NSG 318 Final Exam Review-Questions with Correct Answers/ latest Update
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Course
NSG 318
Institution
NSG 318
How do Histamine 2 Blockers work? - Block H2 receptors of parietal cells in stomach to
reduce gastric acid secretion
When administering Nexium, or any Proton Pump Inhibitor, what should you observe? -
Observe hepatic function - this elevates AST, ALT
Should Nexium be taken with food or on an em...
NSG 318 Final Exam Review-Questions with Correct Answers/ latest
Update
How do Histamine 2 Blockers work? - ✔✔Block H2 receptors of parietal cells in stomach to
reduce gastric acid secretion
When administering Nexium, or any Proton Pump Inhibitor, what should you observe? -
✔✔Observe hepatic function - this elevates AST, ALT
Should Nexium be taken with food or on an empty stomach? - ✔✔On an empty stomach -
this allows the stomach lining to be coated. Taking this with food blocks this process.
What is the mode of action of Sucralfate (Carafate)? - ✔✔Combines with protein to form a
thick paste covering ulcer protecting ulcer from acid and pepsin. This does not decrease acid
production or neutralize acid
What is the mode of action of Diphenoxylate with Atropine (Lomotil) and what are some of
the side effects? - ✔✔Anticholinergic properties: dries out, causes urinary retention;
atropine decreases cramping, motility and hypersecretions
What is the therapeutic effect of Promethazine (Phenergan)? What should not be combined
with this? - ✔✔anti-nausea/ vomiting; do not combine with ETOH (ethyl alcohol)
What is the best way to assess and evaluate client understanding? - ✔✔Teach-Back method;
this is a return demonstration
What are some of the side effects of the female reproductive hormone Clomiphene
(Clomid)? - ✔✔HA, breast discomfort
What is the name of the drug that is a urinary antimuscarinic/ bladder antispasmadic/
anticholinergic? What is the mode of action? - ✔✔Solifenacin Succinate (VESIcare); controls
an overactive bladder, decreases urge and urinary incontinence. This also slows down
frequency and urgency as well as burning pain until infection goes away.
, What is Calcitriol (Rocaltrol) given for? What is the mode of action? - ✔✔Hypocalcemia;
Reabsorbs calcium by the kidneys - this enhances calcium deposits into bones by the active
form of Vit. D's metabolite, Calcitriol.
When administering Levothyroxine (Synthroid) what signs and symptoms should you
observe for? - ✔✔Hyperthyroidism (increased metabolism, heart rate, anxiety, etc.)
What can happen if you administer Levothyroxine (Synthroid) with Metformin? - ✔✔This
can cancel out the effects of Metformin and cause hyperglycemia.
What do Glucocorticoids (Prednisone) treat? - ✔✔Adrenocortical insufficiency;
hypocortisolism (adrenal glands do not produce enough steroid hormones)
Taper this to prevent adrenocortical insufficiency
What is Glipizide (Glucotrol)? - ✔✔Oral Hypoglycemic; directly stimulates beta cells in the
pancreas to secrete insulin - controls hyperglycemia in type II DM
Glipizide (Glucotrol) can be harmful if administered to patients with....? - ✔✔Type I DM
What is Metformin (Glucophage) used for? What can it cause? What should you educate
patient in return of this? - ✔✔To control hyperglycemia in Type II DM; reduces
gluconeogenesis; can cause Vit. B12 def. - increase B12 consumption
Can combining Glipizide and Metformin cause hypoglycemia? - ✔✔No, but it may cause
renal failure.
Know the various insulins!! (Onset, Peak, Duration) - ✔✔Don't be a spud :)
When should blood glucose be checked? What should be present if patient is given insulin? -
✔✔Before administering insulin and before meals. Make sure a snack or meal is present for
patient.
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