NURS 2080 Exam 3 Success Guide-
Simplified Notes + Key Concepts (A+
Grade)
What are common side effects of Baclofen?
Drowsiness, dizziness, weakness
What are serious adverse effects of Baclofen ?
respiratory depression, sever sedation, and seizures with abrupt withdrawal
What does phenytoin treat?
Seizures
What are common side effects of Phenytoin?
Drowsiness, dizziness, gingival hyperplasia, ataxia
What are serious adverse effects of phenytoin?
Drug toxicity, severe skin reaction, teratogenic effects
What does morphine treat?
Pain (strong opioid analgesic)
What are common side effects of hydralizine?
headache, dizziness, hypotension, palpitations (compensatory tachycardia)
What is the onset, peak, and duration of Short acting (regular) insulin?
Onset: 30-60 min
Peak: 2-4 hours
Duration: 5-8 hours
What is diabetic ketoacidosis?
NO insulin, cell starvation, body burns fat (ketones), blood becomes acidic
What is hyperosmolar hyperglycemic state?
high blood sugar, sugar spills into urine, severe dehydration, blood becomes very concentrated,
confusion/coma
What is the onset, peak, and duration of intermediate acting (NPH) insulin?
Onset: 1-2 hours
Peak: 4-12 hours
Duration: 12-18 hours
What does glargine, detemir, and degludee treat?
hyperglycemia (long acting basal insulin)
How does metformin treat diabetes?
lowers liver production of glucose
What is the biggest risk when taking metformin?
lactic acidosis
What is lactic acidosis?
excessive buildup of lactic acid in the blood causing low pH
How does Glipizide treat diabetes?
stimulates pancreas to release insulin
What is the biggest risk when taking Glipizide?
hypoglycemia
How do SGLT2 Inhibitors (Empaglifozin) treat diabetes?
,causes glucose to be excreted in the urine
What is the biggest risk when taking Empaglifozin?
UTI and euglycemic DKA
How do DPP4 inhibitors (Sitigliptan) treat diabetes?
enhance incretin effect to moderate glucose lowering
What does levothyroxine treat?
Hypothyroidism (must be taken on empty stomach)
How does levothyroxine treat hypothyroidism?
mimics synthetic T4
A nurse is caring for an adult client who has attempted suicide. The client tells the nurse he
is calling his family to come pick him up. Which of the following actions by the nurse is
appropriate when the client insists on leaving the facility against medical advice?
discuss risks associated with leaving
A nurse is caring for a client who is receiving parenteral nutrition through a nontunneled
central venous catheter and reports hearing a gurgling sound on the side of the catheter.
The nurse suspects the catheter has migrated to the jugular vein. Which of the following
actions should the nurse take first?
stop the infusion
A nurse is reinforcing teaching with the caregiver of a client who has aphasia. The nurse
should include which of the following communication strategies in the teaching?
cue client by providing cards that portray common needs
A nurse is caring for a child who is 24 hr postoperative following a supratentorial
craniotomy. The nurse should maintain the child in which of the following positions?
supine with head of the bed (HOB) elevated to 30 degrees
A nurse working in a hospice facility is talking to a client's son who is distressed because
his mother cries frequently and says she wants to die. Which of the following responses by
the nurse is appropriate?
"Let's discuss some strategies you can use when this happens again."
A nurse working in a provider's office is reinforcing teaching with a client who is 14 weeks
of gestation. The nurse should instruct the client to immediately notify the provider if she
experiences which of the following?
Facial edema
A nurse is caring for a child who has leukemia and is prescribed a transfusion of platelets.
Which of the following should the client experience as a result of the transfusion?
Reduced bleeding time
A nurse is reinforcing teaching with a client who is prescribed buspirone (BuSpar). Which
of the following statements by the client indicates an understanding of the teaching?
"I can have 1-2 alcoholic beverages a week."
A nurse is caring for a school-age child who is newly diagnosed with type 1 diabetes
mellitus. Which of the following actions by the nurse is appropriate to prepare the child for
administration of insulin?
