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Exam (elaborations)

NUR 546 EXAM 1 QUESTIONS AND 100% CORRECT ANSWERS

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  • NUR 546
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  • NUR 546

NUR 546 EXAM 1 QUESTIONS AND 100% CORRECT ANSWERS...

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  • October 4, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 546
  • NUR 546
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Easton
NUR 546 EXAM 1 QUESTIONS AND 100% CORRECT ANSWERS



Dantrolene Therapeutic use / MOA - ANSWER Muscle relaxant (adverse effect: muscle
weakness)

Think "lean" as muscles relax

Peripherally acting (think distal)

Used to treat malignant hyperthermia

Dante's Inferno



Dantrolene adverse effects - ANSWER Adverse effects

3 D's

Drowsiness, Dizziness, Diarrhea

Avoid alcohol/CNS depressants

Can cause Liver toxicity



Dantrolene Administration & client education - ANSWER Administered via IV push or PO



Dantrolene Contraindications/precautions/interactions - ANSWER Caution CNS
depressant meds, alcohol and calcium channel blockers (can cause cardiac
dysrhythmias



Lidocaine Therapeutic use / MOA - ANSWER Local anesthesia can be topical

Labor- used for epidural or spinal anesthesia

Blocks the influx of Na through Na channels preventing depolarization



Lidocaine Adverse effects - ANSWER Lightheadedness can cause hypotension when
used for spinal anesth.

, Too much can cause CNS stimulation lidocaine - sugar cane - sugar rush

Restlessness, irritability, tremors, confusion, convulsions

After CNS stimulation resolves, CNS depressant effects occur causing risk for resp.
Arrest



Lidocaine Administration & client education-ANSWER Avoid administration in eyes or
broken skin

Use appropriate concentration and form



Lidocaine Contraindications/precautions/Interactions-ANSWER Clients with
bradycardia, heart block can experience cardiac arrest upon administration

Beta blockers, cimetidine and quinidine can increase blood levels of lidocaine



Midazolam (Versed) Therapeutic use / MOA-ANSWER General anesthetic/ benzo or
sedative

Prolongs inhibitory effects of GABA

Used to provide sedation and induce amnesia



Midazolam (Versed) Adverse effects - ANSWER Can cause CNS depressant effects,
anterograde amnesia (memory loss), and cardiac/respiratory arrest



Midazolam (Versed) Administration & client education - ANSWER IM, IV or PO

Give by IV bolus and titrate with additional doses for desired depth of sedation



Midazolam (Versed) Contraindications/precautions/interactions - ANSWER Caution
those with neuromuscular, cardiac, pulmonary or renal disorders

Pregnancy/delivery/lactation

Enhances CNS depressant effect of other CNS depressants

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