RN ADULT MEDICAL SURGICAL PROCTORED
EXAM FORM B COMPREHENSIVE SOLVED
QUESTIONS AND COMPLETE ANSWERS
◉ Glucocorticoids increase the risk of gastric bleeding when taken
with....
Answer: non-opioid analgesics
◉ To access an implanted port, you must use a....
Answer: noncoring (Huber) needle
◉ When done accessing an implanted port....
Answer: flush with 10 mL 0.9% sodium chloride
◉ Therapeutic effects of furosemide (Lasix).
Answer: -decreases preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
,◉ Valsartan for HF expected outcomes/findings:.
Answer: -vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
◉ Expected findings of meds that increase urinary output
(diuretics):.
Answer: -decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
◉ Client teaching for Nitroglycerin:.
Answer: 1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
,-headache is a common side effect of nitro
◉ Which foods should the client on Warfarin avoid?.
Answer: dark leafy green veggies
◉ Client teaching for anticoagulant therapy:.
Answer: -bleeding precautions
-no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
◉ Expected prescriptions for Hypertension:.
Answer: -furosemide (Lasix)
-aldactone (potassium sparing diuretic)
-hydrochlorothiazide (diuretic)
-verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors)
-losartan, telmisartan (ARBs)
-eplerenone
-atenolol, metoprolol (Beta blockers)
-clonidine
, -prazosin (minipress)
◉ Contraindications for Nadolol:.
Answer: -asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
-pregnancy
-right side HF
-emphysema
-severe COPD
◉ Treatment for diabetes insipidus:.
Answer: -daily weights
-no caffeine or alcohol
-desmopressin acetate/DDVAP
-aqueous vasopressin/Pitressin
-carbamazepine (tegretol)
-high fiber diet
◉ Meds for DI, what to look out for/do:.
EXAM FORM B COMPREHENSIVE SOLVED
QUESTIONS AND COMPLETE ANSWERS
◉ Glucocorticoids increase the risk of gastric bleeding when taken
with....
Answer: non-opioid analgesics
◉ To access an implanted port, you must use a....
Answer: noncoring (Huber) needle
◉ When done accessing an implanted port....
Answer: flush with 10 mL 0.9% sodium chloride
◉ Therapeutic effects of furosemide (Lasix).
Answer: -decreases preload of the heart
-decreases potassium levels
-increases urine output
-decrease BP
-decrease edema
,◉ Valsartan for HF expected outcomes/findings:.
Answer: -vasodilation
-excretion of sodium & water
-reduces BP
-reduces risk of mortality in post-MI pts left w/vent dysfunction
◉ Expected findings of meds that increase urinary output
(diuretics):.
Answer: -decreased potassium
-weight loss
-decrease in edema
-decreased calcium
-increased urine output
-decreased BP
-decrease in ICP & IOP
◉ Client teaching for Nitroglycerin:.
Answer: 1. stop activity & rest
2. place nitro tab under tongue
3. if pain is unrelieved in 5 min, call 911 or go to ED
4. take 2 or more doses at 5 min intervals
,-headache is a common side effect of nitro
◉ Which foods should the client on Warfarin avoid?.
Answer: dark leafy green veggies
◉ Client teaching for anticoagulant therapy:.
Answer: -bleeding precautions
-no added meds that increase bleeding
-on it for 6-8 weeks prior to hematologic dx procedure
-must have blood levels checked often
-monitor vitamin K in their diet
◉ Expected prescriptions for Hypertension:.
Answer: -furosemide (Lasix)
-aldactone (potassium sparing diuretic)
-hydrochlorothiazide (diuretic)
-verapamil, dilitiazem (CCB)
-captopril, lisinopril (ACE inhibitors)
-losartan, telmisartan (ARBs)
-eplerenone
-atenolol, metoprolol (Beta blockers)
-clonidine
, -prazosin (minipress)
◉ Contraindications for Nadolol:.
Answer: -asthma
-sinus bradycardia
-cardiogenic shock
-cardiac failure
-diabetes
-pregnancy
-right side HF
-emphysema
-severe COPD
◉ Treatment for diabetes insipidus:.
Answer: -daily weights
-no caffeine or alcohol
-desmopressin acetate/DDVAP
-aqueous vasopressin/Pitressin
-carbamazepine (tegretol)
-high fiber diet
◉ Meds for DI, what to look out for/do:.