Allow the child to manipulate the medical equipment
A nurse is caring for a client who has a urinary tract infection and is prescribed
ciprofloxacin (Cipro). The client exhibits urticaria and angioedema following
administration of the medication. Which of the following is the first action the nurse should
take?
,Determine respiratory status
A nurse is caring for a client who was admitted for acute alcohol delirium withdrawal 2
days ago. Which of the following findings is associated with this diagnosis?
Elevated temperature
A charge nurse on the pediatric unit is making assignments for a nurse who has floated
from the labor and delivery unit. Which of the following clients is appropriate for the
charge nurse to assign?
an adolescent who is 2 days post operative following an appendectomy
A nurse at a long-term care facility is participating in a quality improvement project to
reduce the occurrence of pressure ulcers. Which of the following audits should be
conducted to determine the impact of a new skincare regimen on the incidence of pressure
ulcers among clients who are immobile?
Outcome audit
A nurse is caring for a client who has an acid-base imbalance. For which of the following
manifestations is metabolic alkalosis a possible complication?
Excessive vomiting
A nurse is reinforcing teaching about client consent to treatment with a group of newly
licensed nurses. Which of the following statements by a newly licensed nurse indicates a
need for further teaching?
"It is the responsibility of the provider to obtain express consent."
A nurse is caring for a client who is diabetic and is being discharged home following an
above-the-knee amputation. Which of the following health care professionals should be
involved in the client's interdisciplinary team meeting? (Select all that apply.)
Dietitian
Physical therapist
Social Work
What are common opioid side effects?
constipation, NV, sedation
What are high risk opioid adverse effects?
respiratory depression, hypotension, severe sedation
What does Naloxone treat?
opioid overdose
What does tramadol treat?
pain (nonopioid analgesic)
What does sumatriptan treat?
migraines
What are common side effects of sumatriptan?
chest tightness, dizziness, fatigue
What are serious adverse effects of sumatriptan?
vasoconstriction, cardiovascular complication, seratonin syndrome
What does methylphenidate treat?
ADHD
What are common side effects of methylphenidate?
insomnia, weight loss, decreased apetite
What are serious adverse effects of methylphenidate?
cardiovascular effects, risk of misuse
, What does amlodipine treat?
blood pressure and angina (CCB)
What are common side effects of Amlodipine?
hypotension, dizziness, peripheral swelling, constipation
What does hydralizine treat?
hypertension (vasodilator)
A nurse is caring for a neonate who was delivered at 30 weeks of gestation after his mother
received two injections of betamethasone (Celestone). Because of the administration of
betamethasone to the client's mother, the nurse should monitor the neonate for which of
the following effects?
Hypoglycemia
A nurse has assigned four tasks to an assistive personnel (AP). Which of the following
should the nurse instruct the AP to perform first?
Take an ABG specimen to laboratory
A nurse is caring for a client who had a cerebrovascular accident 2 days ago. Which of the
following is the first sign of increased intracranial pressure (ICP)?
Lethargy
A nurse working in a provider's office is reinforcing teaching with a client who is 36 weeks
of gestation and has experienced a premature rupture of membranes. Which of the
following statements by the client indicates a need for additional teaching?
"I will have my husband should wear a condom during intercourse."
NO SEX with PROM
Who is considered the founder of modern nursing?
Florence Nightingale
What did Florence Nightingale establish?
The first training school for nurses
What is the central focus of nursing care?
The patient
What role did Clara Barton play during the Civil War?
Volunteered to care for wounds and feed Union soldiers
What organization did Clara Barton establish?
The Red Cross in the United States
Who served as superintendent of the Female Nurses of the Army during the Civil War?
Dorothea Dix
What are the four aims of nursing?
Promoting health, preventing illness, restoring health, facilitating coping with disability and
death
What is the definition of nursing according to the International Council of Nurses?
Nursing encompasses autonomous and collaborative care of individuals of all ages, families,
groups, and communities.
What is the primary focus of nursing definitions?
The patient
What skill is used by a nurse developing a care plan for an expectant mother of triplets?
