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Rasmussen Pharmacology Exam 2 Questions with Verified Answers, Exams of Pharmacology

Rasmussen Pharmacology Exam 2 Questions with Verified Answers

Typology: Exams

2024/2025

Available from 11/18/2024

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Rasmussen Pharmacology Exam 2 Questions
with Verified Answers
Patient has a blood sugar of 34 and is unresponsive. Glucagon is needed to raise blood sugar. Is this
given IM or SQ?
-IM
Name a few signs and symptoms of a thyroid storm?
-Fever, nervousness, insomnia, diarrhea, nausea, vomiting, palpitations, seizures, goiter, thyroiditis,
exopthalamos, weakness (muscle wasting), restlessness with emotional swings, confusion, hepatomegaly
with jaundice, tachycardia, A Fib, shock and coma.
What should you teach a patient taking steroids?
-Watch for fever as it can be life threatening & wash hands frequently
If a patient is taking steroids, which vital signs should you be most concerned about: BP 160/90, R 24, P
102, T 99.6, O2 97%?
-Temp of 99.6 as this can be life threatening for a patient on steroids
What are some signs and symptoms of Hypoglycemia?
-Diaphoresis, sweating, clammy, tremors, pallor, agitation, confusion
If you abruptly stop a corticosteroid, what can happen?
-Can develop Addison’s Disease
Who should avoid hormonal contraception?
-Smokers, Patients over age 35
What is the peak of NPH insulin?
-4-12 hours. NPH is cloudy. An intermediate acting insulin
Which lab would indicate if a patient’s thyroid is increased or decreased?
-Tsh
What are some side effects of Prednisone?
-Insomnia, bruising, hyperglycemia, hunger, weight gain, moon face/buffalo hump.
Can ASA be given with Prednisone? Why or why not?
-They should NOT be given together due to bleeding. They are both anti-inflammatories
If a patient has hypothyroidism and is now medicated properly they should notice what?
-An increase in their energy level
How should Levothyroxine be taken?
-In the morning on an empty stomach. NPO except water 1 hour after taking medication.
If a patient is seeking emergency contraception what is important that you find out?
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Rasmussen Pharmacology Exam 2 Questions

with Verified Answers

Patient has a blood sugar of 34 and is unresponsive. Glucagon is needed to raise blood sugar. Is this given IM or SQ?

  • IM Name a few signs and symptoms of a thyroid storm? -Fever, nervousness, insomnia, diarrhea, nausea, vomiting, palpitations, seizures, goiter, thyroiditis, exopthalamos, weakness (muscle wasting), restlessness with emotional swings, confusion, hepatomegaly with jaundice, tachycardia, A Fib, shock and coma. What should you teach a patient taking steroids? -Watch for fever as it can be life threatening & wash hands frequently If a patient is taking steroids, which vital signs should you be most concerned about: BP 160/90, R 24, P 102, T 99.6, O2 97%? -Temp of 99.6 as this can be life threatening for a patient on steroids What are some signs and symptoms of Hypoglycemia? -Diaphoresis, sweating, clammy, tremors, pallor, agitation, confusion If you abruptly stop a corticosteroid, what can happen? -Can develop Addison’s Disease Who should avoid hormonal contraception? -Smokers, Patients over age 35 What is the peak of NPH insulin? -4-12 hours. NPH is cloudy. An intermediate acting insulin Which lab would indicate if a patient’s thyroid is increased or decreased?
  • Tsh What are some side effects of Prednisone? -Insomnia, bruising, hyperglycemia, hunger, weight gain, moon face/buffalo hump. Can ASA be given with Prednisone? Why or why not? -They should NOT be given together due to bleeding. They are both anti-inflammatories If a patient has hypothyroidism and is now medicated properly they should notice what? -An increase in their energy level How should Levothyroxine be taken? -In the morning on an empty stomach. NPO except water 1 hour after taking medication. If a patient is seeking emergency contraception what is important that you find out?

-The last time she had sex. It must be given within 72 hours of when she had sex.

What are some side effects of Lincosamides such as Clindamycin? -Commonly causes C-Diff, diarrhea. Always avoid if other options are available. What are some common side effects for Isoniazid (INH) for TB?

