Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pharmacology-NRSE-3010-001 > Exam 4 part 2 > Flashcards

Exam 4 part 2 Flashcards

1
Q

What type of statement related to phenazopyridine would indicate need for further teaching? Why?

A

“this is used to kill bacteria related to my UTI”
it ONLY treats UTI symptoms (burning, frequency, urgency)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What color urine is an expected effect of phenazopyridine hydrochloride (UTI symptoms drug)?

A

reddish/orange urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What medication may be expected to decrease incontinent episodes related to OAB (overactive bladder)?

A

oxybutynin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the indications for bethanechol chloride?

A

nonobstructive urinary retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What medication used for nonobstructive urinary retention may cause SLUDGES?

A

bethanechol chloride

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the maximum rate for potassium chloride?

A

10 mEq/hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What specific equipment should be used in the monitoring of a patient receiving potassium?

A

EKG/telemetry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the symptoms of HYPOkalemia?

A

flat/inverted T wave/presence of U wave, muscle weakness/cramps, GI issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the symptoms of HYPERkalemia?

A

paresthesia, cardiac issues, and GI issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What may absence of DTR (deep tendon reflexes) & respiratory depression/cardiac issues indicate for an individual receiving magnesium sulfate?

A

overdose of magnesium sulfate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the treatment for overdose of magnesium sulfate?

A

IV calcium gluconate
(furosemide may be given to promote magnesium secretion for those w/adequate kidney function)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What population is commonly encouraged to take folic acid supplements (vitamin B9)? Why?

A

women of child bearing age
prevents neural tube defects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What folate-rich foods can be encouraged for those where folic acid is indicated?

A

okra, spinach, asparagus, liver, seeds, OJ, dried peas/beans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What should we encourage people to take 3 months prior to getting pregnant and throughout during of pregnancy and then while breastfeeding?

A

folic acid supplements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How can teeth staining be prevented in those taking iron?

A

drink through a straw

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is common with stool appearance in those receiving iron supplements?

A

dark green/black appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What iron-rich foods can the nurse encourage those who require supplements to increase?

A

tofu, green leafy vegetables, egg yolks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What should be avoided by those receiving iron supplementation?

A

coffee, tea (caffeine), dairy, antacids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What should be consumed to increase the absorption of iron?

A

Vitamin C (orange juice or citrus fruits)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What effects may occur from taking iron?

A

teeth staining, staining of skin, anaphylaxis (IV), hypotension (IV), fatal iron toxicity in children, GI distress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How do proton pump inhibitors work
(-prazole)?

A

reducing acid secretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Due to the potential of osteoporosis development in those who are taking long-term PPIs (proton pump inhibitors), what test should individuals be encouraged to receive?

A

bone density screenings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What short term effects may occur with taking omeprazole?

A

headache, diarrhea, n/v

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What effects may occur with taking pantoprazole long-term?

A

pneumonia, osteoporosis/fractures, rebound acid hypersecretion, hepatotoxicity, HYPOmagnesemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What should be avoided while taking a PPI (esomeprazole)?

A

smoking, alcohol, NSAIDs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What medication may be indicated in the treatment of erosive esophagitis (r/t to GERD) and ulcers?

A

proton pump inhibitors (-prazole)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What medication may utilized in the treatment of NSAID-induced ulcers?

A

misoprostol (mucosal protectant)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is the contraindication for misoprostol?

A

Pregnancy Category X

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What medication protects stomach lining/aids in ulcer repair by increasing bicarbonate & mucin secretion and reducing acid secretion?

A

misoprostol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What type of drugs are cimetidine and famotidine?

A

H2 receptor blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What drugs can be expected to have a decreased effectiveness while taking H2 blockers (cimetidine and famotidine)?

A

warfarin, phenytoin, lidocaine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What dietary/consumption education should be provided for a patient prescribed famotidine for GERD?

A

avoid spicy food, caffeine, don’t lay after eating, eat on regular schedule, no smoking/alcohol, no NSAID (except prophylactic 81mg baby aspirin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What medication is used to alleviate pain in duodenal ulcers by coating the mucosa/protecting the ulcer?

A

sucralfate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What are contraindications for antacids?

A

GI perforation, obstruction, and abdominal pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

When are antacids given?

A

heart burn, GERD, indigestion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What type of medications are loperamide and diphenoxylate?

A

antidiarrheals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What medication can be used for travelers diarrhea or IBS?

A

loperamide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What statement from a nurse would indicate need for further teaching about the indications of diphenoxylate w/atropine? Why?

A

“used for C.diff”
because you don’t want them to take an antidiarrheal as it will keep the C.diff in them; however it is used for severe diarrhea

39
Q

What symptoms should those taking promethazine (Phenergan) report?

A

extrapyramidal symptoms (restlessness, anxiety, spasms of face/neck)

40
Q

Because extravasation is a risk with IV promethazine, what should the nurse teach the patient to report?

A

iv site pain, blistering, black skin

41
Q

When is promethazine given?

A

N/V

42
Q

When is lactulose (osmotic laxative) used?

A

prevention and treatment of portal-systemic encephalopathy by decreasing ammonia levels

43
Q

When is polyethylene glycol electrolyte solution used?

A

bowel prep for surgery/ colonoscopy

44
Q

What MUST the patient increase while taking magnesium hydroxide or mag. citrate (saline laxatives)?

A

fluids

45
Q

The function of which system should be monitored closely in those taking magnesium hydroxide/citrate?

