Nursing Pharmacology-Final Exam Study Guide, Exams of Nursing

Download Nursing Pharmacology-Final Exam Study Guide and more Exams Nursing in PDF only on Docsity! Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Describe what the nurse should advise the client who is having nausea and upset stomach from erythromycin. Take this medication with food Define the following words: Intrinsic effect Hormones, enzymes, growth factors, and other chemicals made by the body that change the activity of cells. Side effect Drug side effects are expected, are mild, and do not occur in all patients. Adverse effect A drug effect that is more severe than expected and has the potential to damage tissue or cause serious health problems. It may also be called a toxic effect or toxicity and usually requires intervention by the prescriber. Therapeutic effect Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Desired effect (main effect) of a drug on specific body cells or tissues; same as intended action. Describe foods need to be avoided while taking a MAOI (Monoamine Oxidase Inhibitor). Foods with tyramine (Aged cheese, wine, cured meats); Processed food; aged food; anything that is found on pizza Identify what is the best time of day to take omeprazole. Best to take it 30 minutes before a meal, preferably breakfast. Which type of blood pressure medication has the potential side effect to cause a dry cough ACE inhibitors; The nurse notes an order for insulin to be administered intravenously. The nurse recognizes that which insulin is the only type that can safely be administered intravenously Regular (Humulin R); it is rapid acting Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Any drug/chemical molecule that blocks the effect of an agonist Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ You are teaching a client about their new Tuberculosis drug regimen. After reviewing the side effects, the client asks how long she must continue taking the drugs. What is your response? As long as 24 months Maintaining follow-up monitoring of liver enzymes; Avoiding alcohol intake; The urine may have an orange color Identify medications that apply a protective coating to the stomach. Enteric Coating What is the major side effects of Nitroglycerin? Headaches, dizziness, lightheadedness, nausea, and flushing as your body adjusts to this medication; orthostatic hypotension If a patient complains of a headache and is on Nitroglycerin, what must we assess? Is the Nitroglycerin cause the patient to have a stroke; the migraine aches cause vasodilation, the arteries in the head gets larger causing hypertension, that’s what causes the headache; Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ also causing bleeding in the head • Do not give potassium to renal failure patient.  What to teach patients about over the counter laxatives and being constipated? Increase fiber, exercise, increase fluid  Why do older females need less pain medication? Weight, meds may not work, absorption problem, kidney disease, problem with liver functioning  Over dosed on Xanax or valium, what to give? Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ The drugs which most commonly cause stomach ulcers like aspirin, diclofenac and naproxen are frequently available with enteric coatings. Reversal agent for Dilaudid (Hydromorphone) Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ NALOXONE (NARCAN) Reversal agent for Xanax (Alprazolam) Romazicon (Flumazenil) Reversal agent for opioids Naloxone Reversal agent for benzodiazepines Flumazenil Reversal agent for warfarin Vitamin K Reversal agent for Heparin Protamine Sulfate Education about side effects of Ritalin (Ritalin is a CNS stimulant sometimes used to treat narcolepsy; it causes increased general CNS stimulation to promote wakefulness and reduce the sudden sleepiness of narcolepsy.) Why do they take Ritalin- ADHD; ADD Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ When is the best time to take it- in the morning; might cause insomnia (do not take at bedtime); it is a stimulus Check for tachycardia Common side effects of CNS stimulant drugs used for narcolepsy include hyperactivity, insomnia, restlessness, tremor, hypertension, palpitation, tachycardia, and loss of appetite (anorexia). Other side effects include nervousness, headache, upset stomach, diarrhea, mood swings, and depression. A different medicine called an angiotensin receptor blocker (ARB) can replaced the ACE inhibitor and control your blood pressure without the side effect of the cough. Which organ could be dangerously affected by too much acetaminophen Liver Damage. The liver is vulnerable to harm because it is the organ that processes medications and toxic substances from the blood. Overdosing on acetaminophen can cause liver failure, which can eventually lead to death. Acetaminophen poisoning causes nearly half of acute liver failure cases. Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ ribavirin (Virazole). Which visitor does the nurse ensure is not in the client's room during the aerosol treatments? 