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5 Written questions

5 Matching questions

  1. What is c. diff? What causes it? What treats it?
  2. What is Steven's Johnson Syndrome? What causes it?
  3. Define a partial agonist
  4. What is involved in nursing care of vesicant (anti-ca) agents?
  5. What is schizophrenia?
  1. a cause: clindamycin, amoxicillin, ampicillin, cephalexin
    bacterial infection - contact, hand sanitizer doesn't kill it!
    treatments: metronidiazole (Flagyl) or vanco
  2. b - widespread lesions of skin and mucous membranes
    - fever, malaise, toxemia, can be fatal
    - mostly happens with sulfonamides
  3. c a chronic psychotic illness characterized by disordered thinking and reduced ability to comprehend reality
    + symptoms: exaggeration or distortion of normal functioning, hallucinations, delusions, agitation, tension, and paranoia. respond to 1st and 2nd gen
    - symptoms: loss or diminution of normal function, lack of motivation, poverty of speech, blunted effect, poor self care, social withdrawal. 1nd gen are better treatment for - symptoms
  4. d -has only moderate intrinsic activity
    -the maximal effect that a partial agonist can produce is lower than that of a full agonist
    - can act as agonists or antagonists
  5. e - to minimize the risk of injury, IV admin should be performed only into a vein w/ good flow.
    - Sites of previous irradiation should be avoided
    - If extravasation occurs, infusion d/c immediately
    - extreme caution should be employed

5 Multiple choice questions

  1. - a blood test done to check long-term blood sugar twice a tear over 3 months in diabetic pts.
    - fasting is not necessary
    - ideal value is <7% for diabetic, <6% for normal
  2. indications: erectile dysfunction
    AE: hypotension, priapism (long erection), HA, dyspepsia, flushing, nasal congestion, diarrhea, rash, dizziness, mild transient visual disturbances, intensified OSA
    drug interactions: nitrates (causing hypotension), alpha blockers, grapefruit juice can suppress metabolism
  3. *codeine
    indications: decrease frequency, intensity of cough. Suppresses the cough reflex directly at the cough center in the medulla
    AE: suppress respirations, cause drowsiness, dizziness, HA, blurred vision, upset stomach, nausea, constipation, dry mouth/nose/throat
  4. *Colace
    indications: lowers surface tension allowing water into the feces
    - best for <3 pts
    - acts in 1-3 days
    - take w/ full glass of h2o
    AE: diarrhea
  5. indications: hypothyroidism, maintains thyroid levels after surgery
    AE: rare, w/ acute OD thyrotoxicosis can occur s/s tachycardia, angina, tremor, nervousness, insomnia, hyperthermia, heat intolerance, & sweating

5 True/False questions

  1. What are the advantages of parenteral routes?fast acting due to skipping the absorption period
    control of drug levels in blood
    use of large fluid volumes
    use of irritant drugs
    - can't reverse w/o antidote, expensive

          

  2. What information should a nurse obtain to prevent drug-to-drug interactions?ask what OTC, prescribed, and herbal therapies the patient is taking

          

  3. Hydrochlorothiazide (HCTZ)indications: HTN, edema, diabetes insipidus
    AE: hyponatremia, hypochloremia, hypokalemia, dehydration, hyperglycemia, hyperuricemia, increase LDL, increase excretion of mg
    - monitor i/o, weigh pt
    -do not take while pregnant or breast-feeding
    - interacts with digoxin, antihypertensive drugs, lithium, and NSAIDs

          

  4. Rifampin (rifadin)indications: TB
    - always used w/ other TB meds
    AE: red orange discoloration of secretions, hepatotoxicity, hepatitis

          

  5. Potassium Sparing Diuretics (spironalactone/aldactone)indications: mainly HTN, edema, <3 failure, and commonly in combo with a thiazide or loop diuretic.
    -spironalactone counteracts the K-wasting effects of the more powerful diuretics
    AE: hyperkalemia, benign and malignant tumors, endocrine effects (gynecomastia, menstrual irregularities, impotence, hirutism (excessive hair growth in women) and deepening of the voice)

          

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