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NSG240 Pharmacology Final Exam with precise detailed answers || || || || || || ||
Client was given psyllium/Metamucil for constipation. What should the nurse do? -
|| || || || || || || || || || || ||
✔✔Give plenty of fluids || || ||
Psyllium Class - ✔✔bulk laxative - causes feces to clump
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Client was given insulin 30 minutes before breakfast, but breakfast was not received. Client
|| || || || || || || || || || || || || ||
is jittery and nervous. What should the nurse do? - ✔✔-Check blood sugar (prob <70)
|| || || || || || || || || || || || || ||
-Give cup of OJ, apple, or cranberry juice
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Regular vs. NPH: which usually has larger number of units? - ✔✔Regular;
|| || || || || || || || || || || ||
shorter-acting/intermediate
How long does NPH last? Regular? - ✔✔NPH = 16-24hr
|| || || || || || || || ||
Regular = 6-10hr || ||
Client has taken oral diabetic med, but refuses breakfast. What should the nurse do? - ✔✔-
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Monitor for hypOglycemia || ||
-Check blood sugar, and if needed, give glucose tabs, IM glucagon, or OJ/grape juice/milk
|| || || || || || || || || || || || ||
-Recheck blood sugar || ||
Finasteride Indication - ✔✔BPH (benign prostatic hyperplasia) for men
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Finasteride Pregnancy Category - ✔✔X; *wear gloves* (fetal abnormalities)
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, 2
Sildenafil (Viagra) interaction - ✔✔Do not take with nitrates/nitroglycerin (irreversible
|| || || || || || || || || ||
hypotension > cardiac arrest) || || ||
Nitroglycerin indication - ✔✔angina (it's a nitrate) || || || || || ||
Sildenafil (Viagra) complications - ✔✔Priapism, MI, sudden hearing loss, sudden death
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Client of child-bearing age must do what before being prescribed oral contraceptive? -
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✔✔Take pregnancy blood test || || ||
Client is on PPI proton pump inhibitor (ex. omeprazole) for long-term therapy. Potential
|| || || || || || || || || || || || ||
adverse effect? - ✔✔osteoporosis (any age, any gender)
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S/S of digoxin toxicity - ✔✔hypOkalemia - seeing yellow hazes/halo around lights
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Spironolactone (Aldactone) class - ✔✔potassium sparing diuretic; think "spir"/"spare"
|| || || || || || || ||
Spironolactone (Aldactone) complications - ✔✔HypErkalemia (*saves* K+) || || || || || ||
Tetracycline class - ✔✔antibiotic || || ||
Tetracycline ordered to treat acne for female client. What to advise? - ✔✔-use alternative
|| || || || || || || || || || || || || ||
form of birth control
|| || ||
-stains teeth, so not given to kids
|| || || || || ||
-stay out of the sun
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NSG240 Pharmacology Final Exam with precise detailed answers || || || || || || ||
Client was given psyllium/Metamucil for constipation. What should the nurse do? -
|| || || || || || || || || || || ||
✔✔Give plenty of fluids || || ||
Psyllium Class - ✔✔bulk laxative - causes feces to clump
|| || || || || || || || ||
Client was given insulin 30 minutes before breakfast, but breakfast was not received. Client
|| || || || || || || || || || || || || ||
is jittery and nervous. What should the nurse do? - ✔✔-Check blood sugar (prob <70)
|| || || || || || || || || || || || || ||
-Give cup of OJ, apple, or cranberry juice
|| || || || || || ||
Regular vs. NPH: which usually has larger number of units? - ✔✔Regular;
|| || || || || || || || || || || ||
shorter-acting/intermediate
How long does NPH last? Regular? - ✔✔NPH = 16-24hr
|| || || || || || || || ||
Regular = 6-10hr || ||
Client has taken oral diabetic med, but refuses breakfast. What should the nurse do? - ✔✔-
|| || || || || || || || || || || || || || ||
Monitor for hypOglycemia || ||
-Check blood sugar, and if needed, give glucose tabs, IM glucagon, or OJ/grape juice/milk
|| || || || || || || || || || || || ||
-Recheck blood sugar || ||
Finasteride Indication - ✔✔BPH (benign prostatic hyperplasia) for men
|| || || || || || || ||
Finasteride Pregnancy Category - ✔✔X; *wear gloves* (fetal abnormalities)
|| || || || || || || ||
, 2
Sildenafil (Viagra) interaction - ✔✔Do not take with nitrates/nitroglycerin (irreversible
|| || || || || || || || || ||
hypotension > cardiac arrest) || || ||
Nitroglycerin indication - ✔✔angina (it's a nitrate) || || || || || ||
Sildenafil (Viagra) complications - ✔✔Priapism, MI, sudden hearing loss, sudden death
|| || || || || || || || || ||
Client of child-bearing age must do what before being prescribed oral contraceptive? -
|| || || || || || || || || || || || ||
✔✔Take pregnancy blood test || || ||
Client is on PPI proton pump inhibitor (ex. omeprazole) for long-term therapy. Potential
|| || || || || || || || || || || || ||
adverse effect? - ✔✔osteoporosis (any age, any gender)
|| || || || || || ||
S/S of digoxin toxicity - ✔✔hypOkalemia - seeing yellow hazes/halo around lights
|| || || || || || || || || || ||
Spironolactone (Aldactone) class - ✔✔potassium sparing diuretic; think "spir"/"spare"
|| || || || || || || ||
Spironolactone (Aldactone) complications - ✔✔HypErkalemia (*saves* K+) || || || || || ||
Tetracycline class - ✔✔antibiotic || || ||
Tetracycline ordered to treat acne for female client. What to advise? - ✔✔-use alternative
|| || || || || || || || || || || || || ||
form of birth control
|| || ||
-stains teeth, so not given to kids
|| || || || || ||
-stay out of the sun
|| || || ||
