Pharmacology ATI PN PRACTICE Questions

Contrindications for Celecoxib - ANSWERSAllergy to sulfonamides Adverse reaction to MMR vaccine - ANSWERSrash, deafness, joint pain, stiffness, brain damage Priority findings for simvastaton - ANSWERSHepatoxicity, myopathy Interactions with Levothyroxine - ANSWERSCalcium, Iron, Antiseizure, antidepressants Need for ondansetron - ANSWERSAntivomit due to chemo or radiation Adverse effects of lithium - ANSWERSTremors, N/V, weight gain, thirst, diarrhea Therapeutic effects of sumatriptan - ANSWERSMigraine relief Ciprofloxacin - ANSWERSantibiotic; UTI Adverse effects of phenytoin - ANSWERSSedation, skin rash, hypotension Lab value to monitor with aminoglycosides - ANSWERSWBC 5,000-10,000 Captopril - ANSWERSHigh blood pressure medication When to withhold clonidine - ANSWERSIf a rash develops; Na values 136-145 What reverses the effects of heparin? - ANSWERSprotamine sulfate Epoetin alfa (therapeutic use) - ANSWERStreatment of anemia; red blood cells increased Digoxin - ANSWERSUsed for CHF, Adverse effects: Dizziness, fainting Adverse effects of albuterol - ANSWERSShakiness, racing pulse, SOB, tightness in chest Hypoglycemia symptoms - ANSWERShunger, fatigue, weakness, sweating, headache, dizziness, low bp, cold or clammy skin Enoxaparin - ANSWERStreats pulmonary embolism; monitor RBC Insoniazid - ANSWERSMedication for TB Adverse effects of streptomycin - ANSWERSN/V, weakness, hearing loss Indication for lithium carbonate toxicity - ANSWERSDiarrhea, vomiting, tremors Furosemide - ANSWERSTreats edema related to heart failure Allopurinol - ANSWERSUrine levels 2.4-6 Males, 3.4-7 Females Duodenal ulcer care - ANSWERSUse antacids and antibiotics Verapamil - ANSWERScalcium channel blocker, treats HTN, cardiac dysthymias Acetaminophen overdose - ANSWERSuse acetylcysteine Therapeutic effects of glipizide - ANSWERSImproves blood sugar levels instilling ear drops - ANSWERSside-laying, place cotton ball gently in ear, wait 5 minutes on each side Enteric coated ferrous sulfate - ANSWERSIncreased energy, hemoglobin of 2 g/dL adversion therapy - ANSWERSAssociating undesirable habit with an unpleasant effect Haloperidol - ANSWERSAntipsychotic; Adverse effects: N/V, diarrhea, headache Spironolactone (Aldactone) adverse effects - ANSWERShyperkalemia, sexual dysfunctions, dry skin Montelukast (Singulair) - ANSWERSuse for asthma Ramipril adverse effects - ANSWERSCough, hypotension, diarrhea, fatigue, and nausea TB skin test - ANSWERSPositive test: 5-10mm, hardened, palpable, and raised Sodium lab value - ANSWERS135-145 mEq/L RBC lab value - ANSWERSMales: 4.6 - 6.0million Females: 4 to 5million WBC lab value - ANSWERS5,000-10,000/mm3 HgB lab value - ANSWERSMales: 14-18 Females: 12-16 Platelets lab value - ANSWERS150,000-450,000 mm3 BUN lab values - ANSWERS10-20 mg/dL Hct lab values - ANSWERSMales: 42-52% Females: 37-47% Bilirubin labs - ANSWERS0-1 mg/dL Urine acid lab values - ANSWERS4.6-8 Creatinine lab values - ANSWERSMales: 0.6-1.2 Females: 0.5-1.1 stomach acid level - ANSWERS1.5-2.5 Urine Specific Gravity - ANSWERS1.010-1.030 Salicylism manifestations - ANSWERStinnitus, sweating, n/v, diarrhea, tachycardia, headache Contraindications for furosemide - ANSWERSAnuria, CAD, DM, Digoxin, Lithium, NSAIDs Verapamil teaching - ANSWERSCan increase hyperkalemia; get up slowly due to orthostatic hypotension risk Lisinopril and spironolactone adverse effect - ANSWERShyperkalemia Gentamicin labs to monitor - ANSWERSBUN 10-20 Creatinine 0.5-1.2 Enoxaparin - ANSWERSMonitor for bleeding, increased heart rate, decreased blood pressure, bruising; avoid aspirin NG tube - ANSWERSSublingual meds are not allowed through NG tube immunosuppressant meds - ANSWERSIncrease the risk of infections Insulin mixing - ANSWERSclear must be drawn first; use total units when drawing Ciproflaxacin teaching - ANSWERSReport swelling at Achilles tendon area. Stop meds and avoid exercise until inflammation subsides. Avoid sun exposure. Ferrous Sulfate - ANSWERSDilute liquid w/water and drink from a straw, rinse mouth after swallowing. Avoid caffeine and dairy. Vitamin C increases iron absorption Ferrous Sulfate adverse effects - ANSWERSnausea constipation dark stools diarrhea stains teeth (liquid solution)