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Study maternity pharmacology pediatric, Study notes of Pharmacology

Study study pharm Peds health restoration mental health

Typology: Study notes

2021/2022

Uploaded on 11/12/2024

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115 final exam
A 75-year-old patient is readmitted to the hospital to treat recurrent pneumonia.
The patient had been discharged home with a prescription for antibiotics 5 days
prior. The nurse admitting this patient will take which initial action?
Ask the patient how many doses of the antibiotic have been taken.
The nurse is teaching a patient who has Parkinson disease about the side effects of
carbidopa-levodopa. Which statement by the patient indicates a need for further
teaching?
"I should take the drug with food to increase absorption."
The spouse of a patient newly diagnosed with mild, unilateral symptoms of
Parkinson disease (PD) asks the nurse what, besides medication, can be done to
manage the disease. The nurse will do which of the following?
Recommend exercise, nutritional counseling, and group support to help
manage the disease.
A 49-year-old client is admitted with uncontrolled chest pain. He is currently taking
nitroglycerin (Nitrostat). His physician orders nifedipine (Adalat) added to his
regimen. You should observe the client for which of the following adverse effects?
Hypotension
Which patient may require a higher than expected dose of opioid analgesic?
A patient with cancer
The nurse is caring for an older adult patient who is receiving multiple medications.
When monitoring this patient for potential drug toxicity, the nurse should review
which lab values closely?
Serum creatinine and liver function tests (LFT)
The nurse is teaching a patient who will be discharged home from the hospital to
take amoxicillin (Amoxcil) twice daily for 10 days. Which statement by the nurse is
correct?
“Stop taking the drugs and notify your provider if you develop a rash
while taking this drug”
The nurse is caring for a patient who has been taking an NSAID for 4 weeks for
osteoarthritis. The patient reports decreased pain, but the nurse notes continued
swelling of the affected joints. The nurse will perform which action?
Notify the provider that the drug is not effective.
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115 final exam A 75-year-old patient is readmitted to the hospital to treat recurrent pneumonia. The patient had been discharged home with a prescription for antibiotics 5 days prior. The nurse admitting this patient will take which initial action? Ask the patient how many doses of the antibiotic have been taken. The nurse is teaching a patient who has Parkinson disease about the side effects of carbidopa-levodopa. Which statement by the patient indicates a need for further teaching? "I should take the drug with food to increase absorption." The spouse of a patient newly diagnosed with mild, unilateral symptoms of Parkinson disease (PD) asks the nurse what, besides medication, can be done to manage the disease. The nurse will do which of the following? Recommend exercise, nutritional counseling, and group support to help manage the disease. A 49-year-old client is admitted with uncontrolled chest pain. He is currently taking nitroglycerin (Nitrostat). His physician orders nifedipine (Adalat) added to his regimen. You should observe the client for which of the following adverse effects? Hypotension Which patient may require a higher than expected dose of opioid analgesic? A patient with cancer The nurse is caring for an older adult patient who is receiving multiple medications. When monitoring this patient for potential drug toxicity, the nurse should review which lab values closely? Serum creatinine and liver function tests (LFT) The nurse is teaching a patient who will be discharged home from the hospital to take amoxicillin (Amoxcil) twice daily for 10 days. Which statement by the nurse is correct? “Stop taking the drugs and notify your provider if you develop a rash while taking this drug” The nurse is caring for a patient who has been taking an NSAID for 4 weeks for osteoarthritis. The patient reports decreased pain, but the nurse notes continued swelling of the affected joints. The nurse will perform which action? Notify the provider that the drug is not effective.

A patient is taking aspirin for secondary prevention of myocardial infarction and is experiencing moderate gastrointestinal upset. The nurse will contact the patient’s provider to discuss changing from aspirin to which of the following? Enteric- coated aspirin Acyclovir for genital herpes- as long as you wear condoms while taking medication, it will not spread. African Americans- which medication is less effective? Beta blockers and ACE inhibitors A patient will be discharged home with albuterol (Proventil) to use for asthma symptoms. What information will the nurse include when teaching this patient about this medication? Overuse of this medication can result in airway narrowing and bronchospasm. The nurse is caring for a patient recently diagnosed with mild emphysema and provides teaching about the disease and medications for treatment. Which statement by the patient indicates understanding of the medication regimen? "I should use albuterol when my symptoms worsen." A patient asks the nurse why nitroglycerin is given sublingually. The nurse will explain that nitroglycerin is administered by this route for which reason? To increase absorption The parents of a 16-year-old boy who plays football want their child to receive growth hormone to improve muscle strength. What will the nurse tell the parents? “Using growth hormone to build muscle mass is not recommended.” The nurse is teaching a parent about methylphenidate (Ritalin) to treat attention deficit/ hyperactivity disorder (ADHD). Which statement by the parent indicates understanding of the teaching? “I should consult a pharmacist when giving OTC medications.” The nurse is teaching a patient about using sublingual nitroglycerin at home. Which statement by the patient indicates understanding of the teaching? “I will place a tablet under my tongue and let it absorb.” A patient who has received heparin after previous surgeries will be given enoxaparin sodium (Lovenox) after knee-replacement surgery. The patient asks how this drug is different from heparin. The nurse will explain that the benefit of enoxaparin over heparin is that it?

