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pharm final 5/2010
pharm final
| Question | Answer |
|---|---|
| Adm OTC antiemetic patch how long before travel | 30 min |
| s/e of antihist/antichol | dry mouth and drowsy |
| compazine is used to treat vomiting and psychotic behavior,when used as an anti-emetic you will give in | smaller doses |
| when is ipecac (emetic) contraindicated | ingestion of chlorine bleach |
| how do opiates act as an anti diuretic agent | decreases intestinal motility |
| cause of peptic ulcers | hypersecretion of pepsin |
| tx for diarrhea give atopime(LOMOTIL),it's in what class | anticholinergic |
| how can you restore fluid and electroltes at home | gatorade and pedialyte |
| best way of preventing Gerd in a non-pharmaological way | promote weight loss in the obese |
| how does Zantac work | a h2 antagonist,inhibits @h2 receptor |
| PPI's act by doing what | inhibits gastric secretion |
| prostaglandin mysoprostal | NSAID treatment |
| carafate for PUD treats how | coats ulcer |
| non immunized for Hep B gets stuck needs | both hep b vaccine and immunoglobulin |
| cirrhosis c +4 edema, most important lab value to check | albumin |
| most rapid effect of dulcolax is when given | on an empty stomach |
| c viopase taken for pancreatitis client's stools will appear | normal |
| pt bleeding c esophageal varices is taking Zantac why | prevents irritation |
| what can we give pt c choliathiasis who is poor candidate for surgery | Actigall |
| pt c fluid restriction is constipated wants to know he can't take bulk forming laxative | requires increased fluid intake |
| immodium is given for txment of what | diarrhea |
| client c cirr,+4 edema, normal Na+, low K+, getting spirolactalone and lasix, what do u do | Give K+sparing Spiron and hold K+ waisting lasix |
| pt on Lactulose complains of diarrhea s/e, tell pt to continue use because it | improves neural funtion |
| cirrhosis taking Inderal, why? | dec risk of bleeding from varices |
| lady calls in and says that a chef at her fav resteraunt tested pos for Hep A, wants to know what to do | come in and get immunoglobulin |
| senokot decreases vomiting when given to whom | cancer patients |
| Gerd caused by | incompetent lower esophageal sphincter |
| gram neg bacillus c peptic ulcer | h pylori |
| difflucan is tx for | candidiasis(yeast infection) |
| Dulcolax is a | contact laxative |
| client with IBS taking Bentyl should be taken when | c 4 small meals and at bedtime |
| only give emetics when | ingested substance is known |
| c antidiarrheals avoid | use of tranquilizers, sedatives, and other narcotics |
| dx c acute diarrhea, allergic to aspirin(salicylic) cannot give what | pepto-bismol(contraind c salicylics) |
| when poisoned you do not immed take what | ipecac(must first find out what substance ingested was) |
| pt receiving complimentary ther of alpha-interferon c ribovirin you must monitor what | lymphocyte count |
| mother of 5 year old, doesn't feel he's tall enough asks if he could get GH therapy? | must be documented proof of gh deficiency |
| client newly diagnosed c hypothyroidism is prescribed levothyroxine sodium(synthroid) wants to know when energy level will increase | several weeks for optimal effect |
| c insulin the hypoglycemic effect to look for is | flushing face |
| pt wants to know which insulin injection has the longest lasting effect | Lantus |
| client D/C Prednisone advice them to | taper off |
| insulin with fewest allergy s/e | humilin |
| PTH causes | prod of calcitonin |
| phy orders NPH insulin to be given IV q day,nurse should | contact phy about contraindicated route |
| insulin inj @7 am is Humilin R & N, adm how | 1 inj--draw up R first(clear before cloudy) |
| usually when a 60 y old dev diabetes, it's which type | Type II |
| client c medic alert bracelet for DM passes out, what's the best way to tx if poss | give glycagon injection |
| client c grave's dx is taking PTU for six wks,c/o fever & sore throat, early indication for what | agranulocytosis |
| Paget's Dx Rx to do what | decreases mobilization of calcium from bone |
| to distinguish if hypothyroidism is from a def in pit or thyroid check | TSH level |
| ICU nurse is expectiong client c ketoacidosis, which insulin should nurse have ready | Regular |
