Pharm Q's
Naproxen is
NSAID used for gout
Bulk- forming Laxative
Psyllium (Metamucil)
Which patient does the nurse identify as most likely to need treatment with trimethoprim/sulfamethoxazole [Bactrim] for a period of 6 months? A female patient with acute pyelonephritis A male patient with acute prostatitis A female patient with recurrent acute urinary tract infections A male patient with acute cystitis
A female patient with recurrent acute urinary tract infections
Which patient would most likely need intravenous antibiotic therapy to treat a UTI? A patient with uncomplicated UTI caused by E.Coli A patient with pyelonephritis with symptoms of high fever, chills, and severe flank pain A patient with acute cystitis who complains of dysuria, frequency, and urgency A patient with acute bacterial prostatitis with a mild fever, chills, and nocturia
A patient with pyelonephritis with symptoms of high fever, chills, and severe flank pain
A patient has a serum potassium level of 3.1 mEq/L. It is appropriate for the nurse to take which action? Administer the ordered sustained-release potassium tablets [K-Dur] Immediately stop the infusion of the maintenance IV, which has 30 mEq, which has 30 mEq of potassium in it Prepare to administer the ordered intravenous dose of furosemide [Lasix] Administer the prescribed dose of sodium polystyrene sulfonate [Kayexalate]
Administer the ordered sustained-release potassium tablets [K-Dur]
A patient has otitis externa (otomycosis) and is prescribed 1% clotrimazole [Lotrimin]. The nurse recognizes that the pathogen being treated is what? Staphylococcus aureus Pseudomonas aeruginosa Aspergillus fumigatus Haemophilus influenzae
Aspergillus fumigatus
A patient who takes warfarin has been prescribed sulfadiazine. When teaching the patient about this drug, which statement will the nurse include? If you become pregnant, it is safe to take sulfadiazine You should limit your fluid intake while taking sulfadiazine Avoid prolonged exposure to sunlight, wear protective clothing, and apply a sunscreen to exposed skin You will most likely need to have an increase in the dose of warfarin while taking sulfadiazine
Avoid prolonged exposure to sunlight, wear protective clothing, and apply a sunscreen to exposed skin
A patient has been prescribed sildenafil (Viagra) for erectile dysfunction. Which instruction should the nurse include in the teaching plan? Take the medication on an empty stomach Drink plenty of fluids to prevent priapism Avoid taking nitroglycerin with this drug Constipation is a common adverse effect
Avoid taking nitroglycerin with this drug
A patient receiving Vancomycin therapy. What lab value is most concerning for the nurse prior to giving the next dose? Peak: 38 mcg/ml Creatinine 1.1 Trough = 21 mcg/ml BUN = 16
Trough
The nurse is caring for a patient receiving intravenous gentamicin for a severe bacterial infection. Which assessment finding by the nurse indicates the patient is experiencing an adverse effect of gentamicin therapy? Blurred vision Hand tremors Urinary Frequency Tinnitus
Tinnitus
stimulant laxative
Bisacodyl (Dulcolax) AND Senna (Senokot)
QS: A patient with a history of a severe anaphylactic reaction to penicillin has an order to receive cephalosporin. What should the nurse do? Administer the cephalosporin as ordered Contact the healthcare provider for a different antibiotic Administer a test dose of cephalosporin to determine reactivity Have an epinephrine dose available when administering the cephalosporin
Contact the healthcare provider for a different antibiotic
A patient is taking finasteride (Proscar) for BPH. The nurse should explain that this medication has what effect ? Decreases the size of the prostate gland Relaxes smooth muscle of the prostate gland Reduces the risk of prostate cancer Improves sexual function during intercourse
Decreases size of prostate gland
A patient is prescribed amoxicillin and tetracycline to treat peptic ulcer disease. The nurse will instruct the patient that these medications will do what? Prevent GI infections that cause gastric bleeding Destroy the bacteria in the stomach that are causing ulceration Reduce gastric acid production and alkalize the stomach fluids Reduce the secretion of pepsin in the...