  • Neuropathy What helps with neuropathy when a patient is taking Isoniazod (INH) for TB? -Vitamin B What are some patient teaching items that you should teach a patient taking a tetracycline, such as minocycline? -Can get discolored teeth, easily burn in sunlight (Stay out of the sun), medication should be taken on an empty stomach, medication cannot be taken with dairy product, cannot be taken with antacids, iron, magnesium, aluminum or calcium due to absorption. What is a patient on high dose ASA therapy at risk for? -nerve deafness, kidney damage/renal harm What are some risks for a patient taking quinolones? -Achilles tendon rupture, can cause QT prolongation, CNS toxicity, inactivated if taken with mineral supplements such as iron and zinc, patient is at risk for sunburn with sun exposure, decreased efficiency of birth control. If a patient is on a macrolide such as Azithromycin what must be closely monitored? -Liver function due to hepatotoxicity What antibiotic is often prescribed when a patient is allergic to Penicillin?
  • Erythromycin What class of antibiotics is used to treat acne and chlamydia?
  • Tetracycline What class of antibiotics is effective against Legionella, Pertussis and H. Pylori?
  • Macrolides Red Man Syndrome is associated with which antibiotic? -Vancomycin (Aminoglycoside) Which class of antibiotics can lead to hearing loss?
  • Aminoglycosides Azithromycin a Macrolide requires a shorter dose than most other antibiotics due to its? -Extended half life A macrolide antibiotic excreted in the bile of the liver that would be a good choice for patients with renal impairment?
  • Erythromycin

What does a patient taking Levothyroxine require? -Individualized dosing, careful titration, clinical evaluation, & lab monitoring Ingesting too much of what while taking Desmopressin/Vasopressin can cause complications? -Fluid. Can cause fluid overload What medication is used to treat severe inflammatory response?

  • Dexamethasone What medication class can mask hypoglycemia? -Beta Blockers What class of medication can increase blood sugar levels causing a need for more insulin?
  • Glucocorticoids What medication can cause hemorrhagic inflammation of the bladder? -Cylophosphamide (Cytoxan) Patients with a Sulfa allergy are at an increased risk for allergies to which other medications? -Glucotrol, Celecoxib, furosemide Peak and trough levels are ordered with vancomycin to ensure safety, efficiency and what two other things? -Metabolism and excretion A patient with hypothyroidism who takes levothyroxine may be expected to experience what effects? -Weight loss, increased energy levels, and improved cold tolerance What are some side effects of metronidazole? -Nausea, GI toxicity, antabuse reaction with alcohol, headache, seizure, and peripheral neuropathy with prolonged therapy. What are some side effects for Isoniazid used for treatment of TB? -Peripheral neuropathy, hepatitis, drug interactions, numbness, tingling, pain in extremities and fatigue. What are some side effects for Rifamipin used for treatment of TB? -can turn body fluids orange, stomach upset, flu like symptoms, bleeding, rashes and hepatitis What should a patient do after taking oral Nystatin?
    • Must swish and swallow Anti TB medications such as Rifampin and Isoniazid can cause what lab values to be elevated? -Liver function tests A patient on an antiviral such as acyclovir should have what checked often and closely?
  • Kidneys

What is the onset time of Humalog? -5-15 minutes What medications can be given to a patient having an allergic reaction? -Steroids, epinephrine and diphenhydramine (Benadryl). This disease process is present when a patient has an elevated TSH and a decreased T3 and T4?

  • Hypothyroidism What is TB infection? -TB germs stay in your lungs, but do not multiply or make you sick, cannot pass to others, treated with medication for 4-9 months. If it is not treated it can turn into TB disease. What insulin is cloudy? -NPH. Intermediate acting insulin It is essential to do what before beginning antibiotic therapy? -Obtain Cultures What are the uses of Phenazopyridine (pyridium)? -Used to relieve burning, pain, urgency and frequency of urination. Produces a local anesthetic effect in the urinary tract, acts about 30 minutes after administration. Gives urine a reddish orange color after taking. What must you educate your patient to report while taking Phenazopyridine (pyridium)? -Yellow sclera or skin What instructions should you give you patient that is about to start taking Penicillin? -Take on an empty stomach because otherwise absorption is slowed. Acids from fruit juices or sodas can deactivate the drug. What are some complications cause by Cephalosporins such as cephalexin? -Irritation of GI tract mucosa, allergic reaction, granulocytopenia (decreased WBC), and nephrotoxicity. What are some nursing complications for Cephalosporins? -Orally administered forms should be given with food to decrease GI upset, even though absorption will be delayed. Some can cause an Antabuse reaction with alcohol. What are some side effects of a Macrolide such as Erythromycin: -GI effects such as nausea, vomiting, diarrhea, hepatotoxitity, flatulence, jaundice and anorexia. Should be taken with food. What should you know about side effects of a Macrolide such as Azithromycin and Clarithromycin? -Generally fewer side effects, longer duration of action, better efficiency, and better tissue penetration Macrolides are highly protein bound and will cause severe interactions with what other drugs? -Other protein bound drugs

What are tetracyclines used for? -Treatment of Rocky Mountain Spotted Fever, Typhus, Lymes Disease, and Chlamydia