COMPLEX ADULT HEALTH FINAL PAPER EXAM QUESTIONS ACCURATE ANSWERS FULL
SOLUTION
Question:
Gentamicin Contraindications/Precautions.
Answer:
allergy to any aminoglycoside; pregnancy D; lactation; damage to acoustic nerve w/hearing loss;
presence of tinnitus or vertigo; renal disorders; chronic neuromuscular disorders; dehydration
hypocalcemia
Question:
Gentamicin Adverse Effects.
Answer:
tinnitus, HA, & vertigo (elevated trough levels), can increase ototoxicity; nephrotoxicity (polyuria,
dilute urine, protein & casts in urine, elevated BUN, creatinine)
Question:
Gentamicin Interactions.
Answer:
vancomycin, ethacrynic acid, furosemide, & other ototoxic drugs increase risk for ototoxicity;
amphotericin B, NSAIDs, or other nephrotoxic drugs increase risk for nephrotoxicity; penicillin,
cephalosporin's, & heparin shouldn't be mixed in the same IV solution; prolonged respiratory
paralysis can occur when used in combo w/ neuromuscular blockers (pancuronium, succinylcholine
[anectine])
Question:
Gentamicin Nursing Implications.
,Answer:
report TINNITUS + other symptoms of earlyototoxicity; monitor peak & trough levels; monitor lab
values-BUN, creatinine, urine for protein, casts & report elevations BC can cause nephrotoxicity
(polyuria, dilute urine, protein & casts, elevated BUN, creatinine); gently press inner canthus for 1-2
mins after eye drops to prevent systemic absorption; don't apply to large skin areas (BC risk for
toxicity); IM injections go deep into large muscles; IV given as intermittent infusion; use a
preservative-free form;
Question:
Gentamicin Patient Teaching.
Answer:
report onset of tinnitus, HA, vertigo, hearing loss; report an increase in the output of dilute urine
Question:
Haloperidol.
Answer:
Haldol
Question:
Haloperidol Indications.
Answer:
anti-psychotic; used for treating schizophrenia by blocking norepinephrine, acetylcholine,
dopamine, &histamine receptors
Question:
Haloperidol Contraindications/Precautions.
Answer:
previous allergy to any phenothiazine drugs; alcohol withdrawal; bone marrow suppression; CNS
depression; Reye's syndrome; children younger than 6 months; COPD; glaucoma; DM; HPT;
,prostatic hypertrophy; HX of breast cancer; thyroid, cardiac or liver disorders
Question:
Haloperidol Adverse Effects.
Answer:
akathisia, acute dystonia, tardive dyskinesia, Parkinson-like symptoms; anti-cholinergic effects;
suppressed sexual drive, erectile dysfunction; severe cardiac dysrhythmias; dermatitis,
photosensitivity w/ sun exposure; neuroleptic malignant syndrome (NMS)-high fever, rigidity, VS
instability, LOC
Question:
Haloperidol Interactions.
Answer:
CNS depressants increase sedation; blood levels of anti-seizure drugs decrease
Question:
Haloperidol Nursing Implications.
Answer:
treat any movement disorders; monitor for anti-cholinergic effects; check for constipation; counsel
PT about sexual dysfunction; monitor VS, ECGs, & K levels; if PT develops neuroleptic syndrome,
tx w/ dantrolene & bromocriptine; give PO w/ food &/or 9 oz of water to prevent GI effects; give
IM into large muscles & rotate sites; keep PT recumbent for 30 mins after IM or IV dosing due to
possible hypotension; IV form is incompatible w/multiple drugs; give IV bolus no faster than
1mg/min
Question:
Haloperidol Patient Teaching.
Answer:
report symptoms of akathisia, Parkinson's, acute dystonia, & tardive dyskinesia; teach about
anti-cholinergic effects (urinate just before taking the drug & increase fluids/fiber, & chew gum or
, suck hard candy to treat dry mouth); report the onset of sexual dysfunction; report palpitations,
fainting spells, or other cardiac symptoms; report sudden fevers; avoid sun exposure (use sunscreen,
protective clothing, and sunglasses)
Question:
Heparin.
Answer:
Hemochron, Hep-Lock
Question:
Heparin Indications.
Answer:
anti-coagulant, factor Xa/thrombin inhibitor; treats evolving cerebrovascular accident, pulm
embolism, or massive deep-venous thrombosis; adjunct therapy during angioplasty, open-heart
surgery, hemodialysis, or blood transfusion; prophylaxis for post-op venous thrombosis & pulm
emboli; acute MI (with thrombolytic therapy); ischemic complications of unstable angina & some
dysrhythmias; disseminated intravascular coagulation
Question:
Heparin Contraindications/Precautions.
Answer:
uncontrollable bleeding; severe thrombocytopenia; lumbar puncture, regional anesthesia, and brain,
eyes, or spinal cord surgery; pregnant women (BC threat of spontaneous abortion occurring);
hemophilia; increased capillary permeability; dissecting aneurysm; peptic ulcer disease; severe
HPT; hepatic or renal disease
Question:
Heparin Adverse Effects.