A patient who takes loxapine (Loxitane) to treat schizophrenia is noted to be restless and fidgety and is pacing around the room. The nurse caring for this patient will perform which action? Notify the provider of these symptoms and request an order for lorazepam (Ativan). The nurse is teaching a patient who has Parkinson’s disease about the side effects of carbidopa-levodopa. Which statement by the patient indicates a need for further teaching? “I should take the drugs with food to increase absorption.” The nurse is caring for a patient in the post-anesthesia care unit who has received a spinal anesthetic. Which action will the nurse perform? Have the patient lay flat for 6 to 8 hours after the surgery. The nurse is demonstrating the Z-track injection technique to a nursing student on a patient who is receiving iron dextran. Which statement by the student indicates understanding of the teaching? "This is necessary to prevent staining of the patient's skin." The nurse is preparing to administer a medication to a 6-month-old infant. The nurse will? Immature hepatic and renal function. A female patient will receive doxycycline to treat a sexually transmitted illness (STI). What information will the nurse include when teaching this patient about this medication? Use a backup method of contraception if taking oral contraceptives. A provider has prescribed ipratropium bromide/albuterol sulfate (Combivent) for a patient who has chronic obstructive pulmonary disease (COPD). The nurse explains that this combination product is prescribed primarily for which reason? To increase forced expiratory volume, an indicator of symptom improvement The nurse is preparing to administer an angiotensin-converting enzyme (ACE) inhibitor? Hold the dose and notify the provider of a hypersensitivity reaction. A patient who has heart failure receives digoxin (Lanoxin) and an angiotensin- converting enzyme (ACE) inhibitor. The patient will begin taking spironolactone (Aldactone). The patient asks why the new drug is necessary. The nurse will tell the patient that spironolactone will be given for which reason?

To provide cardioprotective effects The nurse is teaching a patient about the use of a transdermal nitroglycerin patch. Which statement by the patient indicates understanding of the teaching? "I should rotate sites when changing the patch to prevent skin irritation." The nurse is preparing to give a second dose of trimethoprim-sulfamethoxazole (TMP-SMX) to a patient and notes a petechial rash on the patient extremities. The nurse will perform which action? Hold the dose and notify the provider. A patient who has atrial fibrillation is taking digoxin. The nurse expects which medication to be given concurrently to treat this condition? Warfarin A patient who has asthma will begin taking an inhaled corticosteroid medication to be used with a spacer. The patient asks why the spacer is necessary. The nurse will explain that the spacer Distributes medication to target tissues A patient has been taking atorvastatin (Lipitor) for several months to treat hyperlipidemia. The patient reports muscle weakness and tenderness. The nurse will counsel the patient to Contact the provider to report these symptoms. A patient is ordered to receive insulin lispro at mealtimes. The nurse will instruct this patient to administer the medication at which time? 10-15 mins A woman who is pregnant is taking an anticonvulsant medication to treat a seizure disorder. The nurse will ensure that the patient takes which dietary supplement toward the end of her pregnancy? Vitamin K The nurse is caring for a patient who is receiving an intravenous antibiotic. The patient has a serum drug trough of 1.5 mcg/mL. The normal trough for this drug is. 1.7 to 2.2 mcg/mL. what will the nurse expect the patient to experience? Inadequate therapeutic effects The nurse is teaching a patient who will begin taking butobarbital (Butisol). What information will the nurse include when teaching this patient?

Math:

Order- nystatin 5,000 PO q.i.d

Available 100,00 units per mL

How many ml? = 5 mL per dose

645 mL= 43 tb

0.307 mg= 307 mcg

Childs weight 10 kg

20 mcg/kg/day= 200 mcg/day

100 mL at 125 mL/hr= 0.8 hr

1 gram of antibiotic is 250 mL is to infuse over 2 hours= 125 mL/hr

Order: 0.25 mg IV

Avail: 0.5 mg per mL = 0.5 mL

Order: 1,000 mL lactated ringer over 6 hours

Avail: 1 L = 28

Order: erythromycin 350 mg q8h

Avail: 250 mg/ 5 mL = 7 mL per dose

Order: 500 mg PO bid

Avail: 400 mg/ 5 mL = 6.

Order: 0.4 g

Avail: 250 mf/ 5mL = 8 mL

100 mL over 30 min mL/hr? = 200 mL/hr