NSG 3022 Final Exam Study Guide QIESTIONS WITH ANSWERS

NSG 3022 Final Exam Study Guide
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QIESTIONS WITH ANSWERS |\ |\




What is the action of furosemide (Lasix)? - CORRECT ANSWERS
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✔✔blocks reabsorption of Na, water,and Cl in ascending loop of
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Henle


What are the three therapeutic uses of furosemide (Lasix)? -
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CORRECT ANSWERS ✔✔*pulmonary edema |\ |\ |\




*edmea
*hypertension


What are the adverse effects of furosemide? (only need to know
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4) - CORRECT ANSWERS ✔✔hyponatremia, hypochloremia,
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dehydration, hypotension, hypokalemia, ototoxicity, |\ |\ |\ |\


hyperglycemia, hyperuricemia, GI distress, headache, weakness, |\ |\ |\ |\ |\ |\


blurred vision, photosensitivity, blood dyscrasias (leucopenia,
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anemia, thrombocytopenia) |\




What are 4 nursing interventions of furosemide? - CORRECT
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ANSWERS ✔✔*administer in the morning |\ |\ |\ |\




*monitor vital signs, weight, urine output, electrolytes, glucose,
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uric acid, CBC
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*teach patient to rise slowly
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*warn patient against sun exposure
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,* monitor for hypokalemia (muscle weakness, leg cramps,
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abdominal distention, dysrhythmias) |\ |\




*eat foods high in K (fruits, bananas, oranges, peaches, dried
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dates, fruit juices, vegetables)
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What is the action of thiazides,
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hydrochlorothiazide (HydroDIURIL)? - CORRECT ANSWERS |\ |\ |\ |\ |\


✔✔blocks reabsorption of Na and Cl in distal convoluted tubule
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What are two therapeutic uses of hydrochlorithiazide? - CORRECT
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ANSWERS ✔✔edema, essential hypertension
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What are four adverse effects of HCTZ? - CORRECT ANSWERS
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✔✔hyponatremia, hypochloremia, dehydration, hypokalemia, |\ |\ |\ |\


hyponatrtemia, hypercalcemia, hypotension, dizziness, |\ |\ |\ |\


photosensitivity


What are drug interactions of thiazides? - CORRECT ANSWERS
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✔✔digoxin (enhanced action of dig); k-sparing diuretics,
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antihypertensives (enhance hypotension); Lithium (excretion |\ |\ |\ |\ |\


reduced and drug accumulates); NSAIDS
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What are four nursing interventions of thiazides? - CORRECT
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ANSWERS ✔✔administer drug in morning; monitor vital signs,
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weight, urine output, electrolytes, glucose, uric acid, CBC;
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cholesterol, teach patient to rise slowly; warn patient against sun
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exposure
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,What is the action of spironolactone (Aldactone)? - CORRECT
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ANSWERS ✔✔locks aldosterone action in distal nephron,
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increases K excretion, retains K.
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What are 4 therapeutic uses of spironolactone (Aldactone)? -
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CORRECT ANSWERS ✔✔HTN, edema, heart failure,
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cardioprotective (decrease myocardial fibrosis, HR regular) |\ |\ |\ |\ |\




What are 4 adverse effects of spironolactone (Aldactone)? -
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CORRECT ANSWERS ✔✔hyperkalemia, benign and malignant
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tumors, GI distress, weakness, dizziness, photosensitivity,
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endocrine, blood dyscrasias |\ |\




What are 4 nursing interventions of spironolactone (Aldactone)? -
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CORRECT ANSWERS ✔✔administer drug in morning; monitor
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vitals, weight, urine output, electrolytes, CBC; teach pt to rise
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slowly; warn patient against sun exposure
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What is the therapeutic use of morphine? - CORRECT ANSWERS
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✔✔relieve moderate to severe pain |\ |\ |\ |\




What are 4 adverse effects of morphine? - CORRECT ANSWERS
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✔✔respiratory depression, orthostatic hypotension, constipation,
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urinary retention, vomiting, cough suppression
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What is tolerance? - CORRECT ANSWERS ✔✔larger doses needed
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to produce same response
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, What is physical dependence? - CORRECT ANSWERS
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✔✔abstinence syndrome occurs if drug stopped abruptly |\ |\ |\ |\ |\ |\




(yawning, rhinorrhea, sweating 10 hrs after last dose, then
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anorexia, irritability, tremor, then at peak sneezing, weakness,
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N/V/D, abdominal cramps, muscle spasm, kicking movements
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lasts 7-10 days)
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what is abuse? - CORRECT ANSWERS ✔✔drug use that is
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inconsistent with medical or social norms |\ |\ |\ |\ |\




What is the action of naloxone (Narcan)? - CORRECT ANSWERS
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✔✔blocks opioid action; acts as competitive antagonist at opioid
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receptors


What are the three therapeutic effects of naloxone (Narcan)? -
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CORRECT ANSWERS ✔✔-reverse analgesia, sedation, and
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respiratory depression, reverse opioid overdose
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What are nursing interventions of naloxone (Narcan)? - CORRECT
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ANSWERS ✔✔additional doses may be needed as duration of
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opioids are longer than naloxone
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What is the action of captopril, lisinopril, and ramipril? - CORRECT
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ANSWERS ✔✔blocks conversion of angiotensin I to angiotensin
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What are 4 therapeutic uses of ACE's? - CORRECT ANSWERS ✔✔-
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hypertension
- HF |\