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NURS 488 Final Exam 2025 ACCURATE SRING EXAM COMPLETE 100 QUESTIONS GRADED A+, Exams of Nursing

NURS 488 Final Exam 2025 ACCURATE SRING EXAM COMPLETE 100 QUESTIONS GRADED A+

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2024/2025

Available from 12/03/2024

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NURS 488 Final Exam 2025 ACCURATE SRING
EXAM COMPLETE 100 QUESTIONS GRADED
A+
What is the class of acetaminophen?
Non opiod analgesic
What are the uses of acetaminophen?
Pain and fever, not inflammation
What are the adverse effects of acetaminophen?
Hepatotoxicity and liver necrosis at high doses/overdose
What are important nursing considerations for acetaminophen?
- Need to know liver health
- Need to know alcohol use
What is the class of Tramadol?
Opioid analgesic
What are the uses of Tramadol?
Pain management
What are the adverse effects of Tramadol?
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Download NURS 488 Final Exam 2025 ACCURATE SRING EXAM COMPLETE 100 QUESTIONS GRADED A+ and more Exams Nursing in PDF only on Docsity!

NURS 488 Final Exam 2025 ACCURATE SRING

EXAM COMPLETE 100 QUESTIONS GRADED

A+

What is the class of acetaminophen? Non opiod analgesic What are the uses of acetaminophen? Pain and fever, not inflammation What are the adverse effects of acetaminophen? Hepatotoxicity and liver necrosis at high doses/overdose What are important nursing considerations for acetaminophen?

  • Need to know liver health
  • Need to know alcohol use What is the class of Tramadol? Opioid analgesic What are the uses of Tramadol? Pain management What are the adverse effects of Tramadol?
  • Decreased CNS
  • Constipation
  • Respiratory depression
  • Serotonin syndrom What are important nursing considerations for Tramadol?
  • Monitor BP and respiratory rate
  • Assess liver and renal function What is Tramadol often mixed with? Acetaminophen - creates tramacet What is the class of Diclofenac (Voltaren)? Nonopioid analgesic/NSAID What are the uses of Diclofenac (Voltaren)?
  • Pain
  • Gout/Arthritis
  • Migraine What are the adverse effects of Diclofenac (Voltaren)?
  • Dizziness
  • Headaches
  • Stevens-Johnson syndrome

What are important nursing considerations for Acetylcysteine (Mucomyst)?

  • Monitor pulmonary status What is the class of Codeine? Opioid analgesic/Antitussive What are the uses of Codeine?
  • Pain management
  • Cough suppression What are the adverse effects of Codeine?
  • Sedation
  • Constipation
  • Decreased respiratory rate What are important nursing considerations for Codeine?
  • Monitor vitals
  • Monitor level of consciousness
  • Monitor for dependency What is the class of Naloxone (Narcan)? Opiate antagonist

What is the route of Naloxone (Narcan)?

  • Intramuscular (IM)
  • Intravenous (IV)
  • Subcutaneous
  • Oral (PO)
  • Intranasal What are the uses of Naloxone (Narcan)? Treats narcotic overdoses What are the adverse effects of Naloxone (Narcan)?
  • Withdrawal symptoms
  • Tachycardia
  • N&V What are important nursing considerations for Naloxone (Narcan)?
  • Knocks the opiates off of the receptors, thus bringing back pain What is the class of Morphine? Opioid analgesic What is the route of Morphine?
  • IV

What are the adverse effects of Oxycodone (Percocet)?

  • Respiratory depression
  • Sedation
  • Constipation
  • Nausea and vomiting
  • Pruritus What are important nursing considerations for Oxycodone (Percocet)?
  • Monitor vitals
  • Monitor level of consciousness
  • Monitor for dependency What is the class of Hydromorphone (Dilaudid)? Opioid analgesic What are the uses of Hydromorphone (Dilaudid)? Moderate to severe pain What are the adverse effects of Hydromorphone (Dilaudid)?
  • Respiratory depression
  • Sedation
  • Constipation
  • Nausea and vomiting
  • Pruritus What are important nursing considerations for Hydromorphone (Dilaudid)?
  • Monitor vitals
  • Monitor level of consciousness
  • Monitor for dependency What is the class of ketorolac (Toradol)? NSAID What are the uses of ketorolac (Toradol)?
  • acute pain
  • Inflammation What are the adverse effects of ketorolac (Toradol)?
  • Drowsiness
  • Steven-Johnson's syndrome
  • GI bleed What are important nursing considerations for ketorolac (Toradol)?
  • Monitor BP
  • Monitor for signs of bleeding

What is Chvostek's sign? Push the cheek and it spasms (low calcium) What is Trousseau's sign? BP cuff inflated and causes a carpal spasm. i.e abnormal flextion of the arm and hand (Low calcium) What is the treatment for hypernatremia?

