PNUR 1300 Final Study Guide Latest Update

PNUR 1300 Final Study Guide Latest Update

• 115 Questions with 100%

Verified Correct Answers Guaranteed A+ Verified by Professor

(NSAID) that is a COX-2 inhibitor? - CORRECT ANSWER: celecoxib (Celebrex)

• Protamine sulfate - CORRECT ANSWER: antidote for heparin

-strong alkaline protein that neutralizes effects of heparin -results immediate last 2 hours or more

uses: for heparin overdose & after post op

• Vitamin K - CORRECT ANSWER: antidote for warfarin (Coumadin)

• Warfarin sodium (Coumadin) - CORRECT ANSWER: Anticoagulant; inhibits vitamin K synthesis.PT & INR- check most recent labs target INR 2-3 or 2.5-3.5 with patients with mechanic heart valve provide education on food high i vitamin K which is the Antidote do no use pregnant adverse: skin, mucous membranes, internal bleeding, urine & stools, menstrual flow, petiache RASH

A new medication. What is the nurse's priority action? - CORRECT ANSWER: do 3 med checks, perform pre assessment, collection patients history. check for allergies

ACE inhibitor...adverse effect of this medication? - CORRECT ANSWER: cough 1 / 3

angioedema (swelling of the face, eyes, lips, and tongue, difficulty breathing)-- on African amercians neutropenia hyperkalemia nephrotoxicity may cause fetal harm may increase blood levels of doxgin & lithium

Action of antihistamines - CORRECT ANSWER: reduce or block histamines, so they

stop allergy symptoms

administering an IM injection using the Z-track method? - CORRECT ANSWER: IM

injection (use ventrogluteal or vastus lateralis, 1-2 inch needle, 20-23 gauge, 90 degree insertion, holds 0.5-2 mL of solution)1. clean site with alcohol swab and allow to air dry2. tell patient to relax muscles at injection site3. pull down on the skin and fatty tissue right by ejection site4. inject needle and keep in place for 10 seconds5. after removing the needle, release your hold on the skin and tissue6. apply pressure to site and cover with a bandaid

administration of a parental pain medication will the nurse complete the next pain

assessment to evaluate the effectiveness of the medication? - CORRECT ANSWER:

ask about pain on a scale of 0-10

Adverse effects - CORRECT ANSWER: unintended and usually undesired effects that

may occur with use of the drug -undesired, unexpected, unintended; have to treat

affective domain - CORRECT ANSWER: Involves feelings, needs, values, and opinion

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Allergic reaction - CORRECT ANSWER: An immunologic hypersensitivity reaction

resulting from the unusual sensitivity of a patient to a particular medication; a type of adverse drug event.

aloe - CORRECT ANSWER: Topically for pain, inflammation, itching

Ampule - CORRECT ANSWER: A small sealed glass container that holds a single dose of medication.

antihistamine patient teaching - CORRECT ANSWER: don't take with alcohol

can cause drowsinessdo not take meds within 4 days of skin testing take with meals to avoid GI upset use gum or candy for dry mouth take 30 minutes before traveling use sunblock and protective clothes if for insomnia, take 20 minutes before bed maintain fluid intake to decrease viscosity of secretions assess lung sounds and character of bronchial secretions

appropriate when administering enteric coated tablets? - CORRECT ANSWER:

Encourage the patient to drink a full glass of water.-if the patient has a hard time swallowing

assessing a patient who was recently admitted to the emergency department with dysrhythmias and shortness of breath. nursing assessment should be the priority... -

CORRECT ANSWER: cardiac and respiratory assessments, medication assessment,

look at recent ECG readings

B3 (niacin) - CORRECT ANSWER: low dose for supplementation (25 mg/day)high

doses for high cholesterol (2-3 g/day)high doses can cause flushing/hot flashes in

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