RNSG 1301 REVIEW EXAMS TIPS QUESTIONS AND
ANSWERS SURE A+
✔✔Action of proton pump inhibitors (ch 57) - ✔✔Act at specific secretory surface
receptors to prevent the final step of acid production and thereby decrease the level of
acid in the stomach.
✔✔Effectiveness of antiemetics (ch 59) - ✔✔is used to decrease or prevent nausea and
vomiting. Antiemetic agents can be centrally acting or locally acting, and have varying
degrees of effectiveness.
✔✔Antidote for warfarin (ch. 48) - ✔✔Vitamin K
✔✔Indications for metoclopramide (ch 58) - ✔✔- Blocks dopamine receptors and makes
the GI cells more sensitive to acetylcholine
- Leads to increased GI activity and rapid movement of food through the upper GI tract
✔✔Adverse effects of beta 2 agonists (ch 55) - ✔✔CNS: anxiety, tension, dizziness,
headache
DERMATOLOGICAL: flushing, pallor, sweating
RESPIRATORY: bronchospasm
CV: tachycardia, hypertension, MI
GI: nausea, dry mouth, vomiting
, GU: urinanry retention
✔✔Cautions for patient taking Tigan, an antiemetic (ch 59) - ✔✔- Photosensitivity
- Renal dysfunction
- Active peptic ulcer disease
- Pregnancy
- Lactation
✔✔Medications for motion sickness (ch 59) - ✔✔Anticholinergics/Antihistamines
- Meclizine (Antivert)
- buclizine (Bucladin)
- cyclizine (Marezine)
✔✔Routes of surfactant administration (ch 55) - ✔✔Begin to act immediately on
instillation into the trachea
✔✔Goals of treatment in obstructive pulmonary disorders (ch 55) - ✔✔• Prevention
- Reduce environmental exposure to irritants
- Smoking cessation
- Filter allergens from the air
- Avoid exposure to known irritants and allergens
• Treatment
- Open the conducting airways through muscular bronchodilation
- Decrease the effects of inflammation on the airway lining
✔✔How does psyllium (Metamucil) work? (ch 58) - ✔✔To control chronic constipation;
acts as bulk-forming laxative by drawing water into intestine.
✔✔Patient teaching for pancreatic enzyme replacements (ch 57) - ✔✔- Drug name,
dosage & schedule for administration
- The technique for using saliva substitute
- The importance of taking it w/ meals and snacks
- Take whole do not crush or chew
- periodic monitoring; lab test to evaluate electrolyte levels (w/ saliva sub); evaluate for
imbalances, or pancreatic enzyme levels, to evaluate effectiveness of therapy
✔✔Adverse effects of antacids (ch 57) - ✔✔- Relate to their effects on acid-base levels
and electrolytes
- Rebound acidity
- Alkalosis
- Hypercalcemia
- Constipation or diarrhea
- Hypophosphatemia
ANSWERS SURE A+
✔✔Action of proton pump inhibitors (ch 57) - ✔✔Act at specific secretory surface
receptors to prevent the final step of acid production and thereby decrease the level of
acid in the stomach.
✔✔Effectiveness of antiemetics (ch 59) - ✔✔is used to decrease or prevent nausea and
vomiting. Antiemetic agents can be centrally acting or locally acting, and have varying
degrees of effectiveness.
✔✔Antidote for warfarin (ch. 48) - ✔✔Vitamin K
✔✔Indications for metoclopramide (ch 58) - ✔✔- Blocks dopamine receptors and makes
the GI cells more sensitive to acetylcholine
- Leads to increased GI activity and rapid movement of food through the upper GI tract
✔✔Adverse effects of beta 2 agonists (ch 55) - ✔✔CNS: anxiety, tension, dizziness,
headache
DERMATOLOGICAL: flushing, pallor, sweating
RESPIRATORY: bronchospasm
CV: tachycardia, hypertension, MI
GI: nausea, dry mouth, vomiting
, GU: urinanry retention
✔✔Cautions for patient taking Tigan, an antiemetic (ch 59) - ✔✔- Photosensitivity
- Renal dysfunction
- Active peptic ulcer disease
- Pregnancy
- Lactation
✔✔Medications for motion sickness (ch 59) - ✔✔Anticholinergics/Antihistamines
- Meclizine (Antivert)
- buclizine (Bucladin)
- cyclizine (Marezine)
✔✔Routes of surfactant administration (ch 55) - ✔✔Begin to act immediately on
instillation into the trachea
✔✔Goals of treatment in obstructive pulmonary disorders (ch 55) - ✔✔• Prevention
- Reduce environmental exposure to irritants
- Smoking cessation
- Filter allergens from the air
- Avoid exposure to known irritants and allergens
• Treatment
- Open the conducting airways through muscular bronchodilation
- Decrease the effects of inflammation on the airway lining
✔✔How does psyllium (Metamucil) work? (ch 58) - ✔✔To control chronic constipation;
acts as bulk-forming laxative by drawing water into intestine.
✔✔Patient teaching for pancreatic enzyme replacements (ch 57) - ✔✔- Drug name,
dosage & schedule for administration
- The technique for using saliva substitute
- The importance of taking it w/ meals and snacks
- Take whole do not crush or chew
- periodic monitoring; lab test to evaluate electrolyte levels (w/ saliva sub); evaluate for
imbalances, or pancreatic enzyme levels, to evaluate effectiveness of therapy
✔✔Adverse effects of antacids (ch 57) - ✔✔- Relate to their effects on acid-base levels
and electrolytes
- Rebound acidity
- Alkalosis
- Hypercalcemia
- Constipation or diarrhea
- Hypophosphatemia
