Pharm Exam 1 Questions and murky area questions

Question 1

What type of patients should not have or take LIVE(attenuated vaccines)?

Answer 1

Pts with HIV or taking Chemo

Question 2

If an Immunosupressed pt with lets say Chicken pox come into a clinic for an injection of? and what type of immunity is it called?

Answer 2

Immunoglobulin. This is known as Passive Immunity.

Question 3

What is passive immunity? and what type of patient may benefit from this?

Answer 3

when antibodies are transferred from one to another and the body does not need to make antibodies. Helpful in pts with decreased immune function.

Question 4

What is a major side effect of Interferon?

Answer 4

Flu like symptoms

Question 5

how does Interferon work?

Answer 5

Helps by boosting the immue system

Question 6

whats another side effect of Interferon? what routine labs to look for?

Answer 6

Bone marrow suppression pt must have routine CBC’s while taking this med.

Question 7

What does ASA stand for?

Answer 7

Asprin

Question 8

What is the priority problem when taking NSAID’s?

Answer 8

Kidney damage

Question 9

What education does the RN need to make sure the PT learns? What organ function relies on this?

Answer 9

to take lots of water a day usually at least 8 glasses per day. Takign food is important but not as important as kidney function.

Question 10

what is the max does of acetaminophen?

Answer 10

4000mg a day

Question 11

what is the main issue with taking too much acetaminophen?

Answer 11

Liver toxicity

Question 12

What is the max does of Ibuprofen?

Answer 12

3200mg per day

Question 13

what is the main issue with taking too much Ibuprofen?

Answer 13

Renal Toxicity, followed by GI issues(bleed), GERD and or ULCERS

Question 14

If you had to stop taking prednisone it how would you?

Answer 14

Tapered down slowly to prevent adrenal insufficiency;

Question 15

If a pt is taking prednisone and suddenly stops taking it, what could they present with?

Answer 15

adrenal insufficiency, fatigue, anorexia

Question 16

Any steroid can cause?

Answer 16

bruising and thinning of the skin

Question 17

Long term steroid therapy can cause what? what education is taught?

Answer 17

make bone brittle , pts are taught SAFETY..NO FALLS

Question 18

Major side effect of Gentamycin?

Answer 18

ototoxicity

Question 19

what priority side effect would the RN monitor for when administering gentamycin?

Answer 19

Hearing loss

Question 20

Major side effect of Cephalosporins, and what can you teach the patient about administration?

Answer 20

GI upset, take with food

Question 21

If pt presents with go upset after taking a cephalosporin what should you educate them about?

Answer 21

Take meds with food

Question 22

Major Contraindication with Tetrcycline

Answer 22

don’t take with milk

Question 23

what effect does milk have taken in conjunction with tetracycline?

Answer 23

interferes with absorption and will inhibits drugs ability to fight infection

Question 24

Is penicillin safe to take during pregnancy?

Answer 24

Yes, generally. but limits the effectiveness of birth control pills.

Question 25

Female pt is on penicillin and sexually active, should she takle birth control pills?

Answer 25

NO encourage to use something else

Question 26

Major contraindication for FLAGYL?

Answer 26

NO Alcohol

Question 27

what will pt present with when taking alcohol with flagyl?

Answer 27

extreme sick: N/V, flushing of skin, tachychardia, Shortness of breath

Question 28

abbreviation for zidovudine?

Answer 28

AZT

Question 29

what does AZT cause?

Answer 29

bone marrow toxicity

Question 30

what labs are important while administering AZT?

Answer 30

frequent CBC's, especially a decrease in wbc's may cause serious adverse reactions.

Question 31

Before administering anything IV what priority RN assessment should take place?

Answer 31

Asses the IV site itself.

Question 32

Another name for Evista?

Answer 32

Reloxifene

Question 33

another name for Reloxifene

Answer 33

Evista

Question 34

What is the MOA of Reloxifene (Evista)?

Answer 34

increases bone mass and density

Question 35

Bisphosphonates go by another drug named?

Answer 35

fosamax

Question 36

Fosamax works by?

Answer 36

slowing bone resorption

Question 37

what is KWELL?

Answer 37

Used to Tx lice

Question 38

What is a major side effect of kwell?

Answer 38

Nervous system toxicity

Question 39

what type of pt should never use kwell(contraindicated)?

Answer 39

pts Dx with seizure disorders.

Question 40

tinitus? what(med) may cause this?

Answer 40

ringing in the ear cause by aspirin toxicity

Question 41

what is basically cuhings diseas

Answer 41

over abundance of steroids

Question 42

what basically is addisons disease

Answer 42

under abundance of steroids

Question 43

define osteopenia

Answer 43

- precusur to osteoperosis.... - T score goes a little low - mainly post menopausal women - md increases Rx calcium

Question 44

too much Ca+ means....

Answer 44

Hypercalcemia | usually-excessive bone resorption in hyperparathyroidism or Paget's disease

Question 45

another name for Kwell

Answer 45

Lindane

Question 46

another name for Lindane

Answer 46

kwell

Question 47

define padgets disease

Answer 47

a chronic disease - elderly people - deterioration of bone tissue, esp. in the spine, skull, or pelvis, sometimes causing severe pain