Pharmacology Escape room 2

A client is prescribed prednisone for bronchitis. What education should the nurse provide?

"Take the prednisone with food to help prevent gastric irritation and ulcer formation."

A client is prescribed diphenhydramine. What information should the nurse include in the education? Select all that apply.

-Do not drive while on diphenhydramine -Do not drink alcohol with diphenhydramine -Be careful when standing and walking due to potential for dizziness -Some clients experience paradoxical excitation

Potassium 3.1

A client is prescribed 40mg furosemide, IV, once. After reviewing the client's chart which piece of assessment data is most concerning to the nurse?

Cardiovascular disease with previous myocardial infarction

A client is prescribed an NSAID for pain and inflammation associated with rheumatoid arthritis. What information in the past medical history is most concerning?

Upon assessment the nurse hears wheezing in all lung fields bilaterally. Which of the following medications is most appropriate to administer?

Albuterol

I inhibit COX 1. I am used for MI and stroke prophylaxis and as treatment for MI. I am contraindicated in clients with GI ulcers and bleeding. My dose depends on if I am being used for prevention or treatment

Aspirin

A client is prescribed an anti-thyroid medication. Which lab test should be monitored periodically during therapy related to potential adverse effects?

Complete blood count

True

Cox-1 regulates platelet aggregation. If Cox-1 is blocked with a drug such as aspirin, it makes it where platelets do not stick together (aggregate) and increases the chance of bleeding.

According to Mr. Anderson, what is another name for "adrenaline" ?

Epinephrine

Beta one, one ______. Beta two, two ______. Fill in the blank (write your answer in all lower case with a single space between the two words)

Heart, Lungs

I am used for clots in the venous spaces to treat DVTs and PEs. aPTT is the laboratory effect to measure my therapeutic effect. My antidote is protamine sulfate

Heparin

Acetaminophen

I am a non-opioid analgesic drug, I should not be used in clients with chronic alcohol use, I am used for mild to moderate pain and also as an antipyretic. My maximum recommended daily oral dose is 3000mg. Who am I? (type your answer in all lower case letters)

Fentanyl

I am an opioid, I am commonly used in PCA's, I am a 100 times stronger than morphine, I can be used for chronic pain in trans-dermal form, and my IV onset of action is 1-2 minutes, Who am I? (type you answer in, in all lower case).

Renal Failure

Ibuprofen is prescribed for your client. Which information in their past medical history is most concerning to you?

You are the home health nurse and during your visit with a client, you see their opened insulin vial sitting on the counter next to their cooktop. What education would prioritize today with this client?

Insulin should not be left in the heat or it is less effective

I am a synthetic hormone. I should be taken on an empty stomach first thing in the morning. I am dosed in micrograms. My most dangerous adverse effects are cardiovascular. My half life is VERY LONG. What drug am I?

Levothyroxine

A client with heart failure is on many medications provided in the table below. Select the two drugs that can cause potentially fatal hyperkalemia if given together.

Lisinopril, Spironolactone

Respiratory rate

My name is morphine. Look up my adverse reactions and side effect in Davis Drug Guide. Which assessment is most important prior to administration?

Dogs go BARK. I am scared of the DARK. A fire is started with a SPARK. ACE inhibitors' contraindications acronym is _______. (Enter your answer choice in ALL CAPITAL LETTERS).

PARK

A client is prescribed captopril and is now reporting a dry cough that keeps them up all night. What is the most appropriate action by the nurse?

Report the side effect to the provider.

What substance should clients on ACE inhibitors, angiotensin-II receptor-blockers, and potassium sparing diuretics avoid? (Hint: Two words, lower case, single-space between words)

Salt Substitutes

I am one of the most commonly prescribed classification of medications in the US (two of my medications are in the top 5 most commonly prescribed medications), I can cause break down of skeletal muscles and hepatotoxicity. Who am I? (Use my "nickname"). Enter your answer in all lowercase letters without any punctuation

Statins

Your client is prescribed lisinopril and is experiencing the symptoms shown below. Which assessment finding is most concerning to the nurse?

Swollen Tongue

A client has been recently diagnosed with angina and is prescribed nitroglycerin PRN for chest pain. What currently prescribed medication can cause a fatal drop in blood pressure?

Tadalafil

If you see a drug ending in "olol", it is a beta-blocker and works by blocking sympathetic nervous system response, which will cause lowering of the blood pressure and heart rate.

True

A client with Type I diabetes who started insulin reports their "stomach is growing bigger and they are concerned" (see photo below). The client asks you "what is wrong with them" and "how they can fix it?" What is the best response from the nurse?

You are experiencing lipodystrophy and can prevent this by rotating your injection sites.

A client is prescribed carvedilol. What past medical history is most concerning to the nurse?

chronic obstructive pulmonary disease

I am used to treat type II diabetes. I must be held 48 hours before and after surgery. I can cause lactic acidosis and a lot of gastrointestinal symptoms. Client's creatinine clearance must be greater than 30mL/min in order to receive me.

metformin

Which medication in the client's current medication orders is the most concerning?

tramadol