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IVY TECH PHARM FINAL EXAM
QUESTIONS AND ANSWERS RATED A+
The school nurse is conducting a screening of kindergarten students. The nurse will assess the children for what characteristics of ADHD? โโ-short attention span
- hyperactivity
- impulsivity
When discussing the safe use of drugs in the institutional setting, what are duties preformed by the nurse? โโ-admin drugs
- monitor clients for drugs effects
- educate about drugs
- eval for toxic effects
You're caring for a 22 y/o who was just diagnosed with a helminthic infection. She is terrified and states she feels "grossed out and embarrassed". You choose a nursing diagnosis of Disturbed Personal Identity. What interventions would be most appropriate to include? โโ-provide education and reassurances regarding diagnosis and treatments, including meds.
- provide reassurance that her medical condition and record are confidential
The nurse is educating a client on OTC meds. What info is required to be placed on the label? โโ-dosage
- contraindications
- adverse reactions
The nurse monitoring a client receiving insulin glulisine (apidra) notices the client has become confused, diaphoretic and nauseated. The nurse checks the clients blood glucose and its 60 mg/dL.What can a nurse give to treat a client with a hypoglycemic episode? โโ-orange or other fruit juice
- hard candy
- glucose tablets
What is true regarding the effect of caffeine on the body? โโ-CNS stim
The nurse identifies that salicylate are effective in the mgmt of what? โโ-pain
-ability to better empty bladder
What would be important during an assessment of a Pt who received an anticholinergic agent? โโ-auscultating bowel sounds
-monitoring urine output
-monitoring heart rate
You are caring for a Pt in hypovolemic shock. The Pt's condition is increasing in severity. What features will present clinically? โโ-tachycardia
-decreased urine output
-cool extremities
What physiologic changes r/t aging affect metabolism? โโ-decrease in circulation to liver
-decreased ability to remove metabolic by-products
-decrease in mass of liver
The nurse should suspect lithium toxicity in a client that experiences which of the following symptoms? โโ-muscle weakness
-diarrhea
-tremors
-lack of coordination
The nurse administers atenolol to a client suffering an acute MI. The atenolol will result in what changes in the client? โโ-decrease in hearts workload
-decreased heart rate
What would be associated with pharmacokinetics? โโ-drug half-life
-timing of peak effect
-duration
-onset of action
The nurse is caring for group of Pt's involved in phase 3 of a drug study. Which tasks is the nurse supposed to perform in clinical testing? โโ-not the pharmacologic and biologic effects of the drug carefully
-address how Pt's feel about the clinical trial
What classes of medications are used to treat hyperlipidemia? โโ-HMG-CoA reductase inhibitors
When evaluating the plan of care for a Pt receiving opioid analgesics for pain mgmt, the nurse considers the plan successful when what occurs? โโ-therapeutic response is achieved and discomfort is reduced
-an adequate breathing pattern is maintained
-client maintains adequate nutritional status
The nurse is caring for a client with severe hypothyroidism and knows to contact the MD if what symptoms of myxedema coma occur? โโ-decreased BP
-decreased LOC
-decreased respirations
What are cholinergic-blocking drugs used in the treatment of COPD? โโipratropium
tiotropium
What symptoms are indicative of a patient with uncontrolled hypothyroidism? โโ-bradycardia
-sleepiness
-weight gain
A nurse is caring for Pt's receiving androgen therapy. What conditions may androgen therapy be given as replacement therapy? โโ-testosterone deficiency
-delayed puberty
-failure of development of testes
When planning a Pt's treatment regimen for administration of medication, what factors must be considered for inclusion in the teaching plan? โโ-method used to admin the drug
-type of reaction to expect
-info to report to the MD
What lab results may indicate renal damage r/t the administration of a nephrotoxic medication? โโ-elevated BUN
-elevated Cr
-elevated K+
When administering ahminoglycosides to clients, the nurse must be aware of what toxicities that can result from their use? โโ-nephrotoxicity
-ototoxicity
-neurotoxicity
What immunizations are recommended for older adults? โโ-one-time admin of pneumococcal vaccine at 65 y/o
-annual flu shot
-a tetanus-diphtheria booster every 10 years
A nurse educating a client starting phenelzine should educate the client to avoid what foods? โโ*containing tyramine
-aged cheese
-sour cream
-yogurt
-beef
-chicken livers
-pickled herring
-undistilled alcoholic bev
-chocolate
-pepperoni
-yeast extract
-soy sauce
-caffinated bev
-certain fruits/veggies
What are the long-acting insulins? โโglargine
detemir
Anxiolytic drugs can be used in the mgmt of what conditions? โโ-panic attacks
-alcohol withdrawal
-seizures
What are some opioid agonist-antagonists? โโbuprenorphine
nalbuphine
pentazocine
A Pt with alzheimer's often has trouble with nausea and vomiting d/t the side effects of meds. They also have a difficult time making choices when it comes to meals. What are some things the caregiver can do to promote appetite in the Pt with Alzheimer's and who is NOT experiencing nausea/vomiting? โโ-offer foods easy to chew
-offer small freq meals
-straighten the ear canal
-never insert dropper tip into ear canal
-insert a piece of cotton loosely into ear canal to prevent drug from flowing out
The nurse if caring for a client who is on a sulfonamide and monitors for which common side effects? โโ-photosensitivity
-diarrhea
-nausea
The nurse is taking a history of a female client who is scheduled to begin estrogen therapy. It is MOST important prior to therapy for the nurse to determine if the client has a history of what condition? โโ-thrombophlebitis
-liver disease
-smokes 1.5 packs of cigarettes/day
A Pt has been prescribed lithium. What interventions should the nurse perform while caring for the Pt? โโ-admin with food
-continually monitor Pt for drowsiness
-increase fluid intake to about 3000 mL/day
What are the primary goals of HAART? โโ-suppress viremia
-delay drug-resistant mutations
-preserve CD4 counts
Nitrates are available is what dosage forms? โโ-sublingual
-transdermal
-parenteral
-inhalation
Hypertension increases a person's risk for what? โโ-heart failure
-stroke
-blindness
-kidney disease
What is an example of artificially acquired active immunity? โโ-admin of varicella vaccine to an individual who has no immunity to the disease
When does a nurse perform a client's medication reconciliation? โโ-when client is transferred to ICU
-upon admin
-prior to d/c to skilled nursing facility
A nurse is caring for a client with renal disease and knows that this client will have the potential for which difficulty r/t drug excretion? โโ-increased drug half-life
-increased change of drug toxicity
What medical conditions can be treated with cholinergic drugs? โโurinary retention
myasthenia gravis
After teaching a Pt who is using isosorbide dinitrate for treatment of angina, the Pt demonstrates understanding of the info when he identifies what drugs need to be avoided? โโ-sildenafil
-tadalafil
-vardenafil
A Pt is receiving bumetanide. The nurse would instruct the Pt to be alert for what? โโ- hypotension
-dizziness
-weakness
-muscle cramps
