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NUR 114 PHARM FINAL STUDY GUIDE-WITH 100% VERIFIED QUESTIONS AND ANSWERS | GRADED A+, Exams of Pharmacology

NUR 114 PHARM FINAL STUDY GUIDE-WITH 100% VERIFIED QUESTIONS AND ANSWERS | GRADED A+

Typology: Exams

2024/2025

Available from 10/01/2024

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NUR 114 PHARM FINAL STUDY
GUIDE-WITH 100% VERIFIED
QUESTIONS AND ANSWERS |
GRADED A+
ACE Inhibitors; how do you identify them?
Correct answer:
-PRIL
ACE Inhibitors; Side effects?
Correct answer:
-cough, hyperkalemia, orthostatic hypotension (first dose)
ACE Inhibitors; Adverse effects?
Correct answer:
-Angioedema, anaphylaxis reaction (s/s: hypotension, wheezing, swollen tongue, hives/itching...
and know to administer Epi)
Aminoglycosides; What is it, what medications?
Correct answer:
-Antibiotic; Gentamicin
What is peak/troughs? How/when are they monitored?
Correct answer:
-Peak; Highest level of drug in the body. Draw for labs at peak of drug.
-Troughs; Lowest level of drug in the body. Draw for labs 30 minutes before next dosage.
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Download NUR 114 PHARM FINAL STUDY GUIDE-WITH 100% VERIFIED QUESTIONS AND ANSWERS | GRADED A+ and more Exams Pharmacology in PDF only on Docsity!

NUR 114 PHARM FINAL STUDY

GUIDE-WITH 100% VERIFIED

QUESTIONS AND ANSWERS |

GRADED A+

ACE Inhibitors; how do you identify them? Correct answer:

  • PRIL ACE Inhibitors; Side effects? Correct answer:
  • cough, hyperkalemia, orthostatic hypotension (first dose) ACE Inhibitors; Adverse effects? Correct answer:
  • Angioedema, anaphylaxis reaction (s/s: hypotension, wheezing, swollen tongue, hives/itching... and know to administer Epi) Aminoglycosides; What is it, what medications? Correct answer:
  • Antibiotic; Gentamicin What is peak/troughs? How/when are they monitored? Correct answer:
  • Peak; Highest level of drug in the body. Draw for labs at peak of drug.
  • Troughs; Lowest level of drug in the body. Draw for labs 30 minutes before next dosage.

What types of toxicity can be caused by Aminoglycosides? Correct answer:

  1. Nephrotoxic; Labs: BUN/creatine, Monitor: Decreased urine output. Encourage fluids!
  2. Ototoxic; Monitor: ringing in ears, hearing loss. Antidepressants; Name the medications Correct answer-
  3. Fluoxetine (Sertraline)
  4. Venlafaxine
  5. Bupropion
  6. Amitriptyline Antidepressants; What are the side effects? Correct answer:
  • dry mouth; Encourage to drink plenty of fluids and have gum/candy. APAP; what is it? What do you need to remember about it. Correct answer:
  • Acetaminophen
  • Can cause liver toxicity; do not go above prescribed dosage (4g a day), know drug/drug-alcohol interactions, macrolides (erythromycin interaction) ASA; what is it? What is the MOA? Correct answer: - Aspirin

Cephalosporins; What is it? Correct answer:

  • Antibiotic-Similar to cillin family! Be aware of cross sensitivity. Cephalosporins; What side effects? Correct answer:
  • Gi upset and oral discharge. Cephalosporins; what superinfections can they cause? How do you identify them? Correct answer: yeast infection, vaginal infection, oral thrush, etc. Digoxin; What is it, what does it do? Correct answer:
  • Cardiac glycoside (Arthymia drug) Helps the heart pump more effectively by INHIBITING normal function of Na+ and K+ pump. Digoxin; Signs/Symptos of toxicity? Correct answer:
  • N/V/D, vision changes, seeing yellow halos. Digoxin; Side effects? Correct answer:
  • Hypokalemia Digoxin; When to hold? Correct answer:
  • HR <60, toxic signs, low potassium.

