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ATI PROCTORED LATEST EXAM
MATERNAL NEWBORN CMS DETAILED
QUESTIONS AND VERIFIED ANSWERS
question-med dosages meed to be decreased... - answer-if in liver failure or concurrent use of meds metabolized by the same pathway question-eye drop administration - answer-surgical aseptic technique question-nurse legal responsibilites - answer-skill competency monitor adverse effects safe guard meds Luminal (seizures) - answer-long half life: take once a day question-trough blood draw - answer-immediately before next dose question-peak blood draw - answer-IV - 30 minutes after completion question-meds have to bind with... - answer-receptors question-patient refuses meds - answer-determine reason
provide info of the risks notify MD document question-nurse notes MD has doubled previous dose - answer-check w/MD question-meds given on regular schedule - answer-routine order question-red line on affected extremity palpable, hard mass or band on insertion site pain at site - answer-phlebitis question-catheter embolism - answer-small portion of catheter breaks off and enter venous system question-minimize risk of catheter embolism - answer-once in vein, never put stylet back through the catheter question-symptoms of fluid overload - answer-shortness of breath crackles in lungs distended neck veins question-concurrent use of coumadin and aspirin..... - answer-increases risk of bleeding
question-a client taking Buspar for 3 days calls and says not helping to sleep or w anxiety. Nurse response... - answer-initial response to Buspar takes 1 week. Several weeks to reach therapeutic peak question-client taking Paxil complains of teeth grinding (Bruxism). Nurse response... - answer- add Buspar use a mouthguard any SSRI caused bruxism, so change class question-client taking Nardil for depression should be monitored for... - answer-orthostatic hypotension (all MAOIs can cause orthostatic hypotension) question-side effects of Elavil - answer-orthostatic hypotension dry mouth question-drug glass that interacts with tyramines - answer-MAOIs question-adverse affect of Prozac - answer-sexual dysfuntion question-signs of seratonin sydrome - answer-change in mental status, tremors, hyperreflexia question-lithium level - answer-0.4 - 1. question-NSAIDs interact with... - answer-lithium
question-teaching client to avoid lithium toxicity... - answer-avoid activities that could cause sodium/water depletion question-adverse affect of lithium - answer-tremors question-client taking Depakote, monitor these labs (3) - answer-thrombocyte count amylasel level liver function question-schizophrenia positive symptoms relate to: - answer-behavior, thought, speech question-schizophrenia negative symptoms relate to: - answer-social withdrawal, lack of emotion, lack of energy question-client taking Thorazine would have improvement in which symptoms... - answer- positive symptoms question-client taking Proloxin c/o anticholinergic effects - answer-chew gum sip liquids suck hard candy question-several hours after administering a typical antipsychotic monitor: - answer-acute dystonia (neck spasms)
question-Mirapex (Parkinson's Disease) side effects - answer-hallucinations question-after instilling eye drops press... - answer-nasolacrimal duct w/a gloved hand and clean tissue for 30 to 60 seconds question-Alphagan (opthamalic) - answer-take contact lens out and wait 15 minutes to avoid interaction question-angle-closure glaucoma... - answer-halos around lights question-client diagnosed with malignant hyperthermia caused by (Anectine) succinylcholine should be given... - answer-Dantrium, to slow the metabolic activity of the muscles question-K+ levels - answer-3.5 - 5. question-abrupt withdrawal from baclofen cause...s - answer-seizures question-Ditropan treats: - answer-urge to void nocturia question-Valium - answer-monitor for respiratory depression