Answer:
SOLUTION
Question:
Gentamicin Contraindications/Precautions.
Answer:
allergy to any aminoglycoside; pregnancy D; lactation; damage to acoustic nerve w/hearing loss;
presence of tinnitus or vertigo; renal disorders; chronic neuromuscular disorders; dehydration
hypocalcemia
Question:
Gentamicin Adverse Effects.
Answer:
tinnitus, HA, & vertigo (elevated trough levels), can increase ototoxicity; nephrotoxicity (polyuria,
dilute urine, protein & casts in urine, elevated BUN, creatinine)
Question:
Gentamicin Interactions.
Answer:
vancomycin, ethacrynic acid, furosemide, & other ototoxic drugs increase risk for ototoxicity;
amphotericin B, NSAIDs, or other nephrotoxic drugs increase risk for nephrotoxicity; penicillin,
cephalosporin's, & heparin shouldn't be mixed in the same IV solution; prolonged respiratory
paralysis can occur when used in combo w/ neuromuscular blockers (pancuronium, succinylcholine
[anectine])
Question:
Gentamicin Nursing Implications.
,Answer:
report TINNITUS + other symptoms of earlyototoxicity; monitor peak & trough levels; monitor lab
values-BUN, creatinine, urine for protein, casts & report elevations BC can cause nephrotoxicity
(polyuria, dilute urine, protein & casts, elevated BUN, creatinine); gently press inner canthus for 1-2
mins after eye drops to prevent systemic absorption; don't apply to large skin areas (BC risk for
toxicity); IM injections go deep into large muscles; IV given as intermittent infusion; use a
preservative-free form;
Question:
Gentamicin Patient Teaching.
Answer:
report onset of tinnitus, HA, vertigo, hearing loss; report an increase in the output of dilute urine
Question:
Haloperidol.
Answer:
Haldol
Question:
Haloperidol Indications.
Answer:
anti-psychotic; used for treating schizophrenia by blocking norepinephrine, acetylcholine,
dopamine, &histamine receptors
Question:
Haloperidol Contraindications/Precautions.
Answer:
previous allergy to any phenothiazine drugs; alcohol withdrawal; bone marrow suppression; CNS
depression; Reye's syndrome; children younger than 6 months; COPD; glaucoma; DM; HPT;
,prostatic hypertrophy; HX of breast cancer; thyroid, cardiac or liver disorders
Question:
Haloperidol Adverse Effects.
Answer:
akathisia, acute dystonia, tardive dyskinesia, Parkinson-like symptoms; anti-cholinergic effects;
suppressed sexual drive, erectile dysfunction; severe cardiac dysrhythmias; dermatitis,
photosensitivity w/ sun exposure; neuroleptic malignant syndrome (NMS)-high fever, rigidity, VS
instability, LOC
Question:
Haloperidol Interactions.
Answer:
CNS depressants increase sedation; blood levels of anti-seizure drugs decrease
Question:
Haloperidol Nursing Implications.
Answer:
treat any movement disorders; monitor for anti-cholinergic effects; check for constipation; counsel
PT about sexual dysfunction; monitor VS, ECGs, & K levels; if PT develops neuroleptic syndrome,
tx w/ dantrolene & bromocriptine; give PO w/ food &/or 9 oz of water to prevent GI effects; give
IM into large muscles & rotate sites; keep PT recumbent for 30 mins after IM or IV dosing due to
possible hypotension; IV form is incompatible w/multiple drugs; give IV bolus no faster than
1mg/min
Question:
Haloperidol Patient Teaching.
Answer:
report symptoms of akathisia, Parkinson's, acute dystonia, & tardive dyskinesia; teach about
anti-cholinergic effects (urinate just before taking the drug & increase fluids/fiber, & chew gum or
, suck hard candy to treat dry mouth); report the onset of sexual dysfunction; report palpitations,
fainting spells, or other cardiac symptoms; report sudden fevers; avoid sun exposure (use sunscreen,
protective clothing, and sunglasses)
Question:
Heparin.
Answer:
Hemochron, Hep-Lock
Question:
Heparin Indications.
Answer:
anti-coagulant, factor Xa/thrombin inhibitor; treats evolving cerebrovascular accident, pulm
embolism, or massive deep-venous thrombosis; adjunct therapy during angioplasty, open-heart
surgery, hemodialysis, or blood transfusion; prophylaxis for post-op venous thrombosis & pulm
emboli; acute MI (with thrombolytic therapy); ischemic complications of unstable angina & some
dysrhythmias; disseminated intravascular coagulation
Question:
Heparin Contraindications/Precautions.
Answer:
uncontrollable bleeding; severe thrombocytopenia; lumbar puncture, regional anesthesia, and brain,
eyes, or spinal cord surgery; pregnant women (BC threat of spontaneous abortion occurring);
hemophilia; increased capillary permeability; dissecting aneurysm; peptic ulcer disease; severe
HPT; hepatic or renal disease
Question:
Heparin Adverse Effects.
Answer:
