Exam 2 Pharm Flashcards

1
Q

A patient is receiving Amiodarone and reports a persistent cough and SOB. Which of the following should the nurse do first

A

Assess o2 saturation

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2
Q

A nurse gives metoprolol to a patient with hypertension. Which assessment finding requires holding.

A

Heart rate of 52

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3
Q

Before administering digoxin, you review labs. Which electrolyte imbalance is most concerning.

A

Hypokalemia

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4
Q

It is most important for the nurse to teach the patient prescribed nitro to avoid which drug

A

Erectile dysfunction drugs

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5
Q

The nurse is administering diltiazem for your patient with a fib. What do you assess before giving

A

Bp and heart rate

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6
Q

Which is a potential side effect of nifedipine

A

Edema

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7
Q

When administering eliquis to a patient which of the following is most important assessment to monitor patient safety

A

Signs of bleeding/bruising

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8
Q

Which med is most commonly associated with neuropsychiatric symptoms

A

Montelukast

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9
Q

Which electrolyte imbalance would a geriatric patient most likely experience while using formoterol

A

Potassium

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10
Q

Which of the following is a primary action of ipratropium when used for respiratory condition

A

Blocks muscarinic receptors leading to bronchodilation

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11
Q

Which adverse effect may result from taking treprostinil

A

Hypokalemia

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12
Q

Which adverse reaction may result from treprostinil

A

Hypokalemia

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13
Q

Salmeterol is used to prevent bronchospasm only with which med class

A

ICS (inhaled corticosteroids)

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14
Q

What adverse reaction can occur through improper use of oral inhalation fluticasone

A

Oral candidiasis

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15
Q

Which patient is least likely to benefit from medication containing guaifenesin

A

50 y/o with dry cough after smoke inhalation

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16
Q

What is the medication donepezil is used to treat

A

Alzheimer disease

17
Q

What is gabapentin primarily used to treat

A

Neuropathic pain and seizures

18
Q

How is Baclofen administered

A

Orally starting with low dose

19
Q

When a patient is taking lamotrigine what finding would be MOST alarming

A

Skin rash (Steven’s johnson syndrome)

20
Q

What side effect is most important to monitor when a patient is taking keppra

A

Depression and suicidal thoughts

21
Q

What is the reversal agent for methotrexate toxicity

A

Glucatpidase (carboxypeptidase G2)

22
Q

In what patient should an order for paclitaxel NOT be questioned

A

A patient with metastatic breast cancer

23
Q

What does a nurse/patient need to be aware of when taking fruquintinib

A

All the above
Increase risk of thromboembolism, can cause severe GI issues, and can cause a hypertensive crisis with someone who has hypertension

24
Q

In which patient would this medication(Keytruda) be contradicted

A

A 29 female who is pregnant

25
What is a possible risk of taking tamoxifen
Blood clots
26
Which patient would the nurse question the order for letrozole
Both A 30 year old pregnant women and 35 year old women who is breastfeeding
27
A patient is receiving doxorubicin is at risk for what adverse effect
Cardiotoxicity