Pharm exam 1 questions Flashcards

1
Q

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

A

preclinical investigation

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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

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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

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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

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5
Q

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

A

asses for Infection

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6
Q

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

A

.

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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

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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

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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

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10
Q

immunospuressant include which of the following

A

glucocorticoids

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11
Q

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

A

GI bleed/ bruising with nsaids

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12
Q

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

A

advil

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13
Q

something to treat with which of the following….

A

nsaids….

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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

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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”

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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.”

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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

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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

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19
Q

which of the following is a sign of inflamation

A

redness

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20
Q

what is a common effect of anti inflammatory drugs

A

heart burn

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21
Q

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

A

bruising of the skin

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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

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23
Q

client come to ER with temp of 104

A

obtain blood culture with sensitivity

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24
Q

pt receive Gentamycin IV priority RN action include

A

monitor client for hearing loss

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25
Q

client had mesa recve Vancamycin

A

hold next dose of vanc and call MD

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26
Q

34 y/o taking oral cephalosporin reporting go distress…

A

take with food

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27
Q

pt has TB client ames wihciih stement shows nunderstanding

A

multiple drugs are needed because drugs are stagard so there will be no resistant to Tx.

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28
Q

pt recvs penecllin Gprioirty

A

Allergy to Penecillin

29
Q

pt -amoxacillin plans to stop ends because feel sgood

A

ifu stop meds you can get sick

30
Q

dischrge include tetratcyclineq

A

NO MILK

31
Q

drug that would most likely be used in the Tx for tb

A

INH

32
Q

following surgery client is placed on claphorin(cephalosporin) what is priority Rn assesmnet

A

diarreah

33
Q

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

A

to take precaution for the risk of falls(SAFETY)

34
Q

the following pt demonstrates the clearest Tx for clea indication for tx with prednisone

A

a 70 y/o man who’s rehmetoid arthritis has not responded to other opsin relievers

35
Q

a client is taking aspirin for arthritis the rn would advise to take meds with

A

glass of milk(GI)

36
Q

a 70 y/o woman has tretunr to clinc have grace perosi of Gi pain

A

peptioc ulcer disease

37
Q

pt with low back pain rn advises

A

liver damage

38
Q

pt has clear understand of adverse therapy

A

check for blood in stool one regular basis

39
Q

cline on aspriin rn to report

A

tinitus

40
Q

55 y/o man has been Dx with osteoarthritis, md Rx aspirin regimen, he reports that s/s..experienc nousea…proper Rn Dx asses

A

imbalanced nutrition… less than body requirements

41
Q

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

A

are you taking birthcontrol pills?

42
Q

which of the following statements indicate from the patient that these of antimicrobials is needed

A

because i feel better

43
Q

client recives flagyl for yeast infection..what is the best med edu by the rn include

A

don’t drink alcohol

44
Q

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…

A

virus mutates do readily

45
Q

pt receive retrofire for hiv…which assessment data indicates an adverse reaction

A

decrease abc count

46
Q

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

A

the schedule allows rest periods so adverse effects are decreased but the anti-inflammatory effects continue

47
Q

a child with rickets is being tx alone with bit D

A

spend 20 min a day in sunlight

48
Q

pt takes fosamax..for osteoperosis.rn sees edu has occured

A

i cant now lie down for at least 30 join after taking meds

49
Q

pt had osteomalcia md orders

A

calcium suppliments and vit d

50
Q

pt rx plaquenil

A

vision toxification

51
Q

hydrochloforin sulfate

A

eye exams

52
Q

rn asses pt toxicitity form colchine…

A

i have n/v and day everyday

53
Q

bisphosphonate for osteoperosis rn realizs good assesment for med efectiviness

A

bonen den scan

54
Q

low calcium levels rb priority assement

A

seizures

55
Q

prioir to giveCa+ iv med do what as an RN

A

asses IV sight

56
Q

symptoms of that is

A

build of uric acid in blood

57
Q

Rn plan for pt on colchesine

A

dietary

58
Q

a 33 y/o man developed arteoarthritis rx colchesine when developing care plan what factor is no1

A

dietary

59
Q

rn edu pt rx colchinsine for gout avoid what food

A

fish

60
Q

pot with gout take colchesine orally every day

A

.

61
Q

reloxafine/evista does what?

A

.increase bone mass and density

62
Q

pt has sunburn and can’t sleep

A

apply local anesthetic to area…Solicane

63
Q

pt ha spsorisis

A

tx can help lessen the discomfort

64
Q

pt with lice..best instruc

A

remove all knits from head (priority)

65
Q

md orderd lindand(kqwell) for nursing home clients contact md when don’t give to pts with

A

seiuozures

66
Q

pt tells nurse yes sting when using timolo eye drops

A

normal and expected effect from the drops

67
Q

rn edu when client amkes

A

i will remove contact lens

68
Q

drops for glycoma

A

place dorps in congintival sack near the eye