final exam pharm

Question 1

beta blockers

Answer 1

-olol

Question 2

ACE inhibitors

Answer 2

-pril

Question 3

CA channel blockers

Answer 3

-pine

Question 4

A2RB

Answer 4

artan

Question 5

A client is reviewing the health record of
a client who is starting propranolol to treat hypertension. Which of the following conditions is a contraindication for taking propranolol?

Answer 5

Asthma
-Propranolol is a nonselective beta blocker. This is a drug that works on both beta 1 and beta 2 receptors. Blocking beta 2 receptors can cause bronchoconstriction.

Question 6

A nurse is providing teaching to a client who is prescribed nitroglycerine for acute angina attacks. Place the following steps in order in which the client should perform them.

Answer 6

1. Stop activity
2. Take a dose of nitroglycerin
3. Wait 5 minutes
4. Call 911 if pain is not relieved

Question 7

Razole

Answer 7

proton pump inhibitors

-omeprazole (Prilosec)

Question 8

Itidine

Answer 8

H2 blockers

-Ranitidine (tagamet)

Question 9

got anxiety?

Answer 9

how bout a pam?
-Benzodiazepines
(Lorazepam, Diazepam, Clonazepam)

Question 10

anti-cholesterol

Answer 10

statins

Question 11

corticosteroids

Answer 11

asone

Question 12

2 meds used to treat Parkison’s

Answer 12

-levodopa, carbidopa (Sinemet)

Question 13

to prevent tooth staining-

Answer 13

use a straw to drink liquid iron preparation

Question 14

check apical pulse of 1 full minute, hold if <60 bpm

Answer 14

digoxin

Question 15

treatment of alcohol withdraws

Answer 15

Librium

-do not consume alcohol, will cause very bad N/V

Question 16

treatment of seizures

Answer 16

dilantin

-therapeutic drug level 10-20

Question 17

treatment of hypotension; shock, low cardiac output, poor perfusion to vital organs: monitor blood pressure, heart rate & EKG.


Answer 17

dobutamine

Question 18

used to treat patients with cerebral edema.

Answer 18

Mannitol a hypertonic solution

Question 19

hyperglycemia

Answer 19

hot and dry, sugar high

Question 20

hypoglycemia

Answer 20

cold and clammy, need some candy

Question 21

A nurse in an outpatient facility is caring
for a client who has been taking acarbos for
type 2 diabetes mellitus. Which of the following
laboratory test should the nurse plan to follow?

Answer 21

Liver function test

-Acarbose can cause liver toxicity long term use.

Question 22

K+ rich foods

Answer 22

bananas, watermelon, citrus fruits, potatoes

Question 23

please obtain ____ prior to starting antibiotics

Answer 23

culture and sensitivity

Question 24

during furosemide therapy, pt is at risk for -

Answer 24

potassium loss

Question 25

A nurse is contributing to the plan of care for a client who is receiving furosemide IV for peripheral edema. Which of the following should the nurse include in the plan (Select all that apply) A. Check for tinnitus B. Report urine output of 50ml/hr C. Monitor serum potassium levels D. Elevate the head of the bed slowly before getting up E. Recommend eating a banana daily

Answer 25

A. Check for tinnitus C. Monitor serum potassium levels D. Elevate the head of the bed slowly before getting up E. Recommend eating a banana daily

Question 26

For pt receiving TPN, nurse should frequently monitor

Answer 26

glucose & electrolyte levels

Question 27

Postop patient at risk for developing DVTs will receive

Answer 27

anticoagulation therapy; 
heparin, enoxaparin

Question 28

When between two answers, choose the _____ answer such as assess, collect, auscultate, monitor, palpate - instead of the______ except in an ______________.

Answer 28

- assessment - intervention - emergency situation where intervention is a must.

Question 29

If one answer is an ____ such as _______ discard from choices.

Answer 29

absolute, always or never

Question 30

what can cause ototoxicity?

