RNSG 1301 STUDY LATEST EXAMS ALL QUESTIONS
AND ANSWERS SURE A+
✔✔Patient teaching for diuretics in general - ✔✔- Take in the morning to avoid
interference
with sleep patterns
- Eat more potassium-rich foods when taking
any but the potassium-sparing drugs
- Change positions slowly
- monitor for digitalis toxicity
- Diabetics taking thiazides and/or loops should
watch for elevated glucose
- If nausea, vomiting, and/or diarrhea should notify their physician due to fluid loss
- Signs & symptoms of hypokalemia include muscle weakness, constipation, irregular
pulse rate, and overall feeling of lethargy
- Excessive consumption of licorice can lead to an additive hypokalemia
- Notify the physician immediately if:
• Rapid heart rates or syncope (reflects
hypotension or fluid loss)
• Weight gain of 2 or more pounds a day or 5 or
more pounds a week
✔✔OTC med usage for common cold symptoms - ✔✔
, ✔✔Patient teaching for topical nasal decongestants (ch 54) - ✔✔- Proper administration
to ensure therapeutic effect.
- Patient should clear the nasal passages before use, to tilt the head back when
applying drops/spray. Remain tilted to prevent trickle down the back of throat, which
causes systemic effects.
- Drug should not be used for longer than 5 days and seek medical care if signs and
symptoms persist after that time.
- Caution pt that these drugs are found OTC and should not be combine w/ other drugs
w/ same ingredients which could lead to overdose.
- Provide safety measures if dizziness or sedation occurs.
- Institute other measures to help relieve the discomfort of congestion (humidifier,
increase fluid intake, cool place, avoid smoke)
✔✔Action of enoxaparin (ch 48) - ✔✔prevents thrombus formation by potentiating the
inhibitory effect of antithrombin on factor Xa and IIa thrombin. Enoxaparin is a low
molecular weight heparin.
✔✔Patient teaching for phenothiazines (ch 59) - ✔✔- Warn patients about driving or
performing any hazardous tasks
- Antiemetics mixed with alcohol may cause severe CNS depression
- Change position slowly to avoid hypotensive effects
- Caution should be used w/ pt's w/ renal dysfunction, moderate liver impairment, active
peptic ulcer, or during pregnancy and lactation.
✔✔Adverse effects of loop diuretics (ch 51) - ✔✔- Related to the imbalance in
electrolytes and fluid
- Hypokalemia
- Alkalosis
- Hypocalcemia
✔✔Antidote for heparin (ch 48) - ✔✔protamine sulfate
✔✔Diuretic for glaucoma (ch 51) - ✔✔Carbonic Anhydrase Inhibitors
- Acetazolamide
Osmotic Diuretic
- Mannitol
✔✔Evaluating effectiveness of diuretics (ch 51) - ✔✔• Edema associated with
congestive heart failure
• Acute pulmonary edema
• Liver disease (including cirrhosis)
• Renal disease
• Hypertension
AND ANSWERS SURE A+
✔✔Patient teaching for diuretics in general - ✔✔- Take in the morning to avoid
interference
with sleep patterns
- Eat more potassium-rich foods when taking
any but the potassium-sparing drugs
- Change positions slowly
- monitor for digitalis toxicity
- Diabetics taking thiazides and/or loops should
watch for elevated glucose
- If nausea, vomiting, and/or diarrhea should notify their physician due to fluid loss
- Signs & symptoms of hypokalemia include muscle weakness, constipation, irregular
pulse rate, and overall feeling of lethargy
- Excessive consumption of licorice can lead to an additive hypokalemia
- Notify the physician immediately if:
• Rapid heart rates or syncope (reflects
hypotension or fluid loss)
• Weight gain of 2 or more pounds a day or 5 or
more pounds a week
✔✔OTC med usage for common cold symptoms - ✔✔
, ✔✔Patient teaching for topical nasal decongestants (ch 54) - ✔✔- Proper administration
to ensure therapeutic effect.
- Patient should clear the nasal passages before use, to tilt the head back when
applying drops/spray. Remain tilted to prevent trickle down the back of throat, which
causes systemic effects.
- Drug should not be used for longer than 5 days and seek medical care if signs and
symptoms persist after that time.
- Caution pt that these drugs are found OTC and should not be combine w/ other drugs
w/ same ingredients which could lead to overdose.
- Provide safety measures if dizziness or sedation occurs.
- Institute other measures to help relieve the discomfort of congestion (humidifier,
increase fluid intake, cool place, avoid smoke)
✔✔Action of enoxaparin (ch 48) - ✔✔prevents thrombus formation by potentiating the
inhibitory effect of antithrombin on factor Xa and IIa thrombin. Enoxaparin is a low
molecular weight heparin.
✔✔Patient teaching for phenothiazines (ch 59) - ✔✔- Warn patients about driving or
performing any hazardous tasks
- Antiemetics mixed with alcohol may cause severe CNS depression
- Change position slowly to avoid hypotensive effects
- Caution should be used w/ pt's w/ renal dysfunction, moderate liver impairment, active
peptic ulcer, or during pregnancy and lactation.
✔✔Adverse effects of loop diuretics (ch 51) - ✔✔- Related to the imbalance in
electrolytes and fluid
- Hypokalemia
- Alkalosis
- Hypocalcemia
✔✔Antidote for heparin (ch 48) - ✔✔protamine sulfate
✔✔Diuretic for glaucoma (ch 51) - ✔✔Carbonic Anhydrase Inhibitors
- Acetazolamide
Osmotic Diuretic
- Mannitol
✔✔Evaluating effectiveness of diuretics (ch 51) - ✔✔• Edema associated with
congestive heart failure
• Acute pulmonary edema
• Liver disease (including cirrhosis)
• Renal disease
• Hypertension
