Download Galen College Of Nursing Pharm EXAM 1: Questions And Answers On Pharmacology and more Exams Pharmacology in PDF only on Docsity!
Questions And Answers
What all can benzodiazepines used for? (Select all that apply) a. anxiety b. insomnia c. alcohol withdrawal d. seizures - correct answer ✅A,C,D A patient is being induced for sedation, what medication does the nurse assume will be ordered for the patient? a. Morphine b. midazolam c. phenytoin - correct answer ✅b. midazolam The nurse gave the patient her Lorazepam at 0800 and came back to re assess patient and found patient lying in bed with low respirations, shallow breathing, the nurses should note that? a. document this as normal side effects b. Hold Dose Contact PCP, due to Adverse reactions - correct answer ✅b. Hold Dose Contact PCP, due to Adverse reactions
Questions And Answers
What is Diazepam primarily used for? - correct answer ✅Seizure control What are the side effects of benzodiazepines (pams, lams) - correct answer ✅CNS Depression Drowsiness Lethargy Confusion A patient is discussing her new order for Alprazolam for insomnia, what statement by the nurse requires further teaching? a. " I will take this medication at night" b. " I will not drive when taking this medication" c. " I can take melatonin to increase my chances of better sleep with this medication" - correct answer ✅c. " I can take melatonin to increase my chances of better sleep with this medication"
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A patient is newly admitted to the hospital, and the paper work states that the patient is allergic to benzodiazepines, the PCP ordered the patient Zolpidem 0.5mg twice daily for insomnia. What is the nurses priority action. a. Give patient the medication as ordered b. Ask for clarification on order c. Notify provider that patient is allergic to benzodiazepines - correct answer ✅c. Notify provider that patient is allergic to benzodiazepines Both Benzos and the non Benzo Zolpidem have the same actions A patient has a new order for Zolpidem 0.5 mg and has been taking for past four days, patient reports feeling drowsy upon waking up, the nurse notes that? a. this is a normal side effect b. tell patient to stop taking and contact PCP c. Abruptly stop taking the medication d. use melatonin to help - correct answer ✅a. this is a normal side effect
Questions And Answers
What are the Adverse Reactions of Zolpidem? a. Vivid Dreams b. Drug Tolerance c. Hangover effect d. Uric acid increasing - correct answer ✅a. Vivid Dreams (Rebound REM, when taking for a long time) b. Drug Tolerance (They keep needing higher doses) c. Hangover effect (Still Tired not functional) The nurse is going over medications with the patient about the contraindications of aspirin, which one of the following statements, determines the patient understood patient teaching? a. I cannot give take with other blood thinners like (warfarin, Lovenox) b. If I experience excessive bruising contact PCP immediately - correct answer ✅ What over the counter medications would be contraindicated when taking Ibuprofen or Aspirin? (Select all that apply) a. Melatonin
Questions And Answers
Why is Aspirin contraindicated for children? a. UTI b. Bleeding c. On going infections d. Reyes Syndrome - correct answer ✅d. Reyes Syndrome
- Especially if they had a recent infection/virus ***rare condition that happens in children after a viral infection or illness, especially if they took aspirin (salicylate) to treat their symptoms. A patient has been admitted to the hospital, stating that he has had a acute onset of tinnitus (hearing loss), this can be a possible sign of toxicity of which medication? a. Aspirin b. Celecoxib c. Senna d. Ginger - correct answer ✅a. Aspirin
Questions And Answers
Which of the following medications is a Cox 2 inhibitor, and only concern is inflammation? a. Acetaminophen b. Celecoxib c. Aspirin - correct answer ✅b. Celecoxib What patient teaching would you give to a patient taking NSAIDS? (Select all that apply) a. Always wear gloves when administering the medication to yourself b. This medication causes photosensitivity c. When taking medication take with food to avoid upset stomach d. watch for S/S of bleeding - correct answer ✅c. When taking medication take with food to avoid upset stomach d. watch for S/S of bleeding
Questions And Answers
