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Pharm. Chap 30-33, 36-37 study guide quests

Study guide questions
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Pharmacology (NUR206)

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Academic year: 2021/2022
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ŚĂƉƚĞƌϯϬ͗WŝƚƵŝƚĂƌLJ'ůĂŶĚ

  1. When administering vasopressin, what is the priority vital signs for the nurse to monitor? a. Temperature b. Pulse c. Respiration d. Blood pressure
  2. A nurse is administering octreotide to a patient who has a metastatic carcinoid tumor. The patient asks about the purpose of this drug. What is the nurse’s best response? a. “ this truck help reduce the size of your tumor” b. “ this drug works to prevent the spread of your tumor” c. “ this drug helps control the flushing and diarrhea that you are experiencing” d. “ this drug reduce the nausea and vomiting you are having from the chemotherapy”
  3. A patient has a possible diagnosis of adrenocortical insufficiency. The nurse anticipates with drug to be used for this diagnosis? a. Desmopressin b. Cosyntropin c. Octreotide d. Somatropin
  4. The nurse will instruct the patient taking desmopressin acetate as a nasal spray for the treatment of diabetes insipidus to perform which action to obtain maximum benefit from the drug? a. Clear nasal passage before spraying the medication b. Blow his know after taking the medication c. Take an over the counter preparation to control mucus if nasal congestion occurs. d. Press on the pump once to prime it before delivering the dose.
  5. During vasopressin therapy, which is the priority nursing action? a. Check blood glucose level regularly b. Monitor the electrocardiogram for a changes c. Monitor the IV site for signs of infiltration d. Watch for hyperthermia
  6. Which drug antagonizes the affects of natural growth hormone? a. Octreotide b. Vasopressin c. Somatropin d. Cyclosporin
  7. When assessing a patient who is receiving octreotide therapy, the nurse will closely monitoring which assessment finding? a. Blood glucose levels b. Pulse c. Weight d. Serum potassium levels
  8. When monitoring for the therapeutic effects of intranasal desmopressin (DDAVP) in a patient who has diabetes insipidus, which assessment finding will the nurse look for an indication that the medication therapy is successful? a. Increase insulin level b. Decreased diarrhea c. Improved nasal patency

d. Decreased urine output 9. A child who is weight 44 lbs and is experiencing growth failure is to receive growth hormone therapy. The dosage ordered is 0/3mg/kg per week, to be given as a series of one injection per day for 6 days.

Chapter 31: Thyroid and Antithyroid Drugs

  1. A patient who is beginning therapy with levothyroxine ask the nurse when the medication will start working. What is the nurse’s best response? a. Immediately b. Within a few days c. Within a few weeks d. Within a few months
  2. A patient wants to switch brands of levothyroxine. What is the nurse’s best response? a. “If you do this, you should reduce the dosage of your current brand before starting the new one” b. “Levothyroxine has been standardized, so there is only one brand” c. “It shouldn’t matter if you switch brands, they are all very much the same” d. “You should check with your provider before switching brands”
  3. Patient teaching for a patient taking anti-thyroid medication will include they need to avoid which foods? a. Soy products and seafood b. Bananas and oranges c. Dairy products d. Processed meats and cheese
  4. Which information needs to be included in the nurse’s teaching of patients taking thyroid medication? (Select all that apply) a. Keeping a log or journal of individual responses and a graph a pulse rate, weight, and mood would be helpful b. The medication will be discontinued if the adverse effects become too strong c. The medication needs to be taken at the same time every day d. Nervousness, irritability, and insomnia may be a result of a dosage that is too high e. Take thyroid replacement drugs after meals
  5. A patient is scheduled for a radioactive isotope study. The scheduling nurse notes that he takes levothyroxine daily. Which medication order needs to be made before radioactive isotope study is scheduled? a. Continue to take the levothyroxine as ordered b. Do not take levothyroxine on the morning of the test c. Stop the levothyroxine about four weeks before the test d. Reduce the levothyroxine dosage by 1/2 one week before the test
  6. Which statement is accurate regarding the method of action of I-131? a. Radioactive iodine works by decreasing the synthesis of thyroid hormone b. Radioactive iodine works by decreasing the production of thyroid-stimulating hormone c. Radioactive iodine works by inhibiting the negative feedback mechanism d. Radioactive iodine works by destroying the thyroid gland
  7. Which statement is accurate regarding the method of action of methimazole?

