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Pharmacology ADN exam 2
Terms in this set (50)
What are the 2 most common side effects of loop diuretics such as furosemide (Lasix)?
Dizziness and light-headedness
Before giving a thiazide diuretic such as hydrochlorothiazide (Hydrodiuril), which laboratory value must you be sure to check?
5. An 80 year old pt prescribed furosemide tells you that she hears a ringing sound in her ears. what is your best response.
5. Hold the drug and notify the prescriber.
A pt prescribed a thiazide diuretic for hypertension reports light-headedness after taking the drug. To ensure the safety of the pt. what action do you take?
Instruct the pt to call for help before getting out of bed.
A pt prescribed oxybutynin (Ditropan) asks you about the reason for taking the drug. what is your best response?
It will decrease spasms in your bladder and decrease urinary incontinence.
which action is most important after administering silodosin (Rapaflo) to a pt?
Reminding the pt to change positions slowly
Which precaution is most important to teach a pt prescribed tamsulosin (Flomax) for treatment of BPH?
Do not take this drug if yhou are allergic to "sulfa" drugs.
7. What must you teach a woman being discharged after delivering a baby about using drugs for overactive bladder?
7. These drugs are not recommended while you are breastfeeding.
* A pt who is taking a beta blocker for hypertension asks how this drug lowers blood pressure. What is your best response?
* It reduces the heart rate
0. A pt who is taking captopril (Capoten) 25 mg twice daily develops a cough. what is your priority action?
0. Withhold the dose and notify the presciber
+ A pt prescribed losartan (Cozaar) develops swelling of the face, including the eyes, lips and toungue. what is your best action?
+ Hold the drug and notify the prescriber.
Which statement by a pt who is prescribed enalapril (Vasotec) indicates the need for additional teaching?
ACE inhibitors have caused birth defects in laboratory animal studies.
- A pt takes losartan (Cozaar) 50 mg once a day to control high blood pressure. For which life-threatening adverse effect do you assess the pt?
- A. Swelling in the ankles or feet
D. Crackles in lungs
E. Blood pressure
F. Heart rate
Which points must you be sure to teach the pt who is going home and continuing to take clonidine (Catapres) 0.2 mg twice daily for blood pressure control?
A. Do not drive or operate machines
C. REmember to change positions slowly
D. Use frequent mouth rinses for dry mouth
E. Take the drug every day at the same time.
A 33 yr old female pt. is currently taking HCTZ (Hyzaar) 50 mg and metoprolol (Lopressor) 100 mg daily to control her blood pressure. She tells her prescriber that she plans to become pregnant. what drug will the prescriber most likely prescribe now?
A pt who has just been prescribed hydralazinIt (apresoline) for hypertension asks you how will the drug will work. What is your best respose?
It will cause your arteries to dialate.
2. Which symptoms will you likely see in a pt with right heart failure?
2. A. Ankle edema
B. Full jugular veins when sitting
D. Weight gain
E. Distended abdomen
A pt who has recently started on isosorbide dinitrate (Isordil) 20 mg twice daily reports having terrible headaches. what is your best action?
Offer the pt a dose of prescribed PRN acetaminophen
Which drug can be used safely during preganancy to control high blood pressure.
A pt prescribed potassium (KLyte) 20 mEq tells you he has skipped heartbeats. what is your best action
check the most recent blood potassium level
1. A pt is receiving potassium chloride 10 mEq in 100 ml 0.9 saline IV over 1 hour. For which side effects should you monitor?
1. A. Pain at the IV site
B. Abdominal discomfort
D. Nausea and vomiting
E. ECG changes
What is the most important teaching point for a pt who will go home taking 0.125 mg of digoxin each day?
Check pulse for a full min before taking digoxin
What should you teach ethe family of an older adult who has recently been prescribed nesiritide?
To assess level of alertness and thought processes.
A pt with an abnormally slow heart reate is dizzy, light-headed, and short of breath. How will administration of IV atropin treat his bradydysryythmia?
Atropine blocks the actions of the vagus nerve on the heart
What is the maximum dose of atropine (Atropine Sulfate) for an adult patient
^ What action must you take for a pt who is prescribed digoxin (Lanoxin) 0.25 mg once daily and whose heart rate is 54 beats per min.
^ Hold the dose and notify the prescriber.
$ A pt asks you why digoxin (Lanoxin) has been prescribed for atrial fibrillation. What is your best response.
$ It will slow your heart rate.
What priority action do you take before giving a dose of digoxin to an infant or child?
Check the dosage with another nurse or pharmacist
Which symptom is developed by as many as 50% of pts taking a class la antidysrhythmic drug?
What laboratory value must you be sure to check before giving a beta blocker to a pt with diabetes?
Serum glucose level
What important point do you include in your teaching plan for the female pt going home with the class 3 antidysrhythmic drug amiodarone (Codarone)?
Be sure to use a sunscreen before you spend time outside
Which side effect after giving the class lb antidysrhythmic drug lidocaine (Xylocaine) indicates drug toxicity in an older adult?
A pt asks you how statin drugs lower blood lipid levels. what is your best response?
They decrease production of cholesterol by the liver
A pt recently started on a statin drug reports muscle ace in the calf. What is your best first action?
Hold the drug and notify the prescriber immediately
Before giving a statin drug, what information must you be sure to obtain?
A. a complete list of drugs that the pt is currently taking
B. The possibility of pregnancy
D. Any history of muscle problems
E. how much alcohol the pt consumes each day
A pts triglyceride level is very high. which drug and drug dosage do you teach the pt might correct this level?
gemfibrozil (Lopid) 600 mg twice a day
@ A 28 year old female pt who has been prescribed atrovastatin (lipitor) to control familial hyperlipidemia tells you that she and her spouse want to become pregnant? What is your best action?
@ Instruct her to discuss becoming pregnant with her prescriber
The pt prescribed niacin 1 gram 3 times a day experiences nausea and vomiting when taking this drug. what is your best action?
Give the drug with food
What action should you take for a diabetic pt prescribed niacin (Niacor)?
Monitor the pts blood glucose before each meal and at bedtime.
You are providing taching to a pt who has been prescribed nicotinic acid (Niacor). What information should you be sure to include in the teaching plan?
Take Niacor with meals or a low fat snack
# What do you teach a woman prescribed niacin (Niacor) who is planning to become pregnant and breastfeed her baby?
# This drug is secreted in breast milk
Which drug will dissolve an already existing clot?
For which adverse effect must you monitor in a woman taking a platelet inhibitor?
Which action is essential before beginning coninuous IV heparin therapy?
Get an accurate baseline pt weight
A pt asks you why only one aspirin a day has been prescribed. What is yur best response?
To keep your platelets from forming a clot
Which anticoagulant drug is realitively safe to use during pregnancy?
What is an intended response when a pt is prescribed epoetin alfa (Epogen). What is your best response?
blood cell levels normalize
The pt is prescribed the first dose of colony-stimulating factor drug. What action must you perform after giving this drug?
Check the pt every 15 min for an allergic reaction
Which teaching point do you include in a care plan for a pt being discharged on a prescribed conolystimulating factor drug
blood tests will need to be performed to monitor the effects of this drug
What is the danger for an older adult who is taking a colony stimulating drug?
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