  • Restrict the sodium
  • Indcrease fluid intake
  • Daily weights in order to check for fluid changes. What is the treatment for hyponatremia?
  • Restrict fluid intake
  • Administer loop diuretics
  • Increase sodium intake Why do NSAIDS interact with anticoagulants? NSAIDS have anticoagulant properties, taking them with anticoagulants increase bleeding risk What are antipyretics?

Fever reducers

  • Includes acetaminophen and NSAIDS What is opioid tolerance?
  • A common physiologic result of chronic opioid treatment
  • Results in a larger dose of medicine required to maintain the same level of analgesia What is opioid dependency? Body experiences withdrawl symptoms if medication is abruptly stopped What is opioid addiction? Impared control over drug use What is the best way to control pain? With scheduled doses and analgesics in combination with nonpharmacuetical pain management What is breakthrough pain? Severe pain that comes on suddenly in people who are taking medications that usually keep their pain under control. How frequently does pain need to be assessed? At least every two hours

What do all opioids have negative interactions with?

  • Alcohol
  • Antihistamines
  • Barbiturates
  • MAOIs (Anything that has an effect on CNS) What is paralytic ileus? Paralysis of the bowel What are barriers to effective pain management?
  • Tolerance
  • Physical dependence
  • Additction
  • Lack of education on pain management What is the class of Gentamicin? antibiotic, aminoglycoside What is the route of Gentamicin?
  • IM
  • IV
  • topical

What are the uses of Gentamicin? Serious infections (Bone and soft tissue) What are the adverse effects of Gentamicin?

  • nephrotoxicity
  • ototoxicity
  • neuromuscular blockade What are important nursing considerations for Gentamicin?
  • Monitor hearing level
  • Monitor for opprotunistic infection What is the class of Oseltamivir (Tamiflu)? Antiviral agent What are the uses of Oseltamivir (Tamiflu)?
  • Influenza What are the adverse effects of Oseltamivir (Tamiflu)?
  • Headache
  • Dizziness
  • N&V
  • Herpes managment
  • Varicella zoster virus What are the adverse effects of Acyclovir (Zovirax)?
  • Lethargy
  • Rash
  • Headache What is the class of Metronidazole (Flagyl)? Antibiotic/Antiprotozoal What are the uses of Metronidazole (Flagyl)?
  • Lower repiratory tract infections
  • CNS infections
  • Abdominal infections What are the adverse effects of Metronidazole (Flagyl)?
  • Headache
  • Dizziness
  • N&V
  • Diarrhea What are important nursing considerations for Metronidazole (Flagyl)?
  • Educate patient tp avoid alcohol
  • Monitor for C Diff What is the class of Tetracycline? Antibiotic What are the uses of Tetracycline? Broad spectrum antibiotic when penicillins are contraindicated What are the adverse effects of Tetracycline?
  • photosensitivity
  • nausea
  • vomiting
  • diarrhea What are important nursing considerations for Tetracycline?
  • Needs to be taken on an empty stomach
  • Avoid taking with dairy What is the class of Ampicillin? Penicillin What are the uses of Ampicillin? mild-moderate bacterial infections

What are the uses of cephalexin (Keflex) and cefazolin (Ancef)? Gram negative bacteria What are the adverse effects of cephalexin (Keflex) and cefazolin (Ancef)?

  • puritus
  • diarrhea
  • superinfection What is the class of ciprofloxacin (Cipro®)? Fluoroquinolone antibiotic What are the uses of ciprofloxacin (Cipro®)?
  • Urinary tract infections
  • Salmonella
  • Pneumonia What are the adverse effects of ciprofloxacin (Cipro®)?
  • Headache
  • Restlessness
  • Dizziness
  • N&V
  • Rash

What is the class of Fluconazole (Diflucan)? Antifungal agent What are the uses of Fluconazole (Diflucan)?

  • Canidida infections What are the adverse effects of Fluconazole (Diflucan)?
  • QT prolongation
  • Headache
  • N&V
  • Steven-Johnson syndrome What are important nursing considerations for Fluconazole (Diflucan)?
  • Monitor for jaundice What is prophylactic therapy? treatment aimed at preventing infection What is empirical therapy?
  • Therapy that begins before the etiologic agent can be identified
  • Based on most likely pathogen and drug most likely to be effective.