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Pharm Exam 5 Review
Pharm Exam 5 Review
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1
After taking one puff of an anticholinergic inhaler, the nurse should wait how long before administering the next puff
5 minutes
30 seconds
After the patient is done holding their breath
1-2 minutes
2
Which lab values should be monitored with any thyroid medication
TSH
T3
T4
PT/INR
3
Humulin N (NPH) duration
6-10 hours
16-24 hours
3-6 hours
24 hours
4
Client is on PO prednisone, the nurse should Mx for
Restlessness
Constipation
Bradycardia
Weight gain
5
Montelukast has which indication
Prevent bronchospasm
Bronchodilation
Nasal decongestant
Treat allergic rhinitis
6
PO Acetylcysteine is:
Antidote for acetaminophen overdose
Mucolytic
7
Nasal decongestants should not be used in which condition d/t contraindication
Hypotension
Glaucoma
Nasal congestion
Substance abuse
8
Which condition should be reported while taking montelukast
Depression
Drowsiness
Decreased mucus production
Decreased edema
9
Antitussives should be used for a productive, irritating cough
False
True
10
Glargine peak
16-24hours
1-2.5 hours
None
24hours
11
If client is placed on a bronchodilation inhaler with a glucocorticoid, which should be used first?
Glucocorticoid
Bronchodilation inhaler
These are contraindicated and should not be taken together
It does not matter as long as the patient gets the correct dose of each
12
Which of the following are considered a synthetic antidiuretic hormone (promotes reabsorption of water in kidneys)
Vasopressin
Desmopressin
Alendronate
Risedronate
13
Which of the following should be reported by the patient to the provider immediately when taking Propythiouracil (PTU)
Weight change of 4lbs in 6 months
Sore Throat
70 HR
Patient has taken OTC medication for headache
14
Galrgine duration
3-6 hours
24 hours
6-10 hours
16-24 hours
15
Nasal decongestants work by:
Blocking alpha-adrenergic receptors
Reduces nasal secretions
Shrinking nasal mucous membranes
Nasal vasoconstriction
16
Client w/ Hx HTN develops a cold. Which information should be provided regarding OTC meds
Do not take OTC meds w/o consulting provider beforehad
Find med that will not cause drowsiness
OTC meds are not as effective
OTC meds are more expensive than prescription
17
Normal post-prandial glucose
90-130
<180
<200
70-130
18
Humulog duration
24 hours
3-6 hours
6-10 hours
16-24 hours
19
During which time is risk for hypoglycemia greatest when recieving insulin
Peak
Onset
Entire duration while medication
First meal after injection
20
When is the most appropriate time for administering slidingscale Lispro insulin
W/in 15 min of obtaining blood glucose
W/in 30 min of consuming breakfast
W/in 1 hour of obtaining blood glucose measurement
When the breakfast tray is served and ready to eat
21
Which is
most
important to teach a patient taking a first-generation antihistamine?
Do not drive after taking this medication
Do not take for more than two days
Make sure to drink lots of liquids while taking this med
Take this medication on an empty stomach
22
The nurse should recognise adipose tissue indentation as which complication of insulin therapy
Lipodystrophy
Hypokalemia
Dawn Phenomenon
Somogyi Effect
23
Which of the following should be avoided with someone who has glaucoma AND a peanut allergy?
Albuterol
Anticholinergic Inhalers
Fluticasone
Glucocorticoids
24
Which of the following is considered Adrenal Hormone Replacements
Dexamethasone
Levothyroxine
Hydrocortisone
Prednisone
25
How often should intranasal glucocoticoids such as dexamethasone be taken
When the patient is having an increased productive cough
Daily
PRN
When sx occur
26
The provder orders BS to be checked AC/HS, the nurse would check the blood sugar when and how often
After meals and at bedtime. QID
Random BS with no regard to meals and at bedtime. BID
In the morning and at bedtme. BID
Before meals and at bedtime. QID
27
Humulin R onset
70 min
1-2 hours
6-14hours
30-60 min
28
Which of the following is NOT a complication of oral contraception therapy
Hypotension
MI, PE, stroke
Excess vaginal bleeding
Breast Cancer
29
Which of the following insulin tx complication occurs when the patient has hyperglycemia of unkown origin upon awakening
Somogyi Effect
Lipodystrophy
Dawn Phenomenon
Hypokalemia
30
Contraindications for sildenafil
Glaucoma
Decreased libido
Nitrates
Caffeine
31
The nurse should Mx for which complications regarding hormone oral contraception
Thromboembolic events (MI, stroke, PE)
Breast Cancer
Excess vaginal bleeding
Hypoglycemia
32
Intranasal Glucocorticoids are safer than topical or systemic decongestants and should be used as the first-line tx
True
False
33
Which medications should be tapered off instead of abrupt stop
Glucocorticoids
Nasal Decongestants
DM
Albuterol
34
Humulog is
Intermediate
Short Acting
Rapid Acting
35
Which of the following is a common side effect of metformin?
