Nurs 231 2024 Pathophysiology Final Exam Portage Learning Correct Q & A.

Nursing actions that promote safe and effective drug therapy for patients with Fibromyalgia {Ans: 1) *Milnacipran (Savella)*: -Adverse: Nausea, headache, constipation, insomnia, dizziness, hot flashes, increased HR, HTN, pupil dilation -Care: Check BP & HR; CTN for uncontrolled glaucoma; Increased suicidal thoughts (edu); No drugs that increase HR/BP; No anticoags; Do not discontinue abruptly 2) *Duloxetine (Cymbalta)*: -Adverse: Nausea, dry mouth, constipation, insomnia, dizziness, anorexia -Care: Increased suicidal thought; Do not discontinue abruptly; No pregnancy; No alcohol 3) *Pregabalin (Lyrica)*: -Adverse: Dizziness, blurred vision, headache, edema, difficulty thinking, angioedema -Care: No pregnancy; Use protection (males); ER if tongue starts swelling; Do not discontinue abruptly}How does the nurse monitor for the following adverse effects of PCI/stent for pt w ACS: 1) bleeding 2) femoral artery occlusion 3) dysrhymias 4) decreased LOC/resp depression 5) reocclusion {Ans: 1) assess site for pain, bruising, hematoma, bleeding, decreased hgb/hct; monitor pt for tachycardia, hypotension, worsening back pain 2) assess legs for color, temp, pedal pulses, pain 3) continuous tele, electrolytes (K+ or Mg) 4) SpO2, RR, resp depth, LOC, lung sounds 5) return of chest pain, ST segment elevation, prior symptoms like nausea, diaphoretic, SOB}What is the criteria for diagnosis of acute respiratory