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pharm exam 3 > possible exam 3 question fro audio 2013 > Flashcards

possible exam 3 question fro audio 2013 Flashcards

1
Q

A cleint has diabetes insipidus and is receiving DDAVP(ADH)

A

this med is going to keep water reabsorption

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2
Q

the client has been diagnosed with cushing syndrome what will the nursing assessment reveal?

A

Upper body obesity,(adrenal cortex issue), hyperglycemia, hypernatremia

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3
Q

which vital sign is the greatest to observe for digoxin

A

HR, apical less than 60 NO administration

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4
Q

a client is receiving hydrocortisone therapy the nurse will primarily asses for which electrolyte disturbance

A

hypernatremia (due to sodium)

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5
Q

the nurse plans to administer intransala DDAVP to the client, what would be the best plan by the nurse include

A

direct the spray high in the nasal cavity (you want it to go to the source-nasal cavity pituitary gland)

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6
Q

vassopresors are used in the treatment of

A

HYPOtension

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7
Q

function of thyroid gland is to

A

control basal metabolism

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8
Q

which of the following is a s/s of hypothyroidism

A

bradycardi

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9
Q

the primary pharmacotherapy goal in HYPER thyroidism in graves disease is to

A

lower the activity

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10
Q

Select all that apply: a client has been RX levothyroxine, what medication information should the nurse

A

do not start a fibrolaxative without discussing(can cause constipation), take this med same time everyday in the morning

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11
Q

the md orders insulin homolog when will the nurse admin med

A

when meal tray arrives on the floor

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12
Q

md writes orders with diabetes which oder will the nurse validate with the physician

A

lantus 20 units BID its supposed to be DAILY insulin

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13
Q

a client with diabetes mellitus is taking oral agents and is scheduled for diagnostic tests that is NPO

A

get orders-ms needs to know that

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14
Q

a client with diabetes mellitus type II the nurse taught that the client about illness that learning has occurred

A

my cells cannot use the insulin that my pancreas makes

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15
Q

client has type 1 diabetes and ska the nurse why can’t i take pills

A

stomach destroys pills can’t be absorbed in the GI tract

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16
Q

highest risk for developing diabtes

A

42 y/o client overweight

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17
Q

the client injects insuin and gets busy forgets to eat

A

cleint wi have moist skin

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18
Q

clioent receives metformin select all that apply

A

decrease sugar in liver, rediuce insulin resistance

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19
Q

md orders iv inslin for client with BG 563 nurse administered pro humaloig inslun

A

should have used regular because its fast acting(reg insulin is only one IV.

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20
Q

nurse understands that which of thje following drugs falls under that classification of begoinides

A

metformin

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21
Q

client has been Rx Byetta (type 2) what med education should the nurse prescribe

A

take this med twice a day, this drug will help you secrete more insulin

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22
Q

a lot of diabetic meds can cause

A

go issues

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23
Q

plan to med edu with client rx viagra

A

be sure to take 1 pill

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24
Q

client comes to clinician for rx for viagra

A

don’t use nitro

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25
Q

rn teaching student about histamines what statement was not right…

A

h1 receptors are found in the stomach

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26
Q

select all that apply

A

A,D,E place the patch where theres no hair, change daily, observe rash, keep away from kids

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27
Q

24 y/o F pt with MS(interferon) beta 1 therapy

A

monitor signs of bone marrow suppression

28
Q

APTT

A

for Heparin

29
Q

md rx flexeril for pt whe ding med edu what will be the best

A

anticholinergic effects–increase fiber( causes major constipation)

30
Q

pt receives Dantrium which lab would you look at

A

liver alt and ast

31
Q

which of the following most likely will be an initial tx for alxzherimers

A

arocept

32
Q

pt receive cognex for tx of alheimers disease what will nurse primarily asses

A

LFT-excreted through the liver

33
Q

amylase

A

pancreatitis

34
Q

pt rcves ldopa rn compeltes edu determines learning occurs whe pt makes which statement

A

Increase fiber can cause constipation

35
Q

which drug types used for depression

A

1st line std for depressionSSRI’s

36
Q

which of the folioing foods to avoid when taking MAOI

A

chocolate, wine, aged cheese (tyramine)

37
Q

pt has pca pump following surgery keeps narcan per protocol what does the rn recognize as a rationale

A

reverse opioid effects

38
Q

what is a priority assessment question prior to

A

how would you rate your pain

39
Q

depression that occurs during cld winter moths

A

seasonal affective disorder

40
Q

what is priority outcome assessment 6 y/o pt to using ritalin

A

pt will use age appropriate play with peers

41
Q

identify correct statemnt er opioid recpetors

A

opioid agnist will activate the kappa receptors

42
Q

which of the following szr meds would be administered IV and show signs of excevisation(purple glove)

A

dilantin

43
Q

the pt has bipolar disorder and is a manic phase(lithium levels 0.8-1.2) PT HAS A LOW LITHUM LEVEL..what will the nurse expect to asses in the patient

A

hyperactivity and increased manic behavior

44
Q

eledely pt is taking lumenol what is the most important nursing assesment

A

resperations

45
Q

young child has absence szrs, md rx depakote and determines that learning has occurred when she makes this statmentq

A

I will not use with carbonated beverages

46
Q

pt receing depaoite and aspirin…profilactically

A

bleeding from the gums

47
Q

md ordered dilatin and dextrose(dextrose is only compatible with normal saline )

A

use large vein for infusion and iv line with salineA,C

48
Q

mdordered IV dilatnin nurse does not read drug label IM, what is the most response from the pt

A

local tissue damage

49
Q

md ordered IV diazapam valium

A

status epilepticus

50
Q

duing administration what is the nurse

A

respirations

51
Q

The nurse iOS connecting medication from the past with a pt with epilepsy, what s the best

A

pt will recognize that the anitszr med must be continued

52
Q

pt has epilespsy dilantin has been seizure free and asks the nurse why he still needs blood tests

A

depakote

53
Q

pt syas to the nurse my md says i have epilespy

A

yes take meds to regular basis to control seizures

54
Q

pt taking what meds should avoid food high in tyramine

A

MAOI’s

55
Q

which explanation best explains why barbiturates are rarely used to Tx ANXIETY

A

addictive properties

56
Q

which of the following have adverse effects must be stressed by the nurse during pt discharge(SSRI)

A

wt gaina nd sexual dysfunction

57
Q

whats the best way to manage stress

A

determine the cause and act accordingly

58
Q

patient will verbalize why stopping the drug abruptly(panics attacks clonapion

A

safety

59
Q

pt recving amben for short term insomnia..primary safety concern when pt taking meds

A

sleepwalking

60
Q

pt comes to ed after overseen of ativan nurse plans to administer

A

romazacon

61
Q

pt taking ativan for two years manufacture plants shuts for rat droppings stop taking meds best nurse assessment for stopping medication wha best described nurse assessment after

A

increased heart rate fever muscle cramps(detox)

62
Q

pt has been treated by same md for two years and has had insomnia the entire time, many different meds have been tried with limited success, what should be the nurses primary assessment

A

asses for primary sleep disorder such as sleep apnea

63
Q

which the following response are regulated by the SNS

A

relaxation of bl;adde and pupil

64
Q

nurse will adminster meds to a group of pt and one will get atropine the drug is contraindicated with which patent ?

A

pt with glycoma

65
Q

pt received albuterol(proventil) and andrcholinergic drug. a consulting physician orders cartrol, what best described the nurse assessment

A

the affects of albuterol will be decreased

pharm exam 3 (15 decks)

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