32-year-old pregnant mother; A major adverse effect of ribavirin is that it is a teratogen, an agent that can cause birth defects. Ribavirin is pregnancy category X. It should not be given to pregnant or breastfeeding women, and it should not be handled or inhaled by anyone who is pregnant. A client's family asks why the client is being given a positive inotrope. What is the best explanation? It is used for weaken muscle; it improves the workload/ function of the heart • Example is digoxin (oral) • Dobutamine (IV) Nursing Interventions prior to the administration of metoprolol - Monitor for hypotension and bradycardia frequently during dose adjustment and during therapy. Hold if pulse is less than 60 bpm. Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ - Administer with meals or directly after eating. Client teaching for spironolactone Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ - Obtain baseline and periodic serum electrolytes, Complete Blood Count (CBCs), Blood Urea Nitrogen(BUN), serum, glucose, serum uric acid, and CO2. - Monitor BP and fluid/electrolyte imbalance - Weigh 2-3 time each week, report gains or losses of greater than 2 lbs. in 2 days Identify antibiotic medication used to treat a respiratory fungal infection Anti-fungal therapy Nursing interventions required when administering a “High-Alert” medication. To safely administer I.V. infusions of high-alert drugs, you must understand how equipment such as infusion pumps work, and you must use the equipment as it was made to be used. Client teaching for warfarin Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Advice the patient it take time; it takes 8-12 weeks  Medication given sublingual (under the tongue) Medication given Ophthalmology (by eyes) Medication given otologic (by ear) Nursing intervention before administration of furosemide Assess patient for skin rash frequently during therapy. Discontinue furosemide at first sign of rash; may be life-threatening. Stevens-Johnson syndrome, toxic epidermal necrolysis, or erythema multiform may develop. Treat symptomatically; may recur once treatment is stopped. Assess patient for tinnitus and hearing loss. Describe an example of client teaching using the psychomotor domain. Assembling a dry inhaler; patient demonstrate the teaching Describe the purpose of anticoagulants. Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ It will prevent any new clots from forming What is the purpose of antiviral drug therapy? Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ To reduce illness duration by controlling viral reproduction, by preventing them from reproducing and growing. Which drug action is most likely to lower blood pressure? relaxing (dilating) blood vessel smooth muscle Which route of administration provides the quickest onset of action of a medication? Intravenous (IV) Fastest to Slowest- Intravenous, Sublingual, Intramuscular, Subcutaneous, Oral, Topical A client reports taking an over-the-counter laxative for constipation daily for the past 3 weeks. What is the nurse's best action? -Increase fluid/water -Increase fiber -Exercise Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ hearing loss A patient with overactive bladder has been prescribed tolterodine (Detrol). While assessing the patient, the nurse discovers the presence of the following health problems. Which problem causes the nurse to contact the prescriber and question the drug order? Glaucoma  When hypertension is not treated, which health problem can result? kidney damage  Which antihypertensive drug is considered safe for use during pregnancy or breastfeeding? Methyldopa (Aldomet)  Which diuretic may cause an adverse effect of a higher than normal serum potassium level? Spironolactone (Aldactone)  Digoxin Increases the force of heart contractions and slows down the heart rate to improve cardiac output The higher the gauge, the thinner the needle • (subcutaneous) injections you would typically use a 25 to 27-gauge needle Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ 3/8 to 5/8 inches’ long • Intradermal (25 gauge, 3/8 inch) • Intramuscular (20 to 22 gauge, 1 to 1.5 inch) A patient taking Lipitor, how would you know that this medication is having the desire effects? Decrease cholesterol If a patient is just being started on a new antibiotic, what would be the concern compliant? Hives; rashes; trouble breathing; trouble swallowing (contact provider) Which classification of medication has the potential complication of causing angioedema to develop and need to always monitor to patient for first dose reaction? -Ends in (pril) ACE inhibitors; leads to angioedema (swelling tongue; vasoconstriction to the airway) can cause dry cough Why does the patient take Prilosec in the morning before breakfast? To prevent acid reflex What is a patient going to complain of if they are taking Lipitor? Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+ Nausea; Muscle aches and pain/ weakness, needs to be reported to provider; needs to check liver function Nursing Pharmacology-Final Exam Study Guide. Q & As BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+