Maryville Univ. Nursing 615 Pharmacology Exam 3 Review: Correct Answers to Key Qs, Exams of Nursing

Download Maryville Univ. Nursing 615 Pharmacology Exam 3 Review: Correct Answers to Key Qs and more Exams Nursing in PDF only on Docsity! Maryville University Nursing 615 Exam 3 Review Questions and answers Nurs 615 Pharm Exam 1 – Maryville Latest 2024 (100% Correct Answers) Low-dose colchine - correct answers 1.2 mg at first sign of flare, followed by 0.6 mg one hour later for a total dose of 1.8 mg. High-dose colchine - correct answers 1.2 mg followed by 0.6 mg every 4-6 hours totaling 4.8 mg. Gout - correct answers BUN, creatinine, and creatinine clearance should be monitored in the treatment of this disease Colchine - correct answers This medication can cause severe diarrhea, nausea, vomiting, abdominal pain Febuxostat (Uloric) - correct answers When prescribing this medication, patients should be taught that gout may worsen with therapy before it improves Corticosteroids - correct answers These medications can cause the following adverse effects if taken for six months or more: Osteoporosis and poor diabetic control. Patients should report black, tarry stools or abdominal pain. Corticosteroids - correct answers These medications should be tapered to avoid recurrent activity of the underlying disease and possible cortisol deficiency resulting from the hypothalamic-pituitary-adrenal axis suppression during the period of steroid therapy. Black Box Warning on NSAIDS - correct answers Increased risk of serious cardiovascular thrombotic events, such as myocardial infarction and stroke. Maryville University Nursing 615 Exam 3 Review Questions and answers Nurs 615 Pharm Exam 1 – Maryville Latest 2024 (100% Correct Answers) Maryville University Nursing 615 Exam 3 Review Questions and answers Nurs 615 Pharm Exam 1 – Maryville Latest 2024 (100% Correct Answers) These medications can also cause serious GI events such as bleeding, ulceration or perforation of stomach or intestines, which can be fatal. Pain management - correct answers When treating this common issue, it is recommended to begin with NSAIDS and work up from there as needed Ibuprofen - correct answers This medication works by inhibiting the COX enzymes; however, the exact mechanism of action for this particular medication is unknown. Acetaminophen - correct answers A serious adverse effect related to this medication is referred to as "------------- poisoning" Symptoms of hypoglycemia - correct answers Decreased LOC, hunger, diaphoresis, weakness, dizziness and tachycardia Symptoms of hyperglycemia - correct answers Polyuria, polydipsia and polyphagia (weight loss) Symptoms of DKA - correct answers Kussmaul's respiration, ketone odor of the breath (fruity breath), vomiting, dehydration, abdominal pain, and neurologic symptoms such as lethargy; can progress to coma in later stages if left untreated. Metformin - correct answers This medication decreases hepatic glucose output inhibiting gluconeogenesis. It also increases insulin mediated glucose utilization in peripheral tissues. This medication decreases intestinal absorption of glucose. This medication may also be used in diabetics to decrease cholesterol and triglyceride levels. Maryville University Nursing 615 Exam 3 Review Questions and answers Nurs 615 Pharm Exam 1 – Maryville Latest 2024 (100% Correct Answers) Maryville University Nursing 615 Exam 3 Review Questions and answers Nurs 615 Pharm Exam 1 – Maryville Latest 2024 (100% Correct Answers) Levothyroxine - correct answers When a patient is taking this medication, Blood free thyroxine and TSH levels should be monitored 4-8 weeks after the initiation of therapy or after a change in dose. When an adequate dose has been identified, TSH levels can be repeated at 6 and 12 months, unless there is a change in symptoms Rapid-acting insulins: Lispro (Humalog), Aspart (Novolog), and Glulisine (Apidra) - correct answers Onset: 5 minutes, Peak: 1 hour, Duration: 4-5 hours Short-acting insulin: Regular (Humulin) - correct answers Onset: used around meal times and is taken 30-45 minutes before eating, Peak: 3-4 hours, Duration: 4-10 hours Intermediate-acting insulins: NPH - correct answers This medication has to be mixed before administration. Onset: 60-90 minutes, Peak: 4-10 hours, Duration: 12-24 hours Long-acting: Glargine (Lantus) or Detemir (Levemir) - correct answers Onset: 2-4 hours, Peak: little or no peak, Duration 24 hours. Glargine - correct answers Initial dose of this medication should be reduced by 20% to avoid hypoglycemia when switching from NPH Insulin - correct answers These medications have side effects of hypoglycemia and hypokalemia Maryville University Nursing 615 Exam 3 Review Questions and answers Nurs 615 Pharm Exam 1 – Maryville Latest 2024 (100% Correct Answers) Maryville University Nursing 615 Exam 3 Review Questions and answers Nurs 615 Pharm Exam 1 – Maryville Latest 2024 (100% Correct Answers) Antihypertensives - correct answers A thorough renal and liver function assessment should be completed before prescribing these medications ACE inhibitors - correct answers These medications are preferred in patients who are diabetic with hypertension as the reduce the adverse effects of diabetes on the kidneys. ACE inhibitors - correct answers The most common side effect of these medications is a dry, hacking cough dihydropyridine-type calcium channel blockers - correct answers These medications have adverse effects of reflex tachycardia, proteinuria, increased edema in the hands and feet, and headaches Statins - correct answers These medications can cause Rhabdomyolysis, as well as an increased risk of diabetes, elevated liver enzymes, cognitive loss, neuropathy, pancreatic and hepatic dysfunction, and sexual dysfunction Statins - correct answers The patient should report to the primary care provider if they have any muscle weakness or tenderness and dark urine immediately when taking these medications Fibric acid derivatives - correct answers These medications are used mainly to treat elevated triglycerides. These medications can be used in combination with other hypercholesterolemia medications. bile acid sequestrants - correct answers These medications bind to bile in the GI tract to prevent reabsorption. The conversion of cholesterol in a bile acid lowers plasma cholesterol levels. Maryville University Nursing 615 Exam 3 Review Questions and answers Nurs 615 Pharm Exam 1 – Maryville Latest 2024 (100% Correct Answers) Maryville University Nursing 615 Exam 3 Review Questions and answers Nurs 615 Pharm Exam 1 – Maryville Latest 2024 (100% Correct Answers) Niacin - correct answers Providers should inform patients that flushing caused by this medication can be blocked by taking 300 milligrams of aspirin half an hour before taking this medication. Amlodipine - correct answers This medication is metabolized in the liver to inactive metabolites via CYP3A4. This enzyme is inhibited by grapefruit juice which increases the amount of this medication in the blood stream. Amlodipine - correct answers Adverse effects of this medication include: 1.) common and dose related are peripheral edema, dizziness, palpitations, flushing. 2.) common-not dose related are fatigue, nausea, abdominal pain, and somnolence. 3.) rare are blood disorders, impotence, depression, insomnia, tachycardia, gingival enlargement, hepatitis, and jaundice Amiodarone - correct answers Patient may experience vision problems, a bluish-gray discoloration of the skin, photosensitivity, interstitial disease, as well as hypo and hyperthyroidism when taking this medication Digoxin - correct answers This medication interacts with Verapamil, Amiodarone, Erythromycin, and Epinephrine (when injected as local anesthetic). The level of this medication should be monitored when the patient is taking albuterol. Nitrate Tolerance - correct answers Tolerance of these medications is described as the attenuation or loss of one or several of the effects after long-term administration Maryville University Nursing 615 Exam 3 Review Questions and answers Nurs 615 Pharm Exam 1 – Maryville Latest 2024 (100% Correct Answers)