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ATI pharm > 200 Dynamic ATI Questions Part 1 > Flashcards

200 Dynamic ATI Questions Part 1 Flashcards

1
Q

Premenopausal Combination Oral Contraceptives adverse effect

A

Adverse: DVT
~Positive bone mass
~Positive decreasing effects on LDL cholesterol
-Deficiency in estrogen = Midcycle bleeding

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2
Q

Epoetin Alfa function

A

Increases blood cells

~Causes hypertension
-Monitor BP

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3
Q

Indication of Thyrotoxiosis

A

Levothyroxine accumulation

-CM: Chest pain, tachy, insomnia, tremors, hyperthermia

~usually loose weight, constipation normal, fatigue common

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4
Q

How should subcutaneous Heparin be administered

A

In client’s abdomen with 25 in gauge

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5
Q

Diltiazem function

A

Anti arrhythmic

-Reduces AFIB

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6
Q

Clopidogrel function

A

Anti platelet

-Stops thrombolitic events like ischemic stroke, MI, Peripheral vascular disease

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7
Q

Acarbose administration

A

Helps Type 2 diabetes

-Take with food
-Ok to use with insulin

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8
Q

Rifampin adverse effect

A

Orange urine

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9
Q

Theophylline contraindication with what med

A

-Contraindication: Zafirlukast (asthma maintanence)

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10
Q

Baclofen administration

A

Muscle relaxant

-Do not stop abruptly this can lead to seizure, hallucination, paranoid
-Causes urinary retention

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11
Q

Fludrocortisone adverse effect

A

Steroid

-Adverse: Hypokalemia b/c increase sodium = decrease in potassium
-Hypertension

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12
Q

Epinephrine adverse effect

A

-Adverse: Tachy and Dysrhythmias
-When taken with lidocaine, epi decreases blood flow & delays absorption of lidocaine

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13
Q

Nitroglyercin treats

A

Treats angina/chest pain

-Vasodilator

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14
Q

Subcutaneous Insulin Infusion Pump

A

Plan to use a short duration insulin

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15
Q

Clonidine causes

A

Antihypertensive

-Causes: drowsiness, sedation so DO NOT DRIVE
~Do not stop abruptly
~Dry mouth expected

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16
Q

Glucocorticoids long term use adverse effect

A

Long term use = Osteoporosis
~Weight gain, hypertension, restlessness, agitation, anxiety

-Adverse: Peptic ulcer

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17
Q

Infliximab contraindicated with what disease

A

TNF antibody (immunosuppressant)

-Increase risk of infection
-Contraindicated: Hep B

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18
Q

Alosetron administration

A

-Fatal constipation and bowel obstruction
-Client must sign a agreement with provider before administering

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19
Q

Amlodipine adverse effect

A

-Adverse: Dizziness, palpitations, peripheral edema

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20
Q

Vitamin A (eyes) deficiency can cause

A

Deficiency can cause night blindness

-Teratogenic
-No high doses
-Damages bones

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21
Q

Nifedipine function

A

Stops preterm labor

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22
Q

Scopolamine (motion sickness patches) administration

A

-Place patch behind ear
-Replace every 72 hrs
-No alcohol wipe prior needed
-1 patch at a time

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23
Q

Digoxin function

A

Decreases HR
-Less than 60 bpm = Report and hold

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24
Q

Hydromorphone IV administration

A
  1. Administer 4-5 min to prevent respiratory depression & cardiac arrest
  2. Review vitals
    ~Supine position when administering
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25
Q

Chlordiazepoxide treats

A

Benzodiazepine (facilitates withdrawal)

-Administer for ACUTE ALCOHOL WITHDRAWL
-Prevents seizures
-Give FIRST then disulfiram when they are detoxified

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26
Q

Lactulose function

A

Laxative

-Promotes excretion of ammonia (decrease ammonia levels)
-Does not: prevent bleeding, increase BP or decrease HR

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27
Q

Doxycycline adverse effect

A

Tetracycline antibiotic

-Adverse: Photosensitivity

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28
Q

Misoprostol contraindicated

A

-Softens cervix before labor
-Contraindicated: Past cesarean delivery
-Increases uterine tachysystole

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29
Q

Ceftriaxone contraindicated with

A

Cephalosporin
-Contraindicated: Penicillin (piperacillin)

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30
Q

Morphine PO peak effect

A

60-90 min (greatest effect)