441bs =2 = 20kg x0.

mg

=

6mg

a. Decreased pulse and respiratory rate and flushed skin b. Increased pulse rate and fruity, acetone breath odor c. Irritability, sweating and confusion d. Increase urine output an edema 5. When will the nurse administer the drug acarbose? a. Within the first bite of a meal b. 15 minutes before a meals c. 30 minutes before a meal d. 1 hour after eating 6. A patient taking Glipizide asks the nurse, “ how does my insulin pill work, anyway?” Which information will the nurse provide to the patient regarding the mechanism of action of glipizide? a. “It increases insulin production” b. “It helps the body use insulin” c. “ It decreases the amount of glucose made by the liver” d. “It decreases the amount of glucose the body takes in from food.” 7. The nurse is reviewing the history a patient who will be taken the amylin mimetic drug pramlintide. Which condition is a contraindication of the use of this drug? a. Hypertension b. Coronary artery disease c. Hypothyroidism d. Gastroparesis 8. The nurse will monitoring for significant interaction if Staglipin is given which drug class? a. Corticosteroids b. Sulfonylureas c. Thyroid drugs d. NSAIDs 9. Which is a major risk factor for the development of type 2 diabetes? a. Kidney disease b. Liver disease c. Obesity d. Hypercholesterolemia 10. Which A1C level represents the desired level for the glycemic goal for patients with diabetes? a. 10 b. 9 c. 8 d. 7 11. Which patient condition would the nurse identify as being a contraindication for the use of Afrezza? a. Kidney disease b. Chronic lung disease c. Chronic Liver disease d. Psoriasis 12. The duration of action of insulin glargine is.... a. 30 mins b. 1 hr c. 6-8 hrs d. 24 hrs

  1. A patient is receiving basal insulin dosing, and sliding-scale insulin order reads, “Do bedside glucose testing before meals. For glucose results over 150mg/dL, give regular insulin, 1 unit for every 20 mg/dL, give regular syringe, 1 unit for every 20 mg/dL over 150 mg/dL. “If the blood glucose level is 238mg/dL, the patient will receive unit(s) of insulin

Chapter 33: Adrenal Drugs

  1. A patient has been taking prednisone as part of treatment for bronchitis, and he notices that the dosage of the medication decreases each day. During a follow-up office visit, he asks the nurse why he must continue the medication and why he cannot just stop taking it now that he feels better. What is the rationale behind the tapering dosages? a. Sudden discontinuation of this medication may result in adrenal insufficiency. b. The patient would experience withdrawal symptoms if the drug were discontinued abruptly. c. Cushing's syndrome may develop as a reaction to a sudden drop in serum cortisone levels. d. When the symptoms have started to disappear, lower dosages are needed.
  2. The nurse is reviewing the use of oral glucocorticoid. Which of these is the preferred oral glucocorticoid for anti-inflammatory or immunosuppressant purposes? a. Fludrocortisone b. Dexamethasone c. Prednisone d. Hydrocortisone
  3. When monitoring a patient who is taking corticosteroid, the nurse observes for which adverse effects? (Select all that apply.) a. Fragile skin b. Hyperglycemia c. Nervousness d. Hypotension e. Weight loss f. Drowsiness
  4. A patient is in premature labor. Which of these will be given to accelerate fetal lung maturation? a. Dexamethasone b. Betamethasone c. Hydrocortisone d. Fludrocortisone
  5. Indications for systemic glucocorticoids include which of these? a. Cerebral edema b. Peptic ulcer disease c. Glaucoma d. Thyroiditis e. Spinal cord injury f. Organ transplantation
  6. Because corticosteroids may cause sodium retention, the nurse will closely monitor patients with which condition when administering corticosteroids? a. Diabetes mellitus

c. Antitussives such as dextromethorphan d. Expectorants such as guaifenesin e. Inhaled corticosteroids such as beclomethasone 4. When giving an antitussive, the nurse remembers that they are used primarily for what reason? a. To relieve nasal congestion b. To thin secretions to ease removal of excessive secretions c. To stop the cough reflex when the cough is nonproductive d. To suppress productive and nonproductive coughs 5. The nurse is administering and expectorant and will provide which teaching? a. Avoid fluids for 30 to 35 minutes after the dose. b. Drink extra fluids, unless contraindicate to aid in expectoration of sputum. c. Avoid driving or operating heavy machinery while taking this medication. d. Expect secretions to become thicker 6. A patient has been self-medicating with diphenhydramine to help her sleep. She calls the clinic nurse to ask, “why do I feel tired during the day after I take this pill? I get a good night's sleep!” Which statement by the nurse is correct? a. "You are probably getting too much sleep." b. "You are taking too much of the drug.” c. "This drug is not really meant to help people sleep." d. "This drug often causes a 'hangover effect” during the day after taking it. 7. A patient is asking about taking an antihistamine for springtime allergies. The nurse assesses for contraindications to antihistamine therapy. Which of these conditions, if present, would be a contraindication? (Select all that apply.) a. Type 2 diabetes mellitus b. Benign prostatic hyperplasia c. Hyperthyroidism d. Narrow-angle glaucoma e. Asthma 8. Which outcome would the nurse recognize as a positive response to guaifenesin? a. Decreased wheezing b. Increase in respiratory rate c. Increase in sputum production d. Decreased use of accessory muscles for breathing 9. Which of the following represents the only intranasal anticholinergic drug in use today? a. Flunisolide b. Fluticasone c. Ipratropium d. Ciclesonide 10. Which fact should the nurse provide to the patient with a new prescription for oxymetazoline? a. Limit intake of caffeine. b. Limit use of the medication to 3 days. c. Take the medication with a full glass of water. d. The onset of action is immediate. 11. A patient is to receive guaifenesin, 300 mg, via his nasogastric tube. The available medication is syrup, 100 mg/5 mL many milliliters will the nurse administer?

