first med quiz

Question 1

what is adalimumab’s therapeutic and pharmacologic classification?

Answer 1

T: antirheumatic
P: DMARDs, immunomodulator

Question 2

what med required TB testing before and during therapy?

Answer 2

adalimumab

Question 3

What med cannot be used for children under the age of 4?

Answer 3

adalimumab

Question 4

what are important client teachings of adalimumab?

Answer 4

store in fridge
rotate injection sites (thigh/abdomen)
avoid live vaccines

Question 5

which drugs action is: binds to TNF-alpha to decrease inflammation and decrease ESR levels?

Answer 5

adalimumab

Question 6

what are the classifications of amlodipine?

Answer 6

T: antihypertensive
P: calcium channel blocker

Question 7

which drugs action is: inhibits the transport of calcium into myocardial and vascular smooth muscle cells which will inhibit excitation and contraction?

Answer 7

amlodipine

Question 8

ceftriaxone classifications

Answer 8

T: anti-infective
F: third generation cephalosporins

Question 9

what is an important side effect to monitor when a patient is prescribed ceftriaxone

Answer 9

diarrhea associated with clostridum difficile

Question 10

important nursing implications of ceftriaxone

Answer 10

assess for allergy to cephalosporins or penicillin
monitor AST, ALT, BUN, bilirubin, & creatinine

Question 11

what drugs action is: binds to bacterial cell wall membranes, causing death. active against both gram + and gram -

Answer 11

ceftriaxone

Question 12

classifications of cephalexin

Answer 12

T: anti-infective
P: first-generation cephalosporins

Question 13

what drug’s action is: to bind to bacterial wall membrane, causing death. Active only against gram +

Answer 13

cephalexin

Question 14

classifications of ciprofloxacin

Answer 14

T: anti-infective
P: fluoroquinolone

Question 15

which drug has the side effects of pseudomembranous colitis, photosensitivity, and tendonitis

Answer 15

ciprofloxacin

Question 16

important nursing implications of ciprofloxacin

Answer 16

do not crush or chew
obtain specimen for culture and sensitivity
monitor liver labs

Question 17

will iron or zinc decreases or increase the absorption of ciprofloxacin?

Answer 17

decrease
and iron/zinc must be taken 2 hours before or after

Question 18

what drugs actions is: inhibits bacterial DNA synthesis by inhibiting DNA gyrase broad-spectrum antibiotic against gram + pathogens

Answer 18

ciprofloxacin

Question 19

classifications of famotidine

Answer 19

T: anti-ulcer
P: histamine H2 antagonists

Question 20

which drug has the side effect of confusion?

Answer 20

famotidine

Question 21

what drug has the action of: inhibits the action of histamine at the H2 receptor site? Results in decreased gastric acid secretion

Answer 21

famotidine

Question 22

fluconazole classification

Answer 22

T: antifungal

Question 23

what drugs action is: inhibits synthesis of fungal sterols, a necessary component of the cell membrane

Answer 23

fluconazole

Question 24

do not exceed ____ mg/hr when infusing fluconazole

Answer 24

200

Question 25

what are the classifications of glyburide?

Answer 25

T: antidiabetic P: sulfonylurea

Question 26

how can glyburide be administered?

Answer 26

PO

Question 27

side effects of glyburide

Answer 27

photosensitivity, aplastic anemia, pancytopenia

Question 28

should you still take glyburide if you are not able to eat?

Answer 28

NO

Question 29

what drug has this action: decrease blood glucose- stimulate the release of insulin from the pancreas and increase the sensitivity to insulin at receptor sites?

Answer 29

glyburide

Question 30

asses for what allergy when giving glyburide

Answer 30

sulfonamides

Question 31

classification of insulin glargine

Answer 31

LONG LASTING T: anti-diabetic P: pancreatic

Question 32

how can insulin glargine be administered?

Answer 32

SubQ

Question 33

which drugs have these side effects: hypoglycemia, anaphylaxis, lipodystrophy, pruritus, erythema, swelling

Answer 33

inulin glargine, insulin lispro, and insulin regular

Question 34

what drugs have the action of: decreasing blood glucose by stimulating glucose uptake in skeletal muscle and fat, inhibiting hepatic glucose production, inhibiting lipolysis and proteolysis, enhance synthesis.

