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Ivy Tech Pharm FINAL EXAM with correct
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The school nurse is conducting a screening of kindergarten students. The nurse will assess the children for what characteristics of ADHD? - CORRECT ANSWERS โโ-short attention span -hyperactivity -impulsivity When discussing the safe use of drugs in the institutional setting, what are duties preformed by the nurse? - CORRECT ANSWERS โโ-admin drugs -monitor clients for drugs effects -educate about drugs -eval for toxic effects You're caring for a 22 y/o who was just diagnosed with a helminthic infection. She is terrified and states she feels "grossed out and embarrassed". You choose a nursing diagnosis of Disturbed Personal Identity. What interventions would be most appropriate to include? - CORRECT ANSWERS โโ-provide education and reassurances regarding diagnosis and treatments, including meds. -provide reassurance that her medical condition and record are confidential The nurse is educating a client on OTC meds. What info is required to be placed on the label? - CORRECT ANSWERS โโ-dosage -contraindications -adverse reactions
The nurse monitoring a client receiving insulin glulisine (apidra) notices the client has become confused, diaphoretic and nauseated. The nurse checks the clients blood glucose and its 60 mg/dL.What can a nurse give to treat a client with a hypoglycemic episode? - CORRECT ANSWERS โโ-orange or other fruit juice -hard candy -glucose tablets What is true regarding the effect of caffeine on the body? - CORRECT ANSWERS โโ-CNS stim -Resp stim -diuresis The nurse identifies that salicylate are effective in the mgmt of what? - CORRECT ANSWERS โโ-pain -fever -inflammation The nurse is preparing a client who will begin chemo in a few days. The nurse knows that the most common adverse effects encountered are....? - CORRECT ANSWERS โโ-alopecia -thrombocytopenia -anemia To decrease the risk of injury to a client taking an opioid, the nurse should do what? - CORRECT ANSWERS โโ-asst w hall walking activities
What physiologic changes r/t aging affect metabolism? - CORRECT ANSWERS โโ-decrease in circulation to liver -decreased ability to remove metabolic by-products -decrease in mass of liver The nurse should suspect lithium toxicity in a client that experiences which of the following symptoms? - CORRECT ANSWERS โโ-muscle weakness -diarrhea -tremors -lack of coordination The nurse administers atenolol to a client suffering an acute MI. The atenolol will result in what changes in the client? - CORRECT ANSWERS โโ-decrease in hearts workload -decreased heart rate What would be associated with pharmacokinetics? - CORRECT ANSWERS โโ- drug half-life -timing of peak effect -duration -onset of action The nurse is caring for group of Pt's involved in phase 3 of a drug study. Which tasks is the nurse supposed to perform in clinical testing? - CORRECT ANSWERS โโ-not the pharmacologic and biologic effects of the drug carefully -address how Pt's feel about the clinical trial
What classes of medications are used to treat hyperlipidemia? - CORRECT ANSWERS โโ-HMG-CoA reductase inhibitors -fibric acid derivatives -bile acid resins Pt's with what disorders should avoid OTC pseudo ephedrine? - CORRECT ANSWERS โโ-diabetes -cardiovascular disorders -glaucoma Aerosols are often the drugs of choice to treat asthma b/c of what characteristics? - CORRECT ANSWERS โโ-they act directly on airways -they can usually be given in smaller doses -they produce fewer adverse effects than oral or parenteral drugs -they relieve symptoms quickly Nitrates can result in which adverse reactions? - CORRECT ANSWERS โโ- hypotension -flushing -h/a When evaluating the plan of care for a Pt receiving opioid analgesics for pain mgmt, the nurse considers the plan successful when what occurs? - CORRECT ANSWERS โโ-therapeutic response is achieved and discomfort is reduced -an adequate breathing pattern is maintained -client maintains adequate nutritional status
