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Pharmacology > Pharm Final > Flashcards

Pharm Final Flashcards

1
Q

What is an adverse effect can occur if tetracycline is administered to a child under eight years of age

A

Permanent discolouration of teeth

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2
Q

The person is allergic to penicillin and they are at an increased risk for allergy to

A

Cefazolin

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3
Q

What is an important action by the nurse to take complaining care for a patient receiving sulphonamide anabiotic

A

Increased liquids

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4
Q

What condition occurs when normal flora is disruptive during antibiotic therapy

A

Super infection

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5
Q

What circumstances can bacterial resistance to antibiotics occur

A

Patient stopped taking an antibiotic once they feel better

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6
Q 
A drug interaction occurs which penicillin which of the following
A.alcohol
B.oral contraceptives
C.digoxin
D. NSAID
E.warfarin
A

Oral contraceptives
NSAIDs
Warfarin

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7
Q

What intervention is important for the nurse to perform before antibiotics therapy

A

Obtain specimen for culture and sensitivity

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8
Q

Patient is to receive any back therapy with the cephalosporin when assessing the patient’s drug history the nurse recognizes that he may be allergic to which type of drug

A

Penicillin

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9
Q

When administering insulin the nurse must keep in mind that the most immediate and serious adverse effects of insulin therapy is

A

Hypoglycemia

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10
Q

I dose of long-acting insulin has been ordered at bed time for a diabetic patient The nurse expect to give which type of insulin

A

Lantus

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11
Q

While monitoring a patient who is receiving insulin therapy the nurse observed for signs of hypoglycemia are

A

Weakness sweating and confusion

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12
Q

When giving oral glucobay the nurse should a minister at what time

A

With the first bite of a meal

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13
Q

Which drug given to reduce nausea cause drowsiness and drying of secretions

A

Antihistamine

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14
Q

Which class of antinausea drugs has proven to be effective in preventing chemotherapy induced nausea and vomiting

A

Fserotonin blockers and tetrahydrocannabinoids

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15
Q

Patient undergoing chemotherapy was given an antiemetic remember that these drugs are most effective against nausea when given at what time

A

Before chemotherapy begins

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16
Q

When giving dronabinol to a patient with AIDS the nurse know that this drug may also have what effect in addition to reducing nausea

A

Enhance appetite

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17
Q

Drugs known as H2-blockers that reduce stimulated acid secretion

A

Helicobacter pylori

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18
Q

Drugs that block all acid secretion in the stomach

A

Proton pump inhibitorsw

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19
Q

The cells responsible for producing and secreting hydrochloric acid in the stomach

A

Parental cells

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20
Q

A type of antacid that can cause diarrhea

A

Magnesium containing antacids

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21
Q

Antacids that have constipating affect

A

Aluminum containing and calcium containing

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22
Q

The cause of many peptic ulcer’s

A

Helicobacter pylori

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23
Q

Drugs used to relieve the painful symptoms of gas

A

Antiflatulence

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24
Q

A type of ant acid that may contribute to the development of kidney stones

A

Calcium containing antacids

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25
Q

Which drug class would be used as a first-line therapy for Gastro reflux disease that is not responded to customary medical treatment

A

Proton pump inhibitor’s

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26
Q

What’s fact does the nurse base the plan of care regarding administration of ear drops

A

Your job should be warm to room temperature before administration

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27
Q

The nurse can anticipate and ministering which type of ophthalmic drug post cataract surgery

A

Corticosteroid

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28
Q

When planning care for a burn patient the nurse would anticipate applying which topical medication

A

Silver suldaDiazine

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29
Q

Which product Kinerson to spit using to treat a child infested with head lice

A

Lindane (hexit)

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30
Q

Mother asked the nurse what she can apply to a child’s can help control itching caused by chickenpox lesions what is the nurses best response

A

Ask the pharmacist

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31
Q

When administering Ferris fumarate to patient the nurse will plan to give this medication with __________to maximize absorption

A

Orange juice

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32
Q

The nurse will plan to inject iron dextran by which techniques

A

Intramuscular injection using the z-track method

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33
Q

Why is supplemental for folic acid sometimes order during pregnancy

A

To avoid fetal neural tube defect’s

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34
Q

The patient is about to receive folic acid supplementation the nurse knows of indications for foot acid supplementation include

