Pharma Quiz 3

Front 1

Expect a decrease in the triglyceride levels after administering...

Back 1

Clofibrate (Atromid-S)
*Fibric acids

Front 2

Help to decrease triglyceride levels by increasing the action of lipase

Back 2

Clofibrate (Atromid-S)
*Fibric acids

Front 3

Antihyperlipidemic drug therapy is effective if...

Back 3

the client makes dietary adjustments as well

Front 4

Taking antilipidemics with the evening meal is...

Back 4

beneficial as cholesterol synthesis normally occurs during the night as well as reduces intensity and frequency of common GI disturbances

Front 5

The nurse is most likely to teach a client with diabetes mellitus about...

Back 5

Lovastatin (Mevacor) The side effects, the actions, and the drug interactions associated with lovastatin do not adversely affect the client with diabetes

Front 6

Helping the client manage the side effects of this drug (such as bloating or constipation) is likely to result in better compliance

Back 6

cholestyramine (Questran)
*for the treatment of elevated cholesterol levels

Front 7

This large molecule drug does not cross the placental barrier

Back 7

Heparin (Liquaemin)
*Because of risk of hemorrhage, heparin is ranked pregnancy category C

Front 8

Do not start taking aspirin, ibuprofen, or penicillin for at least 7 days after discontinuing this medication...

Back 8

warfarin (Coumadin)
*warfarin has a half-life of 3 days

Front 9

Flu-like symptoms can be a common finding in clients who are taking...

Back 9

clopidogrel bisulfate (Plavix)
*if present - conduct assessment to detect actual infection

Front 10

A client taking _________ should be have frequent CBC monitoring for potential blood dyscrasias

Back 10

ticlopidine (Ticlid)

Front 11

This drug is often given IV following percutaneous transluminal coronary angioplasty (PTCA) to help prevent possible reocclusion of the coronary artery

Back 11

Abciximab (ReoPro)
*an antiplatelet agent

Front 12

The nurse is most likely to prepare a thrombolytic agent for the client with...

Back 12

Emerging acute myocardial infarction (AMI)

Front 13

Because of the risk for peripheral vascular disease (PVD), the nurse teaches the client about

Back 13

Folic acid

Front 14

After treatment for a sickle cell anemia crisis, the nurse determines the client remains at risk when...

Back 14

The client has dyspnea; thready peripheral pulses and weakness on exertion

Front 15

Clients who are on this medication are being treated for iron deficiency. Consulting with a dietitian will help to review dietary factors that can help the client maintain adequate iron levels

Back 15

ferrous sulfate (Feosol)

Front 16

This medication is given via injection when the client has pernicious anemia

Back 16

cyanocobalamin (Vitamin B12)
*have client rotate injection sites

Front 17

This diet selection would be best for the nurse to recommend to a client who has a folic acid deficiency

Back 17

Eggs
*whole grain foods and dark, leafy green vegetables are also excellent sources

Front 18

The purpose of the drug is to reduce the production of platelet antibodies.

Back 18

azathioprine (Imuran)

Front 19

Drinking ______ through a straw prevents staining of the teeth

Back 19

ferrous sulfate (Feosol) elixir

Front 20

Vitamin C enhances the absorption of _______ supplements in all oral dosage forms

Back 20

ferrous sulfate (Feosol)

Front 21

The dosage of factor VIII is calculated by...

Back 21

Client weight, severity of blood loss, and the presence of factor VIII inhibitors

Front 22

A client with __________ may suddenly become critical and should be managed by an experienced nurse

Back 22

A reaction to a blood transfusion

Front 23

Clients who are taking ___________ should be monitored for fat soluble vitamin deficiencies (vitamins A, D, E, & K)

Back 23

cholestyramine (Questran)
*green leafy vegetables are high in vitamin A

Front 24

Because of its antiplatelet actions, ________ can potentiate the effect of warfarin, resulting in an increased risk for bleeding

Back 24

Aspirin

Front 25

Propoxyphene in the form of Darvon Compound 65 contains...

Back 25

Aspirin

Front 26

Administered to post-operative clients to reverse the increased coagulation occurring in response to the stress of surgery and the decreased velocity resulting from the prolonged immobility

Back 26

Prophylactic doses of heparin
*"The stress of surgery can thicken the blood"

Front 27

The therapeutic response for this medication should be 1.5-2.5 times the normal APTT

Back 27

Heparin

Front 28

Heparin has a half-life of...

Back 28

90 minutes

Front 29

What actions would the nurse employ to protect the client from having a bleeding episode while on warfarin (Coumadin) with an international normalized ratio INR above 6?

Back 29

Have client wear shoes that enclose feet completely
Administer vitamin K as ordered
Withhold next Coumadin dose
Use soft sponge on a stick for oral hygiene

Front 30

The priority assessment in a client who has been diagnosed with folic acid anemia is...

Back 30

Cardiovascular status

Front 31

Often, clients who have multiple risk factors for developing hyperlipidemia must...

Back 31

Use a combination therapy of drugs and diet to achieve results or assure appropriate control or prevention

Front 32

For a client receiving a drug classified as an HMG coenzyme-A inhibitor (a statin), the nurse reviews the results of which of the following after 3 months of drug therapy?

Back 32

Alanine aminotransferase (ALT) and aspirate aminotransferase (AST) levels

Front 33

One primary side effect associated with the statin drug group is...

Back 33

Liver damage
*ALT and AST would provide the nurse with the status of the client's liver

Front 34

For a client is receiving a continuous heparin infusion, the nurse instructs the unlicensed assistive personnel (UAPs) to...

Back 34

Post a sign that states: No intramuscular injections

Front 35

With initial therapy, it is recommended that _________ be taken with meals to prevent GI upset. As therapy is tolerated, the medication can be given between meals to maximize absorption

Back 35

Iron preparations

Front 36

When antacids or antibiotics are taken concurrently with iron...

Back 36

The absorption is significantly decreased