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N316B Final 2025/2026 Exam Questions and Answers | A+ Score Assured

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N316B Final 2025/2026 Exam Questions and Answers | A+ Score Assured Vincristine "vine to wine for my crabs/cancer" -

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N316B Final 2025/2026 Exam Questions
and Answers | A+ Score Assured



Vincristine "vine to wine for my crabs/cancer" - 🧠 ANSWER

✔✔1.Constipation - Slows peristalsis (unique to vincr.)


2.Peripheral paresthesia - Must monitor for...

3. Push Fluids to help prevent constipation


Acetaminophen - 🧠 ANSWER ✔✔- It is for pain only, it has NO anti-

inflammatory qualities

- Be careful w/ taking OTC that have Tyenol you can overdose

- Safe alternatives to NSAIDs


NSAIDs - 🧠 ANSWER ✔✔- Will tear your gut up, take w/ food


- Can cause bleeding everywhere

- Good for anti-inflammatory conditions (i.e. rheumatoid arthritis)


Aspirin (NSAID) - 🧠 ANSWER ✔✔- Hearing disturbances and tinnitus #1

sign w/ toxicity

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,- Same issue as NSAIDs (w/ bleeding, will slice up your gut but than other

NSAIDs)


NSAID - Ibuprofen, naproxen, indomethacin - 🧠 ANSWER ✔✔- Gut issues

(bleeding)

- Stop before surgery (bleeding)

- Great for inflammatory joint conditions


PCAs & narcotic handling - 🧠 ANSWER ✔✔•ONLY the patient pushes the

button

•Monitor for Respiratory Depression

•PCA & Narcotics:

•Two Nurses Always for wasting, and crosschecking

•Count not correct? STOP bring attention to Charge Nurse/Leadership


Morphine and all Narcotics - 🧠 ANSWER ✔✔•Monitor for decrease LOC &

Respiration Rate, also do not give if patient hypotensive

•Constipation a HUGE side effect, make sure they are on a GI bowel

protocol.

•Specifically, Morphine is used for Chest Pain Angina


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,Hospice - 🧠 ANSWER ✔✔•Morphine/narcotics give at regular intervals NOT

prn

•Hospice ok to give to unresponsive patients

•Reduce their pain during their final exit


Methadone - 🧠 ANSWER ✔✔•Used in inpatient wards when have known

heroin user. Switches them from illegal street drug to controlled legal

narcotic.

•Still a narcotic but has longer duration than other opioids and does not

produce same "high." Thus used for those on Medicated Assisted

Treatment (MAT) of opioid addiction.

•Controversial subject is whether opioid addicts should be completely off

opioids or remain on more controlled/safer opioid such as methadone or

buprenorphine.


Nalaxone (Narcan) - 🧠 ANSWER ✔✔•Know its working when respiration

rate increases.

•It wears off in an hour, so closely monitor patient for opioid relapse.

•It's available OTC, the "new epi pen", given to patients often who are just

getting a couple of percocets on discharge.

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, -cillin/ cef- - 🧠 ANSWER ✔✔ampicillin, penicillin, cephalosporin


purpose -cillin/cef- - 🧠 ANSWER ✔✔infection


classification -cillin/cef- - 🧠 ANSWER ✔✔beta lactam


"Anti-B"-cillins, Cef's- "Anti-B" - 🧠 ANSWER ✔✔1.ALLERGIC!! Hives,

edema, SOB, N/V, diarrhea...STOP MED

2.Nephrotoxicity: can be dangerous for those w/ kidney dz; Monitor

Creatinine & GFR, push fluids (drink plenty of fluids)

3. Great for syphillis, drug probenecid aids PCN excretion, causing higher

PCN levels kill syphilis


"Anti-B" - mycin & -micin - 🧠 ANSWER ✔✔1.Nephrotoxicity: Above but

worse, check BUN too, normal 10-20. Don't give with CKD

•The client has a history of chronic kidney disease? Consult with provider,

before giving..

•"I need to call my provider if my urine changes."..Nephrotoxicity is the

main adverse reaction with Vancomycin, it's why we do peaks and troughs

to make sure it is at the right level...




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