Pharm Practice Final

Question 1

Client on metronidazole, education?

Answer 1

Do not drink alcohol because it can cause a disulfiram like reaction. This is an antibiotic.

Question 2

3 hemostatics for a client receiving anticoagulant or thrombolytic tx?

Answer 2

Vitamin K (Mephyton), aminocaproic acid (Amicar), and protamine sulfate.

Question 3

Which antiemetic can cause EPSs such as in Parkinsonism?

Answer 3

Prochlorperazine (Compazine)

Question 4

Nurse will monitor for what side effects when client on IV gentamicin?

Answer 4

Tinnitus, elevated creatinine, elevated trough, proteinuria.

Question 5

Identify the required nursing interventions prior to administering digoxin. Assess?

Answer 5

Pulse rate for 1 full minute, most current digoxin levels, potassium level.

Question 6

Raloxifene (Evista) adverse effects?

Answer 6

This is drug used to prevent post menopausal osteoporosis. Client can adversely experience pulmonary embolism, DVT, and hot flashes.

Question 7

Non selective beta adrenergic blockers are contraindicated in?

Answer 7

Clients with asthma, bronchospasm, and HF.

Question 8

For what side effect should client be assessed after taking furosemide?

Answer 8

Hearing loss

Question 9

Medications that would be used to tx blood dyscrasias?

Answer 9

Epoetin alfa, oprelvekin, and filgrastim.

Question 10

When providing teaching about verampil for control of HTN, what should nurse include?

Answer 10

Increase fiber in diet.

Question 11

Client taking alendronate (Fosamax), statements by the client that indicate effective teaching has occurred?

Answer 11

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.

Question 12

Client that has been vomiting for several days needs to be assessed for?

Answer 12

Metabolic alkalosis.

Question 13

To assess for effectiveness of antibiotic?

Answer 13

Assess temperature every 4 hours, assess CBC with differential daily, check culture and sensitivity reports.

Question 14

Which drugs lower BP by reducing HR?

Answer 14

Cardio selective beta 1 blockers (affects only the heart) atenolol, metoprolol and esmolol.

Question 15

Client has PUD caused by H. pylori what drugs will HCP order?

Answer 15

Proton pump inhibitor and antibiotic.

Question 16

Client prescribed levodopa carbidopa and should avoid what foods?

Answer 16

High protein foods.

Question 17

Sulfasalazine txs IBD and works by?

Answer 17

Inhibiting mediators of inflammation in the bowl.

Question 18

Propanolol may be contraindicated if client has a hx of?

Answer 18

Diabetes because glycogenolysis is inhibited.

Question 19

What observation would alert the nurse to the possibility of the most common transfusion reaction?

Answer 19

Elevated temperature.

Question 20

Client taking buspirone, nurse determines client needs additional education when what statement is made?

Answer 20

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.

Question 21

Nurse providing discharge instructions for client taking propanolol?

Answer 21

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.

Question 22

LoSARTAN?

Answer 22

ARB that does not cause a cough or hyperkalemia.

Question 23

CaptoPRIL?

Answer 23

ACE inhibitor that can cause first dose orthostatic hypotension, dry cough, hyperkalemia and neutropenia (rare).

Question 24

NifediPINE, verapamil, diltiazam help relieve angina by?

Answer 24

Reducing oxygen demand of the heart. This is a calcium channel blocker which leads to vasodilation.

Question 25

What observations show that vasopressin is working?

Answer 25

Decreased urine output, and increased urine concentration. This is an antidiuretic hormone so it will cause the kidneys to reabsorb water.

Question 26

Desired effects of digoxin?

Answer 26

Decreased HR with regular rhythm. Therapeutic levels 0.5-2.0 ng/mL.

Question 27

Oxybutynin client should expect what?

Answer 27

Fewer episodes of nocturia because this drug inhibits muscarinic receptors in the bladder which reduces urge to void.

Question 28

HCP ordered IV diazepam for client, what should first assessment be?

Answer 28

Assess respiration a every 5-15 minutes.

Question 29

Toxicity associated with amiodarone…

Answer 29

This is an antidysrhythmic drug that can cause lung damage which can persist for months after DCd.

Question 30

Client with sensitivity to sulfonamides may…

Answer 30

Have sensitivity to THIAZIDE diuretics.

Question 31

When client taking nitroprusside monitor for?

Answer 31

Hypotension, cyanide poisoning, and thiocyanate poisoning (keep level below 10 mg/dL).

Question 32

AtorvaSTATIN is?

Answer 32

Antilipidemic that can cause hepatotoxicity (increase in AST), myopathy that can progress to rhabdomyolysis.