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NSG 349 Pharm Final
Terms in this set (47)
What is the main cause for antibiotic resistance?
Not finishing the entire course of medication
Your patient is diagnosed with C. diff. Which medication can you expect to be ordered to treat the infection?
(Metronidazole may also be prescribed)
Which symptoms show that the antibiotic is having a therapeutic effect? Select all that apply
A. decreased WBC
B. decreased platelets
D. improved pain
E. decrease in erythema
What should be prescribed with an antibiotic to help with potential GI problems such as nausea and vomiting?
What education regarding sexual activity should be included when beginning the administration of an antibiotic?
antibiotics may interact with oral contraceptives
After administering Metronidazole, your patient develops severe nausea and vomiting, excessive sweating, and becomes hypotensive. What does the nurse expect to be the culprit?
A. anaphylactic shock
B. Reye's syndrome
C. Disulfiram reaction
D. Stevens-Johnson syndrome
C. disulfiram reaction
What is the antidote for acetaminophen?
What is the antidotes for opioid analgesics?
What is the antidote for benzodiazepine?
What is the antidote for digoxin?
What is the antidote for heparin?
What is the antidote for warfarin?
Your patient is experiencing seasonal allergies and has episodes of nausea and vomiting. Which drug would you expect to administer?
What are the 4 main side effects that anticholinergics have?
This antihistamine is a 1st generation that can be taken multiple times a day. It's associated with drowsiness and patients who take it are advised to not operate heavy machinery or drive.
These antihistamines are 2nd generation, involve daily dosing, and are less likely to cause drowsiness
This drug class kills fast growing cells as an attempt to control growth of cancer cells
which of the following is not a common side effect of an antineoplastic?
When reviewing the chemo patient's labs, the nurse notices that the patient has low RBC, low WBC, and low platelets. How should the nurse proceed?
A. Document. These are normal findings
B. Notify the MD and prepare the patient for a blood transfusion
C. Inform the blood bank to send up O-negative
A. document. These are normal findings
How long before chemo therapy should metoclopramide (or ondansetron) be given?
what should the nurse prepare to give if the chemo patient develops tumor lysis syndrome?
which antineoplastic needs an echocardiogram done routinely because the patient is at a higher risk for cardiotoxicity?
What are the main side effects associated with tamoxifen
interferes with reproduction
causes hot flashes
how is vincristine administered?
which antineoplastic may require folic acid replacement and can also be used for autoimmune disorders?
what 2 reasons would you administer an antitussive to a patient?
postop an abdominal surgery
How long can a patient take an antitussive before contacting their primary healthcare provider?
What should the nurse monitor when a patient takes hydrocodone for their cough?
which antitussive is available over the counter?
what do beta blockers end in?
which class of drugs prevents further damage after a myocardial infarction?
When should you hold a beta blocker that is scheduled to be administered to a patient?
HR less than 60 BPM
How long should you stay with the patient after beginning a transfusion?
which type of patient receives whole blood?
What is the only downside to PRBCs?
There are no clotting factors or plasma
What adverse reactions should the nurse monitor for while giving a blood transfusion?
shortness of breath
change in loss of consciousness
Which of the following actions requires immediate nursing intervention?
A. The nurse puts leads on a patient prior to starting an administration of doxorubicin
B. The nurse holds a decongestant medication for a diabetic patient
C. The nurse introduces herself as she walks into the room
D. The nurse hangs the PRBCs with Lactated Ringers
D. The nurse hangs the PRBCs with Lactated Ringers
Which antibiotics are prescribed for MRSA
5th generation cephalosporins
If your patient is allergic to penicillin, then what else cannot be prescribed to your patient?
Which patients should not take decongestants?
When should oxymetazoline be administered
in the morning (decongestant)
decongestants may cause tremors, hypertension, tachycardia, and/or insomnia. Which system is this?
sympathetic nervous system
what education should be included with the administration of guiafenesin?
Patients should remain well hydrated
Which of the following should you not take an iron supplement with?
A. grapefruit juice
D. Orange juice
Describe how stool may look when the patient is on an iron supplement
green, black, tarry
Which drugs should you not use with nitrates/nitrites?
erectile dysfunction drugs
what should the nurse assess for prior to administering an NSAID
Lab values (CBC, platelets, renal, liver function)
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