney's) Fluid retntion. CHF
If taking furosemide (Lasix) what statement demonstrate to the nurse understanding of this medication?
Digoxin (Lanoxin)
Action: Helps make the heart beat stronger and with a more regular rhythm.
Uses: Treat heart failure.
TX: Atrial fibrillation
Teaching skip next dose if less than 12hr away.
Serious Side Effect: Nausea, Vomiting, loss of appetite, fast, slow or uneven HR, bloody or black, tarry stools, blurred vision, yellowed vision, confusion, hallucination, unusual thoughts or behavior
When should digoxin be held?
What should a client be instructed to do when on digoxin?
When should furosemide (Lasix) be prescribed?
Doctors Order: 5mg PO every 4hr PRN pain
Available: Codiene 7.5mg/15mL
what should the nurse administer?
buspirone (Buspar)
With a history of anxiety client presents a panic attack. Client wants buspar but MD orders diazepam (Valium) What is the disadvantage of Buspar?
Classification: Anti-anxiety
Action: affects the chemicals in the brian that may be unbalanced in people with anxiety.
TX: Symptoms of anxiety (fear, tension, irritability, dizziness, pounding heartbeat)
Half-life- 2-4 hours (24hr excreted in the urine)
Which of the following behaviors should the nurse caution the client against to prevent lithium toxicity?
lithium (Eskalith)
Classification: Antimanic or Antipsychotic
Uses: Treatment of manic/depressive (bipolar) and depressive disorders.
Can you list some symptoms of manic episodes of manic depression.>
Solve.
100mg/kg/day to be given in 4 divided doses. Client Weight 33lb. Available 125mg/5mL?
School-aged child with asthma. What medication should the nurse anticipate on prescribing as a rescue inhalor?
What is this mediation used for?
Fluticasone HFA aerosol inhaler
Fluticasone propionate (Flovent)
Classification: Corticosteroid
Uses: Preventing or reducing the frequency and seriousness of asthma attacks.
What instructions should the nurse give the client to ensure understanding regarding the removal of a chest tube?
Client has a history of congestive heart failure. What should the nurse monitor for that is a manifestation of left-sided heart failure?
Name some manifestations of Right-sided Heart failure?
What is the highest priority when a client has an acute exacerbation of rheumatoid arthritis?
Name the Manslows 2nd Hierarchy of needs for the following:
Body-image disturbance
Client with Hypoparathyroidism. What should the nurse observe the client for as evidence of a potential electrolyte disturbance?
Platelet count of 18,000 cells/mL. What is an appropriate nursing intervention?
Name two client identifiers when administering medication required by Joint Commission.
Which is the "most important benefit" of breastfeeding a "newborn" during the "fourth stage of labor"?
Client in "balanced skeletal traction" with a "femur fracture" Nursing intervention
Parent's of a "4-month old infant" about normal growth & development. Which comment made by the parent indicate to the nurse a "need for further teaching"?
What should be assessed when a cleint's abdominal aortic aneurysm is extending?
Jugular vein distention and peripheral edema are manifestations of what?
Chest pain radiating to the left arm suggests what?
Infant had a "Ventriculoperitoneal shunt placed" "Teaching was effictive" if parent says?
Client taking "warfarin (Coumadin)". Which LAB value indicates an "effective" response?
What LABS should be checked to verify effectiveness of Heparin?
What does Hct (Hematocrit) & Hgb (Hemogloblin) Lab used to check for?
Parents son new Dx of "Asperger's syndrome" What "comment" indicates adequate learning?
"Postoperative client" "Hip arthroplasty" w/Hx of "Chronic obstructive pulmonary disease (COPD). What O2 delievery system is appropriate?
"66 year old". "Does not have old medication or immunization records" available. Should the client recieve "pneumococal vaccine" if client is unsure?
Client "diagnosed with depression" What "Nursing intervention" would foster a therapeutic environment for the client?
Caring for an infant with dehydration. What is the "most accurate way to determine hydration status?"
What is the best example the nurse educator should use to best illustrate a suspicious finding of possible child abuse?
"Early stages" of Alzheimer's disease. What "Action" to improve client's "level of orientation"?
Can you name some interventions, activites & safety for early stage Alzheimer patience
What LAB data suggests "systemic lupus erythematosus (SLE)?
What adverse effect happens when a client takes too much levothyroxine sodium (Synthroid) for hypothyroism?
