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Pharmacology > Nursing II > Flashcards

Nursing II Flashcards

1
Q

A pt with acute angle closure glaucoma is receiving a continuous IV infusion of mannitol 25% for 1 hr. What AE should the nurse report?

  • Vomiting
  • Increased thirst
  • Peripheral edema
  • Muscle cramps
A

Peripheral Edema

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2
Q

Nurse explains that the med sucralfate does what?

  • Decreases stomach acid secretion
  • Neutralizes acids in the stomach
  • Forms a protective barrier over ulcers
  • Treats ulcers by eradicating H. pylori
A

Forms a protective barrier over ulcers

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3
Q

Pt has been taking morphine sulfate PRN for incisional pain. Nurse should assess what AE?

  • Urinary retention
  • Tachycardia
  • Hyperthermia
  • Dilated pupils
A

Urinary retention

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4
Q

What should the nurse include in the instructions when teaching about insulin glargine to a pt with type 1 diabetes mellitus?

  • Observe for hypoglycemia when insulin peaks
  • Adm. insulin immediately before meals
  • Don’t mix med in syringe with other insulin
  • Rotate bottle gently prior to drawing up insulin
A

Don’t mix med in syringe with other insulin

Glargine does not cause peak instead it maintains a steady blood lvl over 24 hr period which reduces the risk of hypoglycemia

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5
Q

Pt is taking acetazolamide for chronic open angle glaucoma. Instruct pt to monitor and report what?

  • Blurring of vision
  • Tinnitus
  • Tingling of fingers
  • Hypoglycemia
A

Tingling of fingers

Hyperglycemia rather than hypoglycemia is an AE of acetazolamide

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6
Q

Patient diagnosed with TB is prescribed 4 medication regimen of isoniazid, rifampin, pyrazinamide, and ethambutol. Pt asks why he has so many pills.

A

This regimen will eliminate various combinations of resistant strains of TB

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7
Q

Pt is receiving long-term tx for systemic lupus erythematosus with prednisone. Pt should expect to undergo which of the following diagnostic tests to monitor for long-term complications?

  • Pulmonary function tests
  • Electrocardiograms
  • Liver function studies
  • Bone density scans
A

Bone density scans

AE of glucocorticoids include osteoporosis which is monitored with regular schedule bone density scans

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8
Q

Pt has pneumonia and reports she is pregnant. Which medication should the nurse question?

  • Acetaminophen
  • Doxycycline
  • Docusate sodium
  • Regular insulin
A

Doxycycline

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9
Q

Pt with Heart failure is prescribed enalapril. Nurse should monitor for which of the following?

  • Bradycardia
  • Hyperkalemia
  • Blurred vision
  • Hypoglycemia
A

Hyperkalemia

  • An ACE inhibitor
  • Can develop Hyperkalemia due to potassium retention by the kidneys
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10
Q

A pt has been taking aspirin daily for the past yr. Which finding should the nurse report immediately?

  • Hyperventilation
  • Heartburn
  • Anorexia
  • Swollen ankles
A

Hyperventilation

May cause gastrointestinal distress including heartburn but not the most urgent finding

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11
Q

Pt is prescribed warfarin. What medication should nurse adm if patient experiences bleeding?

  • Vit K
  • Protamine sulfate
  • Calcium gluconate
  • Acetylcysteine
A

Vit K

Acetylcysteine is the antidote for acetaminophen toxicity

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12
Q

Sx of magnesium toxicity?

  • Clonus
  • Raised BP
  • Decreased lvl of consciousness
  • Agitation
A

Decreased lvl of consciousness

Magnesium toxicity results in CNS depression

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13
Q

SE of tamoxifen for the tx of breast cancer: SATA

  • Bradycardia
  • Menstrual irregularities
  • Jaundice
  • Hot flashes
  • Bruising
A
  • Menstrual irregularities
  • Hot flashes
  • Bruising
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14
Q

Antidote for diazepam OD

  • Naloxone
  • Atropine sulfate
  • Neostigmine
  • Flumazenil
A

Flumazenil

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15
Q

Pt is taking propylthiouracil for tx of Graves’ disease. Which indicates effectiveness of the medication?

  • Decrease in white blood cell count
  • Decrease in amount of time sleeping
  • Increase in appetite
  • Increase in ability to focus
A

Increase in ability to focus

Pt with Graves disease has difficulty focusing and increased ability to focus indicate effectiveness of the medication

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16
Q

Should you take acetaminophen instead of ibuprofen for headaches while on fluoxetine?

A

Yes

17
Q

What should you monitor with Benztropine?

  • Urinary frequency
  • Hyperglycemia
  • Diarrhea
  • Tachycardia
A

Tachycardia

Benztropine is an anti-cholinergic agent

18
Q

What should a client use during an acute asthma attack?

  • Montelukast
  • Albuterol
  • Beclomethasone
  • Nedocromil
A

Albuterol

Albuterol is short acting beta 2 adrenergic agonist which is a Bronchodilator, relieves bronchospasm

19
Q

Instruction regarding adm of ferrous sulfate:

  • Take an acid with this medication
  • Call provider if your stools are black
  • Take tablet on an empty stomach
  • Call provider if you begin to bruise easily
A

Take tablet on empty stomach

Black stools are a common and harmless SE of oral iron adm.

20
Q

Patient is taking a tetracycline PO and reports a G.I. distress. What can the nurse include in the teaching?

  • Take medication with antacid
  • Take medication at bedtime
  • Take medication with applesauce
  • Take medication on empty stomach
A

Take medication with applesauce

To reduce G.I. distress the client should take medication with food such as applesauce

21
Q

Pt is to start digoxin. What should the nurse report and monitor?

  • Dry cough
  • Pedal edema
  • Bruising
  • Yellow tinged vision
A

Yellow tinged vision

A sign of dig toxicity

22
Q

Pt has candidiasis. Which medication should the nurse administer?

  • Fluconazole
  • Metronidazole
  • Linezolid
  • Nitrofurantoin
A

Fluconazole

An antifungal med for treating oral pharyngeal and systemic candidiasis

Pharmacology (3 decks)

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