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NSG5240 PHARM QUIZ 1 with accurate detailed solutions

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NSG5240 PHARM QUIZ 1 with accurate detailed solutions

Institution
NSG5240
Course
NSG5240

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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)

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+)

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Institution
NSG5240
Course
NSG5240

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