REx PN 111-300 difficulty Practice Questions Complete Guide 2023/2024

potential adverse complication of propranolol (beat blockers) - Answer development of expiratory wheezes *particularly in pt w/ COPD or asthma antidote for IV heparin therapy - Answer protamine sulphate * use if excessive bleeing/hemorrhage should occur antidote for warfarin sodium - Answer vitamin K medication for potassium deficit - Answer potassium chloride antidote for thrombolytic therapy - Answer Aminocaproic acid early symptoms of BPH - Answer decreased force in stream of urine BPH symptoms as they develop - Answer hematuria frequency/urgency urge incontinence nocturia trimethoprim-sulfamethoxazole intake considerations - Answer drink 8-10 glasses of water per day * used to treat urinary tract infections, middle ear infections (otitis media), bronchitis, traveler's diarrhea, and shigellosis bethanechol chloride contraindication - Answer urinary strictures * as medication has ability to contract bladder and increase pressure within the urinary tract oxybutynin chloride for urge incontinence - possible toxic effect - Answer restlessness from overdosage over dosage ex. nervousness, restlessness, hallucinations, irritability other - hyper/hypotension, confusion, tachycardia, flushed/red face, signs of resp depression early signs of cataracts - Answer Blurred Vision, Decreased color perception use of miotic medication for glaucoma - Answer causes pupil to constrict and will lower pressure in the eye high carbidopa-levodopa dosages adverse effects - Answer Dyskinesia and impaired voluntary movements codeine usage for pt plan of care - Answer monitor VS assess for hypotension increase fluid intake, palpate urinary retention auscultate bowel sounds, monitor bowel activity and stool *this medication can cause constipation Early sign of compartment syndrome - Answer numbness and tingling in fingers late sign of compartment syndrome - Answer cyanosis pt had above knee amputation 2 days ago residual limb was wrapped w/ an elastic compression bandage which came off - IMMEDIATE action the nurse should take - Answer rewrap the residual lumb w/ an elastic compression bandage * as excessive edema will form rapidly, can lead to delay in rehab alendronate for osteoporosis patient administration - Answer with full glass of water after rising in the morning * should not eat/drink for 30 min following administration * do not lie down after taking medication oxazepam medication intervention for older patients - Answer implement fall precautions * confusion is an adverse effect for older clients for this medication the nurse calls the primary health care provider (PHCP) regarding a new medication prescription, because the dosage prescribed is higher than the recommended dosage. The nurse is unable to locate the PHCP and the med is due, what should the nurse take - Answer contact the nursing supervisor * nurse should contact the nurse manager or nursing supervisor for further clarification as to what the next step should be. Under no circumstances should the nurse proceed to carry out the prescription until obtaining clarification. taking TEMPERATURE If temporal equipment is available and the client is diaphoretic - Answer it is acceptable to measure the temperature on the neck behind the ear, avoiding the forehead contact precaution for MRSA to provide colostomy care - Answer gloves, gown, goggles, mask/face shield situation: client cannot sign operative consent form bc of diminished capacity from opioid analgesic, most appropriate action for nurse to take - Answer ensure surgeon obtains consent from a family member following agency policy situation: community nurse visits client for the 1st time; while assessing med history, it is noted 19 prescriptions and several OTC medications, what intervention should be taken first - Answer Determine whether there are medication duplications Duplication of medications needs to be identified before medication interactions can be determined sports to avoid with hemophilia - Answer -Avoid intense contact sports such as football, wrestling, soccer, and high diving. -Avoid trampoline use and riding all-terrain vehicles (ATVs). * safe activity = swimming tonsillectomy postop prescription for a pt - Answer - monitor for bleeding - give no milk and mil products (coats the throat - causes them to clear the throat) - give clear/cool liquids suctioning not performed only if there is an airway obstruction sudden infant death syndrome (SIDS) - Answer sudden unexplained death of a child of less than one year of age. position for new infants for sleep - Answer back rather than on the stomach sunscreen effectiveness - Answer 20-30 min before exposure how is Hepatitis A contracted - Answer transmitted by the fecal-oral route * via contaminated water or food (improperly cooked shellfish) or infected food handlers how is Hepatitis B, C, and D contracted - Answer most commonly via infected blood or body fluids * - such as with intravenous drug abuse - history of blood transfusion, or - unprotected sex with multiple partners. precaution for tuberculosis - Answer particulate respirator gown gloves Lyme disease - Answer Tick-borne disease caused by the spirochete Borrelia burgdorferi. most appropriate maintenance goal for chronic anxiety in a patient - Answer identifying anxiety producing situations highest priority teaching when using Phenobarbital (anticonvulsant/sedative) - Answer avoid drinking alcohol while taking this medication Erikson's Psychosocial Theory - Answer stage theory of psychosocial development, lifespan consists of eight dilemmas that must be solved correctly in order to solve the next dilemma 2 yo capabilities - Answer able to use a cup and spoon correctly but w/ spilling 3-4 yo capabilities - Answer child begins to use a fork