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31
Q

Prednisone adverse effect

A

Treats chronic asthma
-Adverse: weight gain

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32
Q

Verapamil for hypertension function

A

-Increase amount of fiber in the diet to prevent constipation

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33
Q

Captopril for hypertension monitor

A

-Monitor for neutropenia = Monitor CBC

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34
Q

IV Nitroprusside for hypertension adverse effect

A

Adverse: Delirium

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35
Q

Levothyroxine for hyperthyroidism adverse effect

A

Tachycardia b/c HR is greater than 100

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36
Q

Warfarin monitor

A

INR: 2-3

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37
Q

Fentanyl patch contraindicated

A

No grapefruit juice! bc increases absorption = bad

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38
Q

Sucralfate tablets administration

A

Huge so don’t have to swallow whole
Wait 30 min after taking antacid

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39
Q

Hep A normal side effect

A

Loss of apetite

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40
Q

Chlorpromazine side effect

A

Orthostatic hypotension

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41
Q

Amytriptyline causes

A

Antidepressant
Orthostatic hypotension

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42
Q

Ezetimbe for hyperlipidemia adverse effect

A

Decreases cholesterol
-See jaundice = Notify provider

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43
Q

Saw Palmetto for BPH therapeutic effect

A

Urinary health promotion

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44
Q

Clopidogrel adverse effect

A

Blood thinner
Bleeding

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45
Q

Dantrolene contraindications

A

Treats muscle spasms & hepatoxic
History of cirrhosis

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46
Q

Telavancin IV check for

A

Pruritus indicating a rapid infusion

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47
Q

Ethambutol adverse effect

A

Loss of red/green color discrimination

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48
Q

Mineral corticoids for Addison’s disease (decrease cortisol & aldosterone) function

A

Maintain e- fluid imbalance

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49
Q

Pregnant client responding to a med. What physiological effects should the nurse consider?

A

Accelerated excretion of fluids bc of increased renal blood flow

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50
Q

Insulin lispro (rapid acting) has a onset of

A

15 min

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51
Q

Raloxifene for osteoporosis adverse effect

A

Sudden onset of dyspnea

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52
Q

Vitamin D defficiency risk factor

A

Obesity
~Light skin can increase vitamin D

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53
Q

Prednisone longterm adverse effect

A

Gastric ulceration, stress fractures

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54
Q

Is metroprolol photosensitivity

A

NO (tim can go in the sun)

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55
Q

Combo oral contraceptive contraindication

A

Liver disease

56
Q

Rotavirus vax contraindicated

A

Infants with history of intussuseption

57
Q

Brimonidine (longterm) expect

A

Treats open angle glaucoma
Decrease in intraocular pressure

58
Q

Pancreatic enzyme replacement for cystic fibrosis therapeutic response

A

Client is having 1-2 bowel movements a day

59
Q

When do you take Donepezil

A

Late in the evening

60
Q

Enteric coating meds cause

A

Less gastric irritaiton

61
Q

PCA pump you should

62
Q

Interferon Beta 1 adverse effect

A

Body aches

63
Q

Antidote for Amantadine (antiparkinson)

A

Chlorpromazine

64
Q

Streptomycin contraindicated with

A

Furosemide bc increases ototoxicity

65
Q

Varicella vax contraindicated with ___ allergies

66
Q

Administering med parenterally. What will reduce fluctuation in plasma blood med levels?

A

Administering a continuous infusion of the dose

67
Q

Combo oral contraceptives. What indicates progestin (menstrual cycle) deficiency?

A

Amenorrhea (no menstrual period)

68
Q

Performance deficit give what type of injection

A

IM injection given instead of SubQ injection

69
Q

Imipenem (antibiotic) adverse effect

70
Q

Epoetin Alfa (increases blood production to help bone marrow) adverse effect

71
Q

Vassopressin what do you monitor

A

Treats diabetes & regulates water in kidney
Monitor creatinine clearance less than 87 bc this indicates renal failure

72
Q

Phenytoin (antiseizure) adverse effects

A

Status epilepticus (seizure)

73
Q

Furosemide (loop diuretic) adverse effect

A

Tinnitus bc very ototoxic

74
Q

Spinal anesthesia teaching what is an adverse effect

A

Hypotension

75
Q

Corticosteroid inhaler long term adverse effect

A

Stunts growth in children

76
Q

Lactulose (laxative) treats cirrhosis by

A

Decreasing ammonia levels

77
Q

Propylthiouracil treats

A

Hyperthyroidism

78
Q

Gentamicin (nephrotoxic) adverse effects

A

Proteinuria, oliguria, hematuria

79
Q

Hydroxycholorquine (antimalarial) adverse effects

A

Eye blindness/changes in vision

80
Q

Ergotamine (antimigraine) if you overuse the med you might

A

Get addicted
Adverse: tingling (ergotoxic) & restlessness

81
Q

Vax contraindication

A

If they have a mild illness with NO FEVER so you have to postpone the vax till they don’t have any illness

82
Q

Raloxifene (decreases bone reabsoroption) contraindicated with

A

DVT bc it is a estrogen receptor
-decreases MI risk bc of decrease LDL

83
Q

Ticarcillin - clavulanate (penicillin = kidney) monitor

A

BUN/Creatinine

84
Q

When Methotrexate is added to regimen

A

This med was added to delay disease progression (delay joint damage)

85
Q

Tobramycin therapeutic range

86
Q

Spironolactone (P sparing diuretic) teaching

A

Will increase breast tissue growth while taking this med
-Limit P foods, no salt substitutes, don’t increase water

87
Q

Cefotetan (antibiotic) affects vitamin K (bleeding) adverse effect

A

Epistaxis (bleeding from the nose)

88
Q

Ototoxicity results from

A

Chronic use of salicylates (aspirin)

89
Q

Frequent use of steroids results in

A

Decrease bone density and visual complications

90
Q

Nifedipine (CCB) causes uterine contraction by

A

blocking flow of calcium to uterus

91
Q

Diphenhydramine IV bolus. Client has IV infusion containing a med incompatible with Diphenhydramine. What action should the nurse do?

