Pharm ATI

Question 1

Tamoxifen is used for and what are the adverse effects

Answer 1

Treats breast cancer by blocking estrogen receptors

Hot flashes, flushing, vaginal discharge uterine cancer, N/V, chest pain, thrombus

Question 2

Sucralfate is used for what

Answer 2

Peptic ulcer disease. It forms a gel that coats the ulcer and protects it

Question 3

Neostigmine is used in myasthenia gravis (autoimmune caused grave muscle weakness). What are adverse effects

Answer 3

Cholinergic med so increases Parasympathetic medication. Muscarinic stimulation

Bradycardia
Urinary urgency
Increased salivation
Miosis (pupillary construction) is very common and causes problems with visual accommodation

Question 4

Gentamicin adverse effects during IV infusion

Answer 4

• Inflammation of liver and spleen
• Ototoxic med so tinnitus
• Neuromuscular issues: twitching or flaccid paralysis

Question 5

What is medication reconciliation and who conducts it

Answer 5

Name of current, new, otc medications, vitamins, herbal supplements, and nutritional supplements..
the indication, route, dose size, and dosing interval are required

Nurse is required to do this during anytime there is a change in care (admin, transfer, discharge)

Question 6

Heparin side effect

Answer 6

Reducing platelets to less than 150,000. This could be heparin-induced thrombocytopenia

Question 7

What medication do you give to reverse a cholinergic crisis

Answer 7

Atropine (Anticholinergic agent)

Question 8

What does filgrastim do

Answer 8

Stimulates bone marrow to produce neutrophils when a patient is receiving chemotherapy

Question 9

When should newborns retrieve DTaP

Answer 9

2, 4, 6, 15-18 months, and 4-6 years

Question 10

Carbamazepine interferes with what medication

Answer 10

ORAL CONTRACEPTIVES

Question 11

Medications that affect coagulation

Answer 11

Heparin, Dibigatran (direct thrombin inhibitors), Aspirin, abciximab, clopidogrel, dipyridamole, (antiplatelets), Alteplase (thrombolytic medications)

Question 12

Teaching about heparin administration to a newly licensed nurse. What is the route

Answer 12

Must be given via Sub Q or IV infusion because it cannot be absorbed in GI

Question 13

Administering steps for Heparin

Answer 13

1 Baseline VS, aPTT, platelet count, and hematocrit
levels
2 check label
3 double check with another nurse
4 Use infusion pump and monitor rate every 30-60
mins aPTT every 4-6 hours until appropriate dose
1. subq 25-26 for administering
2. 2 in from umbilicus and dont aspriate duh
3. gentle pressure 1-2 mins rotate for next one

Advise to use electric razor for shaving and brushing with soft toothbrush.

Question 14

Medications that affect urinary output indications

Answer 14

management of BP, excreation of edematous fluid related to HF, kidney and liver disease, prevention of kidney failure

Question 15

Types of diuretics

Answer 15

high-ceiling loop, thiazide, potassium sparing, and osmotic diuretics

Question 16

Loop diuretic

Answer 16

furosemide

Question 17

furosemide client education

Answer 17

• postural hypotension, sit or lie down
• tinnitus (ear toxicity or ototoxicity) avoid aminoglycosides or antibiotics
• Hypokalemia - high K foods, teach manifestations (n/v leg cramps and weakness)
• low magnesium (weakness, muscle twitching, tremors

Question 18

complications of furosemide

Answer 18

Postural hypotension, ototoxic
High sugar and uric acid, LDL cholesterol
Low calcium, magnesium, HDL cholesterol

Question 19

Contraindications for furosemide

Answer 19

pregnancy - decreased milk production
anuria (no urine output)
Cautious in clients with CAD, DM, dehydration, Electrolyte depletion and gout
MEDS: digoxin, lithium, ototoxic meds, NSAIDS, other hypertensives