NURS133 exam 2 updated questions and
answers 2024/2025
TB - ANSWERS chronic, recurrent, infectious and caused by the organism
mycobacterium tuberculosis. Symptoms and signs of active TB are:-bad cough
lasting longer than two weeks.-pain in the chest-coughing up blood or sputum
(mucus).-fatigue or weakness.-loss of appetite-unexplained weight loss-chills and
fevers-night sweats
IM Injection - ANSWERS Locations: Deltoid, vastus lateralis, and ventrogluteal. 90
-degree angle Spread skin taut between thumb and forefinger Insert needle using
a quick, darting motion Inject medication slowly. Hold needle in place for 10
seconds to prevent leak back. No aspiration
Heparin - ANSWERS Anticoagulant- prevents new clots from forming, given for
peripheral arterial occlusion, STEMI, NON-STEMI's, reversal is protamine, monitor
Hgb, Hct, platelets, aPTT and/or heparin assay, may cause bruising, anaphylactic
shock, vasospasm, unwanted bleeding
Warfarin - ANSWERS Inhibits synthesis of vitamin K dependent clotting factors,
including prothrombin and factor X, has a slow onset, monitor pT, antidote is
Vitamin K.
Oseltamivir - ANSWERS Tamiflu / Treatment of acute, uncomplicated influenza in
patients 2 weeks of age and older who have been symptomatic for no more than
2 days.• Prophylaxis of influenza in patients 1 year and older.• Not a substitute
, for the influenza vaccine• If given within 48 hours of symptom onset will shorten
the normal 7-day duration to 5 days• Contraindicated - known hypersensitivity to
the drug or its components• Drug Interactions - Live attenuated vaccines,
intranasal (Must wait 2 weeks after a live vaccine or 48 hours after taking
Oseltamivir before getting a live vaccine.• Since medication is pricey and had
modest results vaccination is the best alternative• Treatment of acute,
uncomplicated influenza in patients 2 weeks of age and older who have been
symptomatic for no more than 2 days.• Prophylaxis of influenza in patients 1 year
and older.• Not a substitute for the influenza vaccine• If given within 48 hours of
symptom onset will shorten the normal 7-day duration• Contraindicated - known
hypersensitivity to the drug or its components• Drug Interactions - Live
attenuated vaccines,intranasal (Must wait 2 weeks after a live vaccine or 48 hours
after taking Oseltamivir before getting a live vaccine.• Since medication is pricey
and had modest results vaccination is the best alternative When to call your
provider• Child has confusion, speech problems, shaky movements, seizures, or
start hearing voices or seeing things that are not there (hallucinations).• Serious
skin and allergic reactions Administration With or without food - Taking with food
may decrease chance of stomach upset
Apixaban - ANSWERS Given PO to prevent post-op DVT and for treatment of PE,
Monitor CBC, PTT, PT, creatinine and liver functions. Monitor for signs of bleeding
that is not normal, Not for patients with artificial heart valve.
Phenytoin/Dilantin - ANSWERS anticonvulsant/antiseizure, stabilize the neuronal
membranes and decrease the seizure activity, monitor Dilantin levels, May
discolor urine-(brown or brown/red) can have tissue damage if IV infiltrate• avoid
infusing in veins in the hand (Purple Glove Syndrome)• baseline vital signs• labs
especially renal function, LFT's, amylase, lipase, side affects include: confusion,
slurred speech, cardiac dysrhythmias, hypotension, hyperglycemia• gingival
hyperplasia• vitamin D deficiency
