NU 150 - Test 2 with verified detailed solutions ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
· Expected outcome of decongestant - correct answer✔✔-Vasoconstriction of respiratory
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
tract mucosa ||\\//||
-reduce edema and swelling ||\\//|| ||\\//|| ||\\//||
-relieve nasal congestion ||\\//|| ||\\//||
-Allergic rhinitis ||\\//||
· Food rich in Vitamin K - correct answer✔✔- Green Leafy vegetables
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
· Antidotes of certain anticoagulants, heparin and warfarin - correct answer✔✔Heparin
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
antidote: protamine sulfate ||\\//|| ||\\//||
-Warfarin antidote: vitamin K ||\\//|| ||\\//|| ||\\//||
· Nursing implications on the use of digoxin & normal values of digoxin level - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔-BP, apical-radial pulse, respiratory rate ||\\//|| ||\\//|| ||\\//|| ||\\//||
-auscultate lungs ||\\//||
-examine extremities for edema ||\\//|| ||\\//|| ||\\//||
-check neck veins for distention ||\\//|| ||\\//|| ||\\//|| ||\\//||
-weigh patient ||\\//||
-eval for cyanosis, shortness of breath, mental changes
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Be aware of lab values especially potassium levels
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-before administering each dose, take the apical pulse rate for 60 seconds, and record
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-with-hold and notify MD if rate below 60 or above 120 unless given other instructions ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-daily weights ||\\//||
-measuring of I&O ||\\//|| ||\\//||
,-Assess for signs of drug toxicity ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Need for periodic lab studies ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Digoxin therapeutic level = 0.8 ng/mL-2ng/mL ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Digoxin toxic level = more than 2ng/mL ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
· Patient safety teaching when taking anticoagulants - correct answer✔✔Warfarin:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-follow dosage schedule ||\\//|| ||\\//||
-lab will be periodically monitored
||\\//|| ||\\//|| ||\\//|| ||\\//||
-inform dentist or other providers before any treatment or procedure
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-notify MD if bleeding noticed ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Medic-Alert identification ||\\//||
-Use soft toothbrush, electric razor
||\\//|| ||\\//|| ||\\//|| ||\\//||
Heparin:
-Report signs of bleeding ||\\//|| ||\\//|| ||\\//||
-lab tests ||\\//||
-Med as directed ||\\//|| ||\\//||
-Advise providers before treatments ||\\//|| ||\\//|| ||\\//||
-Med-alert band ||\\//||
· Laboratory test monitoring for patients on anticoagulants - correct answer✔✔-Heparin:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
closely monitor aPTT therapeutic aPTT is 1.5-2 times baseline.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Warfarin: closely monitor PT/INR levels: therapeutic INR is 2-3 (takes 3-5days to get to a ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
therapeutic level) ||\\//||
, · patient education regarding the use and storage of nitroglycerin - correct answer✔✔-Uses:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
treat and prevent angina pectoris ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Examples: NTG SL: relieve pain of acute anginal attacks ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ISOSORBIDE (isordil): prophylaxis ||\\//|| ||\\//||
-Relaxing effect on smooth muscle of vessel > dilation > more blood flow ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
sublingual: placed under tongue; do not chew or swallow (nitrostat) = may be repeated ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
every 5 minutes until pain is relieved up to three times in 15 minute period
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
PT teaching:
||\\//||
-take meds as described ||\\//|| ||\\//|| ||\\//||
-be aware of headache and flushing
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-keep adequate supply of meds ||\\//|| ||\\//|| ||\\//|| ||\\//||
-lie down when taking meds
||\\//|| ||\\//|| ||\\//|| ||\\//||
-KEEP IN DARK GLASS CONTAINER; RECAP TIGHTLY ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-keep record of pain and medications taken ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-be aware of expiration dates.
