Pharmacology Final

Front 1

what are s/s of pottasium deficiency while taking a loop diuretic

Back 1

muscle weakness

anorexia

lethargy

Front 2

the nurse is teaching a pt who is taking colchicine for the treatment of gout which instructions will the nurse include during the teaching session

Back 2

call your doctor if you have increased pain or blood in the urine

Front 3

who would be a good candidate for drug therapy for cholesterol reduction

Back 3

a pt who has coronary heart disease and an LDL of 165mg/dl

Front 4

which illness is contraindicated in the use of NSAIDS to treat tendinitis

Back 4

Rhinitis

peptic Ulcer

Front 5

how should you mix cholestyramine (questran) powder 

Back 5

mix the powder with food or fruit, or at least 4 to 6 oz of fluid

Front 6

pt with type 2 diabetes has trace proteinuria, dr wrote an order for ACE inhibitor. the main reason for prescribing this class of drug for this patient is 

Back 6

renal protective effects

Front 7

how does the antilipedimic drug Zetia works, mechanism of action

Back 7

inhibiting cholesterol absorption in the small intestine

Front 8

pt with severe liver disease is receiving the angiotensin convering enzme ACE inhibiotor capoten. the nurse is aware that the advantage of this drug for this patient is which characteristics

Back 8

captopril is not a prodrug and does not need to be metabolized by the liver before becoming active

Front 9

what are some characteristics that are considered to be risk factors for coronary heart disease

Back 9

being male

Having HDL of 30 mg/dl

have DM

Front 10

during a follow up visit the health care provider examines the fundus of hte pts eye, afterward the pt asks the nurse why is he looking at my eyes when I have high blood pressure. it does not make sense to be , what is the reasoning

Back 10

the provider is making sure the treatment is effective over the long term

Front 11

the patient is started on a diuretic for antihypertensive therapy. the nurse expects that a drug in which class is likely to be used initially

Back 11

thiazide diuretics

Front 12

how long does it take for Statin drugs to take effect

Back 12

6-8 weeks to see changes in cholesterol levels

Front 13

when reviewing the allergy history of a pt the nurse notes the pt is allergic to PCN. Based on this finding the nurse would question an order for which class of antibiotics

Back 13

cephalosporins

Front 14

a patient has used enteric aspirin for several years as treatment for osteoarthritis , however the symptoms are now worse and she is given a prescription for a NSAID and cytotec. the pt ass the nurse why am i not taking two pills for arthitis what is the response

Back 14

cytotec may help prevent gastric ulcers that may occur in pts taking NSAIDS

Front 15

an elderly pt will be taking a vasodilator for hypertension. Which adverse effect is most concern for the older adult pt taking this class of drug

Back 15

hypotension

Front 16

a pt calls the clinic to ask about taking a glucosamine chondroitin supplement for arthritis. the nurse reviews the medication history and notes that tere will be a concern for drug interactions if the pt is taking medicaiton for which disorder

Back 16

DM

Front 17

which type of meds interact with NSAIDA

Back 17

anticoagulants, diuretics, steroids

Front 18

a pt is concerned about the adverse effecgts of the fibric acid derivative she is taking to lower her cholesterol level, what is the adverse effect

Back 18

diarrhea

Front 19

the nurse is teaching a pt about taking HCTZ. what do they not need

Back 19

extra sodium and calcium

Front 20

the client is being treated with a thiazide diuretic. he tells the nurse that he is interested in using herbal preparation and frequently self medicates with ginko. the nurses most appropriate response to this information is 

Back 20

gingko should not be used with a thiazide diuretic since it increases bp

Front 21

the client is being treated with lasix as well as an aminoglycoside. what effect should the nurse expect to see as a result of the interaction of the drugs

Back 21

ototoxicity

Front 22

thiazides are contraindicated in pts who have 

Back 22

renal failure

Front 23

upon assessment a pt is found to have evidence of respiratory compromise from pulmonary edema a nurse prepares to administer 40 mg of lasix IV. how should it be administered 

Back 23

give it in an IV push over 2 min

Front 24

what is the therapeutic goals of mannitol (osmitrol) 

Back 24

reduce ICP

Front 25

nurse is discussing the mechanism of action of aldactone with a group of nurses . the nurse states that spironolactone has been demonstrated to prolong survival as well as improve heart failure symptoms by which of the following actions

Back 25

blocking receptors for aldosterone

Front 26

the client is being treated with a thiazide diuretic. the nurse should expect to see an increased serum ______ as a result of treatment with this drug

Back 26

calcium

Front 27

a pt with 2+ pitting edema of the lower extremities bilaterally; auscultation of the lungs reveals crackles bilaterally; and the serum K level is 6 meq . what diuretic should be questioned

Back 27

aldactone

Front 28

the nurse is caring for a pt who is to begin receiving a thiazide diuretic to treat hear failure. when perfomring a health history on this pt the nurse will be concerned about a hx of 