Cognitive skill
What is one way nurses promote health?
Simplified Notes + Key Concepts (A+
Grade)
What are common side effects of Baclofen?
Drowsiness, dizziness, weakness
What are serious adverse effects of Baclofen ?
respiratory depression, sever sedation, and seizures with abrupt withdrawal
What does phenytoin treat?
Seizures
What are common side effects of Phenytoin?
Drowsiness, dizziness, gingival hyperplasia, ataxia
What are serious adverse effects of phenytoin?
Drug toxicity, severe skin reaction, teratogenic effects
What does morphine treat?
Pain (strong opioid analgesic)
What are common side effects of hydralizine?
headache, dizziness, hypotension, palpitations (compensatory tachycardia)
What is the onset, peak, and duration of Short acting (regular) insulin?
Onset: 30-60 min
Peak: 2-4 hours
Duration: 5-8 hours
What is diabetic ketoacidosis?
NO insulin, cell starvation, body burns fat (ketones), blood becomes acidic
What is hyperosmolar hyperglycemic state?
high blood sugar, sugar spills into urine, severe dehydration, blood becomes very concentrated,
confusion/coma
What is the onset, peak, and duration of intermediate acting (NPH) insulin?
Onset: 1-2 hours
Peak: 4-12 hours
Duration: 12-18 hours
What does glargine, detemir, and degludee treat?
hyperglycemia (long acting basal insulin)
How does metformin treat diabetes?
lowers liver production of glucose
What is the biggest risk when taking metformin?
lactic acidosis
What is lactic acidosis?
excessive buildup of lactic acid in the blood causing low pH
How does Glipizide treat diabetes?
stimulates pancreas to release insulin
What is the biggest risk when taking Glipizide?
hypoglycemia
How do SGLT2 Inhibitors (Empaglifozin) treat diabetes?
,causes glucose to be excreted in the urine
What is the biggest risk when taking Empaglifozin?
UTI and euglycemic DKA
How do DPP4 inhibitors (Sitigliptan) treat diabetes?
enhance incretin effect to moderate glucose lowering
What does levothyroxine treat?
Hypothyroidism (must be taken on empty stomach)
How does levothyroxine treat hypothyroidism?
mimics synthetic T4
A nurse is caring for an adult client who has attempted suicide. The client tells the nurse he
is calling his family to come pick him up. Which of the following actions by the nurse is
appropriate when the client insists on leaving the facility against medical advice?
discuss risks associated with leaving
A nurse is caring for a client who is receiving parenteral nutrition through a nontunneled
central venous catheter and reports hearing a gurgling sound on the side of the catheter.
The nurse suspects the catheter has migrated to the jugular vein. Which of the following
actions should the nurse take first?
stop the infusion
A nurse is reinforcing teaching with the caregiver of a client who has aphasia. The nurse
should include which of the following communication strategies in the teaching?
cue client by providing cards that portray common needs
A nurse is caring for a child who is 24 hr postoperative following a supratentorial
craniotomy. The nurse should maintain the child in which of the following positions?
supine with head of the bed (HOB) elevated to 30 degrees
A nurse working in a hospice facility is talking to a client's son who is distressed because
his mother cries frequently and says she wants to die. Which of the following responses by
the nurse is appropriate?
"Let's discuss some strategies you can use when this happens again."
A nurse working in a provider's office is reinforcing teaching with a client who is 14 weeks
of gestation. The nurse should instruct the client to immediately notify the provider if she
experiences which of the following?
Facial edema
A nurse is caring for a child who has leukemia and is prescribed a transfusion of platelets.
Which of the following should the client experience as a result of the transfusion?
Reduced bleeding time
A nurse is reinforcing teaching with a client who is prescribed buspirone (BuSpar). Which
of the following statements by the client indicates an understanding of the teaching?
"I can have 1-2 alcoholic beverages a week."
A nurse is caring for a school-age child who is newly diagnosed with type 1 diabetes
mellitus. Which of the following actions by the nurse is appropriate to prepare the child for
administration of insulin?
