Exam 4: Study Packet (new)

Question 1

what are the key assessments for a nurse to monitor in a patient taking TPN?

Answer 1

o extravasation
o S/S
o edema
o FVE (fluid volume excess)
o electrolytes
o glucose

Question 2

what is the MOA for PPI?

Answer 2

inhibits the enzyme that generates gastric acid

Question 3

what is the MOA for H2RA?

Answer 3

reduces gastric juices and acidity of it

Question 4

what is the MOA for Sucralfate?

Answer 4

creates a coat over the ulcer

Question 5

S/S of BPH?

Answer 5

o frequent urination
o difficulty starting urination
o nocturia
o hematuria
o UTIs
o weak urine stream

Question 6

what three drug classes treat BPH?

Answer 6

o Alpha 1 Adrenergic Antagonists
o 5-Alpha-Reductase Inhibitors
o Phosphodiesterase-5 Inhibitor

Question 7

what adverse effect is shared by all medications containing estrogen?

Answer 7

o thromboembolic events/blood clots

Question 8

what increases the risk of thromboembolic events/blood clots?

Answer 8

smoking

Question 9

why do we give drugs to increase uterine contractions?

Answer 9

o induction of labor
o postpartum hemorrhage

Question 10

what drug is used to increase uterine contractions?

Answer 10

Oxytocin

Question 11

what three drug classes are used for the treatment of PUD/GERD?

Answer 11

o PPI
o H2RA
o Antacids

Question 12

what three drug classes are used for the treatment of PUD/GERD?
Order them from quickest to slowest onset.

Answer 12

o Antacids
o H2RA
o PPI

Question 13

how is total parenteral nutrition (TPN) stored?

Answer 13

o refrigerated
o must be removed 30 min at room temp prior to administration

Question 14

what condition is treated by shrinking the prostate?

Answer 14

BPH

Question 15

what drug class works by slowing down the progression of RA?

Answer 15

DMARDs
o methotrexate
o 5 amino salicylates
o hydrochloroquine
o (monoclonal antiboidies)

Question 16

what is the difference in route of administration of antiemetics in a patient that is nauseous versus one that is vomiting?

Answer 16

Nausea = PO, ODT
Vomiting = IV, IM

Question 17

what does a positive test for human chorionic gonadotropin hormone indicate (HCG)?

Answer 17

pregnancy

Question 18

what are the three adverse effects of magnesium that the nurse should monitor for?

Answer 18

o respiratory depression
o hypotension
o cardiac arrhythmias
o red & flushed skin
o electrolyte imbalance

Question 19

what is the pathophysiology of osteoporosis?

Answer 19

bone disease characterized by low bone mass and deterioration of bone tissue, leading to increased bone fragility & higher risk of fractures

Question 20

who is at greatest risk for osteoporosis?

Answer 20

o older adults
o menopausal women
o immobile patients

Question 21

name three drugs, from different classes, that are used to treat obesity?

Answer 21

o Orlistat
o GLP-1 Agonist
o Phentermine

Question 22

how would you educate a patient that is seeking counseling on weight loss?

Answer 22

o diet & exercise
o should not be taken during pregnancy

Question 23

what is AUD?

Answer 23

Alcohol Use Disorder

Question 24

what does having AUD place the patient at risk for (name at least 5)?

Answer 24

o deficiencies in:

Question 25

what does having AUD place the patient at risk for (name at least 5)?

Answer 25

o deficiencies in vitamins B1, B6, B9
o liver damage
o delirium tremens (DTs)
o seizures

Question 26

how is Medroxyprogesterone different from other Estrogen Contraceptives?

Answer 26

Medroxyprogesterone
o oral
o injection

Estrogen Contraceptives
o oral

Question 27

name three drugs for the treatment of ED?

Answer 27

o Tadalafil
o Sildenafil
o Vardenafil

Question 28

what is an infamous AE of Phosphodiesterase-5 inhibitor (Sildenafil, Tadalafil, Vardenafil)?

Answer 28

priapism

Question 29

what is breakthrough bleeding?

Answer 29

term used to describe unexpected bleeding or spotting that occurs between menstrual periods in individuals who use birth control pills, patches, & IUD

Question 30

what supplements ae required for those using PPIs long term? Why?

Answer 30

o calcium
o vitamin D

long term use increases risk of fractures

Question 31

what improves constipation as well as glucose levels and cholesterol?

Answer 31

o increase fiber
o increase fluid & activity

Question 32

what is the MOA for docusate sodium?

Answer 32

helps water enter stool

Question 33

what component in the stool determines whether a patient has constipation or diarrhea?

Answer 33

Constipation
o not enough fluid (water) in stool
o hard

Diarrhea
o too much fluid (water) in stool
o soft

Question 34

what is dry mucous membranes a sign of?

Answer 34

o dehydration
o fluid & electrolyte imbalance

Question 35

what vitamin is teratogenic?

Answer 35

Vitamin A

Question 36

what two drug classes decrease the efficacy of OCPs?

Answer 36

o abx
o antiepileptic

Question 37

what would you recommend to a patient that needs to take short term abx while on OCP?

Answer 37

use alternative forms of contraception

Question 38

what CAM should be avoided in those taking OCPs?

Answer 38

St. John’s Wart

Question 39

what drugs should the patient taking nitrates for angina avoid taking?

Answer 39

Phosphodiesterase-5 Inhibitor
o Sildenafil
o Tadalafil
o Vardenafil

Question 40

the use of what drug can cause dysphagia?

Answer 40

Alendronate

Question 41

what are the risk factors for developing a DVT?

Answer 41

o taking OCP
o smoking

Question 42

what are three indications for phosphodiesterase-5 inhibitors?

Answer 42

o ED (erectile dysfunction)
o pulmonary artery hypertension
o BPH

Question 43

what drug has a black box warning for virilization?

Answer 43

testosterone

Question 44

what is virilization?