A

Megaloblastic Anemia
topical sprue
prophylactics of fetal neural tube defect

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35
Q

Nursing responsibilities associated the care of a patient receiving TPN are

A

Monitoring capillary serum glucose

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36
Q

What are signs of dumping syndrome

A

Sweating nausea week and also could experience palpitations

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37
Q

The patient is sitting into coaching and drugs to treat nausea and vomiting should be taught to expect to experience which adverse effects

A

Dry mouth

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38
Q

Which drug works by blocking serotonin in the G.I. tract

A

Zofran (ondansetron)

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39
Q

What with the nurse assessed the patient before administrating the anticholinergic drug Transderm V scopolamine

A

History of glaucoma these drugs are contraindicated in patients with Acoma, these drugs can cause papillary dilation which can obstruct the flow of aqueous humor and increase in ocular pressure

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40
Q

The nurse wouldn’t expect you to patient which antiemetic commonly used to prevent motion sickness

A

Scopolamine (transderm-v)

41
Q

Which antiemetic classification can be used to treat both anxiety and nausea

A

Neuroleptics

42
Q

The nurse what anticipate and ministering which medication to a patient suffering from nausea and vomiting not relieved by first-line antiemetic drugs

A

Dronabinol (marinol) it is an active ingredient in marijuana it as a second line agent to treat nausea and vomiting related to cancer chemotherapy

43
Q

How should metochlopramide be administered

A

30 minutes before meals and at bedtime

44
Q

The nurse should monitor which of the following adverse reactions to aluminum containing antacids

A

Constipation

45
Q

Which discharge teaching should be included for a patient receiving tetracycline

A

Use sunscreen and wear protective clothing went outdoors

46
Q

In general which action do immunosuppressants work

A

Suppressing T lymphocytes

47
Q

What is it anticipated adverse affect of azathioprine

A

Thrombocytopenia

48
Q

The nurse what anticipate administering what medication to a patient demonstrating a cute organ rejection

A

Cyclosporine

49
Q

Before administering an immunosuppressant drugs the nurse should assess for

A

Haptic enzymes
blood urea nitrogen and creatinine levels
level of consciousness

50
Q

The nurse for dissipation prescribe cyclosporine to avoid

A

Grapefruit

51
Q

Which is an action of most nonsterile anti-inflammatory drugs

A

Inhibiting prostaglandin production

52
Q

the nurse should teach the patient to report about potential adverse effects of nsaid therapy

A

Black tarry stools

53
Q

Which symptom is associated with a salicylate toxicity

A

Tinnitus

54
Q

Which does the nurse assessed for therapeutics effects of colchicine

A

improvement in joint range of motion

55
Q

Patient teaching for patient receiving Allopurinol should include

A

Increase very few fluid intake to 3000 mL per day

56
Q

Allopurinol is appropriate for which of the following medical conditions
Osteoarthritis
rheumatoid arthritis
Adjunct therapy and chemotherapy

A

Adjunct therapy and chemotherapy

57
Q

Which nsaid would the nurse anticipate administering for treatment of acute postoperative pain

A

Ketorolac

58
Q

What would you expect a patient with genital herpes to be as prescribed

A

Acyclovir

59
Q

What assessmentis done to assess the dose limiting adversity facts of ganciclovir

A

Complete blood count

60
Q

What periodic assessment evaluate the effectiveness of antiviral agents and ministered to treat HIV infection

A

Viral load

61
Q

Which types of antiviral agents are used to treat HIV infections

A

Pprotease inhibitor’s and reverse transcriptase inhibitors

62
Q

What is the most common uses of fluroquinolones is indicated for which conditions

A

UTI’s

63
Q

Which would be a priority assessment of the patient on antibiotic therapy

A

Allergies

64
Q

Which teaching should be included for a patient receiving tetracycline

A

You sunscreen and we’re protective clothing When outdoors

65
Q

Which rapid acting insulin starts working in less than 15 minutes after administration

A

Humalog

66
Q

Which new long-acting insulin mimics natural basal insulin with its duration of 24 hours