Destroy the bacteria in the stomach that are causing ulceration
The nurse identifies which of the following as the most common type of laxative abused by the general public? Magnesium Hydroxide [Milk of Magnesia] Docusate Sodium [Colace] Bisacodyl [Dulcolax] Polyethylene glycol [MiraLax]
Dulcolax
Which statement about etanercept [Enbrel] does the nurse identify as true? The patient should stop taking the drug if redness appears at the injection site Enteracept can cause liver injury Live vaccines can be administered with etanercept Etanercept is used to treat CNS demyelinating disorders
Enteracept can cause liver injury
A patient asks the nurse why a vitamin with folic acid is needed during pregnancy. Which response by the nurse is most appropriate? Folic acid prevents (reduces risk of) a birth defect called spina bifida You should talk with your healthcare provider Vitamins with folic acid prevent sprue during pregnancy Sprue is a cause of deficiency that impairs absorption Without the folic acid the fetus may develop cerebral palsy
Folic acid prevents (reduces risk of) a birth defect called spina bifida
A patient receives a dose of epoetin alfa [Epogen] 3 times a week. What laboratory value will the nurse monitor to determine the therapeutic benefit of this medication? WBC Hemoglobin Serum Potassium Platelet Count
Hemoglobin
The nurse identifies which of the following laxatives as having the added response of ridding the body of ammonia
Lactulose
Osmotic laxatives
Milk of Magnesia (MOM)
A patient with acute gouty arthritis requests information on the preferred drug to take and treat a painful flare-up. The nurse would recommend which medication? Allopurinol Febuxostat Probenecid Naproxen
Naproxen
A patient is prescribed vancomycin orally for antibiotic-associated pseudomembranous colitis. The nurse will monitor the patient for what? Leukopenia "Red Man" Syndrome Liver impairment Ototoxicity
Ototoxicity
A patient is admitted to the hospital for treatment of symptomatic bradycardia and Atrioventricular (AV) heart block. Which topical medication for the eye should the nurse withhold and discuss with the healthcare provider before administration? Dorzolamide Apraclonidine Timolol Latanoprost
Timolol
A patient who has been taking a long-acting morphine to treat severe pain for a few months complains of constipation. The nurse anticipated which of the following will be prescribed for the patient? Polycarbophil Mineral Oil Psyllium Senna (Senokot)
Senna (Senokot)
A patient who was taking sulfonamides develops Stevens- Johnson syndrome. Upon assessment the nurse expects to find what? Hypotension Bronchospasm Temperature of 35.5 Widespread skin lesions
Skin lesions
Which medication is used to promote gastric ulcer healing by providing a protective barrier? Cimetidine Misoprostol Omeprazole Sucralfate
Sucralfate
what are all the side effects of vancomycin
red man ototoxicity renal failure
adverse effects of osmotic laxatives
dehydration acute renal failure sodium retention hypertension, edema, heart failure
surfactant laxative
docusate sodium (Colace)
symptoms of hypokalemia
heart palpitations muscle weakness and spasm constipation extreme tiredness
Drug interactions Etanercept
immunosuppressant drugs- glucorticosteroids, methotrexate they increase risk for serious infection
Etanercept: use and adverse effects
inactives tumor necrosis factor used for severe RA adverse effects: serious infection, liver injury, and severe allergic reactions
The most concerning side effect of being on Etanercept
liver toxicity
what are all the side effects of being on etanercept
liver toxicity redness at the injection site
Milk of Magnesia low and high doses
low doses: results in 6-12 hours high doses: results in 2-6 hours
How do Osmotic Laxatives work
- laxative salts (sodium phosphate, magnesium hydroxide) -poorly absorbed salts that draw water into intestinal lumen; fecal mass softens and swells, wall stretches, and peristalsis is stimulated
how does bulk forming laxatives work
-function similarly to dietary fiber by swelling with water to form a gel that softens and increases fecal mass -PREFFERED temporary treatment of constipation -used for diverticulosis and IBS
how does surfactant laxatives work
-produce a soft stool several days after onset of treatment -alters stool consistency by lowering surface tension, which facilitates penetration of water into feces
how does stimulant laxatives work
2 effects on the bowel -increases intestinal motility -increase amounts of water and electrolytes in intestinal lumen -used for opiod-induced constipation and for constipation from slow intestinal transit
what is the peak of vancomycin
20-40 mcg/ml
A patient with rheumatoid arthritis is prescribed methotrexate [Rheumatrex] (This is what Dina's mom takes so don't forget it LOL). The nurse will expect to observe therapeutic effects with this drug in which time period? 3 to 7 days 3 to 6 weeks 3 to 4 months 1 to 2
3-6 weeks
what is the trough of vancomycin
5-15 mcg/ml
methotrexate
chemotherapeutic agent and is the FASTEST acting DMARD
