PHARM 180 MIDTERM QUESTIONS | VERIFIED
ACCURATE ANSWERS | 2026
Glucocorticoid drugs have the ability to suppress inflammation, it can mask symptoms
of infection and should not be given to patients with actual infection. Remember that
Cushing syndrome symptoms will only happen with Long Term Therapy with
Glucocorticoids - Answers -pts w/ infections shouldn't take Glucocorticoid drugs
because it can hide infection symptoms
Cushing syndrome will happen with long term use of glucocorticoid / increase intake of
corticoid steroids
Levothyroxine is a synthetic thyroid hormone that is chemically identical to thyroxine
(T4). It is used in the treatment of hypothyroidism. The nurse should prepare to instruct
a client with hypothyroidism on the use of this medication - Answers -levothyroxine is
very similar to thyroxine T4
Levothyroxine is used to treat hypothyroidism
nurse should educated pt on the use of levothyroxine
Reglan is a gastrointestinal stimulant used to relieve nausea, vomiting, heartburn,
stomach pain, bloating, and a persistent feeling of fullness after meals. Reglan works by
promoting gastric emptying. It is a prokinetic drug. - Answers -G.I. stimulant = Replan
used ti relieve nausea vomitting heartburn stomach pain bloating and a persistent
feeling of fullness after meals
works by gastric emptying
prokinetic drug
Loop diuretics inhibit sodium and chloride reabsorption in the loop of Henle and
increase urine output. It also excretes potassium. Thiazide diuretics block sodium and
chloride in the distal tubule and nephron. Potassium-sparing diuretics block aldosterone.
It also does not allow for excretion of potassium; thus, patient should stay away from
high potassium containing foods. / Review all different types of diuretics and their
mechanism of action. - Answers -Loop Diuretics- med : FUROSEMIDE (Lasix) or
torsemide for hypotension, stops sodium and chloride reabsorption in the loop of Henle
and increases urine output and releases potassium
Thiazide Diuretics- med: Hydrochlorotiazide (Microzide) blocks sodium and chloride in
the distal tubule and nephron
, Potassium sparing diuretic- med: SPIRONOLACTONE/ Aldactone block aldosterone
and doesn't let potassium leave. Pts should not consume high potassium foods while on
potassium sparing diuretics
foods high in potassium - Answers -dried fruit potatoes cantaloupe bananas oranges
broccoli tomatoes avocados dried peas and meats
Fosamax (alendronate) needs to be taken on an empty stomach/ 30 minutes before
breakfast, with a full glass of water and the patient needs to sit upright for at least 30
minutes after taking the medication. These are important education points to explain to
the patient. - Answers -educate pt on fosamax (alendronate) - pt must take med on:
empty stomach 30 mins before fast must sit upright 30 mins after and must take med
with a full glass of water
When prioritizing care...you should always first look at safety than the ABC (Airway,
Breathing and Circulation) and next comes pain. - Answers -1st priority: ABC Airway
Breathing Circulation
If potassium is to be given in liquid form, it must be diluted in water because it is very
irritating to the mucosal lining of the GI Tract - Answers -Liquid form potassium MUST
be diluted in H2O because it can irritate the mucosal lining of the G.I. tract
Aspirin is an antiplatelet, and if patient will be having surgery, MDs will educate the
patient to stop aspirin 1 week prior to the surgical procedure - Answers -pt must stop
aspirin one week before surgery date
Aspirin is an anti platelet doesn't let blood clot
If you have orders to give oral medications, one must assess the patient's ability to
swallow the medication prior to administering the drug - Answers -assess that pt can
swallow before administering an oral medication
If a patient has a renal condition, it is very important that the nurse identify any
nephrotoxic meds the patient may be taking and let the MD knows. They may need to
reduce the dose or change the choice of meds to a non-nephrotoxic drug - Answers -if
a pt w/ a renal condition is taking nephrotoxic meds nurse needs to identify and let and
MD know
MD may need to reduce the dosage/ change the med type to a NON-nephrotoxic drug
As a nurse it is very important that prior to administering a drug that the nurse knows
the following: The reason the medication was prescribed, knowing how the medication
is to be administered, knowing how the medication is supplied by the pharmacy and
knowing the name of the medication - Answers -Before a nurse administers
medications he/she must know : why it was prescribed, how will it be administered, how
the medication is supplied by the pharmacy, and know the name of the medication