d. Allopurinol - correct answer ✅d. Allopurinol Which of the following foods are contraindicated when taking Allopurinol? (Select all that apply) a. Beer/ Alcohol b. Seafood c. Spinach d. Steak e. Apple Cider - correct answer ✅a. Beer/Alcohol b. Seafood d. Steak ( seafood, like purine foods, salmon) (Steak, like red meats) What patient teaching would you give to a patient taking Allopurinol? (Select All that apply) a. Monitor Liver and Kidney function/ Labs b. Yearly dentist exams c. Yearly Eye Exams
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d. Uric Acid Levels e. Increase fluid intake f. Eat foods like fish, salmon and shrimp - correct answer ✅a. Monitor Liver and Kidney function/ Labs c. Yearly Eye Exams d. Uric Acid Levels e. Increase fluid intake *** This medication can cause a deviation to those baseline labs, problems in vision, and increase fluid to flush out the Uric Acid What is the antidote for Acetaminophen? - correct answer ✅acetylcysteine What is the safe daily dose for Acetaminophen? a. 8-10g b. 3-4g c. 20-30g d. 5-8g - correct answer ✅b. 3-4g
Questions And Answers
e. Respiratory Depression - correct answer ✅b. CNS depression c. Constipation d. Urinary Retention e. Respiratory Depression What are the Adverse reactions of Morphine? a. Tardive Dyskinesia b. Pin Point Pupils c. Hypotension d. Slow Breathing - correct answer ✅b. Pin Point Pupils c. Hypotension d. Slow Breathing Which of the following medications is used for the Overdose of Morphine? a. Acetylsystaine b. Methylphenidate c. Naloxone
Questions And Answers
d. Melatonin - correct answer ✅c. Naloxone The nurse assessed a patient with an order for Morphine, and while assessing the patient she assessed that the patient had 10 breaths per minute, and she administered the Antidote Naloxone, what symptoms does the nurse suspect from the patient after administering the Antidote medication? a. Patient will have pain b. Patient will have Seizure c. Patient will go into Coma d. Patient will have no reaction - correct answer ✅a. Patient will have pain A patient has been having Cluster headaches which of the following medications does the nurse suspect will be ordered for this patient? a. Tylenol b. Carbidopa c. Morphine
Questions And Answers
**b. Take every day at the same time ( patient should take at the onset of the headache and not used as a everyday medication for headaches What does Sumatriptans do to the body? a. Cause vasoconstriction b. cause vasodilation c. Increase the risk for bleeding - correct answer ✅a. Cause vasoconstriction (Can cause B/P to go up, Heart rate to increase, blurred vision, and Drowsiness) These would be Side Effects
- During a cluster headache the arteries cause vasodilatation and the triptans A newly admitted patient has been taking Fluoxetine for two years, what medication if any would cause a contraindication and increase the serotonin levels if taken together? a. Morphine b. Tylenol c. Narcan
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d. Sumatriptan - correct answer ✅d. Sumatriptan
- This medication should not be taken with any other SSRI because it induces the serotonin levels When we use Lidocaine as a local anesthetic what does it do to the body? a. Create a tingling sensation to the skin b. block pain receptors c. Blocks nervousness - correct answer ✅b. block pain receptors
- Blocks pain just at that site (Biopsy, sutures, laceration repair) What is the expected reaction of Spinal Lidocaine? a. Blocking pain all over the body b. Induce Labor c. Numbness below the site of injection - correct answer ✅c. Numbness below the site of injection (C-section)
Questions And Answers
What are the Adverse effects of methylphenidate? a. Tachycardia, Palpations and Anorexia b. Restless and irritability c. Bradycardia and low respirations - correct answer ✅a. Tachycardia, Palpations and Anorexia Restless, irritability, nervousness, and tremors are common side effects of this medication What is Valproic Acid used for? a. Depression b. Bipolar disorder c. Seizures d. ADHD - correct answer ✅c. Seizures A patient has a new order for Valporic Acid what is priority for the nurse to know when giving this medication? a. Its hepatotoxic b. causes red urine
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c. causes tremors d. used for Bipolar disorder - correct answer ✅a. It's hepatotoxic
- Monitor the LFTS, Depakote levels, Teratogenic( Decreasing the effects on birth control and cause abnormalities in patients whom become pregnant) What is Phenobarbital used for? a. ADHD b. Bipolar c. Depression d. Seizure - correct answer ✅d. Seizure
- This medication has the same adverse reactions and side effects as the other anti-seizure medications CNS depression, Sedation, , Tolerance *Other important information Cannot be stopped abruptly &Must use caution with other CNS depressants
