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NUR 213 ( LATEST 2024 / 2025 ) FINAL EXAM | WITH 100% VERIFIED ANSWERS
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NUR 213 ( LATEST 2024 / 2025 ) FINAL EXAM | WITH 100% VERIFIED ANSWERS
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NUR 213 Final Exam1. Warfarin (Coumadin)
Answer
Serious side effects and their symptoms
hemorrhage, transient thrombocytopenia- symptoms are easy bruising, hematuria, bleeding
gums, prolonged bleeding times and increased PT/INR
2. What is Warfarin's antidote?
Answer
Vitamin K
3. What are some special considerations for patients on warfarin?
Answer
-important when it comes to trauma because it can increase serious hemorrhage risks and
intracranial hemorrhage so VERY important with TBI
-avoid foods high in vitamin K as they can interfere with its effectiveness
-Patient may be on Lovenox or heparin injections until the Coumadin therapy is effective as it
takes 3-5 days to be therapeutic
4. Used as the main treatment for Torsade's de Pointes?
Answer
Magnesium Sulfate
as it is caused by low magnesium levels
5. Used as the main treatment for SYMPTOMATIC bradycardia?
Answer
Atropine Sul- fate
6. When should NSAIDs be avoided?
Answer
Avoid in use with clients that have liver failure due to inability to clot effectively and in long-
term use for chronic kidney disease because it damages the kidneys
7. Preferred treatment for when a patient first convert to AFIB/AFLUTTER?
Answer
-
synchronized defibrillated cardioversion
8. Used as a second option for cardioversion when patients first convert to AFIB/AFLUTTER-
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,Risks?
Answer
Adenosine
can cause dysrhythmias and stop the heart-
9. Metronidazole
Answer
Serious side effects
Seizures
Leukopenia (infection, low white blood cell counts) Peripheral neuropathy (numb- ness and
tingling in the hands and feet)
10. Naloxone is used for what?
Answer
-Treat respiratory depression and other emer- gency side effects for narcotics like oxycodone,
morphine, and dilaudid
-Unintentional injury like poisoning with these substances nurses would prepare to administer
this to save their clients life-
11. What is one of the most serous side effects of Naloxone?
Answer
seizures
12. Methylprednisone
Answer
Serious side effects
Peptic ulcer (gnawing stomach pain especially between meals)
Hypocalcemia (muscle cramping) Osteoporosis (easy bones breaking)
Muscle loss (muscle pain, weakness, and wasting) Infection, (fever)
13. Piperacillin-Tazobactam
Answer
Serious side effects
Angioedema (facial swelling especially around eyes and cough)
Circulatory collapse (severe hypotension followed by cardiac arrest)
Cardiac arrest (pulselessness, death) Nephrotoxicity (oliguria and leg swelling)
14. What is used to help with chest pain in AMI as it opens the coronary arteries
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, Answer
Nitroglycerin
15. What is a consideration for nitroglycerin?
Answer
- cannot be given to men that take ED drugs
16. What is used in AMI when nitroglycerin is either ineffective or unable to be given
Answer
Morphine
17. What can be given to a patient suspected of having an AMI onset to help thin blood for
easier flow through blockage and prevention of enlarging the blockage
Answer
Aspirin
18. Aspirin is given within --?-- minutes of AMI onset to help thin blood for easier flow
through blockage and prevention of enlarging the blockage
Answer
30
19. Interferon Alpha 2A
Answer
Serious side effects
Answer
Seizures
Myelosuppression (muscle pain and weakness) Thrombocytopenia (easy bruising and bleeding)
Leukopenia (low WBCs and infection)
Anemia (low H&H), suicidal ideation Severe depression
Seizures Myasthenia gravis Myocardial infarction
Hepatoxicity (jaundice, nausea, vomiting)
20. Corticosteroids
Answer
Serious side effects
Answer
HYPOcalcemia Immunosuppression (need vaccinations for prevention and need to teach proper
hand hygiene as well as infection symptoms)
Peptic ulcer Hypocalcemia Osteoporosis Muscle loss Immunosuppression
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