final exam pharm Flashcards

1
Q

beta blockers

A

-olol

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2
Q

ACE inhibitors

A

-pril

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3
Q

CA channel blockers

A

-pine

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4
Q

A2RB

A

artan

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5
Q

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?

A

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.

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6
Q

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.

A
  1. Stop activity
  2. Take a dose of nitroglycerin
  3. Wait 5 minutes
  4. Call 911 if pain is not relieved
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7
Q

Razole

A

proton pump inhibitors

-omeprazole (Prilosec)

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8
Q

Itidine

A

H2 blockers

-Ranitidine (tagamet)

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9
Q

got anxiety?

A

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

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10
Q

anti-cholesterol

A

statins

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11
Q

corticosteroids

A

asone

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12
Q

2 meds used to treat Parkison’s

A

-levodopa, carbidopa (Sinemet)

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13
Q

to prevent tooth staining-

A

use a straw to drink liquid iron preparation

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14
Q

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

A

digoxin

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15
Q

treatment of alcohol withdraws

A

Librium

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

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16
Q

treatment of seizures

A

dilantin

-therapeutic drug level 10-20

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17
Q

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


A

dobutamine

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18
Q

used to treat patients with cerebral edema.

A

Mannitol a hypertonic solution

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19
Q

hyperglycemia

A

hot and dry, sugar high

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20
Q

hypoglycemia

A

cold and clammy, need some candy

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21
Q

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?

A

Liver function test

-Acarbose can cause liver toxicity long term use.

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22
Q

K+ rich foods

A

bananas, watermelon, citrus fruits, potatoes

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23
Q

please obtain ____ prior to starting antibiotics

A

culture and sensitivity

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24
Q

during furosemide therapy, pt is at risk for -

A

potassium loss

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25
Q

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

A

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

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26
Q

For pt receiving TPN, nurse should frequently monitor

A

glucose & electrolyte levels

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27
Q

Postop patient at risk for developing DVTs will receive

A

anticoagulation therapy; 
heparin, enoxaparin

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28
Q

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

A
  • assessment
  • intervention
  • emergency situation where intervention is a must.
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29
Q

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

A

absolute, always or never

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30
Q

what can cause ototoxicity?

A

Aminoglycosides, Lasix, Vancomycin, ASA

31
Q

reverse agent for heparin toxicity

A

protamine sulfate;

monitor PTT

32
Q

reverse agent for Coumadin toxicity

A

Vitamin K;

monitor PT & INR

33
Q

reverse agent for ammonia toxicity

A

lactulose

34
Q

reverse agent for acetaminophen toxicity

A

Mucomyst

35
Q

reverse agent for digoxin toxicity

A

digibind

36
Q

heparin prevents

A

platelet aggregation

37
Q

dopamine increases

A

BP

38
Q

Vtach

A

lidocaine

39
Q

Asystole

A

atropine

40
Q

CHF

A

ACE inhibitor

41
Q

Anaphylactic shock

A

epinephrine

42
Q

seizures

A

valium

43
Q

Protonix

A

prevents stomach ulcers

44
Q

Atropine

A

decreases secretions

45
Q

Phenergan-antiemetic

A

controls N/V

46
Q

NEVER GIVE ___ IV push

A

K+

47
Q

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

A

Regular insulin

48
Q

foods high in calcium

A

Broccoli, cabbage, and collard greens

49
Q
1 tsp. = _ml

1 tbsp. = \_\_ml

1 oz. = \_\_ml
1000ml = _Liter
1kg = \_\_lbs
1000mcg = _mg
1 Gram = _mg
A
  • 5mL
  • 15mL
  • 30mL
  • 1 L
  • 2.2 kg
  • 1mg
  • 1000mg
50
Q

normal sodium levels`

A

135-145

51
Q

normal potassium levels

A

3.5-5.0

52
Q

Normal calcium levels

A

8.6-10.6

53
Q

Normal magnesium levels

A

1.3-2.1

54
Q

normal phosphate levels

A

2.5-4.5

55
Q

low sodium low fat diet

A

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

56
Q

specific gravity

A

1.010–1.030

57
Q

BUN

A

10-20

58
Q

digoxin therapeutic level

A

0.5-2.0

59
Q

lithium therapeutic levels

A

0.8-1.5

60
Q

dilantin therapeutic levels

A

10-20

61
Q

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

A

digoxin, digoxin toxicity.

62
Q

adhesive patches

A

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

63
Q

6 rights

A
Right drug
Right dose
Right client
Right route
Right time
Right documentation
64
Q

anti-depressants

A
  • Tricyclics
  • MAOI’s
  • SSRI’S
  • Atypical Antidepressants
65
Q

Tricyclics

A

amitriptyline, amoxapine

line, pine

66
Q

SSRI

A

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

67
Q

MAOI

A

Toxic effects=
hypertensive crises

Avoid foods with tyramine

phenelzine, tranylcypromine

68
Q

SNRI/DNRI

A

bupropion, venlafaxine

69
Q

meds for alzheimers

A

memantine
donepezil
Rivastigmine
galantamine

70
Q

Metronidazole

A

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

71
Q

avoid acetaminophen in pt with __________.

A

liver dysfunction

72
Q

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

A

montelukast sodium

-Leukotriene receptor antagonist

73
Q

Short-acting relatively selective B2 adrenergic agonist bronchodilators

A

Albuterol

Levalbuterol

74
Q

Anticholinergics

A

Ipratroium bromide