Every One-Minute Nurse Video quiz questions so far... (Exam 1)

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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


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