Exam (elaborations)
NR 293 - Final Exam Review /53 Questions WITH Answers
NR 293 - Final Exam Review /53 Questions WITH Answers
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NR 293 - Final Exam Review /53 QuestionsWITH Answers
What is a normal aPTT time for someone on continuous heparin infusion? - -
60-100 seconds
-What are serious side effects of propranolol (Inderal)? - -Hypotension
Bradycardia
Hypoglycemia
Expiratory wheezing
Shortness of breath
-What foods should be limited with Spironolactone (Aldactone) therapy? - -
Foods high in potassium
-What medications can be used for C. diff related diarrhea? - -Fidaxomicin
Florastor
Vancomycyn
-Patients taking cholesterol medications such as Atorvastatin (Lipitor) should
get which lab frequently checked? - -Live enzymes/liver tests.
Can cause hepatotoxicity.
-Patients on diuretics therapy should report...? - -Signs and symptoms of
dehydration (dizziness, weakness, etc), weight gain, difficulty breathing,
crackles, etc.
Patients can exhibit symptoms of dehydration but also symptoms of fluid
overload if diuretic isn't working.
-What are some things that decrease patients compliance with medication in
general? - -Lack of education
Side effects
Large/difficult to swallow pills
Long duration/course of medication
-ACE inhibitors such as Lisinopril and captopril are safe for liver dysfunction
patients, but other ACE inhibitors are not. Why? - -Lisinopril and captopril
are not pro drug and are not metabolized by the liver..
-What do you need to know about sublingual nitroglycerin? - -Used for
angina.
, You can take up to three doses, five minutes apart. If chest pain persists, go
to the hospital
Can not be taken with Viagra.
Frequently causes headaches.
-What drug is used as the first line treatment for a newly diagnosed diabetic
type 2 patient? - -Metformin
-Which foods should patients on Warfarin (coumadin) avoid? - -Foods high in
Vitamin K.
Ex - Kale, spinach, Brussel sprouts, collards, mustard greens, chard, broccoli,
asparagus
-Which lab value is most important with diuretic therapy? - -Potassium.
Sodium is also important, but potassium is the most important.
-Which lab value is most important with digoxin therapy? - -Digoxin Lab
Value - 0.5-2
Potassium. (Digoxin can cause dysrhythmias, and digoxin toxicity causes
potassium deficiency. Cardiac drugs in general, potassium lab values are
important)
-What lab values should the nurse watch for a patient on gentamicin
(garamycin) therapy? - -Kidney related labs.
BUN and creatinine.
Gentamicin (garamycin) can cause nephrotoxicity
-What medication would be the first choice to treat genital Herpes? - -
Acyclovir (Zovirax)
-Dobutamine for heart failure is an adrenergic agonist. What does
adrenergic agonist mean? - -Positive ionotropic
Positive chronotropic
Positive dromotropic.
Stimulates heartbeat, maintains electrical conduction, improves pumping.
-List four symptoms of hypoglycemia. - -Dizziness
Shaking
Sweating
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