Pharmacology Final

Express these number to the nearest hundredth 0.176

0.18

Express these numbers to the nearest tenth. 0.15

0.2

Solve these equations. Express your answers to the nearest tenth. 1/4 X 2/3

0.2

Order: Phenergan with Codeine 500 mcg po every 6 hours PRN cough Supply: Phenergan with Codeine solution 10mg per 5 mL

0.25ml

Solve these equations. Express your answers to the nearest tenth. 240/170 X 135/300

0.6

Multiply these decimals. Express your answers to the nearest tenth. 0.7 x 1.2

0.8

Solve these equations. Express your answers to the nearest tenth. 2.1/3.6 X 1.7/1.3

0.8

Solve these equations. Express your answers to the nearest tenth. 0.2/1.75 X 1.5/0.2

0.9

Order: Diabinese 0.1 g po daily Supply: Diabinese 100mg/tab The nurses will give how many tablets?

1

Order: Procrit 50 units/kg three times weekly for anemia Client's weight: 140 lbs Supply: Procrit 3000 units per mL How many milliliters will you give?

1.1

Express these number to the nearest hundredth 1.357

1.36

Multiply these decimals. Express your answers to the nearest tenth. 5.1 x 0.25 x 1.1

1.4

Order: vitamin A 75,000 units IM Available Supply: vitamin A 50,000 units per mL Give how many mL?

1.5

Divided these fractions. Express your answers to the nearest hundredth. 4.17 ÷ 2.7

1.54

Solve these equations. Express your answers to the nearest tenth. 50/40 X 450/40 X 1/900 X 114/1

1.8

Express these number to the nearest hundredth 10.105

10.11

1qt=_ml

1000

Express these numbers to the nearest tenth. 11.74

11.7

Multiply these decimals. Express your answers to the nearest tenth. 3.3 x 3.75

12.4

Divided these fractions. Express your answers to the nearest hundredth. 15.1 ÷ 1.1

13.73

tbsp=_ml

15

Order: Codeine Sulfate 0.06 g po every 4 hours PRN Supply: Codeine Sulfate 30mg tablets

2 tablets

Express these numbers to the nearest tenth. 2.17

2.2

1in=_cm

2.54

Divided these fractions. Express your answers to the nearest hundredth. 2 ÷ 0.75

2.67

A drug order reads "ampicillin 750mg," but you have on hand 250mg per teaspoon. How many teaspoons will you give to the patient?

3

Mintezol Suspension 25mg/kg per dose Weight: 132lbs Supply: Mintezol Suspension 500mg/mL How many mLs should be administered per dose?

3

Solve these equations. Express your answers to the nearest tenth. 0.26/0.2 X 3.3/1.2

3.6

Express these number to the nearest hundredth 3.775

3.78

Express these numbers to the nearest tenth. 3.77

3.8

1oz=_ml

30

Express these numbers to the nearest tenth. 4.62

4.6

Multiply these decimals. Express your answers to the nearest tenth. 1.8 x 2.6

4.7

1tsp=_ml

5

Divided these fractions. Express your answers to the nearest hundredth. 16.3 ÷ 3.2

5.09

Express these numbers to the nearest tenth. 5.26

5.3

Solve these equations. Express your answers to the nearest tenth. 50/1 X 60/240 X 1/900 X 400/1

5.6

1tsp=_gtt

60

gr=_mg

60

Express these number to the nearest hundredth 7.413

7.41

1cup=_oz

8

A. Adrenergic Agonist B. Adrenergic Antagonist C. Cholinergic Agonist D. Anticholinergic 1.___ Sympathetic stimulant 2.___ Parasympathetic stimulant 3.___ Sympathetic depressant 4.___ Parasympathetic depressant

A, C, B, D

PNS heart rate

Decreases

Would a sympathetic stimulant dilate or constrict the pupils?

Dilate

Would a sympathetic stimulant ↑ or ↓ blood pressure?

Increase

Would a sympathetic stimulant ↑ or ↓ pulse?

Increase

First pass effect

The initial metabolism in the liver of a drug absorbed from the gastrointestinal tract before the drug reaches systemic circulation through the bloodstream.

The nurse caring for a patient who is receiving beta 1 agonist drug therapy needs to be aware that these drugs cause which effect? (SELECT ALL THAT APPLY) Select one or more: a. Mydriasis b. Increased cardiac contractility c. Decreased heart rate d. Bronchoconstriction e. Increased GI tract motility

a, b

A patient is taking an alpha blocker as treatment for benign prostatic hyperplasia. The nurse will monitor for which potential drug effects? Select all that apply Select one or more: a. Orthostatic hypotension b. Headaches c. Increased urine flow d. Bradycardia e. Increased blood pressure

a, b, d

The nurse is monitoring a patient who is receiving an infusion of a beta-adrenergic agonist. Which adverse effects may occur with this infusion? (SELECT ALL THAT APPLY) Select one or more: a. Mild tremors b. Nervousness c. Drowsiness d. Palpitations e. Bradycardia f. Tachycardia

a, b, d, f

The nurse understands that drugs exert their actions on the body by what process? (Select all that apply.) Select one or more: a. Interacting with receptors b. Altering metabolic chemical processes c. Making the cell perform a new function d. Inhibiting the action of a specific enzyme

a,b,d

Identify the decimal with the greatest value in each set Select one: a. 0.3 b. 0.2 c. 0.125

a. 0.3

Identify the decimal with the greatest value in each set Select one: a. 5.3 b. 2.85 c. 4.4

a. 5.3

Before initiating therapy with a non selective beta blocker, the nurse will assess the patient for a history of which condition? Select one: a. Asthma b. Hypertension c. Liver disease d. Pancreatitis

a. Asthma

Identify the decimal with the greatest value in each set Select one: a. 0.35 b. 0.62 c. 0.18

b. 0.62

When administering beta blockers, the nurse will follow which guideline for administration and monitoring? Select one: a. The patient needs to stop taking the medication at once if he or she gains 3 to 4 pounds in a week b. Tapering off the medication is necessary to prevent rebound hypertension c. Postural hypotension rarely occurs d. Drowsiness e. The drug may be discontinued at anytime

b. Tapering off the medication is necessary to prevent rebound hypertension

Which statement best describes pharmacokinetics? Select one: a. Physiologic interaction between a drug and body cells b. What the body does to the drug after it is administered c. Adverse effects and toxic reactions to medications d. Converts medication into its active chemical substance

b. What the body does to the drug after it is administered

While at home, a patient took an accidental overdose of a cholinergic drug. He comes to the emergency department with severe abdominal cramping and bloody diarrhea. Which drug would the nurse expect to use to treat this patient? Select one: a. phentolamine (Regitine) b. atropine c. pilocrapine (Salagen) d. bethanechol (Urecholine)

b. atropine

A patient asks the nurse why a lower dose of IV pain medication is being given than the previous oral dose. What is the nurse's best response to the patient? Select one: a. "Medications given orally bypass the portal circulatory system." b. "Drugs administered intravenously enter the portal system before systemic distribution." c. "Medications given intravenously are not affected by the first-pass effect." d. "A large percentage of an intravenously administered drug is metabolized into inactive metabolites in the liver."

c. "Medications given intravenously are not affected by the first-pass effect."

Identify the decimal with the greatest value in each set Select one: a. 0.14 b. 0.11 c. 0.15

c. 0.15

Identify the decimal with the greatest value in each set Select one: a. 4.27 b. 4.09 c. 4.31

c. 4.31

Identify the decimal with the greatest value in each set Select one: a. 5.73 b. 4.4 c. 6.3

c. 6.3

A patient is receiving dobutamine for shock and is complaining of feeling more "skipping beats" than yesterday. What will the nurse do next? Select one: a. Discontinue the dobutamine immediately b. Titrate the drug to a higher dose to reduce the palpitations c. Assess the patient's vitals signs and cardiac rhythm d. Monitor for other signs of a therapeutic response to the drug

c. Assess the patient's vitals signs and cardiac rhythm

What is the term for ratio between a drug's therapeutic effects and toxic effects? Select one: a. Cumulative effect b. Affinity c. Therapeutic index d. Tolerance

c. Therapeutic index

PNS bladder muscles

constrict

PNS pupils

constrict

SNS blood vessels

constrict

Would a parasympathetic stimulant dilate or constrict the pupils?

constrict

Would a parasympathetic stimulant relax on constrict bronchioles?

constrict

Would a parasympathetic stimulant relax on constrict uterine muscles?

constrict

PNS bronchioles

constrict and increase secretions

Would a sympathetic depressant relax on constrict bronchioles?

constrict bronchioles

Drug's half-life is defined as the amount of time required for 50% of a drug to Select one: a. Be eliminated by the body b. Reach a therapeutic level c. Exert a response d. Be absorbed by the body

d. Be absorbed by the body

Patients with renal failure would most likely have problems with which pharmacokinetic process? Select one: a. Absorption b. Metabolism c. Distribution d. Excretion

d. Excretion

To achieve the most rapid onset of action, the health care provider will prescribe the medication to be administered by which route? Select one: a. Subcut b. IM c. Intrathecally d. IV

d. IV

When administering a medication that is highly protein bound, the nurse understands to monitor the patient carefully for which effect? Select one: a. Immediate improvement in the patient's condition b. Hypovolemic shock caused by a low albumin level c. A short duration of medication action d. Increase in the drug effects

d. Increase in the drug effects

Would a parasympathetic stimulant ↑or ↓blood pressure?

decrease

Would a sympathetic depressant ↑ or ↓ blood pressure?

decrease

Would a sympathetic depressant ↑ or ↓ pulse?

decrease

SNS peristalsis

decreases

PNS blood vessels

dilate

SNS bronchioles

dilate

SNS pupils

dilate

gtt

drop

Would a parasympathetic stimulant ↑or ↓ peristalsis?

increase

Would a sympathetic stimulant ↑ or ↓ blood glucose?

increase

PNS peristalsis

increases

SNS heart rate

increases

What is another term for biotransformation of a drug?

metabolism

A drug given by which route is altered by the first-pass effect?

oral

What is the study of physiochemical properties of drugs and how they influence the body called?

pharmacodynamics

SNS bladder muscles

relax

Would a sympathetic stimulant relax on constrict bronchioles?

relax

Would a sympathetic stimulant relax on constrict uterine muscles?

relax

pharmacotherapeutics

what effects do we see

Pharmacokinetics

what the body does to the drug

pharmacodynamics

what the drug does to the body

c with line over it

with

s with line over it

without