A

ASPIRATE (pull back on syringe) to check IV patency before administering diphenhydramine

92
Q

Dexamethasone (steroid that decreases inflammation by suppressing immune) teaching

A

Avoid large crowds/stay away from ill people bc immunosuppresion

93
Q

Give which NSAID to someone with peptic ulcer disease

A

ACETAMINOPHEN no risk of bleeding

94
Q

Salmeterol (LABA) function

A

Increases risk of asthma related death

95
Q

Furosemide therapy range

A

40 mg UNdiluted over 2 min
-Max rate: 4 min

96
Q

Child receiving IVIG. Parent wants them to get MMR too. Nurse says

A

Your child will not be able to recieve MMR vax until after 3 months of discharge

97
Q

Lithium toxicity (kidney) results in

A

Vomiting or diarrhea bc e- imbalance leads to low sodium = Bad kidneys

98
Q

Theophylline (bronchodilator) CNS toxicity causes

99
Q

Metformin (Lactic acid) adverse effect

A

Myalgia (muscle pain) from lactic acid buildup
-Does not cause hypoglycemia

100
Q

Amitriptyline (tricyclic antidepressant) administer when

A

Before bedtime bc sedation

101
Q

Memantine (increase cognition) what increases the risk for reduced clearance

A

Creatinine clearance not in the range of 87-139 = renal impariment

102
Q

Feverfew treats/prevents

103
Q

Phenelzine (MAOI antidepressant) can’t have

A

Thymine rich foods
-Broiled steak ok

104
Q

Meperidine (opioid) recommended range

A

50 mg every 3-4 hrs
Do not exceed 600 mg within 24 hrs
Contact provider for clarification of prescription

105
Q

Celecoxib (NSAID) use for

A

New diagnose of RA

106
Q

Anuerysm clipping contraindicated with ______ for increased bleeding

107
Q

Etonogestrel subdermal contraindicated with

A

St. Johns wort

108
Q

Iron dextran IV administer

A

Small dose before giving full dose

109
Q

Clozapine (antipsychotic) early indication of adverse effect

A

Temperature bc decrease WBC = risk of infection which is adverse

110
Q

Acute Gout give

A

NSAIDS (naproxen) or Colchicine

111
Q

Amphetamine (Causes HTN) adverse effect

A

Palpitations

112
Q

Cosyntropin determines if client has adrenal insufficiency (Addisons disease)

A

Increase levels indicates it is within expected range

113
Q

Ergotamine (vasoconstrictor) treats

A

Headache/migrane

114
Q

Doxazosin (vasodilator) adverse effect

A

Hypotension

115
Q

St Johns wort treats

A

Depression

116
Q

Glucocorticoid therapy is bad for bones so

A

Increase Ca supplements while on this med to prevent osteoporosis

117
Q

Cycloplegia results in

A

Blurred vision

118
Q

Vitamin K deficiency will expect

A

Excessive bruising

119
Q

When shoudl DMPA first dose be administered

A

6 weeks post pardem if exclusively breastfeeding

120
Q

Ginko biloba interferes with

A

Warfarin (increase bleeding)

121
Q

Tiazanidine (muscle relaxant) contraindicated with

A

Hepatitis (liver) bc increases adverse effects

122
Q

Menopause - estrogen & prostegin (increase risk of breast cancer) why do we take both

A

Take these bc short term use to control urogenital atrophy (post menopause deficiency)

123
Q

Bismuth subsalicylate can cause

A

Peptic ulcer disease bc it decreases bacteria (H Pylori)

124
Q

SABA (PRN) if used more than twice a week

A

Notify provider bc might need to switch to LABA

125
Q

Vancomycin (Nephrotoxic) monitor

A

Creatinine levels 0.5-1.3

126
Q

Alosetron (IBS) adverse effect

A

Constipation

127
Q

Levodopa full therapeutic range

A

May take several months

128
Q

Sumatriptan (vasoconstrictor) contraindicated with

A

Any heart disease: Ischemic heart disease or MI

129
Q

Otic med administration

A

Pull adult ear up and out
-Side lying position or sit in chair and lean to side
-1.3 cm away from ear
-Hold for 2-3 min after giving med

130
Q

Slow infusion rate of morphine if

A

RR decreases

131
Q

Chlorothiazide (antihypertension) adverse effect

A

Muscle weakness bc increase excretion of e- = hypokalemia

132
Q

Filgrastim treats

A

Neutropenia (low WBC) so it increases neutrophil count

133
Q

Hydrocortisone teaching

A

Carry a supply of pills and single use injectable prep at all times bc of unexpected times of stress

134
Q

Furosemide causes Potassium LOSS and Digoxin adverse effect is hypokalemia so you

A

Increase P foods (fruits & veggies) everyday

135
Q

Risedronate (Biphosphonate - increases bone density) administer

A

Take with full cup of water in the morning bc works best on empty stomach

ATI pharm (3 decks)

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