NUR 213 Final Exam: Questions With Complete
Solutions
Warfarin (Coumadin): Serious side effects and their symptoms Right Ans -
hemorrhage, transient thrombocytopenia- symptoms are easy bruising,
hematuria, bleeding gums, prolonged bleeding times and increased PT/INR
What is Warfarin's antidote? Right Ans - Vitamin K
What are some special considerations for patients on warfarin? Right Ans -
-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
Used as the main treatment for Torsade's de Pointes? Right Ans -
Magnesium Sulfate: as it is caused by low magnesium levels
Used as the main treatment for SYMPTOMATIC bradycardia? Right Ans -
Atropine Sulfate:
When should NSAIDs be avoided? Right Ans - 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
Preferred treatment for when a patient first convert to AFIB/AFLUTTER?
Right Ans - synchronized defibrillated cardioversion
Used as a second option for cardioversion when patients first convert to
AFIB/AFLUTTER-
Risks? Right Ans - Adenosine: can cause dysrhythmias and stop the heart-
Metronidazole: Serious side effects: Right Ans - Seizures
Leukopenia (infection, low white blood cell counts) Peripheral neuropathy
(numbness and tingling in the hands and feet)
,Naloxone is used for what? Right Ans - -Treat respiratory depression and
other emergency 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-
What is one of the most serous side effects of Naloxone? Right Ans -
seizures
Methylprednisone: Serious side effects Right Ans - Peptic ulcer (gnawing
stomach pain especially between meals)
Hypocalcemia (muscle cramping)
Osteoporosis (easy bones breaking)
Muscle loss (muscle pain, weakness, and wasting)
Infection, (fever)
Piperacillin-Tazobactam: Serious side effects: Right Ans - 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)
What is used to help with chest pain in AMI as it opens the coronary arteries
Right Ans - Nitroglycerin:
What is a consideration for nitroglycerin? Right Ans - - cannot be given to
men that take ED drugs
What is used in AMI when nitroglycerin is either ineffective or unable to be
given Right Ans - Morphine
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 Right Ans - Aspirin
Aspirin is given within --?-- minutes of AMI onset to help thin blood for easier
flow through blockage and prevention of enlarging the blockage Right Ans -
30
, Interferon Alpha 2A: Serious side effects: Right Ans - 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)
Corticosteroids: Serious side effects: Right Ans - 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
Lidocaine: Serious side effects:
Be very cautious in combination of? Right Ans - Respiratory arrest
(respirations less than 10 bpm)
Circulatory failure (pulselessness and death)- use very cautiously with other
medications that also cause respiratory depression- respiration rates less
than 10 bpm
Oxycodone: Serious side effects:
Be very cautious in combination of? Right Ans - Hepatoxicity (jaundice,
nausea, vomiting, anorexia)
Respiratory depression (respirations less than 10 bpm)
Circulatory collapse (pulselessness and death)
Coma
Abuse potential-use very cautiously with other medications that also cause
respiratory depression-respiration rates less than 10 bpm
This is used in burn patients to prevent curling's ulcers Right Ans -
Pantoprazole (Protonix):
Long term use of pantaprozole can lead to? Right Ans - Osteoporosis
Solutions
Warfarin (Coumadin): Serious side effects and their symptoms Right Ans -
hemorrhage, transient thrombocytopenia- symptoms are easy bruising,
hematuria, bleeding gums, prolonged bleeding times and increased PT/INR
What is Warfarin's antidote? Right Ans - Vitamin K
What are some special considerations for patients on warfarin? Right Ans -
-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
Used as the main treatment for Torsade's de Pointes? Right Ans -
Magnesium Sulfate: as it is caused by low magnesium levels
Used as the main treatment for SYMPTOMATIC bradycardia? Right Ans -
Atropine Sulfate:
When should NSAIDs be avoided? Right Ans - 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
Preferred treatment for when a patient first convert to AFIB/AFLUTTER?
Right Ans - synchronized defibrillated cardioversion
Used as a second option for cardioversion when patients first convert to
AFIB/AFLUTTER-
Risks? Right Ans - Adenosine: can cause dysrhythmias and stop the heart-
Metronidazole: Serious side effects: Right Ans - Seizures
Leukopenia (infection, low white blood cell counts) Peripheral neuropathy
(numbness and tingling in the hands and feet)
,Naloxone is used for what? Right Ans - -Treat respiratory depression and
other emergency 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-
What is one of the most serous side effects of Naloxone? Right Ans -
seizures
Methylprednisone: Serious side effects Right Ans - Peptic ulcer (gnawing
stomach pain especially between meals)
Hypocalcemia (muscle cramping)
Osteoporosis (easy bones breaking)
Muscle loss (muscle pain, weakness, and wasting)
Infection, (fever)
Piperacillin-Tazobactam: Serious side effects: Right Ans - 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)
What is used to help with chest pain in AMI as it opens the coronary arteries
Right Ans - Nitroglycerin:
What is a consideration for nitroglycerin? Right Ans - - cannot be given to
men that take ED drugs
What is used in AMI when nitroglycerin is either ineffective or unable to be
given Right Ans - Morphine
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 Right Ans - Aspirin
Aspirin is given within --?-- minutes of AMI onset to help thin blood for easier
flow through blockage and prevention of enlarging the blockage Right Ans -
30
, Interferon Alpha 2A: Serious side effects: Right Ans - 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)
Corticosteroids: Serious side effects: Right Ans - 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
Lidocaine: Serious side effects:
Be very cautious in combination of? Right Ans - Respiratory arrest
(respirations less than 10 bpm)
Circulatory failure (pulselessness and death)- use very cautiously with other
medications that also cause respiratory depression- respiration rates less
than 10 bpm
Oxycodone: Serious side effects:
Be very cautious in combination of? Right Ans - Hepatoxicity (jaundice,
nausea, vomiting, anorexia)
Respiratory depression (respirations less than 10 bpm)
Circulatory collapse (pulselessness and death)
Coma
Abuse potential-use very cautiously with other medications that also cause
respiratory depression-respiration rates less than 10 bpm
This is used in burn patients to prevent curling's ulcers Right Ans -
Pantoprazole (Protonix):
Long term use of pantaprozole can lead to? Right Ans - Osteoporosis
