ASSESSMENT EXAM QUESTIONS
AND ANSWER LATEST GUIDE
1. How should NSAIDS it be taken?
With food or milk (gastric irritation)
Should take with antacid to minimize irritation
2.What is the purpose of sulcarafate?
An antiulcer that coats the stomach
3.Adverse effects of vancomycin
Inhibitor of cell wall synthesis
- Ototoxicity = notify provider
- Infusion reactions (rash, itching, flushing, tachycardia, hypotension) = slow
the infusion rate to 60 mins
- Site pain, thrombophlebitis
- Renal toxicity
4.Adverse effects of ACEIs
- First-dose orthostatic hypotension
,- Cough = notify provider
- Hyperkalemia
- Rash and dysgeusia (altered taste) = notify provider
- Angioedema = d/c medication
- Neutropenia = notify provider
PPI with food v empty stomach
Take medication 60 min before meals
5. Furosemide teaching
- Eat foods high in potassium
- Report hearing loss (ototoxic drug)
- Rise slowly from sitting/lying position
- Take early to prevent nocturia
- Check weight daily
6.What lab value should be monitored when taking prednisone?
A glucocorticoid
Blood glucose levels
Decrease in the ability of the adrenal cortex to produce glucocorticoids.
Causes hyperglycemia.
,7.What lab tests to determine effectiveness for epoetin alfa?
- Hemoglobin (should not be higher than 10mg/dL= stroke, HF, MI, HTN)
- Hct
- Iron: RBC depends on iron
- BP: Causes HTN
Epoetin alfa increases erythrocytes
8.What is the lab value to monitor heparin therapy?
aPTT
9.What lab values for warfarin therapy?
INR
10.Adverse effects of Rifampin
- Discoloration of body fluids: This medication causes red-orange
discoloration of feces, sputum, tears and sweat.
- Hepatotoxicity (jaundice, anorexia, fatigue)
- Mild GI discomfort
- Psuedomembranous colitis
MOA of allopurinol
, Gout medication
Decreases the production of uric acid
Contraindications for digoxin
- Pregnancy Risk Category C
- Disturbances in ventricular rhythm (v fib, v tach, 2nd and 3rd degree heart
block)
- Clients with: hypokalemia, partial AV block, advanced HF, impaired kidney
function
Side effects of digoxin
- Visual changes
- Severe nausea
- Decreases HR
- Dysrhythmias
Therapeutic level of digoxin
0.8-2 ng/mL
Medication for glaucoma
Timolol maleate