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Pharmacology Exam 3
| Question | Answer |
|---|---|
| This vitamin increases the risk of bleeding. | Vitamin E |
| Antibiotic class that ends in -cillin | Penicillins |
| This type of insulin is long-acting and cannot be mixed with other insulins. | Glargine |
| A patient having an acute asthma attack comes to the ER for treatment. What medication will the nurse administer as a first line of defense? | Albuterol |
| Which drug decreases nasal congestion slowly and produce CNS and cardiovascular stimulation, but do not cause rebound congestion, and are suited for long-term use? | Phenylephrine |
| What are two major mucosal aggressive factors of peptic ulcer disease (PUD)? | H.pylori and NSAIDs |
| What is the biggest risk associated with water-soluble vitamins? | They may cause deficiency because they are easily excreted. |
| A patient is receiving TPN fluids via IV. What is an important nursing assessment? | Asses the IV site |
| This is a short-acting insulin that can be administered by IV or subQ, it is the most common insulin used. | Regular Insulin |
| This drug is a member of the opioid family, it is the most effective cough suppressant available? | Codeine |
| A patient had a CT scan completed, what must the nurse take into consideration when administering Metformin? | The nurse has to wait 48 hours before administering the Metformin because of the contrast dye. |
| What is the biggest risk associated with fat-soluble vitamins? | Toxicity |
| A patient is taking inhaled glucocorticoids. What should be included in the patient teaching about preventing infection? | The patient should rinse and gargle after each administration of the inhaled glucocorticoid. |
| What is the most common adverse effect of inhaled glucocorticoids? | Thrush |
| What is the most serious concern when taking glucocorticoids long-term? | Adrenal Suppression |
| Which vitamin should be administered with iron to increase absorption? | Vitamin C |
| A patient is ordered a beta agonist inhalant (albuterol) and an anticholinergic inhaler (ipratropium).How should these medications be administered? | Administer the beta agonist inhalant 5 minutes before the anticholinergic inhaler. |
| Antibiotic class that ends in cycline | Tetracyclines |
| A patient with TB is showing characteristic signs of jaundice what drug(s) may have been prescribed? | Isoniazid, Rifampin, Pyrazinamid |
| This drug decreases nasal congestion rapidly and produce minimal systemic effects, but cause rebound congestion when used for more than a few days. | Afrin |
| What medication is the only lower respiratory drug that causes quick relief? | Albuterol |
| These two antibiotic classes increase the effects of digoxin and warfarin. | Tetracyclines and Macrolides |
| Which medication is used to promote gastric ulcer healing by providing a protective barrier? | Sucralfate |
| A patient is admitted to the hospital for dehydration. What fluid will be administered to replace both the patient's fluids and electrolytes? | Isotonic Solution/Normal Saline Solution |
| A patient with liver disease is prescribed Lactulose although he is not constipated. Why was Lactulose prescribed? | Lactulose enhances intestinal excretion of ammonia (NH3) |
| The nurse should constantly monitor the output, BUN and creatinine levels for a patient on this antibiotic? | Gentamicin |
| What vitamin increases the risk of clotting? | Vitamin K |
| What is the most abused laxative? | Stimulants (Bisacodyl) |
| Toxicities may occur in what organs as part of antibiotic therapy? | Liver, Kidney, Ear |
| Antibiotic class that ends in -micin | Aminoglycosides |
| What are common side effects of all antibiotics? | N/V/D |
| This vaccine is contraindicated for TB skin test. | BCG Vaccine |
| An asymptomatic patient with a positive TB skin test may have what type of TB? | Latent TB |
| A nurse should warn a patient on this drug about the harmless orange color of body fluids that may appear. | Rifampin |
| What are standard baseline assessments for TB? | LFTs and Eye Exams |
| A patient on this diuretic may develop hyperglycemia or have elevated blood lipids. | Hydrochlorothiazide |