Allow the child to manipulate the medical equipment
A nurse is caring for a client who has a urinary tract infection and is prescribed
ciprofloxacin (Cipro). The client exhibits urticaria and angioedema following
administration of the medication. Which of the following is the first action the nurse should
take?
,Determine respiratory status
A nurse is caring for a client who was admitted for acute alcohol delirium withdrawal 2
days ago. Which of the following findings is associated with this diagnosis?
Elevated temperature
A charge nurse on the pediatric unit is making assignments for a nurse who has floated
from the labor and delivery unit. Which of the following clients is appropriate for the
charge nurse to assign?
an adolescent who is 2 days post operative following an appendectomy
A nurse at a long-term care facility is participating in a quality improvement project to
reduce the occurrence of pressure ulcers. Which of the following audits should be
conducted to determine the impact of a new skincare regimen on the incidence of pressure
ulcers among clients who are immobile?
Outcome audit
A nurse is caring for a client who has an acid-base imbalance. For which of the following
manifestations is metabolic alkalosis a possible complication?
Excessive vomiting
A nurse is reinforcing teaching about client consent to treatment with a group of newly
licensed nurses. Which of the following statements by a newly licensed nurse indicates a
need for further teaching?
"It is the responsibility of the provider to obtain express consent."
A nurse is caring for a client who is diabetic and is being discharged home following an
above-the-knee amputation. Which of the following health care professionals should be
involved in the client's interdisciplinary team meeting? (Select all that apply.)
Dietitian
Physical therapist
Social Work
What are common opioid side effects?
constipation, NV, sedation
What are high risk opioid adverse effects?
respiratory depression, hypotension, severe sedation
What does Naloxone treat?
opioid overdose
What does tramadol treat?
pain (nonopioid analgesic)
What does sumatriptan treat?
migraines
What are common side effects of sumatriptan?
chest tightness, dizziness, fatigue
What are serious adverse effects of sumatriptan?
vasoconstriction, cardiovascular complication, seratonin syndrome
What does methylphenidate treat?
ADHD
What are common side effects of methylphenidate?
insomnia, weight loss, decreased apetite
What are serious adverse effects of methylphenidate?
cardiovascular effects, risk of misuse
, What does amlodipine treat?
blood pressure and angina (CCB)
What are common side effects of Amlodipine?
hypotension, dizziness, peripheral swelling, constipation
What does hydralizine treat?
hypertension (vasodilator)
A nurse is caring for a neonate who was delivered at 30 weeks of gestation after his mother
received two injections of betamethasone (Celestone). Because of the administration of
betamethasone to the client's mother, the nurse should monitor the neonate for which of
the following effects?
Hypoglycemia
A nurse has assigned four tasks to an assistive personnel (AP). Which of the following
should the nurse instruct the AP to perform first?
Take an ABG specimen to laboratory
A nurse is caring for a client who had a cerebrovascular accident 2 days ago. Which of the
following is the first sign of increased intracranial pressure (ICP)?
Lethargy
A nurse working in a provider's office is reinforcing teaching with a client who is 36 weeks
of gestation and has experienced a premature rupture of membranes. Which of the
following statements by the client indicates a need for additional teaching?
"I will have my husband should wear a condom during intercourse."
NO SEX with PROM
Who is considered the founder of modern nursing?
Florence Nightingale
What did Florence Nightingale establish?
The first training school for nurses
What is the central focus of nursing care?
The patient
What role did Clara Barton play during the Civil War?
Volunteered to care for wounds and feed Union soldiers
What organization did Clara Barton establish?
The Red Cross in the United States
Who served as superintendent of the Female Nurses of the Army during the Civil War?
Dorothea Dix
What are the four aims of nursing?
Promoting health, preventing illness, restoring health, facilitating coping with disability and
death
What is the definition of nursing according to the International Council of Nurses?
Nursing encompasses autonomous and collaborative care of individuals of all ages, families,
groups, and communities.
What is the primary focus of nursing definitions?
The patient
What skill is used by a nurse developing a care plan for an expectant mother of triplets?
Cognitive skill
What is one way nurses promote health?
