NUR 2474 Pharmacology for Professional Nursing
Pharm Final Exam Q & A
Pt comes in w/ difficulty breathing & is started on oxygen, IV and corticosteroid. Pt complains of mouth hurting after nebulizer. Pt states they stopped using inhaler d/t mouth burning. What's happening?
Correct Answer:
Pt has thrush/oral sores
Pt w/ asthma is started on theophylline. What is an adverse effect of theophylline?
Correct Answer:
Tachycardia
Pt with asthma comes in & has wheezing in upper lobes of lungs & shallow respirations. What med will be ordered?
Correct Answer:
Bronchodilator
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Education needed for omeprazole?
Correct Answer:
Take on empty stomach, 30-60 minutes before food. Could be taken in AM
Pt w/ heartburn did not take omeprazole & is now in the ER. We suspect pt has peptic ulcer disease. What med will be ordered?
Correct Answer:
Sucralfate. Coats stomach lining (protective gel)
When should sucralfate be taken?
Correct Answer:
Before a meal, on an empty stomach
Pt w/ severe arthritis takes frequent aspirin. What pt education is needed regarding aspirin?
Correct Answer:
Take w/ food to prevent ulcers. Increases risk of bleeding. Can cause nephrotoxicity.Report bleeding (stool, urine, emesis, gums, nose) Can cause ringing in the ears***
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Can children 2 years and younger take aspirin?
Correct Answer:
No, their kidneys do not function fully aspirin toxicity Also, if they have the flu & take aspirin reye's syndrome
12 year old w/ ADHD is prescribed methylphenidate. What teaching should the parent be given?
Correct Answer:
Take in AM and no later than 4pm. Breakfast and lunch. Drink fluids. Lock it up.Monitor for weight loss d/t decreased appetite. Take drug holidays to prevent growth suppression. Taper off when d/c
What is a drug half-life?
Correct Answer:
The time it takes for half the medication to be metabolized for elimination
Pt w/ multiple comorbidities. Any med prescribed will have adverse reactions or side effect. However, pt needs to be on medication. So if the med has toxic side effect for the liver, what should we do?
Correct Answer:
Educate pt on signs of toxicity. Monitor pt closely. Draw labs to monitor liver: LFT, BUN. Monitor labs for kidneys: creatinine, BUN, GFR. Monitor labs for respiratory: ABGs, oxygen, CBC, WBC
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