Pharm 3 exam

A 2-year-old child weighing 32 lb is to take ferrous sulfate 6 mg/kg/d PO. How many milligrams should the child receive per dose? Select one: a. 87 mg b. 77 mg c. 82 mg d. 90 mg

A

A client, newly diagnosed with chronic obstructive pulmonary disease (COPD), calls the clinic and asks the nurse to explain again what the Ipratropium (Atrovent) is prescribed for. What would be the most appropriate response by the nurse? Select one: a. The medications that have been ordered to help relax smooth muscle in the bronchi and open your airways b. The medications that have been ordered for you are designed to work together to reduce your oxygen requirements. c. The medications that have been ordered for you are what the physician thinks will help your breathing the most. d. The medications that have been ordered for you are to help you breathe with less resistance from your diaphrag

A

Implementing a treatment plan for asthma that includes cromolyn sodium involves educating the patient on proper use of the medication. Which of the following is a valid instruction for its use? Select one: a.Cromolyn sodium should be administered prophylactically by oral inhalation three to four times per day. b.Cromolyn sodium should be administered an hour after exposure to the allergen. c.Cromolyn sodium should be administered as oral inhalation nightly. d.Cromolyn sodium should be administered a few days after exposure to the allergen.

A

Patients on oral anticoagulant therapy should be monitored by which tests? Select one: a. Protime (PT) or INR b. Attention to all potential bleeding sites c. Routine blood and platelet counts d. PTT or APTT

A

A client prescribed with Albuterol inhaler should be educated on identifying and managing which adverse reaction? Select one: a. polydipsia b. tachycardia c. diarrhea d. hypotension

B

A patient complains of hoarseness and changes in his voice after using an inhaled corticosteroid. You advise the patient that the best way to avoid these adverse effects is to: Select one: a. decrease the use of the prescribed anti-inflammatory to every other day to help reduce the side effect. b. rinse his mouth with water after inhaling the medication to reduce the amount of steroid that remains in his mouth and throat. c. switch to an intravenously administered steroid or leukotriene inhibitor. d. chew a throat lozenge immediately after inhaling the medication.

B

A patient is going to travel to another country on a business trip. He is informed by his colleagues that the water supplied in that region is unlikely to be pure and that people who have previously visited the place have suffered from diarrhea. He wants to know how he can take if he gets diarrhea while on his business trip. Which of the following drugs can he take? Select one: a. Lomotil b. Pepto-Bismol c. Imodium d. Prunes

B

A patient with a tendency to form blood clots is in the recovery room after having hip replacement surgery. Which anticoagulant would best serve the patient's needs? Select one: a. Aspirin b. Heparin c. Warfarin d. Streptokinase

B

After assessing the client receiving Erythropoietin (Procrit) drug therapy, the nurse suspects which finding is an adverse effect of this drug? Select one: a. The client's blood pressure is 102/59 mmHg. b. The client has complaints of arthralgia. c. The client reports a "low," "sad" mood. d. The client has not had a bowel movement for 4 days.

B

Which of the following healthcare provider consideration is applicable when administering proton pump inhibitors (PPI)? Select one: a. Administer drug once a week and ensure patient does not open, chew, or crush capsules. b. Administer drug before meals especially in the morning and ensure patient does not open, chew, or crush capsules. c. Administer drug after meals and ensure patient does not open, chew, or crush capsules. d. Administer drug before meals and patient can open, chew, or crush capsules if swallowing capsules is difficult.

B

Which of the following is a contraindication to the use of statins? Select one: a. Adults below 25 years of age b. Active liver disease c. Hyperthyroidism d. Hypertension

B

Your patient is experiencing thromboembolisms and is prescribed with Warfarin (Coumadin)? Why should a patient who has thromboembolisms be given Warfarin (Coumadin)? Select one: a. To stop bleeding in ulcer patients b. To prevent additional thromboembolic complications c. To increase the production of several Vitamin K dependent clotting factors d. To bind calcium ions so that the coagulation scheme is interrupted

B

A client recently began taking Lovastatin (Mevacor). The nurse should assess the client for what potential adverse effects? Select one: a. Increased appetite and blood pressure b. Confusion and mental disorientation c. Headache, flatulence, and constipation d. Hiccups, nausea, and dizziness

C

A patient is prescribed atorvastatin to lower cholesterol levels. If the daily dosage is 30 mg and the duration of medication is 30 days, what is the total dosage? Select one: a. 450 mg b. 45 mg c. 900 mg d. 90 mg

C

Which of the following statements is true of using folic acid for treating anemias? Select one: a. Folic acid cannot be used to reverse the production of the megaloblastic cells associated with cobalamin deficiency. b. Folic acid can be used to treat aplastic anemia. c. Folic acid should never be given for treatment of cobalamin (vitamin B12) deficiency anemia. d. Folic acid is effective in the treatment of normocytic anemias.

C

A client diagnosed with hyperlipidemia is prescribed a bile acid sequestrant to help lower his cholesterol. When educating the client on potential side effects, the healthcare provider will be certain to include: Select all that apply Select one or more: a. fatigue b. headache c. increased appetite d. joint pain e. GI irritation

C,E,B

A client has been prescribed Lansoprazole (Prevacid) for the treatment of GERD. Which drug-to-drug interaction will alert the healthcare provider? Select one: a. Pepto-bismol b. Tums c. Heparin d. Warfarin (Coumadin)

D

A client is experiencing nausea and vomiting as a response to chemotherapy. Which antiemetic agent is administered to control nausea and vomiting? Select one: a. Lansoprazole (Prevacid) b. Misoprostol (Cytotec) c. Ranitidine (Zantac) d. Ondansetron (Zofran)

D

An adult client with a diagnosis of asthma has been prescribed Zafirlukast (Accolate). The nurse should teach the client that this drug will help relieve symptoms by which mechanism? Select one: a. relaxing smooth muscle in the bronchi and bronchioles b. preventing mast cells from releasing histamine c. reducing the muscle tone in the alveoli and facilitating gas exchange d. selectively blocks the leukotriene receptor thereby, reduces bronchoconstriction and inflammation.

D

Which of the following drugs has been approved for treatment of patients with constipation caused by opioid analgesics? Select one: a. Diphenoxylate with Atropine (Lomotil) b. emollients c. swelling agents d. stimulants e. Methylnaltrexone (Relistor)

E