Bitter/ metalic taste
Polyuria & polydipsia
Seizures
Constipation
36
Calcitonin-Salmon is used to treat hypoparathyroidism while preventing bone loss and function
False
True
37
Which medications are used to manage BPH
Dutasteride
Finasteride
Sildenafil
Tamsulosin
38
Which of the following are Sulfonylureas and thus should not be taken if pt has a sulfa allergy
Glyburide
Acarbose
Metformin
Gipizide
39
Alendronate and Risedronate are considered to be ____ and are used to treat osteoporosis caused by hyperparathyroidism
Biphosphates
Calcium supplements
Thyroid hormones
Adrenal Hormone Replacements
40
When carring for a patient with a new diagnosis of Addison's, the nurse should expect which medication to be ordered
Hydrocortisone
Calcitonin-Salmon
Vasopressin
PTU
41
How long is insulin good for after opening
30 days
6 months
7 days
90 days
42
As a nursing intervention for a client taking Risendronate, you should give which vitamin for this medication therapy
B12
Vitamin D
Vitamin C
Vitamin K
43
A client is prescribed contraception, the nurse should
Rule out pregnancy
Educate to change transdermal patch every 4 weeks
Educate to change an arm implant every 3-10 years
Educate to take medications at the same time every day
44
Humulog Onset
30-60min
15-30 min
24hours
1-2 hours
45
Which of the following medications treats hypothyroidism
Propythiouracil (PTU)
Desmopressin
Calcitonin-Salmon
Levothyroxine
46
Client c/o worsening nasal congestion despite use of oxymetazoline nasal spray q2hr. Nurses best response:
This is an idiosyncratic reaction
Oversue will result in rebound congestion
This is not a nasal decongestant
Should be administered every hour for severe congestion
47
Which is true regarding Loratadine
Used as nasal decongestant
Can casue weight loss
Causes frequent urination
Will cause little to no drowsiness
48
Which of the following meications cannot be taken with contrast d/t risk for lactic acidosis
Acarbose
Glipizide
Metformin
Pioglitazone
49
A patient is on metformin, which chronic illness is contraindicated with this medication
Hyperglycemia
Renal Failure
Heart Failure
Diabetes
50
Which electrolyte imbalance is a potential complication of insulin therapy
Hyperalemia
Hypokalemia
Hypernatremia
Hyponatremia
51
Dexamethasone should be abruptly d/c if the patient experiences edema, increased appetite, and/or Cushing's syndrome.
True
False
52
Acetylcysteine in an inhalation route is considered
Antidote for acetaminophen overdose
Mucolytic
53
Humulin N (NPH) peak
1-5 hours
30min-2.5 hours
None
6-14 hours
54
Hbg A1C is described as what
BS after meals
BS before meals
Average BS over 1 months
Average of BS over 3 months
55
Nursing interventions for a patient taking Guafienesin
Increase fluids to at least 8 glassess of water a day
Educate that could cause asthma exacerbations d/t bronchospasm
Take medication w/ full glass of water
Tech client to report cough lasting longer than a week
56
Non-sulfonylureas have no potential to cause hypoglycemia
False
True
57
Most important teaching for a client taking an antitussive
Watch for diarrhea and abd cramping
H/a and HTN are common side effects
May cause tremors and/or anxiety
Will cause drowsiness and dizziness
58
Humulin R is
Rapid Acting
Short Acting
Intermediate
59
Humulin N (NPH) onset
70 min
30-60 min
15-30min
1-2 hours
60
Normal Hgb A1C
<5%
>7%
<7%
<10%
61
Which insulin can be given IV pump
Humulin R
Humulin N
Glargine
Humalog
62
Tamsulosin is used for:
Oral contraception
BPH
Erectile Dysfunction
Hyperglycemia
63
Glargine onset
15-30min
30-60min
1-2 hours
70min
64
Guafenesin, when not in combinations with other drugs, is conidered to be a(n)
Narcotic Antitussive
Histamine 1 Antagonist
Expectorant
Antitussive
65
Antitussives such as codeine with guafenesin work to treat what
Pain
Cough
Fever
Hyperglycemia
66
Dextromethorphan (DM) is considered a(n)
Antitussive
Narcotic antitusssive
Histamine 1 Antagonist
Expectorant
67
Which of the following are types of antitussives
Non-narcotic
Combination
Narcotic
Cough supressant
68
Which blood glucose is representative of hypoglycemia
145
90
73
56
69
Theophylline is considered to be a narrow-theraputic medication meaning the nurse should:
Obtain drug level
Use an IV pump if order say to give IV route
Recognise s/s of toxicity and administer Naloxone
Obtain peaks and troughs
70
Which condition is contraindicated in a patient taking Diphenydramine
Cough
Urticaria
Pneumonia
Glaucoma
71
Normal pre-prandial glucose
90-130
<180
<200
70-130
72
Nursing interventions for someone taking a glucocorticoids
Rinse mouth to prevent candida
Mx for fugal infection and/or live virus
Use MDI if avalible
Educate that efects will take 5-10 min to occur
73
Which insulin(s) pose a risk for hypoglycemia and the nurse should therefore have food avaliable
Humulin N
Glargine
Humalog
Humulin R
74
Which forms of nasal decongestants work faster and has less side effects than the other?
