Practice 2016 B

Question 1

cromolyn - when to take it

Answer 1

this is for exercise induced asthma - take 10-15 mins prior to exercise to relieve bronchospasms

Question 2

tx warfarin overdose

Answer 2

vit K

Question 3

tx parkinsonian a/e of antipsychotic meds

Answer 3

benztrophine

Question 4

chlordiazepoxide and alcohol

Answer 4

take to prevent delirium tremens during acute alcohol withdrawal

Question 5

ASA, lithium, and ibuprofen

Answer 5

lithium is okay to take with asa but not with ibuprofen

Question 6

ergotamine (tx migraine headaches) take when

Answer 6

1 tablet at onset of migraine

Question 7

isosorbide mononitrate

Answer 7

nitrate used for clients with angina; leads to vasodilation

Question 8

heparin OD s/s

5

Answer 8

1. blood in urine
2. bruising
3. hematomas
4. hypotension
5. tachycardia

Question 9

positive chvostek’s sign is seen in clients who have

2

Answer 9

1. hypocalcemia

2. hypomagnesemia

Question 10

isoniazid and photosensitivity

Answer 10

photosensititivy is not an a/e

Question 11

sucralfate

Answer 11

forms a protective barrier over ulcers

Question 12

forms a protective barrier over ulcers

Answer 12

sucralfate

Question 13

famotidine function

Answer 13

decreases stomach acid secretion

Question 14

decreases stomach acid secretion

Answer 14

famotidine

Question 15

rx to reverse cholinergic toxicity

Answer 15

atropine

Question 16

the estrogen receptor blocking action of tamoxifen commonly results in

Answer 16

hot flashes

Question 17

tamoxifen tx

Answer 17

breast cancer

Question 18

tamoxifen a/e

5

Answer 18

1. hot flashes
2. vaginal discharge
3. uterine cancer
4. NV
5. chest pain

Question 19

betamethasone

Answer 19

stimulates surfactant production

Question 20

serum creatinine level above what can indicate a kidney disorder

Answer 20

above 1.3

Question 21

docusate mechanism of action

Answer 21

surfactant that softens stools by reducing surface tension, allowing water to penetrate more easily into the stool

Question 22

glycerin suppositories

Answer 22

osmotic laxatives - lubricate the lower colon and initiate reflex contractions of the rectum

Question 23

bisacodyl

Answer 23

stimulant laxatives - stimulate the intestinal wall to cause peristalsis by pulling water into the intestines

Question 24

stimulant laxatives - stimulate the intestinal wall to cause peristalsis by pulling water into the intestines

Answer 24

bisacodyl

Question 25

buproprion function

Answer 25

tx nicotine withdrawal

Question 26

enalapril and K

Answer 26

can cause hyperkalemia due to K retention by the kidneys

Question 27

enalapril cardiac effects | 3

Answer 27

1. hypotension 2. tachycardia 3. dysrhythmias

Question 28

allopurinol and eyes

Answer 28

prolonged use can cause cataracts

Question 29

allopurinol and water

Answer 29

drink at least 2 L /day to prevent renal stone formation and kidney injury

Question 30

filgrastim

Answer 30

stimulates the bone marrow to produce neutrophils

Question 31

stimulates the bone marrow to produce neutrophils

Answer 31

filgrastim

Question 32

creatinine kinase CK levels rise in response to

Answer 32

enzymes released with muscle injury - signaling rhabdo (think statins)

Question 33

bumetanide

Answer 33

loop diuretic - watch K levels

Question 34

benzo OD

Answer 34

give flumazenil

Question 35

leucovorin

Answer 35

form of the vitamin folic acid, and is used to treat methotrexate toxicity

Question 36

indication of salicylism | 4

Answer 36

1. tinnitus 2. sweating 3. headache 4. dizziness

Question 37

risedronate tx

Answer 37

osteoporosis

Question 38

risedronate - how to take

Answer 38

sit up for 30 minute after taking

Question 39

metoclopramide

Answer 39

antiemetic - can cause tardive dyskinesia

Question 40

methylprednisolone and K

Answer 40

decreases potassium levels through urinary excretion

Question 41

s/s of digoxin toxicity | 6

Answer 41

1. yellow skin 2. nausea 3. vomiting 4. anorexia 5. fatigue 6. (high level) cardiac dysrhythmias

Question 42

anticholinergic - eyes | 3

Answer 42

blurred vision dry eyes mydriasis (pupil dilation)

Question 43

how to administer dantrolene via IV bolus for malignant hyperthermia

Answer 43

dilute with 60 ml of sterile water without bacteriostatic agent and inject rapidly