What lab results may indicate renal damage r/t the administration of a nephrotoxic medication? - CORRECT ANSWERS โโ-elevated BUN -elevated Cr -elevated K+ When administering ahminoglycosides to clients, the nurse must be aware of what toxicities that can result from their use? - CORRECT ANSWERS โโ- nephrotoxicity -ototoxicity -neurotoxicity What are the fast-acting diuretics? - CORRECT ANSWERS โโfurosemide bumetanide What is the advantage of using a second generation antihistamine vs a first generation antihistamine? - CORRECT ANSWERS โโ-fewer anticholinergic effects -less sedation What is an example of naturally acquired active immunity? - CORRECT ANSWERS โโ-individual exposed to chicken pox for first time and has no immunity to the disease -individual who is exposed to pertussis for the first time and has no immunity to the disease What are the pharmacokinetic phases? - CORRECT ANSWERS โโ-absorption
-distribution -metabolism -excretion What immunizations are recommended for older adults? - CORRECT ANSWERS โโ-one-time admin of pneumococcal vaccine at 65 y/o -annual flu shot -a tetanus-diphtheria booster every 10 years A nurse educating a client starting phenelzine should educate the client to avoid what foods? - CORRECT ANSWERS โโ*containing tyramine -aged cheese -sour cream -yogurt -beef -chicken livers -pickled herring -undistilled alcoholic bev -chocolate -pepperoni -yeast extract -soy sauce -caffinated bev -certain fruits/veggies
The actual concentration that a drug reaches in the body involves which of the following processes? - CORRECT ANSWERS โโ-absorption from site of entry -distribution to active site -biotransformation in liver -excretion from body What are superinfections that may occur after being given a cephalosporin? - CORRECT ANSWERS โโ-vaginal candidiasis -pseudomembraneous colitis What are important points for the nurse to remember when administering an otic preparation to a client? - CORRECT ANSWERS โโ-warm the otic preparation prior to admin -straighten the ear canal -never insert dropper tip into ear canal -insert a piece of cotton loosely into ear canal to prevent drug from flowing out The nurse if caring for a client who is on a sulfonamide and monitors for which common side effects? - CORRECT ANSWERS โโ-photosensitivity -diarrhea -nausea The nurse is taking a history of a female client who is scheduled to begin estrogen therapy. It is MOST important prior to therapy for the nurse to determine if the client has a history of what condition? - CORRECT ANSWERS โโ-thrombophlebitis
-liver disease -smokes 1.5 packs of cigarettes/day A Pt has been prescribed lithium. What interventions should the nurse perform while caring for the Pt? - CORRECT ANSWERS โโ-admin with food -continually monitor Pt for drowsiness -increase fluid intake to about 3000 mL/day What are the primary goals of HAART? - CORRECT ANSWERS โโ-suppress viremia -delay drug-resistant mutations -preserve CD4 counts Nitrates are available is what dosage forms? - CORRECT ANSWERS โโ- sublingual -transdermal -parenteral -inhalation Hypertension increases a person's risk for what? - CORRECT ANSWERS โโ- heart failure -stroke -blindness -kidney disease
When does a nurse perform a client's medication reconciliation? - CORRECT ANSWERS โโ-when client is transferred to ICU -upon admin -prior to d/c to skilled nursing facility A nurse is caring for a client with renal disease and knows that this client will have the potential for which difficulty r/t drug excretion? - CORRECT ANSWERS โโ-increased drug half-life -increased change of drug toxicity What medical conditions can be treated with cholinergic drugs? - CORRECT ANSWERS โโurinary retention myasthenia gravis After teaching a Pt who is using isosorbide dinitrate for treatment of angina, the Pt demonstrates understanding of the info when he identifies what drugs need to be avoided? - CORRECT ANSWERS โโ-sildenafil -tadalafil -vardenafil A Pt is receiving bumetanide. The nurse would instruct the Pt to be alert for what? - CORRECT ANSWERS โโ-hypotension -dizziness -weakness -muscle cramps
