Pharm Practice Final Flashcards
Client on metronidazole, education?
Do not drink alcohol because it can cause a disulfiram like reaction. This is an antibiotic.
3 hemostatics for a client receiving anticoagulant or thrombolytic tx?
Vitamin K (Mephyton), aminocaproic acid (Amicar), and protamine sulfate.
Which antiemetic can cause EPSs such as in Parkinsonism?
Prochlorperazine (Compazine)
Nurse will monitor for what side effects when client on IV gentamicin?
Tinnitus, elevated creatinine, elevated trough, proteinuria.
Identify the required nursing interventions prior to administering digoxin. Assess?
Pulse rate for 1 full minute, most current digoxin levels, potassium level.
Raloxifene (Evista) adverse effects?
This is drug used to prevent post menopausal osteoporosis. Client can adversely experience pulmonary embolism, DVT, and hot flashes.
Non selective beta adrenergic blockers are contraindicated in?
Clients with asthma, bronchospasm, and HF.
For what side effect should client be assessed after taking furosemide?
Hearing loss
Medications that would be used to tx blood dyscrasias?
Epoetin alfa, oprelvekin, and filgrastim.
When providing teaching about verampil for control of HTN, what should nurse include?
Increase fiber in diet.
Client taking alendronate (Fosamax), statements by the client that indicate effective teaching has occurred?
I must take this drug with a full glass of water, I cannot lie down for at least 30 minutes, I should contact HCP if I experience heartburn.
Client that has been vomiting for several days needs to be assessed for?
Metabolic alkalosis.
To assess for effectiveness of antibiotic?
Assess temperature every 4 hours, assess CBC with differential daily, check culture and sensitivity reports.
Which drugs lower BP by reducing HR?
Cardio selective beta 1 blockers (affects only the heart) atenolol, metoprolol and esmolol.
Client has PUD caused by H. pylori what drugs will HCP order?
Proton pump inhibitor and antibiotic.
Client prescribed levodopa carbidopa and should avoid what foods?
High protein foods.
Sulfasalazine txs IBD and works by?
Inhibiting mediators of inflammation in the bowl.
Propanolol may be contraindicated if client has a hx of?
Diabetes because glycogenolysis is inhibited.
What observation would alert the nurse to the possibility of the most common transfusion reaction?
Elevated temperature.
Client taking buspirone, nurse determines client needs additional education when what statement is made?
I can take this when I feel anxious and it will relax me. This is incorrect because this drug takes at least a week to notice any effects. 3-6 weeks for maximum effects.
Nurse providing discharge instructions for client taking propanolol?
Check apical pulse before each dose, notify provider for significant changes in HR, check to see if client has hx of asthma or diabetes, check BP and record before each dose.
LoSARTAN?
ARB that does not cause a cough or hyperkalemia.
CaptoPRIL?
ACE inhibitor that can cause first dose orthostatic hypotension, dry cough, hyperkalemia and neutropenia (rare).
NifediPINE, verapamil, diltiazam help relieve angina by?
Reducing oxygen demand of the heart. This is a calcium channel blocker which leads to vasodilation.