A

Lantis

67
Q

Which insulin is used for continuous IV infusion

A

Regular insulin humulin-r

68
Q

Which site should insulin be injected for the most consistent absorption

A

Abdomen

69
Q

How do sulfonylureas lower serum Glucose levels

A

Increasing b-cell stimulation to release insulin

70
Q

Which oral hypoglycemic Jack has a quick onset and short duration of action enabling the patient to take this medication immediately before eating and skipping medication if the patient does not eat

A

Repaglinide

71
Q

Which drug will put the patient at risk for unrecognized hypoglycemia if he or she has insulin concurrently prescribed

A

B-Adrenergic blockers

72
Q

Which method of gliclazide administration would achieve the most beneficial effect

A

30 minutes before meal

73
Q

Which drive would be recommended during diabetes teaching to treat hypoglycemia

A

Glucagon

74
Q

What is the advantage of using an insulin pump

A

Normal blood glucose levels are maintained through the basal/bolus insulin action

75
Q

The patient has been prescribed tetracycline what important information to the nurse tell the patient about this medication

A

Milk and cheese products result in decreased levels of tetracycline

76
Q

Which drugs may result in an interaction it taken with penicillin

A

NSAIDs

77
Q

The nurse is monitoring the patient had an affection for a therapeutic result of an anabiotic treatment which of the following laboratory values indicate therapeutic effectiveness of this therapy

A

Decrease in white blood cell count

78
Q

How are the four generations of cephalosporins different

A

By antimicrobial activity

79
Q

A patient that has received an antibiotic to take one week before planned oral surgery this treatment is example of what kind of therapy

A

Prophylactic therapy

80
Q

Which class of antibiotics is often used to with b- inhibitors to extend the effect of the drug

A

Penicillin

81
Q

When a patient is on gentamicin therapy what symptoms or laboratory results could indicate a potential serious toxicity

A

Tinnitus and hearing loss

82
Q

What antibiotic is used to treat M RSA

A

Vancomycin

83
Q

What is the main advantage of vevofloxacin over other quinolones

A

Once daily dosing

84
Q

When administering vancomycin what important information should the nurse keep in mind

A

Infuse the drug over one hour to reduce red man syndrome

85
Q

Which medication is commonly prescribed to treat recurrent pulmonary infections associated with cystic fibrosis

A

Amikacin

86
Q

Which laboratory values are sometimes increased by quinolones

A

Creatine levels

87
Q

The nurses administering acyclovir which directions appropriate

A

Intravenous infusion should be administered slowly over at least one hour

88
Q

Which of the following are therapeutic effects of antiviral drugs

A

Delayed progression of Acquired Immune Deficiency Syndrome (AIDS) and AIDS-related complex

89
Q

The patient is taking combination of antiretroviral drugs as a treatment for early stages of human immunodeficiency virus HIV infection he asked the nurse what are the drugs will kill the virus what is the nurses best response to this patient

A

Antiretrovirals drugs are affecting only when the virus is replicating and replication is often finished by the time symptoms appear

90
Q

Patient with late stage acquired human deficiency syndrome has developed Kaposi’s sarcoma what type of infection is this

A

An opportunistic infection

91
Q

What is a common adverse effects associated with Tamiflu

A

Nausea

92
Q

What is a possible therapeutic effect of a and nsaid

A

Antipyretic effects

93
Q

Which medication has a possible interaction with and an nsaid

A

Anticoagulant

94
Q

Don’t tell the nurse that he he uses ASA for anything that ails me what are the most common signs of chronic salicylate intoxication in adults

A

Tinnitus and hearing loss

95
Q

A patient being treated with allopurinol for gout. which of the following result should the nurse monitor for

A

Decreased uric acid levels

96
Q

A 6 year patient with a fever of 39.5°C during a boat of chickenpox. his mother asked the nurse for advice to help reduce his fever the nurse will like please suggest which of the following

A

Ibuprofen

97
Q

What is the purpose of taking 81 mg tablet of aspirin each day

A

To prevent the thrombus formation

98
Q

What are the Contraindications of NSAIDs

A

Rhinitis, peptic ulcer disease, pregnancy and epitaxis

Pharmacology (2 decks)

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