100mg/5m

=

20mg/mL 300mg x

mL

= 15mL -

####### 20mg

  1. A 5-year-old child is to receive a one-time dose of diphenhydramine, 6 mg PO. The medication is available in a liquid syrup form with a concentration of 12 mg/5 mL. How many milliliters will the nurse administer for this dose?

Chapter 37: Respiratory Drugs

  1. The nurse is teaching a group of patients about the use of bronchodilators. It is important to remind them that overuse of bronchodilators may cause which adverse effects? (Select all that apply.) a. Blurred vision b. Increased heart rate c. Decreased heart rate d. Nausea e. Nervousness

  2. For patients taking a leukotriene receptor antagonist, the nurse should include which information in the patient teaching? a. If a dose is missed, the patient may take a double dose to maintain blood levels. b. The patient should gargle or rinse the mouth after using the inhaler. c. The medication should be taken at the first sign of bronchospasm. d. Improvement should be seen within a week of use.

  3. Which drug acts by blocking leukotrienes, thus reducing inflammation in the lungs? a. Cromolyn b. Montelukast c. Theophylline d. Albuterol

  4. A patient is experiencing status asthmaticus. The nurse will prepare to administer which drug first? a. Epinephrine b. Methylprednisolone c. Cromolyn d. Montelukast

  5. When a patient is taking parenteral xanthine derivatives such as aminophylline, the nurse should monitor for which adverse effect? a. Decreased respirations b. Hypotension c. Tachycardia d. Hypoglycemia

  6. The nurse would be correct in identifying which of the following levels as representative of a therapeutic level of theophylline? a. 0 to 5 mcg/mL b. 5 to 15 mcg/mL c. 15 to 25 mcg/mL d. 25 mcg/mL or greater

  7. Which of the following patient factors would most concern the nurse in a patient who is taking Theophylline? a. The patient has increased fluid intake. b. The patient smokes a pack of cigarettes a day.

  8. 12 mg

mg/5mL

= 2.

mg/mL -x

mL = 2

####### 2

f

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Pharm. Chap 30-33, 36-37 study guide quests

Course: Pharmacology (NUR206)

14 Documents
Students shared 14 documents in this course

University: Carrington College

Was this document helpful?
ŚĂƉƚĞƌϯϬWŝƚƵŝƚĂƌLJ'ůĂŶĚ
1. When administering vasopressin, what is the priority vital signs for the nurse to monitor?
a. Temperature
b. Pulse
c. Respiration
d. Blood pressure
2. A nurse is administering octreotide to a patient who has a metastatic carcinoid tumor. The
patient asks about the purpose of this drug. What is the nurse’s best response?
a. “ this truck help reduce the size of your tumor”
b. “ this drug works to prevent the spread of your tumor”
c. “ this drug helps control the flushing and diarrhea that you are experiencing”
d. “ this drug reduce the nausea and vomiting you are having from the chemotherapy”
3. A patient has a possible diagnosis of adrenocortical insufficiency. The nurse anticipates with
drug to be used for this diagnosis?
a. Desmopressin
b. Cosyntropin
c. Octreotide
d. Somatropin
4. The nurse will instruct the patient taking desmopressin acetate as a nasal spray for the
treatment of diabetes insipidus to perform which action to obtain maximum benefit from the
drug?
a. Clear nasal passage before spraying the medication
b. Blow his know after taking the medication
c. Take an over the counter preparation to control mucus if nasal congestion occurs.
d. Press on the pump once to prime it before delivering the dose.
5. During vasopressin therapy, which is the priority nursing action?
a. Check blood glucose level regularly
b. Monitor the electrocardiogram for a changes
c. Monitor the IV site for signs of infiltration
d. Watch for hyperthermia
6. Which drug antagonizes the affects of natural growth hormone?
a. Octreotide
b. Vasopressin
c. Somatropin
d. Cyclosporin
7. When assessing a patient who is receiving octreotide therapy, the nurse will closely monitoring
which assessment finding?
a. Blood glucose levels
b. Pulse
c. Weight
d. Serum potassium levels
8. When monitoring for the therapeutic effects of intranasal desmopressin (DDAVP) in a patient
who has diabetes insipidus, which assessment finding will the nurse look for an indication that
the medication therapy is successful?
a. Increase insulin level
b. Decreased diarrhea
c. Improved nasal patency

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