Pharm 3 exam

A 34 year old patient is prescribed sucralfate to help recent GI ulcer symptoms. What teachings should the nurse include with the use of this drug? (select all that apply)

-Administer this drug on an empty stomach (1 hour before or 2 hours after meals at bedtime) -Do not take antacids or antibiotics within 30 min of sucralfate dose -Ensure you have ready access to bathroom facilities

Which of the following medications are alpha-specific adrenergic agonists (alpha-agonists)?

-brimonodine -phenylephrine (Adrenergic agonists mimic the effects of the sympathetic nervous system.)

A 45 year old male patient has been given Interferon Alfa-2b to treat AIDS-related Kaposi sarcoma. The treatment is working and the patient appears to be getting better until he tells the nurse that he "feels like giving up" and questions "if the treatment is even worth it?". What could be the cause of this line of thinking from the patient?

A side effect from Interferon Alfa-2b. The adverse effects associated with the use of interferons are related to the immune or inflammatory reaction that is being stimulated

A 52 year old male patient is prescribed Methotrexate to treat his rheumatoid arthritis. What are some adverse effects that can be expected when taking this medication?

Alopecia, N/V

A common drug regimen for eradication of H. pylori includes a proton pump inhibitor (PPI) and two antibiotics. What is one of the preferred antibiotics?

Amoxicillin

The nurse is teaching a patient how to take prescribed antacids, which instruction should be included in regards to taking antacids with other medication?

Antacids should be taken 2 hours apart from other medications

Which of the H2 antagonists below is approved for children?

Famotidine (Pepcid) Famotidine is approved for use in children aged 1 to 16 years old.

A patient is being administered a drug to help heal a peptic ulcer. Which drug blocks the release of hydrochloric acid in response to gastrin?

Histamine 2- Antagonists

Why is Ranitidine no longer prescribed by medical providers?

It has been found to be contaminated with a carcinogen and has been pulled from shelves

A patient comes in with rheumatoid arthritis which type of medication is often used as a first line of treatment?

Methotrexate

Which H2 antagonist would the nurse expect to be ordered for a patient with known liver dysfunction?

Nizatidine blocks the release of hydrochloric acid in response to gastrin.

Which of the following would a nurse expect as most likely to be used in combination with antibiotics for treatment of Helicobacter pylori infection?

Omeprazole

What PPI can be used in conjunction with antibiotics to treat helicobacter pylori infections?

Omeprazole can be used in combination with clarithromycin, nitroimidazole, or amoxicillin to treat a helicobacter pylori infection.

Which GI secretion drug class is contraindicated in pregnant women due to the fact that it is also an abortifacient?

Prostaglandins induces labor

A patient who is receiving an immune modulator has been admitted to the unit. What would be a priority action by the nurse?

Protect the patient from exposure to the infection

What should the nurse include in teaching for a patient newly prescribed hydroxychloroquine for the treatment of systemic lupus erythematosus?

Report any new visual changes to your doctor. (This medication can cause retinal damage, and vision problems therefore regular eye appointments should be scheduled every 6-12 months, any changes in vision should be reported to HCP immediately)

A patient is prescribed Omeprazole. What statement by the patient will ensure that the patient knows how to take this medication?

Take the pill 1 hour before meals and make sure to take the pill without crushing or breaking it.

The nurse is preparing to administer etanercept to a patient with severe rheumatoid arthritis. Which of the following would the nurse want to reiterate to the patient before beginning treatment?

The medication will take effect over the course of a few weeks or maybe months.

The nurse is preparing to discharge a patient who has been prescribed omeprazole (Prilosec). Which comment made by the patient reveals that they need further teaching?

This medication is intended for short-term use (4-8 weeks) only

A 30-year-old female patient is prescribed misoprostol to treat NSAID-induced ulcers. Which of the following should be nurse instruct the patient as part of the teaching plan?

Use a reliable contraceptive.

A 32-year-old female patient has just been prescribed chrysotherapy to treat her Rheumatoid Arthritis after her condition worsened on other anti-inflammatory therapies. The nurse provides the patient with information regarding this treatment. What statements by the client indicate a need for further teaching? (select all that apply)

a) "I'm safe to take these with other immunosuppressant drugs." b) "This is a short-term treatment option to reduce the symptoms of my Rheumatoid Arthritis." c) "I don't need to worry about birth control with this medication therapy because it will cause infertility." (gold compound should not be taken with other immunosuppressants due to risk of severe toxicity; chrysotherapy is a long-term therapy for rheumatic disorders; gold compound does not cause infertility and the patient should be advised to avoid pregnancy and utilize a barrier birth control method

A 52-year-old man is suffering from a deficiency of exocrine pancreatic secretions and is prescribed pancrelipase (Pancrease MT). Before the medication therapy begins, the nurse will assess for allergies related to:

pork

The nurse is educating a patient on how to take his antacid medication, what information is important for the nurse to include in her teaching?

separate taking this medication from others by two hours, affect the absorption of many other drugs