Exam 2 Pharmacology Presentations Flashcards
An elderly patient comes into the ED after being prescribed digoxin and is experiencing anorexia, vision changes (blurred yellow halos) confusion, depression, and fatigue. What blood test are we going to run first?
A. a troponin level because dig affects the heart
B. A dig level because the elderly are at risk for dig toxicity
C. A potassium level because a common trigger for toxicity is hyperkalemia
D. a CBC to check the patients WBC because they may have a UTI
B. A dig level because the elderly are at risk for dig toxicity
Which labs should the nurse monitor after increasing a patients lisinorpil from 10-40mg (SATA)
A. potassium, sodium, BUN
b. BUN, potassium creatine
C. Potassium albumin, BUN
D. BUN, creatine, albumin
b. BUN, potassium creatine
a patient with heart failure is prescribed dig and a loop diuretic. The nurse knows that what finding would increase the patient’s risk of developing dig toxicity
A. magnesium level 1.8
B. K of 2
C. BUN of 15
D. Albumin of 5
B. K of 2
when evaluating the therapeutic response for a client receiving a heparin infusion, which lab results should the nurse monitor
A. CBC
B. aPTT
C. INR
D. PT
aPTT
Which statement indicates to the nurse that the client understands sublingual nitroglycerine medicaiton instrctions
A. I will take 5 doses every 30 mins for chest pain
B. I can chew the tablet for the quickest effect
C. I wil keep the tablets in the freezer away from light until I need them
D. I should sit down or lie down after I take nitro to prevent diziness
D. I should sit down or lie down after I take nitro to prevent diziness
A patient is prescribed verapamil for treatment of SVT. As the nurse you know that this is a ca blocker will help control heart rate and rhythm by causing which of the following changes to the heart
A. increasing cardiac output
B. increasing contractility of the myocardium
C. Slowing condition through the SA and AV node
D. verapamil is contraindicated in SVT
C. Slowing condition through the SA and AV node
Which statement tells you that the patient will need more teaching about the losartan?
A. I will take this medication at the same time eveyrday
B. I do not have to check to monitor may BP, only when I go to the dr
C. I will avoid medications such as ibuprofen and other hypertensive meds
B
which finding would cause you to make you question giving oppressor
A. BP of 154/94
B. AxO 1
C. BP 78/52
D. HR of 102
C
Name an important test to monitor during the use of Azithromycin
A. heart rate and blood pressure
B. urine output
C. liver function
D. temp
liver function
What are common side effects of Xopenex?
A. tachycardia
B. decreased potassium levels
C. palpations
D. all of the above
all of the above
What patent education is important regarding Trilogy Ellipta?
A. stand up slowly to prevent orthostatic hypotension
B. Check your heart rate before taking this medication
C. rise your mouth thoroughly and gargle with water after this medication
D. do not eat 30 after taking medications
C. rise your mouth thoroughly and gargle with water after this medication
Your patient is prescribed Symbicort and starts experiencing severe shortness of breath. What should your first action be as a nurse?
A. administer the Symbicort and monitor for decreased BP and HR
B. apply O2 via NC
C. assess the patient’s symptoms and check orders for emergency medications
C. assess the patient’s symptoms and check orders for emergency medications
what is the suitable option for a lunch meal for someone using Racemic Epinephrine?
A. a slice of cheese pizza with coke
B. a garden salad with a red bull
C. a bean burrito with a water
D. a grilled cheese with a green tea
C. a bean burrito with a water
* cannot have caffeine
A 26 year old female client diagnosed with depression was recerntly prescribed albuterol. Today at her office visit with the primary care provider she tells the nurse that her therapist recently prescribed Phenelzine (MAOI). What would be the appropriate response/intervention from the nurse
A. Take no action because MAOI and albuerol have no drug interaction
B. Explain that taking MAOI while taking albuertil can increase the risk of ventricular arrhythmia
C. explain that MAOI are dangerous and should not bemused at all
D. Determine what other medications are being taken for depression
B. Explain that taking MAOI while taking albuertil can increase the risk of ventricular arrhythmia
Which of the following would be appropriate for a nurse to teach a geriatric patent before starting prednisone long term?
A. an annual eye exam is reccomended
B. there is an increased risk for osteoporosis, depression, increased blood sugar levels in the elderly
C. monitor for signs of infection or illness
D. all of the above
all of the above