Diphenhydramine; what is it? What does it do? Correct answer:

  • Antihistamine (Benadryl)
  • Treats allergies, urticaria (hives) Diphenhydramine; Side effects? Correct answer:
  • sleepiness Diphenhydramine; Instructions on taking/education? Correct answer:
  • Take before bed
  • Do not take with alcohol. Diuretics; What are they? (3) What do they do? What will you watch out for? Correct answer:
  1. Spironolactone-potassium sparing Watch for: Hyperkalemia
  2. Furosemide- potassium waster Watch for: Hyponatremia, hypokalemia
  3. Hydrochlorothiazide Watch for: Hypokalemia, hyponatremia, HYPERcalcemia. Donepezil; What is it? What is it used for? Correct answer:
  • Anti-Alzheimers Drug; acetylcholinesterase inhibitor. Used for Tx of Alzheimers and dementia.

Fluroquinolones; What are they? What do they do? Correct answer:

  • Antibiotics Commonly used to treat respiratory infections and UTI's. Which mediation is a Fluroquinolones? Correct answer:
  • Ciprofloxacin Fluroquinolones; Side effects? Correct answer:
  • tendon rupture/tendinitis If Pt reports joint pain-stop medication What is Colchicine? Correct answer:
  • Anti-inflammatory Drug; Gout medication. used for ACUTE ATTACKS. What is Indomethacin? Correct answer:
  • NSAID; Gout medication. used for ACUTE ATTACKS. What is Allopurinol? Correct answer:
  • Uric acid reducer; Gout medication. (Can treat gout and kidney stones) used for CHRONIC/prevention of GOUT.

What do we teach patients on Iron supplements? Correct answer:

  • GI upset/constipation, dark stools, take with OJ, liquid form of medication can stain teeth so drink through a straw. Macrolides; how do we identify them? Correct answer:
  • MYCIN Macrolides; What are they? What medications? Correct answer:
  • Antibiotics;
  1. Erythromycin
  2. Clarithromycin
  3. Azithromycin NOT VANCOMYCIN Macrolides; what drug to drug interactions do you need to know? Correct answer:
  • APAP-acetaminophen. Macrolides; Side effects? Correct answer:
  • Superinfection, liver toxicity (Check LFT's) Metronidazole; What is it? What do you need to teach about it? Correct answer:
  • Antibiotic;

Prednisone; What do you need to know? Correct answer:

  • Taper off slowly
  • S/s of Adrenal insufficiency due to abrupt stop: fatigue, hypotension, N/V, Abd px. Proton pump inhibitors (PPIs); What do they do? Correct answer:
  • Less acid reflux, less stomach pain. Diazepam; What is it? What does it do? Correct answer:
  • Benzodiazepam (Seizure Medication) Inhibits GABA, relaxes muscles, reduces seizures. Atoravastatin; What is it? What does it do? What to monitor? Correct answer: Antilipemic; STATIN drug. Limits cholesterol. Monitor: LFT's and TG (triglycerides) Sulfa Drugs; What are they? What do they do? Correct answer:
  • Sulphonamides (antibacterial) Manifestation of an allergic reaction

Tetracyclines; What is it? What teachings do you need to know? Correct answer:

  • Antibiotic; Can treat acne and skin infections Education: NO children or pregnant woman, NO antacids within 2 hours, NO sun, oral care, NO dairy, take on an empty stomach, superinfection. Gentamicin; therapeutic level? Correct answer:
  • Therapeutic: 5 - 10 mcg/ml vancomycin; therapeutic level? Correct answer:
  • Therapeutic: 20 - 40 mcg/ml Phenytoin; therapeutic level? Correct answer:
  • Therapeutic: 10 - 20 Levothyroxine; therapeutic level? Correct answer Therapeutic: Valporic Acid; therapeutic level? Correct answer:
  • Therapeutic: 50 - 100 mcg/ml

What is B12? Correct answer:

