Pharm Final Question Review
Steven Johnson syndrome + photosensitivity (Used to treat UTI's)
Sulfonamides and trimethoprim adverse effects?
Wheezing, Hives, Rash, SOB
Symptoms of an allergic reaction include?
GI symptoms, Teeth discoloration, Liver toxicity, Photosensitivity
Side effects of tetracyclines?
Apply the patch in the morning
**MAY be on Exam** Nurse is teaching a client that has new RX for transdermal nitroglycerin. Which of the following instructions should the nurse include?
Bronchial Asthma (Rationale: Beta blockers are contraindicated in patients with symptomatic bradycardia, AV block, decompensated heart failure, and asthma)
**Similar Question on Exam** Nurse is reviewing a health for a client who has angina and has an RX for propranolol hydrochloride 40 mg twice daily. Which of the following findings in the history should alert the nurse to have the RX changed?
Reddish Orange Body Secretions
A nurse is caring for a client who has active TB & is started on IV Rifampin. Nurse should instruct the patient that this medication can cause:
Monitor the client for hypoglycemia. (Asses always first besides anaphylactic shock which is STOP)
A nurse is caring for a client with Type 1 diabetes mellitus, the nurse read the morning blood sugar as 210 mg instead of 120 mg and administered the insulin dose for reading of 210 mg before breakfast. Which of the following actions is the nurse priority?
I will take this medication one hour before meals and at bedtime
A nurse is providing information to a client with a new prescription for sucralfate to treat gastric ulcers. Which of the following statements indicates an understanding of the instruction?
Relief of heartburn
A nurse is taking a health history in a client that reports taking several over the counter medications including a H2 receptor antagonist, which of the following should indicate that the H2 receptor antagonist is therapeutic?
Nephrotoxicity, Irreversible hearing loss
An example of amino-glycoside antibiotic is gentamicin: usually given IV. What is the adverse effect?
Hold medication, consult provider
If a patient tells you they have an allergy to penicillin and has an order for amoxicillin, what do you do?
Cephalosporins
Contraindication of penicillin allergy?
Vasopressin (decreases urinary output)
Diabetes insipidus causes increased urine output
IV, IM, Subacute, Inhaler
Drugs that bypass the first pass effect are?
Up and Back (Adult), Down and Back (Child)
Ear Drop Administration (Adult) ? Ear Drop Administration (Child)?
Manifestations of confusion, Irritability, Tremors, Sweating
Early symptoms of hypoglycemia include the central nervous symptoms:
Tetracycline decreases oral contraceptive effects
Education for patient taking tetracycline using birth control?
Do not take with antacids, not for pregnant women + children under the age of 8, causes skin discoloration (wear protective clothing), keep drug away from light, do not give to infants
Education for patient taking tetracycline?
GI Tract
First pass effect involves any drug that goes through?
Peak + Trough levels
How do you monitor for toxicity with amino-glycosides?
constipation
Mydratic eye drops causes?
Prevent Dysrhythmias
Nurse in a coronary care unit admits a client that had CPR following cardiac arrest. Patient is receiving lidocaine at 2mg per minute. When client asks nurse why they are on it what is the nurses response?
Leg Cramps
Nurse is assessing a patient in heart failure who is prescribed Lasix. Which of the following is an adverse effect of the med?
Muscle weakness
Nurse is assessing client with hypercholesterolemia and is receiving simvastatin. Which of the following findings should the nurse recognize as a potential adverse effect?
Decreased BP
Nurse is caring for a client prescribed Lisinopril, which of the following outcomes is a therapeutic effect of the med?
Asthma
Nurse is caring for a client who has hypertension and asked about an RX for propranolol. Nurse should inform the client that the med is contraindicated in patients that have which disease?
Fab antibody fragments (Digibind)
Nurse is caring for a client who is taking Digoxin for heart failure and develops indications of severe toxicity?
Decrease in Sodium
Nurse is receiving a lab result of a client with liver failure and ascites and is receiving spironolactone. Which of the following findings should the nurse expect?
Monitor For Cough **(The medicaiton that was used in the question was lisinopril)**
Nurse is teaching a client who has a new RX for captopril. Which of the following should the nurse include in the teaching?
Systolic BP Increased
Nursing assessment for a patient who is receiving dopamine IV to treat left ventricular failure. Which of the following findings indicated that the med is having a therapeutic effect?
HR of 46 (Needs to be over 60)
Nursing assessment prior to administering Atenolol, which of the following should prompt the nurse to withhold the med?
Treats dysphagia and dyspepsia
Omeprazole (protein pump inhibitor) treats heartburn, damaged esophagus, stomach ulcer, GERD and:
Makes them stronger and more frequent
Oxytocin does what to contractions?
BP 88/62 (Systolic needs to be over 100)
Patient arrives in the ER reporting chest pain on and off for about a week, what assessment finding would indicate the need to withhold nitrates?
RA
Prednisone decreases inflammation for?
Banana
RN providing dietary teaching for client taking furosemide, the nurse should recommend which of the following foods as the best source of potassium?
Gentamicin causes respiratory depression
Why is Gentamicin contraindicated for patients having Myasthenia Gravis?