question-Intal - answer-prophylactic treatment of asthma for long term control take on a fixed dose schedule not used to abort an asthma attack question-QVAR (glucocorticoid) tx: asthma - answer-use a spacer rinse mouth to avoid thrush engage in weight bearing exercise and ensure adequate calcium and vitamin D to prevent bone loss question-client give QVAR and albuterol... - answer-take albuterol (bronchodilation) 5 min before the QVAR question-glucocorticoid side effects - answer-weight gain fluid retention question-avoid caffeine when taking... - answer-theophylline question-side effects of phenylephrine after 5 days of use - answer-rebound nasal congestion question-self administering nasal drops - answer-lateral w head in low position to avoid swallowing
question-side effect of Catapres - answer-dry mouth drowsiness question-side effect of Vasotec - answer-dry cough question-side effects of digoxin - answer-fatigue anorexia diplopia question-food high in potassium - answer-spinach question-client on mononitrate develops tachycardia, give: - answer-Metoprolol question-removing Nitro-Dur patch at night... - answer-builds tolerance question-if taking Ranexa avoid concurrent use of... - answer-Digoxin Zocor Calan can lead to torsades de pointes question-Cordarone - answer-long half life
question-severe hypotension can be reversed by taking - answer-Calcium chloride question-client taking digoxin can avoid digoxin toxicity by avoiding - answer-lasix question-Inderal - answer-check apical pulse before each dose take w/ food notify MD w/change in heart rate question-Mevacor - answer-take w/evening meal question-Lopid adverse effect - answer-hepatotoxicity watch for Jaundice question-to monitor heparin drip effectiveness, monitor - answer-aPTT question-heparin antidote - answer-protamine sulfate question-thrombolytic therapy complication - answer-bleeding. Avoid IM or sub Q injections, apply pressure at puncture sites, administer Amicar (reverses thrombolytic effects) question-aspirin - answer-coffee ground emesis tinnitus bruising
women of child bearing age question-Kava - answer-can cause liver damage question-feverfew used for - answer-migraine headaches question-gingko biloba interacts with... - answer-ibuprofen, coumadin (bleeding) tofranil (seizures) question-contraindication to estrogen therapy - answer-estrogen dependent cancer thromboembolitic disease question-side effect of Flomax - answer-hypotension question-contraindicated for Viagra - answer-Isordil question-Brethine - answer-stops uterine contractions question-Soganol (used to treat RA) adverse effects - answer-stomatitis (sores in mouth) bruising pruritus (itching) question-Rheumatrex - answer-Cat X
question-Enbrel - answer-sub Q only question-Sandimmune (treats RA) interaction - answer-E-mycin question-adverse effects of Evista - answer-hot flashes swelling, redness in calf shortness of breath question-Fosamax - answer-take in am before meal take w water avoid laying down for 30 minutes question-Miacalcin - answer-given to decrease bone resorption of calcium question-toradal - answer-safe to give w/morphine sulfate question-do not use longer than 48 hours - answer-Demerol question-opioid available in patch - answer-Fentanyl question-anticonvulsants treat - answer-neuropathic pain
given in thighs or abdomen do not mix question-synthroid - answer-start w a low dose question-Genotropin - answer-increases glucose levels question-Vasopressin side effect - answer-hypertension question-rotavirus vaccine - answer-only given to infants question-combination chemotherapy - answer-decreases medication resistence attacks cancer cells at different stages of cell growth reduces the dosage of each chemotherapy agent question-Mesnex treats: - answer-hemorrhagic cystitis question-leucovorin used to: - answer-protect healthy cells from chemo drugs question-tamoxifen therapy side effect - answer-endometrial cancer question-prophylactic antibiotics are used.... - answer-before orthopedic, cardiac, GI, surgeries
question-tetracycline - answer-avoid milk question-gentamicin side effect - answer-nephrotoxicity question-cipro adverse reactions - answer-achilles tendon rupture achilles tendon pain yeast infection question-Vit B and Isoniazid to prevent - answer-neuropathy question-HAART (treats HIV) 3 or 4 meds in combination to: - answer-decrease medication resistance reduce adverse medication effects reduce the medication dosages question-NRTI (treats HIV) adverse effects - answer-N/V hyperventilation fatigue question-ritonavir adverse reactions - answer-hyperglycemia diabetes question-Fuzeon (treats HIV) adverse reaction - answer-pneumonia
