Pharm exam 1 questions Flashcards

1
Q

Pharmeceutical is testing drug on animals ..which phase is this

A

preclinical investigation

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

pharmaceutical drug Rep comes to a pharmacy and is promoting their drug and states” they cop not need approval from FDA”…what is the best response by the nurse

A

any pharmaceutical company must ahem approval from the FDA

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

A child has leukemia and is immunosupressed due to chemotherapy, mom frantically calls the clinical to say that the child has been exposed to chicken pox, varicalella…what sdoes the plan bib the nurse include

A

the child should come to the clinical asap to receive a injections of immunoglobulin

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

a mother brings his child to the clinical for his last dpt immunization. mother tells nurse he developed a rash after…what is the best action of the nurse include

A

withhold this immunization and contact the MD

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

md ordered sanimmune for kidey transplant pt…priority assesmnet include?

A

asses for Infection

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

Physician ordered cyclosporine for kidney transplanbt pot..what will the priority assessment be for thes client

A

.

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

45 y/o m receiving interferon. nurse should teach the client they might experience which type of s/s…

A

flu like symptom

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

HIV developed 2ndary s/s karposis sarcoma….the nurse is aware that this drug/tx will…

A

inhibiting tumor growth by enhancing inflamation

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

24 y/o pt with hepatitis is being tx with interferon..the nurse will have the pt scheduled with CBC

A

monitor of signs of bone marrow depression

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

immunospuressant include which of the following

A

glucocorticoids

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

health care provider explains that aspirin can cause which of the following

A

GI bleed/ bruising with nsaids

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

which of the following is used to treat pt with mild to moderate pain

A

advil

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

something to treat with which of the following….

A

nsaids….

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

pt being treated with NSAID for arthritis, which is a priority education for the pt with this med

A

drink at least 8 glasses a day

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

the nurse teaches a group of clients about the use of ibuprofen and max daily amounts, and the nurse evaluates that education has been most effective when the client makes which statement

A

…“we can not take over 3200mg a day”

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

A client receives PREdnisone for his inflammatory disease..hes asks about continuing the meds because he has great relief age asks the nurse about continuing the meds

A

nurse says …“no..because…meds have SUICIDAL effects.”

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

the nurse cares for the client while receiving antiinflamatorry drug (nsaids) …what is the best outcome as it relates to side effects

A

the client will report any bleedingbrusing… while taking

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

the client has been taking prednisone for a month and abruptly stops..what would the best assessment by the nurse include

A

fatigue and anorexia

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

which of the following is a sign of inflamation

A

redness

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

what is a common effect of anti inflammatory drugs

A

heart burn

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

after the client begins taking clucocorticoiods med the rn would observe for adverse s/s

A

bruising of the skin

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

if administered for a long period which class of drugs has the potential to suppress the functions of the adrenal gland

A

coricosteroids

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

client come to ER with temp of 104

A

obtain blood culture with sensitivity

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

pt receive Gentamycin IV priority RN action include

A

monitor client for hearing loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
client had mesa recve Vancamycin
hold next dose of vanc and call MD
26
34 y/o taking oral cephalosporin reporting go distress...
take with food
27
pt has TB client ames wihciih stement shows nunderstanding
multiple drugs are needed because drugs are stagard so there will be no resistant to Tx.
28
pt recvs penecllin Gprioirty
Allergy to Penecillin
29
pt -amoxacillin plans to stop ends because feel sgood
ifu stop meds you can get sick
30
dischrge include tetratcyclineq
NO MILK
31
drug that would most likely be used in the Tx for tb
INH
32
following surgery client is placed on claphorin(cephalosporin) what is priority Rn assesmnet
diarreah
33
72 year old woman is in an long term gluticiosteroid Tx(therapy) what is the most important thing for the rn to instruct the pt to tak
to take precaution for the risk of falls(SAFETY)
34
the following pt demonstrates the clearest Tx for clea indication for tx with prednisone
a 70 y/o man who's rehmetoid arthritis has not responded to other opsin relievers
35
a client is taking aspirin for arthritis the rn would advise to take meds with
glass of milk(GI)
36
a 70 y/o woman has tretunr to clinc have grace perosi of Gi pain
peptioc ulcer disease
37
pt with low back pain rn advises
liver damage
38
pt has clear understand of adverse therapy
check for blood in stool one regular basis
39
cline on aspriin rn to report
tinitus
40
55 y/o man has been Dx with osteoarthritis, md Rx aspirin regimen, he reports that s/s..experienc nousea...proper Rn Dx asses
imbalanced nutrition... less than body requirements
41
the md orders penicillin for a female client who has a sinus infection..what is the priority question to ask the client prior to administering the meds
are you taking birthcontrol pills?
42
which of the following statements indicate from the patient that these of antimicrobials is needed
because i feel better
43
client recives flagyl for yeast infection..what is the best med edu by the rn include
don't drink alcohol
44
client asked the rn why aren't there better drugs out there for HIV infection..rn replays...so much money is spent on research...best response by the nurse...
virus mutates do readily
45
pt receive retrofire for hiv...which assessment data indicates an adverse reaction
decrease abc count
46
53 y/o man tx ashram with prednisone...he would rather take meds every..md sets alternate day therapy....what response from nurse is best
the schedule allows rest periods so adverse effects are decreased but the anti-inflammatory effects continue
47
a child with rickets is being tx alone with bit D
spend 20 min a day in sunlight
48
pt takes fosamax..for osteoperosis.rn sees edu has occured
i cant now lie down for at least 30 join after taking meds
49
pt had osteomalcia md orders
calcium suppliments and vit d
50
pt rx plaquenil
vision toxification
51
hydrochloforin sulfate
eye exams
52
rn asses pt toxicitity form colchine...
i have n/v and day everyday
53
bisphosphonate for osteoperosis rn realizs good assesment for med efectiviness
bonen den scan
54
low calcium levels rb priority assement
seizures
55
prioir to giveCa+ iv med do what as an RN
asses IV sight
56
symptoms of that is
build of uric acid in blood
57
Rn plan for pt on colchesine
dietary
58
a 33 y/o man developed arteoarthritis rx colchesine when developing care plan what factor is no1
dietary
59
rn edu pt rx colchinsine for gout avoid what food
fish
60
pot with gout take colchesine orally every day
.
61
reloxafine/evista does what?
.increase bone mass and density
62
pt has sunburn and can't sleep
apply local anesthetic to area...Solicane
63
pt ha spsorisis
tx can help lessen the discomfort
64
pt with lice..best instruc
remove all knits from head (priority)
65
md orderd lindand(kqwell) for nursing home clients contact md when don't give to pts with
seiuozures
66
pt tells nurse yes sting when using timolo eye drops
normal and expected effect from the drops
67
rn edu when client amkes
i will remove contact lens
68
drops for glycoma
place dorps in congintival sack near the eye