Back 28

gout

Front 29

the nurse is caring for a pt who is taking HCTZ and digoxin. which potential electrolyte imbalance will the nurse monitor for in this pt

Back 29

hypokalemia

Front 30

the client is being treated with lasix and a steroid drug as well as a result the interaction of the drugs, the nurse should expect to see and increased loss of 

Back 30

potassium

Front 31

prior to discharge, the nurse is reviewing the medications of a pt with diabetes. the nurse realizes that he will be going home on colesevelam, a bile acid sequestrant, and insulin. what pt education should the nurse provide in the discharge teachng for this pt

Back 31

the pt needs to monitor his blood sugar carefully, because colesevelam can cause hypoglycemia

Front 32

a pt tells the nurse that he likes to eat large amounts of garlic to help lower his cholesterol levels naturally, the nurse reviews his medicaiton history and notes that which drug has a ptotential interaction with the garlic

Back 32

warafran (coumadin)

Front 33

the nurse will monitor for myopathy when a pt is taking which class of antilipemic drugs

Back 33

HMG-CoA reductase inhibitors

Front 34

a pt who as recently started therapy on HMG-COA reductase inhibitor asks the nurse how long will it take until I see an effect on mmy LDL cholesterol the nurse correctly states

Back 34

2 weeks

Front 35

a pt presents to the clinic with complaints of muscle aches, muscle pain and weakness, upon review of hte individuals medicaitons the nurse notes that the pt is concurrenly taking lopid and lipitor . the nurse hsould assess the pt for the development of 

Back 35

myopathy

Front 36

what is an adverse effect of niacin

Back 36

pruritus, cutaneous flushing

Front 37

a pt taking lopid and crestor concurrently begins to complain of muscle aches, fatigue and weakness the nurse should monitor 

Back 37

the pts creatinine kinase levels

Front 38

a pt with a history of angina and hypertension is being started on nicotinic acid (niacin) the nurse is providing pt education. what statement made by the pt demonstrates a need for further teaching

Back 38

i will take tylenol with my medication to reduce inflammatory effects

Front 39

a pt reports having adverse effects with niacin. the nurse can suggest performing which action to minimize these undesirable effects

Back 39

take an aspirin tablet 30 min before taking the drug

Front 40

a pt has begun taking an HMG-COA reductase inhibitor which of the following statemetns about this class of drugs made by the nurse during pt education would be inappropriate

Back 40

you should come into the clinic for liver enzymes in 1 month

Front 41

the prescriber has ordered crestor for a pt with non alcoholic related cirrhosis. which intervention would be most appropriate for the nurse prior to administration

Back 41

review the baseline liver function test results

Front 42

during discharge instruction the nurse wants to assess the pts understanding of treatment for questran which statement made by the pt best demonstrates a need for additional teaching

Back 42

i will weigh myself weekly

Front 43

a pt is being started on nicotinic acid (niaspan) to reduce triglyceride levels. the nurse is providing pt educaiton and should include which of the following adverse effects

Back 43

facial flushing

gastric upset

itching

Front 44

the nurse is preparing to give a dose of gentamicin to a pt and notes that the most recent gentamicin trough level was 2 mcg/ml what does the nurse do next

Back 44

notify the provider to report a toxic drug level

Front 45

the nurse is caring for a pt who will begin taking capoten for hypertension. the nurse reviews the pt lab test results and notes increased BUN and creatinine which action does the nurse take

Back 45

contact the provider to discuss changing to fosinopril (monopril)

Front 46

the nurse is preparing to give a dose of oral clindamycin to a pt who is being treated for a skin infection caused by staph. the pt has had several doses of the medication and reports having nausea. what do you tell the pt

Back 46

take next dose with full glass of water

Front 47

the nurse is preparing to administer a drug and learns that it binds to protein at a rate of 90%. the pts serum albumin level is low the nurse will observe the pt for

Back 47

increased drug effects

Front 48

the nurse is caring for a pt who takes low dose erythromycin as a prophylactic medication. the pt will begin taking cefaclor for treatment of an acute infection. the nurse should discuss this with the provider because taking both of these meds simultaneously can cause which effect

Back 48

decreased effectiveness of cefaclor

Front 49

the nurse prepares to change a pts medication from an intravenous to an oral form and notes the oral form is ordered in a higher dose. the nurse understand that is is due to differences in 

Back 49

bioavailability

Front 50

the client is being treated with one of the sulfonamides. she complains to the nurse of experiencing a sore throat. what is the highest priority action on the part of the nurse

Back 50

call dr this is symptomatic of a life threatening anemia

Front 51

the nurse is preparing for a community education program on hypertension. which of these parameters determine the regulation of arterial blood pressure

Back 51

cardiac output and systemic vascular resistance

Front 52

the client is being treated with capoten the nurse teaches the client that while she is on the medication she should avoid eating a diet that is rich in 

Back 52

potassium