NR 293 PHARM ACTUAL EXAM 2 REVIEW QUESTIONS AND CORRECT ANSWERS LATEST UPDATE 2026 .

1. Osmotic Diuretics Correct answer mannitol 2. Mannitol Indications Correct answer reduce ICP, treat cerebral edema, prevent kidney damage in acute renal failure 3. Mannitol adverse effects Correct answer convulsions, thrombophlebitis, pulmonary congestion 4. Mannitol contraindications Correct answer pulmonaryedema 5. Mannitol nursing implications Correct answer inspect bag for crystals(don't administer), use filter 6. Mannitol therapeutic effects Correct answer increase LOC and decrease ICP 7. Diuretics therapeutic effects Correct answer increase urine output; decrease BP, edema, ICP 8. Diuretics Adverse effects Correct answer urinary frequency, dizziness, headache, weakness, nausea, vomiting, diar-rhea 9. Diuretics contraindications Correct answer severe renal disease/anuria, hypotension 10. Diuretics patient education Correct answer take in AM, change position slowly, daily weight & keep log, monitor I&O and electrolytes, report illness & weight gain 11. Thiazide diuretics example Correct answer hydrochlorothiazide(HCTZ),POonly(loseK+,Cl-,Na-,andgainglucose) 12. HCTZ indications Correct answer 1st line tx for HTN, edematous states, 13. HCTZ adverse effects Correct answer hypokalemia, hyperglycemia, photosensitivity 14. Loop diuretics MOA Correct answer potassium wasting (lose K+) 15. Loop Diuretics examples Correct answer furosemide, torsemide, bumetanide 16. Loop diuretics indications Correct answer pulmonary edema, HTN (caused by HF), edema associated with various conditions 17. Loop diuretics BBW Correct answer fluid & electrolyte depletion (hypokalemia & hyponatremia) 18. Loop diuretics other adverse effects Correct answer ototoxic with high doses 19. Loop diuretics contraindications Correct answer electrolyte depletion, hypovolemia 20. Loop diuretics nursing implications Correct answer s/s hypokalemia, monitor electrolytes, eat high K+ diet 21. Potassium sparing diuretics example Correct answer spirononlactone 22. Spirononlactone indications Correct answer HTN, HF, Reverse K+ loss from diuretics 23. Spirononlactone adverse effects and contraindications Correct answer hyperkalemia 24. Spirononlactone nursing implications Correct answer s/s hyperkalemia, monitor K+, eat low K+ diet 25. Types of antacids Correct answer aluminum salts, magnesium salts, calcium salts, sodium bicarb 26. Antacids indications Correct answer acute relief of symptoms through neutralization (peptic ulcers, gastritis, gastric hyperactivity, heartburn) 27. Aluminum salts adverse effects Correct answer only antacids ok with renal pts 28. Calcium salts adverse effects Correct answer causesgas/belching(givesimethicone) 29. Magnesium salts adverse effects Correct answer diarrhea 30. Antacids contraindications Correct answer drug-drug interactions (lowers absorption) 31. Antacids nursing implications Correct answer don't give within 1-2 hrs of other meds, available OTC 32. H2 receptor antagonists (H2RAs) MOA Correct answer suppress acid production 33. H2RAs examples Correct answer "-tidine" cimetidine,famotidine 34. H2RAs indications Correct answer treatment of GERD & PUD, prophylaxis of stress ulcers 35. H2RAs adverse effects Correct answer headaches, precaution Correct answer eldery (cause confusion) & smoking (lower ettective-ness) 36. H2RAs nursing implications Correct answer best taken with food 37. Proton Pump Inhibitors (PPIs) examples Correct answer "-prazole" lansoprazole, omeprazole, pantoprazole 38. PPIs indications Correct answer 1st line Correct answer GERD, erosive esophagitis, active ulcer; prophylaxis for stress & NSAID-induced ulcers; treatment for H. pylori-induced ulcer 39. PPIs adverse effects Correct answer GI tract infections (predispostion to C.ditt), osteoporosis w/ long term usage 40. PPIs interactions Correct answer warfarin 41. PPIs nursing implications Correct answer take30-60minsbefore food 42. Anti-diarrheals adverse effects Correct answer constipation 43. Anti-diarrheals contraindications Correct answer severe abdominal pain of unknown cause, intestinal obstruc-tion, colitis, infectious diarrhea 44. Adsorbents example Correct answer bismuth subsalicylate 45. Adsorbents indication Correct answer diarrhea 46. Adsorbents adverse effects Correct answer darkstools,bleeding,tinnitus 47. Adsorbents contraindications Correct