Answer 30

Aminoglycosides, Lasix, Vancomycin, ASA

Question 31

reverse agent for heparin toxicity

Answer 31

protamine sulfate; | monitor PTT

Question 32

reverse agent for Coumadin toxicity

Answer 32

Vitamin K; | monitor PT & INR

Question 33

reverse agent for ammonia toxicity

Answer 33

lactulose

Question 34

reverse agent for acetaminophen toxicity

Answer 34

Mucomyst

Question 35

reverse agent for digoxin toxicity

Answer 35

digibind

Question 36

heparin prevents

Answer 36

platelet aggregation

Question 37

dopamine increases

Answer 37

BP

Question 38

Vtach

Answer 38

lidocaine

Question 39

Asystole

Answer 39

atropine

Question 40

CHF

Answer 40

ACE inhibitor

Question 41

Anaphylactic shock

Answer 41

epinephrine

Question 42

seizures

Answer 42

valium

Question 43

Protonix

Answer 43

prevents stomach ulcers

Question 44

Atropine

Answer 44

decreases secretions

Question 45

Phenergan-antiemetic

Answer 45

controls N/V

Question 46

NEVER GIVE ___ IV push

Answer 46

K+

Question 47

Which type of insulin should the nurse teach the client to expect a peak effect in
 1 to 5 hours after administration?

Answer 47

Regular insulin

Question 48

foods high in calcium

Answer 48

Broccoli, cabbage, and collard greens

Question 49

``` 1 tsp. = _ml
 1 tbsp. = __ml
 1 oz. = __ml 1000ml = _Liter 1kg = __lbs 1000mcg = _mg 1 Gram = _mg ```

Answer 49

- 5mL - 15mL - 30mL - 1 L - 2.2 kg - 1mg - 1000mg

Question 50

normal sodium levels`

Answer 50

135-145

Question 51

normal potassium levels

Answer 51

3.5-5.0

Question 52

Normal calcium levels

Answer 52

8.6-10.6

Question 53

Normal magnesium levels

Answer 53

1.3-2.1

Question 54

normal phosphate levels

Answer 54

2.5-4.5

Question 55

low sodium low fat diet

Answer 55

Soups, Canned vegetables, Carrots, spinach, celery, Bread, Ocean fish, clams, shrimp, Bologna, Beef, Dill pickle, Milk, American cheese, Cottage cheese, Instant puddings, cake mixes

Question 56

specific gravity

Answer 56

1.010–1.030

Question 57

BUN

Answer 57

10-20

Question 58

digoxin therapeutic level

Answer 58

0.5-2.0

Question 59

lithium therapeutic levels

Answer 59

0.8-1.5

Question 60

dilantin therapeutic levels

Answer 60

10-20

Question 61

Hypokalemia alters the way ____ is metabolized in the body and predisposes to ___________.

Answer 61

digoxin, digoxin toxicity.

Question 62

adhesive patches

Answer 62

pain control, nitroglycerine patches, hormones, birth control patches, nicotine patches

Question 63

6 rights

Answer 63

``` Right drug Right dose Right client Right route Right time Right documentation ```

Question 64

anti-depressants

Answer 64

- Tricyclics - MAOI’s - SSRI’S - Atypical Antidepressants

Question 65

Tricyclics

Answer 65

amitriptyline, amoxapine | line, pine

Question 66

SSRI

Answer 66

blocks the reuptake of sertonin into the neuron SD EFFECT: sexual dysfunction & wt. gain CONTRA: Dysrhythmias -sertraline, paroxetine, fluoxetine If used with MAOI’s may cause Serotonin Syndrome=seizure, death If used with TCA’s may cause TCA toxicity

Question 67

MAOI

Answer 67

Toxic effects= hypertensive crises Avoid foods with tyramine phenelzine, tranylcypromine

Question 68

SNRI/DNRI

Answer 68

bupropion, venlafaxine

Question 69

meds for alzheimers

Answer 69

memantine donepezil Rivastigmine galantamine

Question 70

Metronidazole

Answer 70

Don’t drink alcohol while taking this medication. It will cause stomach pain, N/V, H/A, and flushing.

Question 71

avoid acetaminophen in pt with __________.

Answer 71

liver dysfunction

Question 72

Relief of symptoms of allergic rhinitis in adults, particularly those with asthma

Answer 72

montelukast sodium | -Leukotriene receptor antagonist

Question 73

Short-acting relatively selective B2 adrenergic agonist bronchodilators

Answer 73

Albuterol | Levalbuterol

Question 74

Anticholinergics

Answer 74

Ipratroium bromide