  • Cyanocobalamin What is Vitamin B9? Correct answer:
  • Folic acid What is Viamin B3? Correct answer:
  • Niacin What is Vitamin D3? Correct answer:
  • cholecaliferol What is Vitamin K? Correct answer:
  • K1 phytonadione What is the therapeutic range for normal serum potassium? Correct answer- 3.5- 5 Question: Your patient was started on Warfarin (Coumadin) a week ago for the treatment of a DVT. Which findings below would indicate an adverse reaction to the medication? Select all that apply. Correct answer
  1. bleeding gums
  2. melena
  3. patient reports a severe and sudden headache
  4. hematuria
  5. coffee ground emesis. Question: Your patient is prescribed to take Lisinopril and spironolactone. As the nurse you know that these medications increase a patients risk for developing?
  6. hyperkalemia
  7. hypertension
  8. hypernatremia
  9. renal failure Correct answer:
    1. hyperkalemia Question: Your patient is about to receive their morning dose of digoxin with an apical pulse of 53, which of the following actions should the nurse do first?
  1. hold the dose
  2. contact the provider for dose adjustments
  3. administer the dose as scheduled
  4. notify the charge nurse of the findings. Correct answer: - 1. hold the dose Question: Which assessment finding in a patient taking NSAIDs requires immediate intervention?
  5. black, tarry stools
  6. palpitations
  1. the patient is relaxed
  2. the patient has increased cognition. Correct answer:
    1. the patient has increased cognition. Question: The nurse is teaching the patient being treated with an anticholinergic about dietary changes that might be necessary. What is the highest priority instruction for the patient?
  1. increase your intake of fatty foods while on this therapy
  2. increase your intake of fluids while on this medication.
  3. Do not eat carbohydrates with this medication
    1. do not drink milk while on this medication. Correct answer:
    1. increase your intake of fluids while on this medication. Question: The patient has been started on donepezil. The patients family member notifies the nurse that the patient fainted at home. What is the highest priority action on the part of the nurse?
  1. Instruct the family member not to administer any further doses of the drug.
  2. notify the HCP, the patient may need to be taken of f the drug.
  3. instruct the family member to call if the patient continues to exhibit fainting episodes.
    1. reassure the family member that this is an expected side effect of the medicaiton. Correct answer:
    1. notify the HCP, the patient may need to be taken off the drug. Question: What should the nurse include when teaching a patient regarding the use of omeprazole?
  1. Take before meals to increase drug effectiveness
  2. may take without regard to meals or other medicaitons
  1. take after meals to increase drug effectiveness
  2. take with meals to increase drug effectiveness. Correct answer:
    1. Take before meals to increase drug effectiveness Question: The nurse is administering oxycodone, an opioid, to a patient. Which common side effect should the nurse teach the patient about?
  1. occipital headache
  2. drowsiness
  3. paresthesia in lower extremities.
  4. increases ICP. Correct answer:
    1. Drowsiness. Question: A patient has an order for metoprolol. Prior to medication administration, what does the nurse need to assess?
  1. O
  2. RR
  3. HR
  4. Temp Correct answer:
    1. HR Question: Your patient who is taking a statin develops yellowing of the skin, abdominal pain in the right upper quadrant, and nausea. What lab results below correlates with this finding?
  1. decreased hemoglobin
  2. elevated LFT's
  1. valsartan
  2. metoprolol Correct answer:
    1. valsartan Question: A patient is prescribed metoprolol. Which statement by the patient requires the nurse to re- educate the patient on how to take the medication properly?
  1. after i stop taking this medication i will let my physician know
  2. i take this medication with my breakfast every morning 3 I will change positions slowly while I'm taking this medication
  3. while I'm taking this medication i will monitor my HR. Correct answer:
    1. after i stop taking this medication i will let my physician know Question: Youre providing discharge teaching to a patient that will be taking an ARB at home. What statement by the patient requires you to re-educate them about this medication?
  1. this medication does not cure hypertension. therefore, i will need to also make lifestyle changes
  2. this medication can decrease potassium levels. so, i will consume a diet rich in potassium to help keep my level normal.
  3. A persistent, dry cough is not common with this medication.
  4. i will always stand and change positions slowly. Correct answer:
    1. this medication can decrease potassium levels. so, i will consume a diet rich in potassium to help keep my level normal. Question: A 65 year old male patient is prescribed an ACE for the treatment of hypertension. Which medication below is an ACE inhibitor?
  1. losartan
  2. Benazepril
  3. Amlodipine
    1. Metoprolol Correct answer:
    1. Benazepril Question: A patient is prescribed warfarin (coumadin) for the treatment of a blood clot. what is the therapeutic INR range for this medication?
  1. 0.5-2.
  2. 2 - 3
  3. 4 - 8
  4. 1 - 3 Correct answer:
    1. 2 - 3 Question: What is the antidote for warfarin? Correct answer:
  • Vitamin K Question: A patient is taking digoxin. What medication on the patients medication list increases the patients risk of experiencing digoxin toxicity?
  1. warfarin
  2. metformin
  3. furosemide
  4. nitroglycerin