| PTU taken for | sev wks or 6-18 months |
| 18 yo c severe acne pres Accutane,which statement lets u know that she understands nur directions for taking | I need to have a preg test prior to start and proven method of contraception during tx c accutane |
| instuctions nurse gives to client for use of anti-histamine for pruritis(itching)inc s/e | causes drowsiness |
| nurse using high potency corticosteroid(topical), how long does nurse anticipate to use | no longer than 2 weeks |
| silvadene being used to tx burns and sepsis in pt, must watch out for what | can cause crystalluria |
| in a burn inj there is a shift of fluid which IV fluid is commonly used for fluid replacement | Lactated Ringer's |
| high cost biological agents to tx psoriasis all have s/e of | inc risk of infection(cause they are all immunosuppressants) |
| using Bendryl c contact dermatitis risk of | allergy to systemic Benadryl |
| which is leading cause of death and organ function failure relating to burns | sepsis |
| supp vit and min good for wound healing are | vita c, sulfate, and zinc |
| stabilized client adm to burn unit which anxiolytic could u give to potentiate analgesic tx | versed |
| 20 yo burn pt refuses to go outside, nur diagnosis | disturbed self concept |
| folic acid def pre-conception can cause | neural tube defects |
| most imp assess int for pt on Mg sulfate | assess for clonus and Deep Tendon Reflexes |
| tocolytic meds do what | slow uterine contractions |
| pre-term labor pt receives serial sub Q breathine inj to inhibit | tachycardia |
| pitocin 10 units IM given for what | prevent uterine atony |
| what needs to be readily available c uterine hyperstimulation is desired | Breathine (Terbut sulfate) |
| meas to prevent bleeding in nb | vita k inj |
| client exp after birth pains, no relief from mech tech,give | Ibuprofin |
| iron and antacids should be taken | at least 2 hrs apart |
| oral contraceptives are contraind in | Thromboembolytic Dx |
| progestine--only will do what | alters cervical mucus(mucosa) |
| oral contraceptive teaching | ACHES |
| pt c endometriosis prescribed Danzanol start when | during menstrual cycle |
| health teach for depo inc | bone loss |
| freq reported c short term hypoglycemia | flushing of face |
| mini-pill missed a dose | take 1 now and use back-up contrac method,cont reg schedule |
| need teach if pt says about menopause | swimming will help bone loss |
| pt c endometiosis what is not a symptom | HTN NOT a symptom |
| pt c combo PO contraceptive missed dose | take 2 at norm time for next 2 days |
| Indication for androgen tx | hypogonadism |
| lab tests c androgen tx show | inc cholesterol |
| androgen tx contraind c | BPH |
| abused by athletes | anabolic steroids |
| older adult gets what percent of peak level of testosterone | 50% |
| viagara adm how long before sex | 30 min to 4 hrs prior |
| BPH pt ordered to get Proscar, expect what ther effect | dec dribbling |
| c androgen tx,sexual char will appear in | 3 to 4 years |
| viriling s/e of androgen tx is | facial hair |
| vaginal gonnorrhea infection Rx what | Citraxone(Rocephin) |
| phy orders diflucan for tx of | candidiasis |
| Client teach about Clomid,what s/e | inducing ovulation |
| stress c couple caused by infertility | timing of coitus |
| Clomid contraind in | unexplained vag bleeding |
| STD's c cures | Gonn,Chlamydia, and Sphillus |
| drug reg for hiv tx individualized why? | virus mutates continuously |
| HIV closely monitored during tx for | bone marrow suppression |
| pts taking DDAVP for DI need to monitor what | daily weights |
| DI c DDAVP | no sub Q (oral or nasal only) |
| c Addison's electrolyte panel will show | Excess Na+ and water, and dec K+ |
| oral agent used to tx Acne Vulgaris | Isotretinin(Accutane) |
| most effective topical agent for Acne Vulgaris | Benzoyl Peroxide |
| dermatologic disorder char by hard, horny nodules freq treated c podophyllum or salicylic acid | warts |
| used to tx male alopecia(hair loss) | propecia |
| an acceptable emergent tx for a small thermal burn(<10%) | apply Bacitracin Ointment to keep down infection |
| substance that freq causes Avascular Tubular Necrosis in clients c deep tissue injury from burns | myoglobin |
Created by:
bevkay
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