||\\//|| ||\\//|| ||\\//|| ||\\//||
· Classes of medications to control high blood pressure and examples of ACEI - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔-Normal <120 and <80 / encourage healthy lifestyle ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Pre hypertension 120-139 and 80-89 / lifestyle modification / no antihypertensive drug
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
indicated
-Stage 1 hypertension 140-159 and 90-99 / lifestyle modification / Thiazide-type diuretics for
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
most; may consider ACEI, ARB, BB, CCB, or combination / w / compelling indications: drugs
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
for the compelling indications; other antihypertensive drugs (diuretics, ACEI, ARB, BB, CCB as
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
needed)
-Stage 2 hypertension: >160 and >100 / lifestyle modification / Two-drug combination for
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
most (usually thiazide type diuretic and ACEI or ARB or BB or CCB)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
· Expected outcome of decongestant - correct answer✔✔-Vasoconstriction of respiratory
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
tract mucosa ||\\//||
-reduce edema and swelling ||\\//|| ||\\//|| ||\\//||
-relieve nasal congestion ||\\//|| ||\\//||
-Allergic rhinitis ||\\//||
· Food rich in Vitamin K - correct answer✔✔- Green Leafy vegetables
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
· Antidotes of certain anticoagulants, heparin and warfarin - correct answer✔✔Heparin
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
antidote: protamine sulfate ||\\//|| ||\\//||
-Warfarin antidote: vitamin K ||\\//|| ||\\//|| ||\\//||
· Nursing implications on the use of digoxin & normal values of digoxin level - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔-BP, apical-radial pulse, respiratory rate ||\\//|| ||\\//|| ||\\//|| ||\\//||
-auscultate lungs ||\\//||
-examine extremities for edema ||\\//|| ||\\//|| ||\\//||
-check neck veins for distention ||\\//|| ||\\//|| ||\\//|| ||\\//||
-weigh patient ||\\//||
-eval for cyanosis, shortness of breath, mental changes
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Be aware of lab values especially potassium levels
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-before administering each dose, take the apical pulse rate for 60 seconds, and record
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-with-hold and notify MD if rate below 60 or above 120 unless given other instructions ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-daily weights ||\\//||
-measuring of I&O ||\\//|| ||\\//||
,-Assess for signs of drug toxicity ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Need for periodic lab studies ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Digoxin therapeutic level = 0.8 ng/mL-2ng/mL ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Digoxin toxic level = more than 2ng/mL ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
· Patient safety teaching when taking anticoagulants - correct answer✔✔Warfarin:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-follow dosage schedule ||\\//|| ||\\//||
-lab will be periodically monitored
||\\//|| ||\\//|| ||\\//|| ||\\//||
-inform dentist or other providers before any treatment or procedure
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-notify MD if bleeding noticed ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Medic-Alert identification ||\\//||
-Use soft toothbrush, electric razor
||\\//|| ||\\//|| ||\\//|| ||\\//||
Heparin:
-Report signs of bleeding ||\\//|| ||\\//|| ||\\//||
-lab tests ||\\//||
-Med as directed ||\\//|| ||\\//||
-Advise providers before treatments ||\\//|| ||\\//|| ||\\//||
-Med-alert band ||\\//||
· Laboratory test monitoring for patients on anticoagulants - correct answer✔✔-Heparin:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
closely monitor aPTT therapeutic aPTT is 1.5-2 times baseline.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Warfarin: closely monitor PT/INR levels: therapeutic INR is 2-3 (takes 3-5days to get to a ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
therapeutic level) ||\\//||
, · patient education regarding the use and storage of nitroglycerin - correct answer✔✔-Uses:
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
treat and prevent angina pectoris ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Examples: NTG SL: relieve pain of acute anginal attacks ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ISOSORBIDE (isordil): prophylaxis ||\\//|| ||\\//||
-Relaxing effect on smooth muscle of vessel > dilation > more blood flow ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
sublingual: placed under tongue; do not chew or swallow (nitrostat) = may be repeated ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
every 5 minutes until pain is relieved up to three times in 15 minute period
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
PT teaching:
||\\//||
-take meds as described ||\\//|| ||\\//|| ||\\//||
-be aware of headache and flushing
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-keep adequate supply of meds ||\\//|| ||\\//|| ||\\//|| ||\\//||
-lie down when taking meds
||\\//|| ||\\//|| ||\\//|| ||\\//||
-KEEP IN DARK GLASS CONTAINER; RECAP TIGHTLY ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-keep record of pain and medications taken ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-be aware of expiration dates.
||\\//|| ||\\//|| ||\\//|| ||\\//||
· Classes of medications to control high blood pressure and examples of ACEI - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔-Normal <120 and <80 / encourage healthy lifestyle ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Pre hypertension 120-139 and 80-89 / lifestyle modification / no antihypertensive drug
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
indicated
-Stage 1 hypertension 140-159 and 90-99 / lifestyle modification / Thiazide-type diuretics for
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
most; may consider ACEI, ARB, BB, CCB, or combination / w / compelling indications: drugs
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
for the compelling indications; other antihypertensive drugs (diuretics, ACEI, ARB, BB, CCB as
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
needed)
-Stage 2 hypertension: >160 and >100 / lifestyle modification / Two-drug combination for
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
most (usually thiazide type diuretic and ACEI or ARB or BB or CCB)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
