Nln Pharm Test

Front 1

Theophylline – don’t eat chocolate while on it

Back 1

24 mcg/mL serum level is toxic, normal is 10-20 mcg/ml to induce bronchodilation

Front 2

If the order has an unsafe dose

Back 2

– refuse to administer it!

Front 3

Nitrogylcerin –

Back 3

take with chest pain, up to 3.

Front 4

Inhalers –

Back 4

be sure to rinse mouth out after taking them

Front 5

Coumadin –

Back 5

can cause a nosebleed. Antidote = Vitamin K

Front 6

Protamine

Back 6

– give for too much heparin

Front 7

Flush IV line

Back 7

so all medicine goes through

Front 8

Nolvadex

Back 8

– monitor Calcium

Front 9

Mucomyst –

Back 9

suction

Front 10

Ketoacidosis

Back 10

– usually occurs in DM 1, give NPH regular insulin to relieve

Front 11

Z track –

Back 11

pattern to give injections on body, prevents seeping of injections

Front 12

Sucralfate –

Back 12

take 1 hr before meals

Front 13

KCL

Back 13

monitor urine output

Front 14

Epoetin alpha –

Back 14

makes more RBCs, watch pt’s BP

Front 15

Lopressor

Back 15

– don’t stop abruptly

Front 16

INH

Back 16

– can cause paresthesia, give vitamin B to treat

Front 17

Pernicious anemia

Back 17

– vitamin B12 deficiency

Front 18

If a pt with cirrhosis is taking lactulose

Back 18

– expect blood ammonia levels to decrease.

Front 19

Lovenox –

Back 19

don’t massage after injection

Front 20

PCN G –

Back 20

can cause urticaria (hives)

Front 21

Estrogen

Back 21

– assess for calf tenderness (howman’s sign DVT)

Front 22

Retrovir (antiviral for HIV, aka AZT)

Back 22

– most serious side effect is anemia

Front 23

Tylenol –

Back 23

can cause liver damage

Front 24

Fungizone –

Back 24

increases creatinine

Front 25

Zofran

Back 25

– take for nausea

Front 26

Zyloprim –

Back 26

decreases uric acid (treatment for gout)

Front 27

Claritin –

Back 27

can cause blurred vision

Front 28

Aspirin –

Back 28

inhibits prostaglandins

Front 29

Phenobarbitol –

Back 29

depression of CNS

Front 30

Adriamycin –

Back 30

adverse effect is reddish orange urine

Front 31

Robinul –

Back 31

decreases secretions

Front 32

Bumex –

Back 32

diuretic, can cause hearing loss

Front 33

NSAIDs –

Back 33

monitor liver

Front 34

Digoxin –

Back 34

assess heart rate

Front 35

Nystatin –

Back 35

for thrush, dissolves in mouth

Front 36

2. Microdrip IV administration administers how many drops/mL?

Back 36

a. 60 drops/mL (memorize this)

Front 37

1. Which of the following abbreviations indicates that a medication should be given four times a day?
a. Every 4 hours
b. Bid
c. Qid

Back 37

c

Front 38

2. A patient is to receive ampicillin, one gram. The ampicillin comes in 500 mg tables. How many tablets should be given?
a. 4
b. 2
c. 1

Back 38

b

Front 39

3. Pt is to receive 1000 ml of IV fluid in 6 hours. The infusion pump should be set to deliver:
a. 150 ml/hr
b. 167 ml/hr
c. 200 ml/hr

Back 39

b

Front 40

4. If you are teaching a pt who is taking antihypertensive meds, you should instruct them toL
a. Rest after taking if dizziness occurs
b. Report any dizziness as they may need a dose change
c. Skip the next scheduled dose if dizziness occurs

Back 40

b

Front 41

5. A nurse giving meds in a long term care facility where residents done wear ID bands should:
a. Identify the resident using the photo id in the MAR
b. Call out the name of the resident
c. Ask the resident their name, prior to administering the med

Back 41

a

Front 42

6. When a pt refuses to take a narcotic analgesic that has been prepared, you should:
a. Encourage the pt to take it anyway
b. Label the med and place in cart for use at a later time
c. Discard the med in presence of witness and chart accordingly

Back 42

c

Front 43

7. Steroids given in PO form should be given
a. Before meals and bedtime
b. Every 6 hrs
c. After meals and bedtime

Back 43

c

Front 44

8. A pt receives a transdermal hormone every day. The nurse administering this med should:
a. Place the transdermal patch over the old one
b. Remove the old patch, wiping away any excess ointment from the skin and rotate the site
c. Reapply the old patch if there is any ointment left on the skin

Back 44

b

Front 45

9. Which of these doses is the smallest
a. 0.075 mg
b. 0.1 gm
c. 10 mg

Back 45

a

Front 46

10. If an oral med comes supplied as 50 mg per mL, how many ml would deliver a dose of 200 mg?
a. 2 ml
b. 3 ml
c. 4 ml

Back 46

c

Front 47

1 kg

Back 47

1000 gm

Front 48

1 gm

Back 48

1000 mg

Front 49

1 gm

Back 49

=1,000,000 mcg

Front 50

1 mg

Back 50

0.001 g

Front 51

1 mg

Back 51

=1000 mcg

Front 52

1 L

Back 52

= 1000 ml

Front 53

1 ml

Back 53

1 cc

Front 54

60 grains

Back 54

1 dram

Front 55

8 drams

Back 55

1 ounce

Front 56

1 ounce

Back 56

30 ml

Front 57

2.2 lbs

Back 57

1 kg

Front 58

1 meter

Back 58

1000 mm

Front 59

safety meausres

Back 59

check the label 3 times
1. when you reach for it
2. before opening
3. when replacing

Front 60

5 rights

Back 60

right med
right patient
right dosage
right route
right time

Front 61

7 parts of med order

Back 61

full name
date and time order written
name of drug administered
dosage of drug administered
route
frequency
prescribers signature

Front 62

intradermal

Back 62

use 25-30 gauge, 1/4-1/2 " long needle

Front 63

sub q

Back 63

use 25-30 guage, 5/16-1 inch needel

Front 64

IM

Back 64

21-23 guague, 1 1/2" needle
ztract

Front 65

beconase (beclomehtasone)

Back 65

nasal spray for allergies, may take 3 weeks for peak affect

Front 66

ripseridal - showing signs of parkinsonimism

Back 66

contact physician

Front 67

folic acid for

Back 67

pregnancy, alcholism, liver disease