| This electrolyte should NEVER be given IV push. | Potassium |
| A patient treated for a UTI, developed bone marrow depression after long term use of a medication in this antibiotic class. | Sulfonamides (TMP-SMZ) |
| A patient takes NSAIDs for polyarthralgia, what initial medication may have caused this disease? | Pyrazinamide |
| How should the nurse evaluate treatment of TB? | Sputum culture, CXR, Clinical evaluation |
| Why is TB a public health threat? | It's very communicable. |
| A nurse is assessing a patient who has been prescribed antibiotics. What are priority labs the nurse must conduct? | BUN, Creatinine, ALTs, ASTs |
| A nurse is caring for a patient prescribed opioids for pain. Why would the nurse administer Bisacodyl in addition to the opioid? | Stimulant laxatives (Bisacodyl) are given to patients to prevent side effects of other medications such as constipation. |
| A patient prescribed Isonaizid may also take vitamin B6 to counteract what disease? | Peripheral neuritis |
| It is important to teach patients on this antibiotic to take Tylenol for pain, NOT NSAIDs because they can cause seizures. | Levofloxacin |
| This drug sensitizes the body to insulin, but is not considered an insulin. | Metformin |
| A patient finds out she is pregnant. What should the nurse include in patient teaching? | Pregnant women should take Folic Acid to prevent deficiencies and neurological problems (spina bifida) in their newborn. |
| What should the nurse teach a patient who has been prescribed Erythromycin? | DO NOT TAKE WITH ANTACIDS! |
| A 5-year old patient has been prescribed doxycycline. Why should the nurse question this order? | Tetracyclines affects the formation of permanent teeth in kids less than 8 years old. |
| Antibiotic class that has TMP-SMZ | Sulfonamides |
| What is an important patient teaching for females taking antibiotics? | Use a backup contraceptive because most antibiotics interfere with oral contraceptives |
| Used in neuro trauma to decrease ICP, IV use only, Unpredictable effects on electrolytes, Crystallizes | Mannitol |
| Which two labs should the nurse draw when administering Vancomycin and Gentamicin? | Peak and Trough |
| Antibiotic class that ends in -floxacin | Flouroquinolones |
| Which vitamins are fat-soluble? | Vitamins A, K, E, D |
| This diuretic causes orthostatic hypotension, ototoxicity and interacts w/ Digoxin. | Furosemide |
| Which population is more at risk for TB? | HIV/AIDS patients and immunocompromised |
| Antibiotic class that has -cef or -cep in the drug name | Cephalosporins |
| A nurse is assessing a patient prescribed Penicillin. It is important for the nurse to ask the patient about what during her initial assessment? | Allergies |
| A patient with TB develops optic neuritis, what drug has been prescribed? | Ethambutol |
| Blocks the action of aldosterone, Patient excretes Na+ and water, but retains K+, Risk of hyperkalemia | Spironolactone |
| What is an important nursing consideration when administering ancef? | Mixing with lidocaine reduces the pain of the injection |
| Antibiotic class that ends in -mycin | Macrolides |
| A drug that renders cough more productive by stimulating the flow of respiratory tract secretions. | Expectorant (Guaifenesin) |
| drugs that suppress cough, fall into two major groups: (1) opioid and (2) non-opioid | Antitussives |
| Prototype drug for expectorants | Guaifenesin |
| Prototype drug for intranasal glucocorticoids | Beclomethasone |
| A condition in which T3 and T4 are low and TSH is elevated | Hypothyroidism |
| This is a synthetic form of T3 and T4 used to treat Hypothyroidism | Levothyroxine |
| A patient with a history of Hypothyroidism and has been on Levothyroxin comes in with complaints of weight loss, increased heart rate, agitation, and insomnia? What do you expect may be the cause? | Too much medication |
| Why should a patient who is undergoing hormone replacement therapy not show any adverse effects? | You're replacing the amount of hormones that a patient would normally make so if you see adverse effects they are receiving too much medication. |
Created by:
KimeleS
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