ACCURATE ANSWERS | 2026
Glucocorticoid drugs have the ability to suppress inflammation, it can mask symptoms
of infection and should not be given to patients with actual infection. Remember that
Cushing syndrome symptoms will only happen with Long Term Therapy with
Glucocorticoids - Answers -pts w/ infections shouldn't take Glucocorticoid drugs
because it can hide infection symptoms
Cushing syndrome will happen with long term use of glucocorticoid / increase intake of
corticoid steroids
Levothyroxine is a synthetic thyroid hormone that is chemically identical to thyroxine
(T4). It is used in the treatment of hypothyroidism. The nurse should prepare to instruct
a client with hypothyroidism on the use of this medication - Answers -levothyroxine is
very similar to thyroxine T4
Levothyroxine is used to treat hypothyroidism
nurse should educated pt on the use of levothyroxine
Reglan is a gastrointestinal stimulant used to relieve nausea, vomiting, heartburn,
stomach pain, bloating, and a persistent feeling of fullness after meals. Reglan works by
promoting gastric emptying. It is a prokinetic drug. - Answers -G.I. stimulant = Replan
used ti relieve nausea vomitting heartburn stomach pain bloating and a persistent
feeling of fullness after meals
works by gastric emptying
prokinetic drug
Loop diuretics inhibit sodium and chloride reabsorption in the loop of Henle and
increase urine output. It also excretes potassium. Thiazide diuretics block sodium and
chloride in the distal tubule and nephron. Potassium-sparing diuretics block aldosterone.
It also does not allow for excretion of potassium; thus, patient should stay away from
high potassium containing foods. / Review all different types of diuretics and their
mechanism of action. - Answers -Loop Diuretics- med : FUROSEMIDE (Lasix) or
torsemide for hypotension, stops sodium and chloride reabsorption in the loop of Henle
and increases urine output and releases potassium
Thiazide Diuretics- med: Hydrochlorotiazide (Microzide) blocks sodium and chloride in
the distal tubule and nephron
, Potassium sparing diuretic- med: SPIRONOLACTONE/ Aldactone block aldosterone
and doesn't let potassium leave. Pts should not consume high potassium foods while on
potassium sparing diuretics
foods high in potassium - Answers -dried fruit potatoes cantaloupe bananas oranges
broccoli tomatoes avocados dried peas and meats
Fosamax (alendronate) needs to be taken on an empty stomach/ 30 minutes before
breakfast, with a full glass of water and the patient needs to sit upright for at least 30
minutes after taking the medication. These are important education points to explain to
the patient. - Answers -educate pt on fosamax (alendronate) - pt must take med on:
empty stomach 30 mins before fast must sit upright 30 mins after and must take med
with a full glass of water
When prioritizing care...you should always first look at safety than the ABC (Airway,
Breathing and Circulation) and next comes pain. - Answers -1st priority: ABC Airway
Breathing Circulation
If potassium is to be given in liquid form, it must be diluted in water because it is very
irritating to the mucosal lining of the GI Tract - Answers -Liquid form potassium MUST
be diluted in H2O because it can irritate the mucosal lining of the G.I. tract
Aspirin is an antiplatelet, and if patient will be having surgery, MDs will educate the
patient to stop aspirin 1 week prior to the surgical procedure - Answers -pt must stop
aspirin one week before surgery date
Aspirin is an anti platelet doesn't let blood clot
If you have orders to give oral medications, one must assess the patient's ability to
swallow the medication prior to administering the drug - Answers -assess that pt can
swallow before administering an oral medication
If a patient has a renal condition, it is very important that the nurse identify any
nephrotoxic meds the patient may be taking and let the MD knows. They may need to
reduce the dose or change the choice of meds to a non-nephrotoxic drug - Answers -if
a pt w/ a renal condition is taking nephrotoxic meds nurse needs to identify and let and
MD know
MD may need to reduce the dosage/ change the med type to a NON-nephrotoxic drug
As a nurse it is very important that prior to administering a drug that the nurse knows
the following: The reason the medication was prescribed, knowing how the medication
is to be administered, knowing how the medication is supplied by the pharmacy and
knowing the name of the medication - Answers -Before a nurse administers
medications he/she must know : why it was prescribed, how will it be administered, how
the medication is supplied by the pharmacy, and know the name of the medication
