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NSG124/ NSG 124 Exam 2: (New 2024/ 2025
Update) Pharmacology Review| Questions
and Verified Answers| 100% Correct| A
Grade – Herzing
QUESTION
What two drugs are prescribed for TB? Answer: Rifampin and Isoniazid
QUESTION
When should you test for effectiveness of TB drugs? Answer: After 6 months of treatment
QUESTION
What is the most important thing to educate patients with the two drug regimen for TB? Answer: Take them BOTH for the full 6 months!
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Drug Regimen for TB Answer: Active TB- Both drugs 6 months Latent TB- 1 drug for 6 months
Answer: Answer: Answer: Answer: Answer:
QUESTION
What are nursing considerations for Rifampin? Hepatotoxicity
QUESTION
What is one IMPORTANT thing to educate patient when taking TB Drugs?! Pee and Sweat may turn orange, and they may experience flu like symptoms!
QUESTION
Who must you not give Fluoroquinolone to? Patients with tendinitis or tendon rupture or patients with renal transplants
QUESTION
Name an antifungal drug amphotericin B
QUESTION
How is amphotericin B administered? IV only
Answer: Answer: Answer: Answer: Answer:
QUESTION
What is onset for rapid acting? 5 - 30 mins
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What is peak for rapid acting? 30 - 90 mins
QUESTION
Patients who are given rapid acting insulin is at risk for..... Hypoglycemia
QUESTION
name the regular insulins Humulin R, Novolin R
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What is the onset for short insulins? 30 - 60 mins
Answer: Answer: Answer: Answer: Answer:
QUESTION
What is the peak for short insulins? 2 - 4 hours
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How is regular insulin administered? IV or SQ
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What are intermediate insulins? Humulin N, Novolin N
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What is the onset for intermediate insulin? 1 - 2 hours
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What is the peak for intermediate insulin? 4 - 12 hours
QUESTION
What are the side effects of metformin? Answer: nausea, potential for lactic acidosis
QUESTION
What important nursing consideration when giving metformin? Answer: This medication is not metabolized and can be toxic to the kidneys! If patient has to have CT/Contrast withhold this drug for 48HRS.
QUESTION
What hormone is produced in patients with overgrowth? Answer: Growth Hormone
QUESTION
What drug is used to treat HYPOthyroidism? Answer: levothyroxine
QUESTION
What drug is used to treat HYPERthyroidism? Answer: methimazole
QUESTION
Signs of HYPOthyroidism Answer:
- Cold intolerance
- Slowed mental function
- Hair loss or thinning of the hair (loss of lateral third of the eyebrow is pathognomonic)
- Decreased pulse volume
- Obesity
- Dry, thickened skin
- Edema around eyes or puffiness of the face
QUESTION
Signs of HYPERthyroidism Answer:
- Increased sweating
- Nervousness or agitation
- Dalrymple's Sign (exophthalmos)
- Pretibial myxedema
- Heat intolerance
- Fine peripheral tremors
- Increased pulse volume
QUESTION
How do you confirm a bacteria before giving an antibiotic? Answer: Obtain cultures!
QUESTION
Prophylactic reasons for antibiotics Answer: Surgery, Bacterial Endocarditis, and Neutropenia
Answer: Answer: Answer: Answer: Answer: Fever/Chills, hypotension, rapid heartbeat, redness or rash on back of neck, itchy red blotches, and muscle weakness.
QUESTION
Who must you never give tetracyclines to? Children under 8!
QUESTION
What are tetracyclines used to treat? Acne, and whopping cough
QUESTION
Most common macrolide? Azithromycin (Z-pack)
QUESTION
What are macrolides used to treat? pertussis, diptheria, chlamydia and pneumonia
QUESTION
What is a adverse effect of macrolide?
Answer: Answer: Answer: Answer: Answer: Prolonged QT intervals
QUESTION
Which drug is an alternative to penicillin and used to treat abdominal and pelvic infections? Clindamycin
QUESTION
What is used to treat C. Diff? vancomycin or metronidazole
QUESTION
What is a the most important nursing consideration with aminoglycosides? Check Trough 30 mins before, hang medication, get peak 30 mins after, and adjust if necessary
QUESTION
What does Sulfonamides and Trimethoprim create? Bactrim
QUESTION
What is Bactrim used to treat? UTI
QUESTION
What are the K+ sparing diuretics? Answer: spironolactone (and eplerenone) triamterene amiloride
QUESTION
What is K+ sparing diuretics used to treat? Answer: Hypertension Edema HYPOkalemia
QUESTION
What patient education is important with K+ sparing drugs?! Answer: AVOID EATING FOODS HIGH WITH POTASSIUM Signs of hyperkalemia
QUESTION
Most common type of loop diuretic? Answer: Furosemide (Lasix)
QUESTION
What are loop diuretics used for?
Answer: Answer: Answer: Answer: CHF, renal disease, hypertensive crisis, pulmonary edema
QUESTION
How do you reverse hyperkalemia in K+ sparing drugs? Stop giving the drug
QUESTION
What are the thiazide diuretics? hydrochlorothiazide
QUESTION
What are thiazide diuretics used for? Used for peripheral edema & HTN
QUESTION
What is Agromegaly? Too much growth hormone causes body to continue to grow
QUESTION
What is the antidote for acromegaly? Answer:
5th generation- CEFTAROLINE
QUESTION
Why are there 5 generations of cephalosporins? Answer: Each generation gets stronger
QUESTION
What are the signs and symptoms of ototoxicity? Answer: Tinnitus (ringing in the ears), dizziness, roaring in the ears, vertigo, mild to severe loss of hearing
QUESTION
Red Man Syndrome is associated with? Answer: Vancomycin
QUESTION
If a patient is loosing water and electrolytes what is the order of interventions? Answer: Give water, Give Isotonic Solution (Normal Saline), if no change give HYPOtonic solution.
QUESTION
What must you check before administering Bactrim? Answer:
Sulfa Allergy
QUESTION
Why can you not give Bactrim to pregnant women? Answer: Trimethoprim is fatal to the fetus
QUESTION
Which generation of cephalosporins is used to treat STD's? Answer: 3rd generation- Ceftriaxone!!!!
