Every One-Minute Nurse Video quiz questions so far... (Exam 1)
Which class of antibiotics is associated with tendon rupture?
Fluoroquinolones
A patient is prescribed a beta-blocker. What must be assessed prior to administration of the medication?
heart rate and blood pressure
A patient with COPD is prescribed supplemental oxygen. What should the nurse know about this prescription?
less oxygen is preferred to preserve the respiratory drive
Which statement is true regarding a COPD exacerbation?
the patient will recover a little less each time
Why would a patient be ordered neutral protamine Hagedorn (NPH) insulin?
to create a more balanced glucose level
Which cardiac enzyme is the most cardiac specific?
troponin
What is the main cause of myocardial infarction (MI)?
coronary artery disease
what is an antagonist
drugs that work at a receptor site to block the action of certain chemicals
What is an agonist?
drugs that work directly at the receptor site
What is the best way to treat sinus tachycardia?
treat underlying cause
A patient on prednisone has developed a rounded, "moon face" and asks the nurse, "Will I always look this way?" What is the nurse's best response?
"This is temporary and will resolve once you are finished your prednisone."
A patient is prescribed propranolol. Other than hypertension, for what condition might this patient be taking the medication?
Migraines
How do anticoagulants work?
Thin the blood to prevent clots and stop clots from getting bigger.
How long does it take NSAIDs to reach peak levels?
1 to 3 hours
Where is insulin produced?
Beta cells of the islets of langerhans
Where are the adrenal glands located?
at the top of each kidney
Prior to administering insulin, what needs to be checked?
Capillary blood glucose
Which statement is true of a pheochromocytoma?
the resulting hypertension can be fatal if undetected
What is the rationale for tapering prednisone?
Tapering prevents steroid-induced adrenal insufficiency.
How do NSAIDs work?
they block prostaglandin synthesis.
A patient is diagnosed with Cushing disease. What assessment findings does the nurse expect?
weight gain in the face and appearance of a fatty neck hump
In which patient is administering an NSAID contraindicated?
27-year-old in the first trimester with their second child
Which medication is an example of an antiplatelet?
clopidogrel
What is not a symptom of myocardial infarction (MI)?
headache
Which are clinical manifestations of diabetes?
polyuria, polydipsia, polyphagia
In which system does the adrenal medulla regulate epinephrine and norepinephrine?
sympathetic nervous system
What is the maximum dose per day for ibuprofen?
3200 mg
An emergency department nurse is admitting four patients. Which patient is a candidate for immediate percutaneous coronary intervention (PCI)?
A patient with a STEMI who reports severe left arm pain.
A patient is on a heparin infusion. Which lab value is used to titrate this medication?
Activated partial thromboplastin clotting time (aPTT)
What is the drug of choice to treat supraventricular tachycardia (SVT)?
Adenosine
A patient is prescribed captopril. About what adverse effect should the nurse educate the patient?
Angioedema
A patient has been diagnosed with atrial fibrillation. What class of medications is expected to be prescribed?
Anticoagulants
What is the initial treatment for a patient experiencing myocardial infarction (MI)?
Aspirin, oxygen, morphine, nitroglycerin
A patient is prescribed prednisone while on a medical unit. What intervention should the nurse anticipate will be ordered?
Blood sugar checks before meals and at bed with corrective-dose insulin
What is the priority intervention for a patient in ventricular fibrillation?
Defibrillation
A patient with hyperthyroidism has a goiter. With which imbalance can goiters also be associated?
Iodine deficiency
The provider has given the patient a new prescription for losartan. Which current medication order would cause the nurse to question the new order for losartan?
Lisinopril 10 mg PO daily
Which type of insulin has the fastest onset?
Lispro
Which are causes of bradycardia?
Sleeping, Vagal Nerve Stimulation, and Spinal Cord Injury
What is true regarding insulin production in type 1 diabetes?
little to no insulin is being produced.
Which type of insulin does not have a peak?
long-acting
What is the nurse's priority when caring for a patient with COPD?
maintaining the airway
What is true regarding type 2 diabetes?
many patients do not know they have type 2 diabetes
For which condition are NSAIDS recommended to alleviate symptoms?
menstrual cramps
Which condition may indicate the need for prednisone?
multiple sclerosis
What are the three primary symptoms of COPD?
chronic cough, sputum production, dyspnea
A patient is diagnosed with hypothyroidism. Which assessment finding might the nurse expect?
constipation
Which type of insulin can be given intravenously to patients who are critically ill?
regular
For which type of infection are macrolides indicated?
respiratory infections
Which is a risk factor for chronic obstructive pulmonary disease (COPD)?
secondhand smoke
Which intervention should be implemented for patients on any medications that increase the risk of bleeding?
Monitor for sark stool
What are the major side effects of aminoglycosides?
Ototoxicity and nephrotoxicity
Which factor is an absolute contraindication to receiving a thrombolytic?
Pregnancy
Which lab test assists in assessing thyroid function?
TSH
What does a hemoglobin A1C (HbA1c) measure?
average blood glucose over 3 months
A patient is prescribed prednisone. What should this patient do to prevent a deep vein thrombosis (DVT)?
conduct foot and leg exercises while laying down
Which hormones does the thyroid produce? Select all that apply.
calcitonin, thyroxine, triiodothyronine
A patient is allergic to penicillins. Which other antibiotics should be avoided due to potential cross-sensitivity?
cephalosporins
Which patient population should not be prescribed tetracyclines?
children under 8 year old
A patient is due to receive a dose of verapamil. Their heart rate is 98 beats per minute, and their blood pressure two hours ago was 95/46 mmHg. What is the nurse's best action?
obtain current blood pressure
A patient is due to receive levothyroxine. When should the RN administer this medication?
on an empty stomach
What is the treatment for Addison disease?
prescribed hormone replacement
