NUR2474 Pharmacology for Professional Nursing – Examination Blue
Print – Final Exam
Insulin:
1. What types of insulin are ordered before meals and at bedtime? Why? Rapid acting because the
reaction prevents eating.
2. What type of insulin is sometimes given at bedtime, has the longest duration of all the insulins,
CANNOT BE MIXED WITH OTHER INSULINS, and for elderly patients is often split into two doses
(one in the morning and one at bedtime)? Long Acting Lantus
3. Why is a nurse concerned for a beta-blocker/insulin combination? What do you assess for? What
symptoms could be concealed by taking a beta blocker while on insulin? You will not kick out
sugar. Hypoglycemia.
4. You will need to know the following chart:
Glipizide:
1. How does it work? What diagnosis is it effective for (be specific)? Lower blood glucose by
stimulating the release of insulin from the pancreas and increasing the sensitivity to insulin at
receptor site. Watch for hypoglycemia
2. What classification(s) does it fit into? Sulfonylureas/ Antidiabetics…. Allergy for sulfur
3. What are the side/adverse effects? hypoglycemia, hyponatremia, aplastic anemia,
agranulocytosis, hemolytic anemia, leukopenia, pancytopenia, thrombocytopenia,
photosensitivity, rashes, drug induced hepatitis, heartburn, constipation, cramps, diarrhea,
nausea, vomiting, increased appetite, dizziness, drowsiness, headache and weakness.
4. What are contraindications? Hypersensitivity with sulfonamides, type 1 diabetes, bosentan,
diabetic coma/ketoacidosis. Geri pts., renal of hepatic dysfunction, infection, trauma, surgery,
impaired pituitary or adrenal function, prolonged nausea, vomiting, malnourished pts., lactating
and pedi pts.
5. Are there drug-drug interactions? Bosentin, diuretics, corticosteroids, phenothiazines, oral
contraceptive, estrogens, thyroid preparations, phenytoin, niacin, sympathomimetics, isoniazid,
alcohol androgens, chloramphenicol, clarithromycin, fluoroquinolones, MAO inhibitor, NSAIDs,
salicylates, sulfonamides, warfarin, beta blockers, cyclosporine, colesevelam, topiramate.
6. Are there drug-alcohol interactions? Yes
, 7. Are there drug-food interactions?
Metformin
1. How does it work? What diagnosis is it effective for (be specific)? Type 2 diabetes
2. What classification(s) does it fit into?
3. What are the side/adverse effects? GI
4. What are contraindications?
Emphanogliflozin (jardiace)
Acarbose:
1. How does it work? What diagnosis is it effective for (be specific)?
2. What classification(s) does it fit into?
3. What are the side/adverse effects?
4. What are contraindications?
5. Are there drug-drug interactions?
6. Are there drug-alcohol interactions?
7. Are there drug-food interactions?
Levothyroxine: hypothyroidism
1. How does it work? What diagnosis is it effective for (be specific)?
2. What classification(s) does it fit into?
3. What are the side/adverse effects?
4. What are contraindications?
5. What laboratory value is used to manage dosing and hypothyroidism management? What is
meant when it is high (usually) and what is meant when it goes down (usually)?
6. What would happen if a person took this medication with calcium?
7. What time of day should a person take this medication and why?
8. Are there drug-drug interactions and what are they?
9. Why is this medication important for a hypothyroid patient while pregnant? Yes… because you
want the calcium metabolism
Weight gain
Sulfamethoxazole
1. How does it work? What diagnosis is it effective for (be specific)?
2. What classification(s) does it fit into? Does this classification have many look alike/sound alike
drugs?
3. What are the side/adverse effects?
4. What prefix tells you this belongs to the classification it is in?
5. Why does one teach patients to drink plenty of water with this?
Cephalexin, Cefoxitin:
1. How does it work? What diagnosis is it effective for (be specific)?
Print – Final Exam
Insulin:
1. What types of insulin are ordered before meals and at bedtime? Why? Rapid acting because the
reaction prevents eating.
2. What type of insulin is sometimes given at bedtime, has the longest duration of all the insulins,
CANNOT BE MIXED WITH OTHER INSULINS, and for elderly patients is often split into two doses
(one in the morning and one at bedtime)? Long Acting Lantus
3. Why is a nurse concerned for a beta-blocker/insulin combination? What do you assess for? What
symptoms could be concealed by taking a beta blocker while on insulin? You will not kick out
sugar. Hypoglycemia.
4. You will need to know the following chart:
Glipizide:
1. How does it work? What diagnosis is it effective for (be specific)? Lower blood glucose by
stimulating the release of insulin from the pancreas and increasing the sensitivity to insulin at
receptor site. Watch for hypoglycemia
2. What classification(s) does it fit into? Sulfonylureas/ Antidiabetics…. Allergy for sulfur
3. What are the side/adverse effects? hypoglycemia, hyponatremia, aplastic anemia,
agranulocytosis, hemolytic anemia, leukopenia, pancytopenia, thrombocytopenia,
photosensitivity, rashes, drug induced hepatitis, heartburn, constipation, cramps, diarrhea,
nausea, vomiting, increased appetite, dizziness, drowsiness, headache and weakness.
4. What are contraindications? Hypersensitivity with sulfonamides, type 1 diabetes, bosentan,
diabetic coma/ketoacidosis. Geri pts., renal of hepatic dysfunction, infection, trauma, surgery,
impaired pituitary or adrenal function, prolonged nausea, vomiting, malnourished pts., lactating
and pedi pts.
5. Are there drug-drug interactions? Bosentin, diuretics, corticosteroids, phenothiazines, oral
contraceptive, estrogens, thyroid preparations, phenytoin, niacin, sympathomimetics, isoniazid,
alcohol androgens, chloramphenicol, clarithromycin, fluoroquinolones, MAO inhibitor, NSAIDs,
salicylates, sulfonamides, warfarin, beta blockers, cyclosporine, colesevelam, topiramate.
6. Are there drug-alcohol interactions? Yes
, 7. Are there drug-food interactions?
Metformin
1. How does it work? What diagnosis is it effective for (be specific)? Type 2 diabetes
2. What classification(s) does it fit into?
3. What are the side/adverse effects? GI
4. What are contraindications?
Emphanogliflozin (jardiace)
Acarbose:
1. How does it work? What diagnosis is it effective for (be specific)?
2. What classification(s) does it fit into?
3. What are the side/adverse effects?
4. What are contraindications?
5. Are there drug-drug interactions?
6. Are there drug-alcohol interactions?
7. Are there drug-food interactions?
Levothyroxine: hypothyroidism
1. How does it work? What diagnosis is it effective for (be specific)?
2. What classification(s) does it fit into?
3. What are the side/adverse effects?
4. What are contraindications?
5. What laboratory value is used to manage dosing and hypothyroidism management? What is
meant when it is high (usually) and what is meant when it goes down (usually)?
6. What would happen if a person took this medication with calcium?
7. What time of day should a person take this medication and why?
8. Are there drug-drug interactions and what are they?
9. Why is this medication important for a hypothyroid patient while pregnant? Yes… because you
want the calcium metabolism
Weight gain
Sulfamethoxazole
1. How does it work? What diagnosis is it effective for (be specific)?
2. What classification(s) does it fit into? Does this classification have many look alike/sound alike
drugs?
3. What are the side/adverse effects?
4. What prefix tells you this belongs to the classification it is in?
5. Why does one teach patients to drink plenty of water with this?
Cephalexin, Cefoxitin:
1. How does it work? What diagnosis is it effective for (be specific)?
