Pharmacology HESI :{

Iron Administration - Orange Juice

Drink such as orange juice which is high in ascorbic acid enhance the reabsorption of the orally administered iron.

A patient is receiving a third session of chemotherapy with daunorubicin (Cerubidine). The nurse will assess the patient for which signs of a potential severe toxic effect of this drug?

A weight gain of 2 pounds or more in 24 hours.

-pril

ACE Inhibitors

Put the nursing process in order:

ADPIE

Drug that interacts with tetracycline

Antacids

-pam

Anti-Anxiety Medications

-lam

Anti-anxiety Medications

-statin

Anti-hyperlipidemic Medications

-dine

Anti-ulcer Medication (H2 Histamine Blocker)

-vir

Anti-virals

-micin

Antibiotics

-mycin

Antibiotics

A health care provider has written a prescription for rantidine (Zantac), one daily. The nurse should schedule the medication for which of the following times?

At bedtime.

Patient has painful mouth sores, what should the patient do?

Avoid acidic juices.

What are the side effects of Viagra?

Back pain, dizziness, flushing, headache, indigestion, muscle aches, nausea, stuffy or runny nose

A patient is receiving her third course of 5-fluorouracil therapy and knows that stomatitis is a potential adverse effect of antineoplastic therapy. What will the nurse teach her about managing this problem?

Be sure to examine your mouth daily for bleeding, painful areas, and ulcerations.

-olol

Beta Blockers

-amil

Calcium Channel Blocker

What lab should the nurse monitor for a client with the Chronic Kidney Disease?

Hemoglobin

What is prednisone (Deltasone)?

It is a corticoid steroid.

When reviewing the medication orders for a patient who is taking penicillin, the nurse notes that the patient is also taking the oral anticoagulant warfarin (Coumadin). What possible effect may occur as a result of an interaction between these drugs?

The penicillin will cause an enhanced anticoagulant effect of the warfarin.

Nitroglycerin Patch

The priority action is to ensure removal of patch for resting hours.

The nurse has reinforced instructions to a client who has been prescribed cholestryramine (Questran). Which statement by the client indicates a need for further instruction?

This medication should only be taken with water.

The client has a new prescription for metoclopramide (Reglan). On review of the chart, the nurse identifies that this medication can be safely administered with which condition?

Vomiting following cancer chemotherapy.

A client asks the PN to crush an enteric coated medication so that it will be easier to swallow. What is the action of the enteric coating?

The coating delays dissolution until the medication is exposed to intestinal secretions.

Urinary Antispasmodic

The goal of treatment for the client with an overactive bladder is to reduce unpleasant symptoms w/o reducing urinary output, so a decrease in urinary output should be reported.

Vaginal Cream

The patient needs to remain supine for a short period (5-10 mins)

-oxacin

Broad Spectrum Antibiotics

What will decrease the absorption of tetracycline?

Calcium

-pine

Calcium Channel Blockers

What is right about cephalosporins?

Cannot administer if patient has a past history of penicillin allergy.

The nurse is teaching a class about the various chemotherapy drugs and explains that alkylating drugs are also called "cell cycle - non specific drugs" because they are:

Cytotoxic in any phase of the cell cycle.

Alzheimer's Conex

The PN should monitor the mental status exam.

Carbamazepine

The PN should monitor the temperature.

Main adverse effect of clindamycin

Diarrhea

-mide

Diuretics

-zide

Diuretics

Eye GTTS - Glaucoma

Eye drops are used to decrease eye pressure, but it does not restart it.

The nurse is monitoring a patient who has severe bone marrow suppression following antineoplastic drug therapy. Which is considered the principal early sign of infection?

Fever

When administering chemotherapy for treatment of cancer, the nurse implements which intervention that treats or even prevents chemotherapy-induced nausea and vomiting?

Giving an antiemetic 30 to 60 minutes before the chemotherapy is started.

When giving chemotherapy as cancer treatment, the nurse recognizes that toxicity to rapidly growing normal cells also occurs. Which rapidly growing normal cells are also harmed by chemotherapy? (Select all that apply)

Hair follicle cells, gastrointestinal mucous membrane cells, bone marrow cells

Doctor prescribed to give a certain med STAT but the pharmacy sent it an hour late. What should the nurse do?

Hold the medication and call the HCP.

If a patient is starting chemotherapy, which statement indicates that the patient needs further teaching?

I plan on getting pregnant soon.

The nurse is reinforcing medication instructions to a client with breast cancer who is receiving cyclophosphamide (Neosar). The nurse tells the client to:

Increase fluid intake to 2000 to 3000 mL daily.

The nurse is administering a combination of three different antineoplastic drugs to a patient who has metastatic breast cancer. Which statement best describes the rationale for antineoplastic drug therapy?

Increased cancer-cell killing will occur.

A client is taking docusate sodium (Colace). The nurse monitors which of the following to determine whether the client is having a therapeutic effect from this medication?

Increased uric acid level

Sodium Polystyrene Sulfonate - Results

It is very important that PN report 1-2 watery stools to the physician.

Hypokalemia with Digoxin

It provides data about the effectiveness of the antibiotic, but not about compromised renal function, which is a priority concern.

Hypothyroid Treatment Monitoring Pulse & Weight

It provides data regarding metabolic responses to levothyroxine and abnormalities or changes in measurements. They can interfere with absorption of levothyroxine.

-caine

Local Anesthetic

Macrolides

Macrolides can cause hepatoxicity which is manifested by jaundice.

Valsartan (Diovan) angiotensin II receptor antagonist which parameter should the PN monitor to evaluate therapeutic response to this drug?

Monitor the BP.

What should the nurse monitor for a client who is taking Neupogen-Filgastin?

Monitor the WBCs

What is the nursing measures for Mannitol (Osmitol)?

Monitor the urinary output.

The client has just taken a dose of trimethobenzamide (Tigan). The nurse plans to monitor this client for relief of:

Nausea and Vomiting

-done

Opioid Analgesics

-ide

Oral Hypoglycemics

Ambien

PN should decrease any external stimuli to provide a quiet restful environment.

Which OTC form or something would be absorbed the fastest?

Powders

A client receiving tetracycline (Azithromycin) for chlamyurethritis. The PN should reinforce which instruction?

Protect the client from sun exposure.

How should the PN administer ear drops for the child?

Pull the ear down and back.

The nurse is providing education regarding chemotherapy to a patient who is about to receive the first course of treatment. Which statement by the nurse is appropriate?

Report black, tarry stools if they occur.

What should you do if you miss a dose of amphetamine?

Resume the medication dosing schedule with the noon dose.

What is the therapeutic response of Kertolytic properties to a client with psoriasis?

Scaley areas of the skin appear softer with less peeling.

-sone

Steroids

What is the nurse's priority action if extravasation of an antineoplastic drug occurs during intravenous (IV) administration?

Stop the infusion immediately, but leave the IV catheter in place.

Why oral VS sublingual?

Sublingual absorbs faster.

The nurse is preparing to administer morning meds to a patient who has been newly diagnosed with TB. The patient asks, "Why do I have to take so many drugs?" Which response by the nurse is correct?

Taking multiple drugs reduces the chance that tuberculosis will become drug resistant.

Pulmonary Embolism - Heparin

The PN should check the heparin protocol for parameters to adjust the infusion rate based on the clients current PTT.

One patient has cancer of the bone; another has cancer in the connective tissue of the thigh muscles; a third patient has cancer in the vascular tissues. These patients have a type of tumor referred to as a:

sarcoma