NRTC Pharm Final
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each of the black spaces below before clicking
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| Ototoxicity is damage to the: | Ear
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| Polypharmacy is a concern for this age group: | geriatrics
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| A normal serum potassium level is: | 3.5-5 mEq/L
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| Children with viral infections should not take ASA because of the risk of: | Reye's Syndrome
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| Those taking MAOI antidepressants should avoid foods with tyramine because of the risk of: | a hypertensive crisis
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| metformin (Glucophage) and iodine-containing contrast dye should not be used concurrently because of the risk of: | acute renal failure
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| This assessment should be completed before administering a beta-blocker, such as atenolol (Tenormin): | BP & pulse
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| gentamicin (Garamycin) and furosemide (Lasix) should not be given together because they are both: | they are both ototoxic medications
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| What lab(s) are monitored for a patient with BPH? | PSA-prostate specific antigen
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| What lab(s) are assessed to monitor kidney function? | BUN & Creatinine
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| What classification is sucralfate (Carafate)? | A mucosal protectant
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| What type of antibiotic medication will probably be prescribed for a patient with a MRSA infection? | A monobactam—vancomycin (Vancocin)
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| A common side effect of ALL nitrate based medications, such as nitroglycerin or isosorbide monoNITRATE (Imdur), is: | A headache and hypotension
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| A nurse should be prepared to administer this med for an insulin overdose or hypoglycemic episode: | Glucagon
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| The reversal agent for opioid based medications is: | Naloxone (Narcan)
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| The recommended site for IM injection for small children is: | Vastus lateralis
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| Hepatotoxicity is damage to the: | Liver
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| Controlled substances must be stored: | Behind double-lock cabinet
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| The reversal agent for a benzodiazepine overdose is: | Flumazenil (Romazicon)
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| Patients allergic to penicillin may be prescribed this type of antibiotic instead: | A macrolide, such as erythromycin (E-mycin)
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| This assessment should be performed after giving an opioid-based antitussive medication, such as codeine: | Respirations
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| Abruptly stopping benzodiazepines, such as alprazolam (Xanax) could cause: | Withdrawal symptoms
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| A normal serum calcium level is: | 9-10.5 mg/dL
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| A properly administered ID injection should create: | A wheal
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| Nephrotoxicity is damage to the: | Kidneys
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| What lab(s) are used to monitor liver levels? | AST & ALT
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| What lab(s) are used to monitor heparin effectiveness? | aPTT
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| What lab(s) are used to monitor warfarin effectiveness? | PT & INR
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| Patient education for a client taking alendronate (Fosamax) for osteoporosis should include: | Take in the morning on an empty stomach with a full glass of water. Stay upright for at least 30 minutes after taking med. Do not eat or drink for 30-60 minutes after taking med.
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| What actions by a client might indicate the client is developing tardive dyskinesia? | Involuntary twisting or writing movements of the face or tongue, such as lip-smacking are early signs of tardive dyskinesia.
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| Patient education for a client taking levothyroxine (Synthroid) for hypothyroidism should include: | Take in the morning on an empty stomach. Client should understand this is lifelong therapy, as there are no therapies to restore thyroid function.
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| Patients taking hypoglycemic agents (oral or injection), such as Lantas, along with taking beta-blockers, such as atenolol (Tenormin) should be cautioned that the concurrent use could: | mask the symptoms of a hypoglycemic epidsode and also increase the hypoglycemic effects.
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| If a patient is prescribed both a short-acting beta2 agonist, such as albuterol (Proventil), AND a glucocorticoid, such as fluticasone (Advair), which medication should be given first and why? | Albuterol, helps with bronchodilation, which will increase the absorption of the fluticasone.
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| When using multiple inhaled medications, how long should a patient wait between administration of each inhaled medication? | wait 5 minutes between using the drug and another inhaled drug
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| A female client is going to begin misoprostol (Cytotec) for the prevention of gastric ulcers. What MUST be confirmed by the health care provider before beginning this medication regimen? | Ensure the client is not pregnant and discuss the need for a contraception method while on this medication.
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| How does docusate sodium (Colace) assist patients with bowel function? | Colace is a stool-softener, which helps relieve painful elimination and PREVENTS STRAINING during defacation.
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| Patient education for a patient who is beginning to take furosemide (Lasix) for hypertension should include: | Patients should have their electrolytes monitored, especially K+, because loop diuretics is a potassium depleting diuretic.
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| A patient has forgotten to take one of her birth control pills. What instructions should the nurse provide to this patient? | take the missed dose along with the next dose.
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| Patient education for a client who is about to begin taking conjugated equine estrogen (Premarin) should include: | Notify Dr if have pain or swelling of the legs, shortness of air, chest pain or severe headache. No smoking. Also inform the Dr if there is breakthrough bleeding between menses or breast changes.
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| Your client is about to begin using a transdermal nitro patch (Nitro-Dur) to treat angina. What patient education should you provide? | Apply patch to hairless area and rotate sites. Apply a new patch each morning and remove patch at night-time for at least 8-10 hours.
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| A patient is going to begin taking an ASA (aspirin) daily to help reduce the risk for a heart attack. What adverse effects should the nurse tell the patient to monitor for? | Signs of bleeding (e.g. petechiae, bruising, black stools, abdominal pain) AND tinnitus (a sign of ASA toxicity).
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