Systemic/Oral (Ex: pseudoephedrine)
Topical (Ex: oxymetazoline)
75
Which of the following are types of Type I DM Treatment
Excersie
Insulin Replacement
Diet
Glycemic Control
76
How should albuterol be taken
2 puffs every 4-6 hours
1 puff every 4-6 hours
When experiencing angina
PRN
77
Which of the following is
false
regarding Levothyroxine
It can be taken with Warfarin if client has a history of DVT
It can be taken with Digoxin if client experiences angina
Drug therapy will be lifelong
Crushed med should be placed in orange juice or water only
78
Vasopressin is contraindicated in which patient
40 yo w/ hypertension
50 yo w/ DM c/o increase thirst and polyuria
60 yo w/ fever and sore throat
70 yo w/ renal failure
79
Glipizide has no potential to cause hypoglycemia
False
True
80
How would the nurse prevent lipodystrophy
Giving a 15g carb snack
Appropriately using the sliding scale
Give insulin in the abdomen at the same time every day
Alternating insulin injection sites
81
You should not give Alendronate to a client who:
Has osteoporosis
Has normal serum Ca lvls
Takes Vitamin D regularly
Cannot sit upright for atleast 30 min
82
Which medication attatches to glucose in the blood and removes it
Sulfonylureas
Metformin
Acarbose
Insulin
83
Biguanides such as metformin do NOT affect insulin secretion but instead makes beta cells work more efficiently
False
True
84
Drug level for Theophylline
9-10.5
1.3-2.1
5-15
136-145
85
Humulin R duration
24 hours
3-6 hours
16-24 hours
6-10 hours
86
Levothyroxine would have which effect on T3 and T4 hormones
Decrease
Increase
87
Which of the following lab values must be treated if low before beginning Alendronate
Magnesium
PT/INR
TSH
Calcium
88
A pateint is prescribed codeine w/ guafenessin, the nurse should monitor for
adverse effects
such as:
Drowsiness
Respiratory depression
Nausea
Dependence
89
Diphenydramine is considered a generation 1 H1 blocker and thus does NOT cause drowsiness
True
False
90
Humulin R peak
1-5 hours
30min-2.5 hours
None
6-14 hours
91
The nurse should encourage the use of which vitamins for a patient on long-term metformin treatment
Folic Acid
Iron
B12
Contrast dye supplements
92
Insulin therapy complication caused by hyperglycemia upon awakening d/t release of hormones while asleep
Hypokalemia
Dawn Phenomenon
Lipodystrophy
Somogyi Effect
93
Which of the following is the safest decongestant
Diphenhydramine
Oxymetazoline
Pseudoephedrine
Beclomethasone
94
The assistive personel obtains a blood glucose of 269, how many units of insulin should the nurse administer
The AP should administer insulin since they obtained the BS
6
2
4
95
Montelukast should be taken
Twice daily
qhs
As needed
q4-6hours
96
Which of the following medications should not be taken if the client has a fish allergy
Calcitonin-Tuna
Desmopressin
Calcitonin-Salmon
Alendronate
97
The nurse should include what when teaching an older client about guaifenesin
Take w/ glass of water
Take qhs
Read OTC labels and ask provider before beginning cold remedies
Contact provider if cough lasts more than 2 days
98
A patient takes sildenafil at 1500 today, when is the soonest he can have his next dose
1500 tomorrow
After one full hour has passed
0300
2100
99
Humulog peak
6-14hours
None
1-5hours
30min-2.5
100
Which substance should be avoided with Theophylline
Magnesium
Caffiene (tea, coffee, dark chocolate)
Bananas
Diphenydramine