Answer 34

inulin glargine, insulin lispro, and insulin regular

Question 35

insulin glargine onset, peak, duration

Answer 35

O: 3-4 hours P: none D: 24 hours

Question 36

insulin lispro classification

Answer 36

RAPID ACTING T: anti-diabetic, hormones P: pancreatic

Question 37

how can inulin lispro be administered?

Answer 37

SubQ (injection or infusion pump)

Question 38

how often should you check blood sugars when using insulin?

Answer 38

every 6 hours

Question 39

onset, peak, and duration of insulin lispro.

Answer 39

O: 10-20 minutes P: 1-3 hours (adults) 30-90 min. (children) D: 3-5 hours

Question 40

insulin regular classifications

Answer 40

SHORT ACTING T: anti-diabetic hromone P: pancreatic

Question 41

how can insulin regular be administered?

Answer 41

SubQ (injection or infusion pump) IV

Question 42

insulin regular onset, peak, and duration. OF SubQ & IV

Answer 42

SubQ: O: 30-60 min. P: 2-4 hours D:5-7 hours IV: O: 10-30 min. P: 15-30 min. D: 30-60 minutes

Question 43

what are the classifications of metformin?

Answer 43

T: anti-diabetic P: biguanide

Question 44

how is metformin administered?

Answer 44

PO

Question 45

what are some specific side effects of metformin?

Answer 45

unpleasant metallic taste decrease in B12 levels

Question 46

what is the peak, duration, and onset of metformin

Answer 46

O: unknown P: unknown D: 12 hours

Question 47

omeprazole classifications

Answer 47

T: anti-ulcer agent P: proton-pump inhibitors

Question 48

how can omeprazole be administered

Answer 48

PO

Question 49

what drug has the action of: decreasing hepatic glucose production; decreasing intestinal glucose absorption, increasing sensitivity to insulin

Answer 49

metformin

Question 50

what drug has the action of: preventing the final transport of hydrogen into the stomach, diminishing stomach acid

Answer 50

omeprazole

Question 51

what are the classifications of sitagliptin

Answer 51

T: anti-diabetic P: enzyme inhibitor

Question 52

how is sitagliptin administered

Answer 52

PO

Question 53

what drug is known to have the side effect of upper respiratory infection

Answer 53

sitagliptin

Question 54

sitagliptin can be used with which other drugs?

Answer 54

metformin, thiazolidinediones and sulfonylurea

Question 55

what are is the onset, peak, and duration of sitagliptin

Answer 55

O: rapid P: 1-4 hours D: 24 hours

Question 56

what are the classification of vancomycin

Answer 56

T: anti-infective

Question 57

how can vancomycin administered

Answer 57

PO, IV

Question 58

which drug has the side effects of: ototoxicity, nephrotoxicity, phlebitis, superinfection, red-man syndrome, rash

Answer 58

vancomycin

Question 59

why do you need to monitor the IV site when using vancomycin

Answer 59

it is irritating to the tissue and cause necrosis

Question 60

what are the signs of nephrotoxicity

Answer 60

cloudy, pale, or pink urine

Question 61

how long should vancomycin infusions run

Answer 61

over an hour, if the dose is >1g then over 90min.-1hr.

Question 62

what drug has the action of: increase levels of active incretin hormones- incretin hormones are released by intestine throughout the day and are involved in glucose homeostasis

Answer 62

sitagliptin

Question 63

what drug has the action of: binds to the bacterial cell walls, resulting in cell death

Answer 63

vancomycin

Question 64

what drug is active against gram + pathogens, staph, and MRSA

Answer 64

vancomycin

Question 65

what lab do you watch when taking vancomycin

Answer 65

creatinine serum

Question 66

what drug do you need to monitor 48 hours after?

Answer 66

metformin

Question 67

what is the number 1 symptom to monitor that can be life threatening

Answer 67

respiratory depression

Question 68

what are the side effects of adalimumab

Answer 68

reaction at site, agranulocytosis, risk of sepsis

Question 69

what drug may increase the risk of bleeding with warfarin

Answer 69

ceftriaxone

Question 70

which medication may cause black tarry stools

Answer 70

famotidine

Question 71

which med has the side effect pale stools and dark urine

Answer 71

fluconazole

Question 72

which side effect do you not expect when giving a patient opioids

Answer 72

tachycardia

Question 73

what needs monitored when a patient is taking potassium

Answer 73

labs