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
Which drug class would be used as a first-line therapy for Gastro reflux disease that is not responded to customary medical treatment
Proton pump inhibitor's
26
What's fact does the nurse base the plan of care regarding administration of ear drops
Your job should be warm to room temperature before administration
27
The nurse can anticipate and ministering which type of ophthalmic drug post cataract surgery
Corticosteroid
28
When planning care for a burn patient the nurse would anticipate applying which topical medication
Silver suldaDiazine
29
Which product Kinerson to spit using to treat a child infested with head lice
Lindane (hexit)
30
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
Ask the pharmacist
31
When administering Ferris fumarate to patient the nurse will plan to give this medication with __________to maximize absorption
Orange juice
32
The nurse will plan to inject iron dextran by which techniques
Intramuscular injection using the z-track method
33
Why is supplemental for folic acid sometimes order during pregnancy
To avoid fetal neural tube defect's
34
The patient is about to receive folic acid supplementation the nurse knows of indications for foot acid supplementation include
Megaloblastic Anemia topical sprue prophylactics of fetal neural tube defect
35
Nursing responsibilities associated the care of a patient receiving TPN are
Monitoring capillary serum glucose
36
What are signs of dumping syndrome
Sweating nausea week and also could experience palpitations
37
The patient is sitting into coaching and drugs to treat nausea and vomiting should be taught to expect to experience which adverse effects
Dry mouth
38
Which drug works by blocking serotonin in the G.I. tract
Zofran (ondansetron)
39
What with the nurse assessed the patient before administrating the anticholinergic drug Transderm V scopolamine
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
40
The nurse wouldn't expect you to patient which antiemetic commonly used to prevent motion sickness
Scopolamine (transderm-v)
41
Which antiemetic classification can be used to treat both anxiety and nausea
Neuroleptics
42
The nurse what anticipate and ministering which medication to a patient suffering from nausea and vomiting not relieved by first-line antiemetic drugs
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
How should metochlopramide be administered
30 minutes before meals and at bedtime
44
The nurse should monitor which of the following adverse reactions to aluminum containing antacids
Constipation
45
Which discharge teaching should be included for a patient receiving tetracycline
Use sunscreen and wear protective clothing went outdoors
46
In general which action do immunosuppressants work
Suppressing T lymphocytes
47
What is it anticipated adverse affect of azathioprine
Thrombocytopenia
48
The nurse what anticipate administering what medication to a patient demonstrating a cute organ rejection
Cyclosporine
49
Before administering an immunosuppressant drugs the nurse should assess for
Haptic enzymes blood urea nitrogen and creatinine levels level of consciousness
50
The nurse for dissipation prescribe cyclosporine to avoid
Grapefruit
51
Which is an action of most nonsterile anti-inflammatory drugs
Inhibiting prostaglandin production
52
the nurse should teach the patient to report about potential adverse effects of nsaid therapy
Black tarry stools
53
Which symptom is associated with a salicylate toxicity
Tinnitus
54
Which does the nurse assessed for therapeutics effects of colchicine
improvement in joint range of motion
55
Patient teaching for patient receiving Allopurinol should include
Increase very few fluid intake to 3000 mL per day
56
Allopurinol is appropriate for which of the following medical conditions Osteoarthritis rheumatoid arthritis Adjunct therapy and chemotherapy
Adjunct therapy and chemotherapy
57
Which nsaid would the nurse anticipate administering for treatment of acute postoperative pain
Ketorolac
58
What would you expect a patient with genital herpes to be as prescribed
Acyclovir
59
What assessmentis done to assess the dose limiting adversity facts of ganciclovir
Complete blood count
60
What periodic assessment evaluate the effectiveness of antiviral agents and ministered to treat HIV infection
Viral load
61
Which types of antiviral agents are used to treat HIV infections
Pprotease inhibitor's and reverse transcriptase inhibitors
62
What is the most common uses of fluroquinolones is indicated for which conditions
UTI's
63
Which would be a priority assessment of the patient on antibiotic therapy
Allergies
64
Which teaching should be included for a patient receiving tetracycline
You sunscreen and we're protective clothing When outdoors
65
Which rapid acting insulin starts working in less than 15 minutes after administration
Humalog
66
Which new long-acting insulin mimics natural basal insulin with its duration of 24 hours
Lantis
67
Which insulin is used for continuous IV infusion
Regular insulin humulin-r
68
Which site should insulin be injected for the most consistent absorption
Abdomen
69
How do sulfonylureas lower serum Glucose levels
Increasing b-cell stimulation to release insulin
70
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
Repaglinide
71
Which drug will put the patient at risk for unrecognized hypoglycemia if he or she has insulin concurrently prescribed
B-Adrenergic blockers
72
Which method of gliclazide administration would achieve the most beneficial effect
30 minutes before meal
73
Which drive would be recommended during diabetes teaching to treat hypoglycemia
Glucagon
74
What is the advantage of using an insulin pump
Normal blood glucose levels are maintained through the basal/bolus insulin action
75
The patient has been prescribed tetracycline what important information to the nurse tell the patient about this medication
Milk and cheese products result in decreased levels of tetracycline
76
Which drugs may result in an interaction it taken with penicillin
NSAIDs
77
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
Decrease in white blood cell count
78
How are the four generations of cephalosporins different
By antimicrobial activity
79
A patient that has received an antibiotic to take one week before planned oral surgery this treatment is example of what kind of therapy
Prophylactic therapy
80
Which class of antibiotics is often used to with b- inhibitors to extend the effect of the drug
Penicillin
81
When a patient is on gentamicin therapy what symptoms or laboratory results could indicate a potential serious toxicity
Tinnitus and hearing loss
82
What antibiotic is used to treat M RSA
Vancomycin
83
What is the main advantage of vevofloxacin over other quinolones
Once daily dosing
84
When administering vancomycin what important information should the nurse keep in mind
Infuse the drug over one hour to reduce red man syndrome
85
Which medication is commonly prescribed to treat recurrent pulmonary infections associated with cystic fibrosis
Amikacin
86
Which laboratory values are sometimes increased by quinolones
Creatine levels
87
The nurses administering acyclovir which directions appropriate
Intravenous infusion should be administered slowly over at least one hour
88
Which of the following are therapeutic effects of antiviral drugs
Delayed progression of Acquired Immune Deficiency Syndrome (AIDS) and AIDS-related complex
89
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
Antiretrovirals drugs are affecting only when the virus is replicating and replication is often finished by the time symptoms appear
90
Patient with late stage acquired human deficiency syndrome has developed Kaposi's sarcoma what type of infection is this
An opportunistic infection
91
What is a common adverse effects associated with Tamiflu
Nausea
92
What is a possible therapeutic effect of a and nsaid
Antipyretic effects
93
Which medication has a possible interaction with and an nsaid
Anticoagulant
94
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
Tinnitus and hearing loss
95
A patient being treated with allopurinol for gout. which of the following result should the nurse monitor for
Decreased uric acid levels
96
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
Ibuprofen
97
What is the purpose of taking 81 mg tablet of aspirin each day
To prevent the thrombus formation
98
What are the Contraindications of NSAIDs
Rhinitis, peptic ulcer disease, pregnancy and epitaxis