A

renal function (magnesium puts increased stress on the kidneys)

46
Q

Why should the nurse assess skin turgor, daily weights, and I&O’s with those taking a saline laxative (magnesium hydroxide/citrate)?

A

major risk for dehydration

47
Q

How should the nurse educate client to prevent constipation?

A

increase fluid (2L/day), fiber (bran flakes, fruits, vegetables), and exercise (1x/day)

48
Q

What type of medication is docusate sodium?

A

surfactant laxative

49
Q

How does docusate sodium work?

A

increasing water/electrolytes in intestinal lumen and softening stool by promoting penetration of water

50
Q

What medication may be given to prevent painful elimination/straining in those w/MI, constipation in pregnancy/opioid use, and fecal impaction in immobile pts?

A

docusate sodium

51
Q

What should be avoided while taking enteric coated stimulant laxatives (bisacodyl)?

A

milk and antacids bc they destroy the enteric coating

52
Q

What is expected of urine with senna (stimulant laxative)?

A

red/brown urine

53
Q

What time of day should senna and bisacodyl be taken?

A

bedtime to produce results the following morning

54
Q

Why should chronic use be avoided with bisacodyl/senna/castor oil?

A

may cause dependence as well as fluid/electrolyte imbalances

55
Q

Who should avoid taking antihistamines/anticholinergics (hydroxyzine, scopolamine, doxylamine)?

A

those with BPH (due to risk of urinary retention) and pts w/glaucoma

56
Q

What effects may occur with scopolamine?

A

can’t see, pee, spit, poop

57
Q

What may be prescribed for morning sickness in pregnant people?

A

doxylamine + pyridoxine (B6)

58
Q

Why is it important for the nurse to assess pts ability to swallow with psyllium husk (bulk forming laxative)?

A

risk for esophageal obstruction as an effect

59
Q

What MUST the patient increase while taking psyllium husk?

A

fluid intake (2-3L/day)

60
Q

Metoclopramide may be used for?

A

chemo-induced N/V, diabetic gastroparesis, GERD

61
Q

What medication may be used in diabetic gastroparesis because it promotes gastric emptying?

A

metoclopramide

62
Q

When is naloxone given?

A

opioid overdose (CNS/respiratory depression)

63
Q

What medications are highly effective for acute migraines?

A

triptans

64
Q

How do triptans treat migraines?

A

constrict blood vessels and suppressing inflammation

65
Q

After taking a triptan med for migraine what should the pt do?

A

lay down in a dark/quiet room

66
Q

What is IV acetylcysteine used for?

A

treatment for overdose of acetaminophen within 8hrs of ingestion

67
Q

What is the max daily dose of acetaminophen for those with a healthy liver?

A

4g/day

68
Q

What are the indication for a max daily dose of 2g for acetaminophen?

A

3 or more alcoholic drinks

69
Q

What medication is preferred for pain in children and used for fever/minor pain and mild to moderate musculoskeletal pain?

A

acetaminophen

70
Q

Who can press a PCA button?

A

ONLY the patient

71
Q

What actions should the nurse take if a patient receiving a PCA pump presents w/symptoms of overdose?

A
  1. stop pump (or basal dose will admin)
  2. administer naloxone
  3. notify provider
72
Q

What type of medications are allopurinol, colchicine, and probenecid?

A

antigout medications

73
Q

Which antigout medication is given during an acute attack?

A

colchicine

74
Q

Which antigout medications are given prophylactically?

A

allopurinol and probenecid

75
Q

What foods should be avoided while taking allopurinol?

A

high purine (red meat, alcohol, scallops)

76
Q

What is an expected effect of allopurinol?

A

metallic taste

77
Q

What should those taking antigout meds avoid?

A

grapefruit juice, alcohol, scallops, red meat

78
Q

The increased absorption of which drug is expected with aspirin?

A

warfarin

79
Q

What may develop if a child with a viral illness takes aspirin?

A

Reye’s syndrome

80
Q

What condition are methotrexate, infliximab, adalimumab and etanercept used in?

A

RA (rheumatoid arthritis)

81
Q

What should be taken with methotrexate to prevent stomatitis?

A

folic acid

82
Q

What pregnancy category is methotrexate?

A

Category X

83
Q

Which individuals should avoid NSAIDs?

A

GI issues/ulcers, heart problems, and kidney disease/dysfunction

84
Q

What medication may be used in the treatment of sunburn, arthritis, tendonitis, or other moderate pain types?

A

NSAIDs (naproxen, ketorolac, meloxicam, ibuprofen)

85
Q

What type of medications are meloxicam, ketorolac, and naproxen?

A

NSAIDs

86
Q

Which NSAID is commonly used in the treatment of migraines?

A

naproxen

87
Q

What is expected of the pupils for those taking morphine?

A

pin point pupils, myosis

88
Q

What pregnancy category is aluminum hydroxide?

A

Category C

89
Q

What type of antacid compound may cause diarrhea, hypermagnesemia, and should be avoided in kidney issues?

A

magnesium hydroxide

90
Q

What type of antacid compound may likely cause constipation?

A

calcium

91
Q

What may be an effect of sodium bicard (antacid compound)?

A

sodium retention (HTN/HF)

92
Q

Who should not take antacids?

A

GI perforations, abd pain, bowel obstruction

93
Q

How does metoclopramide work?

A

blocks dopamine receptors

94
Q

What medication used to treat UTI symptoms may cause hemolytic anemia, a FALSE positive glucose urinalysis, hepatitis and renal failure?

A

phenazopyridine hydrochloride

Pharmacology-NRSE-3010-001 (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions