Pharm Exam 2: hematologic and respiratory drugs

which is a expectorant drug? a. Ipratropium b.CODeine c. hydroCODone d. Beclomethasone f. Dextromethorphan g. Benzonatate h. Guaifenesin

h. Guaifenesin

The nurse is caring for a patient following repeat coronary artery bypass grafting who has excessive bleeding. What systemic hemostatic drug will the nurse expect to administer? A) Thrombin recombinant B) Microfibrillar collagen C) Human fibrin sealant D) Aminocaproic acid (Amicar)

D) Aminocaproic acid (Amicar)

The nurse teaches the patient taking warfarin (Coumadin) to minimize foods high in vitamin K including what type of food? A) Eggs B) Dairy products C) Citrus fruits D) Green leafy vegetable

D) Green leafy vegetable

A patient is prescribed salmeterol with dosage on a 4 to 6 hour schedule for treatment of exercise-induced asthma. What is the recommended dosing schedule of asthma experts regarding this drug? A) 30 minutes before exercise to prevent dyspnea during exercise B) Every 15 minutes during exercise to prevent dyspnea C) As needed to treat or prevent dyspnea during exercise D) Every 1 to 2 hours to treat or prevent dyspnea during exercise

A) 30 minutes before exercise to prevent dyspnea during exercise

The patient is a 34-year-old man who recently started taking theophylline. The nurse knows that medication teaching has been successful when he agrees to what activity? A) Avoiding caffeine B) Eating foods high in potassium C) Limiting fluid intake to 1,000 mL a day D) Taking the medicine on an empty stomach

A) Avoiding caffeine

When the nurse administers warfarin it is expected that the drug will have what effect on the body? A) Decrease in production of vitamin K-dependent clotting factors B) Increase in prothrombin C) Increase in vitamin K-dependent factors in the liver D) Increase in procoagulation factors

A) Decrease in production of vitamin K-dependent clotting factors

The nurse is caring for a postpartum patient admitted to the intensive care unit with a diagnosis of disseminated intravascular coagulation (DIC). What is the drug of choice to treat this problem? A) Heparin B) Urokinase C) Aspirin D) Warfarin

A) Heparin

The 86-year-old patient, admitted with thrombophlebitis, is being sent home on enoxaparin (Lovenox). The nurse evaluates that he understands why enoxaparin is being used if he states that it will do what? A) Inhibit the formation of additional clots B) Stimulate production of certain clotting factors C) Prevent the blood from clotting D) Dissolve the clot

A) Inhibit the formation of additional clots

The nurse is sending a patient home who will remain on anticoagulant therapy. What teaching point does the nurse make when teaching the patient about the drug? (Select all that apply.) A) "Brush teeth gently with soft bristle brush." B) "Wear or carry a MedicAlert notification." C) "Warning signs of bleeding include fatigue, pallor, and increased heart rate." D) "Treat minor side effects with over-the-counter (OTC) medications." E) "Obtain follow-up lab work regularly as ordered."

A, B, C, E

The nurse assesses blood in the urine of the 73-year-old patient receiving warfarin (Coumadin) this morning. What actions will the nurse take? (Select all that apply.) A) Assess prothrombin time (PT). B) Assess international normalized ratio (INR). C) Expect to administer protamine sulfate. D) Expect to administer vitamin K. E) Assess partial thromboplastin time (PTT).

A, B, D

EMT just delivered a 73-year-old man with crushing chest pain to the ED. He has a history of cardiovascular disease. Onset of symptoms is within the last 60 minutes. What medication would the nurse expect the physician to order for this thromboembolic disorder? a. Heparin b. Warfarin c. Aspirin d. Alteplase

Alteplase

Pt's platelets are 80,000 after the administration of heparin. what do you do? a. give vitamin K b. give Lepirudin or Argatroban c. give aminocaproic acid d. give pyrifixone

b. give Lepirudin or Argatroban

which drugs are anti-platelet select all a. cilostazol b. warfarin c. streptokinase d. aspirin e. apixaban f. clopidogrel g. ivaroxaban h. pentophylline i. fondaparinux

Aspirin Cilostazol (Pletal) Clopidogrel (Plavix)

A nurse is preparing to discharge a patient newly prescribed warfarin (Coumadin). While assessing the patient's knowledge of the drug, what would indicate that the patient needs further instruction concerning drug therapy? A) "I love to eat homegrown tomatoes in the summer." B) "I take aspirin for my arthritis." C) "I walk 2 miles a day." D) "I drink a glass of wine about once a week."

B) "I take aspirin for my arthritis."

A patient is in the clinic to have blood drawn to assess his or her theophylline level. The patient is taking theophylline (Theo-Dur) and appears to being doing well on the drug. He or she reports no problems. What serum level will the nurse expect the patient to have? A) Between 0.5 to 5 mcg/mL B) Between 10 to 20 mcg/mL C) Between 25 to 35 mcg/mL D) Between 40 to 50 mcg/mL

B) Between 10 to 20 mcg/mL

Prior to beginning anticoagulant therapy, the nurse will question the female patient about what? A) Last menstrual period B) Peptic ulcers C) Urinary tract infection D) Weigh

B) Peptic ulcers

The nurse reviews the patient's lab values and determines warfarin therapy is at therapeutic levels with what lab result? A) Partial thromboplastin time (PTT) 1.5 to 2.5 times the control B) Prothrombin time (PT) 1. to 2 times the control C) International normalized ratio (INR) of 4 - 5 D) Activated partial thromboplastin time (aPTT) 3 to 4 times the control

B) Prothrombin time (PT) 1. to 2 times the control

The nurse administers clopidogrel (Plavix) appropriately to the patient with what condition? A) Maintaining the patency of grafts B) Treating peripheral artery disease C) Preventing emboli from valve replacements D) Dissolving a pulmonary embolus and improving oxygenation

B) Treating peripheral artery disease

Indications for the nurse to administer heparin include what? (Select all that apply.) A) Treatment of hemophilia B) Prevention and treatment of pulmonary emboli C) Treatment of atrial fibrillation with embolization D) Prevention and treatment of venous thrombosis E) Diagnosis and treatment of disseminated intravascular coagulation (DIC)

B, C, D, E

The nurse is caring for a patient with a fever and severe diarrhea in addition to thrombophlebitis. How will this patient's condition impact the clotting process? A) Depleted production of Hageman factor B) Increased production of thrombin C) Activation of plasminogen D) Reduced production of fibrinolysin

C) Activation of plasminogen Patients with diarrhea or fever could alter the normal clotting process by, respectively, loss of vitamin K from the intestine or activation of plasminogen.

A patient is being discharged home on warfarin. The discharge teaching by the nurse should include a warning to avoid what? A) Grapefruit B) Tarragon C) Ginkgo D) Saw palmett

C) Ginkgo

A patient is admitted to the hospital with deep vein thrombosis. A 10,000-unit dose of heparin is administered subcutaneously. What drug does the nurse keep on hand to reverse the effects of heparin if the patient begins to bleed? A) Antithrombin (Thrombate III) B) Desirudin (Iprivask) C) Protamine sulfate D) Vitamin K

C) Protamine sulfate

The nurse evaluates that additional patient teaching is needed regarding anticoagulants when the patient states that he will do what?" A) "Carry a Medic Alert card with him." B) "Report to the lab once a month." C) "Use acetaminophen for arthritis pain." D) "Use a disposable safety razor to shave."

D) "Use a disposable safety razor to shave."

A 76-year-old patient is receiving IV heparin 5,000 units every 8 hours. An activated thromboplastin time (aPTT) is drawn 1 hour before the 8:00 AM dose; the aPTT is at 3.5 times the control value. What is the nurse's priority action? A) Give a larger dose to increase the aPTT. B) Give the dose as ordered and chart the results. C) Check the patient's vital signs prior to administering the dose. D) Hold the dose and call the result to the physician.

D) Hold the dose and call the result to the physician.

The nurse receives a patient having an acute myocardial infarction (MI) to the emergency department. What drug will the nurse administer before transferring the patient to a larger facility? A) Anagrelide (Agrylin) B) Clopidogrel (Plavix) C) Ticlopidine (Ticlid) D) Tenecteplase (TNKase)

D) Tenecteplase (TNKase)

A 59-year-old patient is on warfarin therapy. On follow-up visits to the clinic, the nurse will assess the patient's: a. intake of ascorbic acid b. intake of dairy c. intake of Vitamin K d. intake of antacid

Intake of vitamin K.

A patient who has chronic bronchial asthma has had a mast cell stabilizer prescribed. What drug would the physician prescribe? A) Ipratropium or budesonide B) Isoetharine or montelukast C) Nedocromil or cromolyn D) Aminophylline or caffeine

Nedocromil or cromolyn

which is a decongestant adrenergic drug? a. Ipratropium b. Pseudoephedrine c. Fluticasone d. Beclomethasone f. Dextromethorphan g. Benzonatate h. Guaifenesin

Pseudoephedrine (Sudafed)

which drugs are thrombolytic select all a. alteplASE b. warfarin c. streptokinASE d. aspirin e. reteplASE f. clopidogrel g. ivaroxaban h. pentophylline i. fondaparinux

StreptokinASE AlteplASE (tPA) ReteplASE (Retavase

What's the normal PT/APTT of heparins? select all a. 1.5 - 2.5 x normal b. 18 - 26 seconds c. 2 - 3 seconds d. 25 - 35 seconds e. 1.5 - 2 x normal

a. 1.5 - 2.5 x normal d. 25 - 35 seconds

which are the short acting bronchodilators? a)AlBUTEROL (Ventolin) b)LevalBUTEROL (Xopenex) c)SalMETEROL d)ArforMOTEROL e) PirBUTEROL (Maxair) F) ForMOTEROL

a. AlBUTEROL (Ventolin) b. LevalBUTEROL (Xopenex) e. PirBUTEROL (Maxair)

which drugs inhibit HMG-CoA reductase ? a. AtorvaSTATIN b. CHOLESTyramine c. SimvaSTATIN d. LovoSTATIN e. COLESTipol f. PravaSTATIN

a. AtorvaSTATIN (Lipitor) c. SimvaSTATIN (Zocor) d. LovoSTATIN (Mevacor) f. PravaSTATIN (Pravachol)

Nurse Rita is giving instructions to her client who is taking antihistamine. Which of the following nurse teachings is appropriate for the client? a. Avoid ingesting alcohol b. Be aware that you may need to take a decongestant. c.Be aware that you may have increased saliva. d. Expect a relief in 24 hours.

a. Avoid ingesting alcohol Because alcohol and antihistamines have sedating properties, concurrent administration of these drugs should be avoided.

which corticosteroids antagonists treat COPD/asthma? a. BeclomethaSONE b. DexamethaSONE c. Theophylline d. FluticaSONE e. PredniSONE f. MethylpredniSONE

a. BeclomethaSONE b. DexamethaSONE d. FluticaSONE e. PredniSONE f. MethylpredniSONE

Which medication is an antiplatelet drug? a. Clopidogrel (Plavix) b. Alteplase (Activase) c. Enoxaparin (Lovenox) d. Heparin (Hemochron)

a. Clopidogrel (Plavix) Clopidogrel (Plavix) is an antiplatelet drug. Enoxaparin and heparin are anticoagulants. Alteplase is a thrombolytic drug.

What disorders does heparin prevent? a. DVT b. PE c. Stroke d. PAD

a. DVT b. PE c. Stroke

which drugs are sedating anti-histamine? select all a. DiphenhydraMINE b. MecliZINE c. LorataDINE d. PromethaZINE e. CetiriZINE g. FexofenaDINE

a. DiphenhydraMINE b. MecliZINE d. PromethaZINE

A client is prescribed with Guaifenesin (Mucinex). The nurse determines that the client understands the proper administration of this medication if the client states that he or she will: a. Drink extra fluids while taking this medication. b. Take the medication with meals only. c. Take an additional dose once fever and cough persist. d. Limit oral fluid intake

a. Drink extra fluids while taking this medication. Guaifenesin is an expectorant. Drink extra fluids to help loosen the congestion and lubricate the throat while taking this medication.

which drug tx iron deficiency anemia? a. Ferric Gluconate b. Ferrous Sulfate c. Epoetin Alfa d. Iron dextran e. Folate

a. Ferric Gluconate b. Ferrous Sulfate d. Iron dextran

The nurse recognizes that the patient understands the teaching about warfarin (Coumadin) when the patient verbalizes an increased risk of bleeding with concurrent use of which herbal product? (Select all that apply.) a. Garlic b. St. John's wort c. Glucosamine d. Dong quai e. Ginkgo

a. Garlic b. St. John's wort d. Dong quai e. Ginkgo

Which anticouagulant Binds to antithrombin III ? a. Heparin b. Warfarin c. Apixaban d. Ivaroxaban

a. Heparin

which is a decongestant anticholinergic drug? a. Ipratropium b. Pseudoephedrine c. Fluticasone d. Beclomethasone f. Dextromethorphan g. Benzonatate h. Guaifenesin

a. Ipratropium (Atrovent)

What advantage does loratadine (Claritin) have compared with traditional antihistamines such as diphenhydramine (Benadryl)? a. Less sedative effect b. Minimal gastrointestinal upset c. Increase in bronchodilation d. Decreased risk of cardiac dysrhythmias

a. Less sedative effect

While observing a patient self-administer enoxaparin (Lovenox), the nurse identifies the need for further teaching when the patient performs which self-injection action? a. Massages the site after administration of the medication b. Does not aspirate before injecting the medication c. Administers the medication into subcutaneous (fatty) tissue d. Injects the medication greater than 2 inches away from the umbilicus

a. Massages the site after administration of the medication It is not recommended to massage the area of injection of anticoagulants because of the increased risk of hematoma formation.

which disorders does aspirin prevent? a. PAD b. Afib c. MI d.DVT

a. PAD b. Afib c. MI

For a patient receiving an IV infusion of alteplase (Activase), which nursing actions should be taken? (Select all that apply.) a. Record vital signs and report changes. b. Assess for cardiac dysrhythmias. c. Observe for signs and symptoms of bleeding. d. Administer injections intramuscularly. e. Monitor for an increase in liver enzymes.

a. Record vital signs and report changes. b. Assess for cardiac dysrhythmias. c. Observe for signs and symptoms of bleeding.

The nurse notes a patient's international normalized ratio (INR) value of 2.5. What is the meaning of this reported value? a. The patient's warfarin dose is within the therapeutic range. b. The patient needs the subcutaneous heparin dose increased. c. The patient is not receiving enough warfarin for a therapeutic effect. d. The patient is receiving too much heparin and is at risk for bleeding.

a. The patient's warfarin dose is within the therapeutic range INR determination is a routine test to evaluate coagulation while patients are taking warfarin, not heparin. A therapeutic INR is 2 to 3.

The client is prescribed warfarin. His INR is 5.2. what should you do next? a. administer vitamin k b. lower dose c. give dose d. administer protamine sulfate

a. administer vitamin k

Ms. Main is sent home with subcutaneous heparin after a total hip replacement. What symptom would indicate a serious drug reaction? select all a. discolored urine b. tarry stool c. bleeding gums d. dry mouth

a. discolored urine b. tarry stool c. bleeding gums

Pt's INR is 4 after the administration of warfarin. what do you do? a. give vitamin K b. give Lepirudin or Argatroban c. give aminocaproic acid d. give pyrifixone

a. give vitamin K

which drugs are anti-coagulants? select all a. heparin b. warfarin c. streptokinase d. aspirin e. apixaban f. clopidogrel g. ivaroxaban h. pentophylline i. fondaparinux

a. heparin b. warfarin e. apixaban g. ivaroxaban i. fondaparinux

which drugs treat TB? select all a. Isoniazid b. Epogen c. Rifampin d. Roflumilast e. Ethambutol

a. isoniazid c. rifampin e. ethambuol

what are your interventions with bleeding? select all a. limit injections b. soft toothbrush c. electric razor d. increase fluids

a. limit injections b. soft toothbrush c. electric razor

which drug increase lipase activity? a. Niacin b. CHOLESTyramine c. SimvaSTATIN d. LovoSTATIN e. COLESTipol f. PravaSTATIN

a. niacin

A nurse is caring for a patient receiving the anticoagulant drug warfarin. What pre-administration assessments should the nurse perform before administering the drug to the patient? a. assess AST & ALT b. assess PT & INR c. assess PTT & APTT d. assess BUN

assess PT & INR

A nurse has an order to administer heparin. Before initiating this therapy, a priority nursing assessment will be the patient's a. assess AST & ALT b. assess PT & INR c. assess PTT/APTT d. assess BUN

assess PTT/APTT

What's the normal PT for warfarin? select all a. 1.5 - 2.5 x normal b. 18 - 26 seconds c. 2 - 3 seconds d. 25 - 35 seconds e. 1.5 - 2 x normal

b. 18 - 26 seconds e. 1.5 - 2 x normal

The nurse would assess which laboratory value to determine the effectiveness of intravenous heparin (Hemochron)? a. Complete blood count b. Activated partial thromboplastin time (aPTT) c. Blood urea nitrogen d.Prothrombin time (PT)

b. Activated partial thromboplastin time (aPTT)

which drugs prevent resorption of bile (bile acid sequestrants)? a. AtorvaSTATIN b. CHOLESTyramine c. SimvaSTATIN d. LovoSTATIN e. COLESTipol f. PravaSTATIN

b. CHOLESTyramine (Questran) e. COLESTipol (Colestid)

which drug tx pernicious anemia? a. Folate b. Cyanocobalamin c. Epoetin Alfa d. Ferrous sulfate

b. Cyanocobalamin

The nurse is discussing use of antitussive medications with a client. What common adverse effect does the nurse include in the client teaching? a. Diarrhea and abdominal cramping b. Drowsiness and dizziness c. Flushing and decreased heart rate d. Tremors and palpitations

b. Drowsiness and dizziness

which drugs are fibri acid derivatives that activate lipase? a. AtorvaSTATIN b. GemFIBrozil c. SimvaSTATIN d. FenoFIBrate e. COLESTipol f. PravaSTATIN

b. GemFIBrozil (Lopid) d. FenoFIBrate (Tricor)

A patient who is prescribed an anticoagulant requests an aspirin (acetylsalicylic acid) for headache relief. What is the nurse's best action? a. Administer 650 mg of acetylsalicylic acid and reassess pain in 30 minutes. b. Inform the patient of potential drug interactions with anticoagulants. c. Explain that a common initial adverse effect is a headache for this drug. d. Explain that acetylsalicylic acid is contraindicated and administer ibuprofen.

b. Inform the patient of potential drug interactions with anticoagulants.

A nurse is caring for a 64-year-old female patient who is receiving IV heparin and reports bleeding from her gums. The nurse checks the patient's laboratory test results and finds that she has a very high aPTT. The nurse anticipates that which drug may be ordered? a. Vitamin K b. Protamin Sulfate c. Aminocaproic Acid d. Lepirudin

b. Protamin Sulfate

Before emergency surgery, the nurse would anticipate administering which medication to a patient receiving heparin? a. Vitamin K (Phytonadione) b. Protamine (Protamine sulfate) c. Phenytoin (Dilantin) d. Vitamin E

b. Protamine (Protamine sulfate)

A nurse is caring for a client who is starting a long-term therapy of isoniazid (INH). The nurse plans to instruct the client to which of the following? a. To discontinue vitamin supplements such as Vit B6 b. To report an incidence of yellowish skin. c. To increase intake of tuna for additional nutrition. d. To drink alcohol in moderation.

b. To report an incidence of yellowish skin. Isoniazid (INH) is hepatotoxic hence the client is instructed to report signs of jaundice (Yellowish of skin or the sclera)

The nurse is caring for a patient admitted with gastrointestinal bleeding who is anticoagulated with warfarin (Coumadin). Which medication should the nurse anticipate administering? a. Vitamin E b. Vitamin K (Phytonadione) c. Protamine (Protamine sulfate) d. Calcium gluconate

b. Vitamin K (Phytonadione)

Which anticouagulant Inhibits vitamin K synthesis by bacteria in the GI tract? a. Heparin b. Warfarin c. Apixaban d. Ivaroxaban

b. Warfarin

A patient complains of worsening nasal congestion despite the use of Pseudoephedrine nasal spray every 2 to 4 hours for the past 5 days. The nurse's response is based on knowledge that: a. should be administered in an hourly regimen for severe congestion. b. sustained use of nasal decongestants over several days may result in rebound congestion. c. not an effective nasal decongestant. d.the patient is probably displaying an idiosyncratic reaction

b. sustained use of nasal decongestants over several days may result in rebound congestion

The nurse should instruct a client who is taking an expectorant to: a. restrict fluids b.increase fluids c.avoid vaporizers d. take antihistamines

b.increase fluids

The nurse determines the patient has a good understanding of the discharge instructions regarding warfarin (Coumadin) with which patient statement? a. "I will double my dose if I forget to take it the day before." b. "I should keep taking ibuprofen for my arthritis." c. "I should use a soft toothbrush for dental hygiene." d."I should decrease the dose if I start bruising easily."

c. "I should use a soft toothbrush for dental hygiene."

The nurse is giving discharge instructions to a patient prescribed warfarin (Coumadin) for atrial fibrillation. Which statement by the patient indicates a need for further instruction from the nurse? a. "I will take my medication in the early evening each day." b. "I will contact my health care provider if I develop excessive bruising." c. "I will increase the dark green leafy vegetables in my diet." d. "I will avoid activities that have a risk for injury such as contact sports."

c. "I will increase the dark green leafy vegetables in my diet." Dark green leafy vegetables are rich in vitamin K, which would antagonize the effects of warfarin. Therefore, it is important to maintain a consistent daily intake of vitamin K and avoid eating large amounts of these foods.

Which statement by the client demonstrates an understanding about beclomethasone diproprionate (Beconase) mechanism of action? a. "I will monitor my blood sugar because I may develop drug-induced diabetes." b. "I only need to take this medication when my symptoms get bad." c. "This medication will help prevent the inflammatory response of my allergies." d. "I will need to taper off the medication to prevent acute adrenal crisis."

c. "This medication will help prevent the inflammatory response of my allergies."

What's the normal INR for warfarin? select all a. 1.5 - 2.5 x normal b. 18 - 26 seconds c. 2 - 3 seconds d. 25 - 35 seconds e. 1.5 - 2 x normal

c. 2 - 3 seconds

Which anticouagulant Inhibits factor Xa ? a. Heparin b. Warfarin c. Apixaban d. Ivaroxaban

c. Apixaban d. Ivaroxaban

What body system will the nurse assess for known common adverse effects of traditional antihistamines? a. Respiratory b. Gastrointestinal c. Central nervous d. Cardiovascular

c. Central nervous The most common adverse effect of antihistamines is drowsiness, but the sedative effects vary among antihistamine drug classes.

which drug stimulate RBC production? a. Folate b. Cyanocobalamin c. Epoetin Alfa d. Ferrous sulfate

c. Epoetin Alfa

which drugs are cholesterol absorption inhibitors a. AtorvaSTATIN b. GemFIBrozil c. Ezetimibe d. FenoFIBrate e. COLESTipol f. PravaSTATIN

c. Ezetimibe (Zetia)

which is a decongestant corticosteroid drug? select all a. Ipratropium b. Pseudoephedrine c. Fluticasone d. Beclomethasone f. Dextromethorphan g. Benzonatate h. Guaifenesin

c. FluticaSONE (Flunase) d. BeclomethaSONE

which drug are anticholinergic that treats lower resp disorders? select all a)AlBUTEROL (Ventolin) b)LevalBUTEROL (Xopenex) c)IpraTROPIUM d)ArforMOTEROL e) PirBUTEROL (Maxair) F) TioTROPIUM

c. IpraTROPIUM (Atrovent) f. TioTROPIUM (Spiriva)

which drugs are non-sedating anti-histamine?select all a. DiphenhydraMINE b. MecliZINE c. LorataDINE d. PromethaZINE e. CetiriZINE g. FexofenaDINE

c. LorataDINE e. CetiriZINE g. FexofenaDINE

Enoxaparin sodium (Lovenox) is an anticoagulant used to prevent and treat deep vein thrombosis and pulmonary embolism. This medication is in which drug class? a. Oral anticoagulant b. Glycoprotein IIb/IIIa inhibitor c. Low-molecular-weight heparin d. Thrombolytic drug

c. Low-molecular-weight heparin

A client has been taking isoniazid (INH). The client went to the health care facility with complaints of numbness and tingling sensation in the extremities. The nurse determines that the client is most likely suffering from? a. Impaired peripheral circulation b. Hypercalcemia c. Peripheral neuritis d. Guillan Barre syndrome

c. Peripheral neuritis Isoniazid (INH) causes peripheral neuritis characterized by numbness, tingling, and paresthesias in the extremities

which are the long acting bronchodilators? a)AlBUTEROL (Ventolin) b)LevalBUTEROL (Xopenex) c)SalMETEROL d)ArforMOTEROL e) PirBUTEROL (Maxair) F) ForMOTEROL

c. SalMETEROL (Serevent) d. ArforMOTEROL (Brovana) f. ForMOTEROL (Foradil)

to prevent peripheral neuropathy on TB pt treated with Isoniazid. what do you give? a. give vitamin K b. give protamine sulfate c. give Vitamin B 6(pyrixodine) d. give dantrolene

c. give Vitamin B 6(pyrixodine)

The nurse is caring for a 76-year-old client who is receiving IV heparin 5000 units q4h. At the initiation of therapy, the patient's control activated thromboplastin time (aPTT) was found to be 35 seconds. One hour prior to the next scheduled dose, aPTT is determined to be 92 seconds. Based on this result, the nurse will: a. give dose b. taper dose c. hold dose d. give vitamin K

c. hold dose

A patient is prescribed oral anticoagulant therapy while still receiving IV heparin infusion. The patient is concerned about risk for bleeding. What is the nurse's best response? a. "Bleeding is a common adverse effect of taking warfarin. If bleeding occurs, your health care provider will prescribe an injection of medication to stop the bleeding." b. "Because of your mechanical valve replacement, it is especially important for you to be fully anticoagulated, and the heparin and warfarin together are more effective than one alone. c. "Because you are now getting out of bed and walking around, you have a higher risk of blood clot formation and therefore need to be on both medications." d. "It usually takes 4 to 5 days to achieve a full therapeutic effect for warfarin, so the heparin infusion is continued to help prevent blood clots until the warfarin reaches its therapeutic effect."

d. "It usually takes 4 to 5 days to achieve a full therapeutic effect for warfarin, so the heparin infusion is continued to help prevent blood clots until the warfarin reaches its therapeutic effect." Warfarin works by decreasing the production of clotting factors. However, it takes 4 to 5 days for the body to use up present clotting factors and thus achieve a full therapeutic anticoagulant effect. Because of this, heparin is continued until this is achieved.

A nurse is about to administer Albuterol (Ventolin HFA) 2 puff and Prednisone 2 puff by metered dose inhaler. The nurse plans to administer by? a. Alternating with a single puff each, starting with albuterol. b. Alternating with a single puff each, starting with budesonide. c. Budesonide inhaler first then the albuterol. d. Albuterol inhaler first then the budesonide

d. Albuterol inhaler first then the prednisone

which mast cell stabilizers antagonists treat COPD/asthma? a)NedoCROmil b)LevalBUTEROL (Xopenex) c)ZafirLUKAST d)CROmolyn e) MonteLUKAST F) TioTROPIUM

d. CROmolyn a. NedoCROmil

The nurse is preparing a patient with acute chest pain for an emergency angioplasty. The nurse would anticipate administering which medication to prevent platelet aggregation? a. Warfarin (Coumadin) b. Aminocaproic acid (Amicar) c. Protamine (Protamine sulfate) d. Tirofiban (Aggrastat)

d. Tirofiban (Aggrastat)

Shenaya will be having her exam in pharmacology tomorrow. She should be aware that antitussive is indicated to: a. encourage removal of secretions through coughing. b.relieve rhinitis c.control a productive cough d. relieve a dry cough

d. relieve a dry cough An antitussive is a cough suppressant. Choices A and C describe the action of an expectorant. Choice D describes the action of a decongestant.

Montelukast (Singulair) is prescribed to a client with asthma. During the medication therapy, which of the following laboratories should be monitored? a. Complete blood count (CBC) b.Sodium and Potassium c.Calcium and Platelet count d.ALT and AST

d.ALT and AST

The nurse is giving medication teachings to a client receiving theophylline. The nurse instruct the client to limit the intake of which of the following? a. Apple and banana b.Yogurt and cheese c.Tuna and oysters d.Cola and chocolate

d.Cola and chocolate

A client is receiving theophylline intravenously. After several dosages, the client started to become restless and complains of palpitations. The nurse determines that the client is experiencing theophylline toxicity in which of the following? a. Theophylline level of 10mcg/ml b.Theophylline level of 15mcg/ml c.Theophylline level of 20mcg/ml d.Theophylline level of 25mcg/ml

d.Theophylline level of 25mcg/ml

A client is to begin taking Rifampin (Rifadin). The nurse correctly teaches the client this medication: a. Is to be discontinued after three months. b.Is to be taken with food and antacids c.Take an additional dose once with skip dose. d.Will cause orange discoloration of sweat, urine, and feces.

d.Will cause orange discoloration of sweat, urine, and feces.

which leukotriene receptor antagonists treat COPD/asthma? a)AlBUTEROL (Ventolin) b)LevalBUTEROL (Xopenex) c)ZafirLUKAST d)ArforMOTEROL e) MonteLUKAST F) TioTROPIUM

e. MonteLUKAST c. ZafirLUKAST

which are non opioid antitussive drug? select all a. Ipratropium b.CODeine c. hydroCODone d. Beclomethasone f. Dextromethorphan g. Benzonatate h. Guaifenesin

f. Dextromethorphan g. Benzonatate

true or false. heparin lyse/breakdown clots?

false. they PREVENT CLOTS

A nurse will use extreme caution when administering heparin to which patient? a. pt w/ Peptic ulcer disease b. pt w/ asthma c. pt w/ COPD d. pt w/ TB

pt w/ Peptic ulcer disease at risk for bleeding

true or false. Warfarin typically takes 3 days to achieve its onset of action.

true