NU 308 Exam 2 Practice Questions and Answers

NU 308 Exam 2 Practice Questions and Answers What is a good thing to say to a pt if they are hesitant about taking Tamsulosin bc they think it will not help their BPH symptoms? - Ans:-It will relax the prostate, making it easier for you to pass urine. Pt edu for ED drug Sildenafil? - Ans:--Take 1 to 2 hrs before you need it to work -Foreplay to stimulate -If erection lasts longer than 4 hrs, ER -Food: avoid all nitrates, no grapefruit juice -Drug: nitrates- vasodilators -Dc if pt begins to have hearing loss -DO NOT TAKE W/NITROGLYCERIN (fatal hypotension) What pts is sildenafil contraindicated? - Ans:-Pts on vasodilators, or pts with any known heart disease ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/11 5mL=____tsp - Ans:-1 teaspoon Estrogen contraindications - Ans:-breast cancer, family history of heart disease, prepubital children, clotting disorders *women who are over 35 who smoke* *if experiencing undiagnosed vaginal bleeding, do not admin until this is figured out* What is terbutaline? - Ans:-B2 agonist for to SLOW not stop preterm contractions *typically not given after 37 week mark* What drug is given to pregnant women to mature the babies lungs? - Ans:-Dexamethasone What does folic acid do? - Ans:-prevents fetal neural tube defects (spina bifida) and functions in RBC production In what patients are antihistamines contraindicated? - Ans:-Prostate, glaucoma, bowel obstruction Pt edu for OTC antihistamines? - Ans:--increase fluid intake -makes you drowsy, take at night, dont drive *this is important especially in older clients, bc they reach a therapeutic level with less medication* Beclomethazone inhaler pt edu - Ans:--take 5 mins after you take albuterol in an asthma attack ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/11 -rinse mouth out to avoid thrush -makes your throat hurt What does Montelukast do? - Ans:--blocks release of leukotriene affects (reducing inflammation, thins out secretions so body can clear them) What is an allergy? - Ans:-*sensitivity to an allergen* you will not have an anaphylactic reaction the first time you are exposed to said allergen, your body must first recognize it is foreign and then a histamine response will occur What is codeine? - Ans:--antitussive opioid used for mild pain and is sometime in cough meds -Take at night, so you dont wake up coughing Codeine pt edu - Ans:--RUSH (respiratory depression, urinary retention, sedation, HypoTN) -tox triad (coma, pinpoint pupils, resp depression) Who cannot take nasal decongestants such as pseudophedrine sprays? - Ans:-people with HTN bc it increases BP What is the normal level for theophylline? - Ans:-5-15 mcg/mL What is theophylline? - Ans:-*like caffeine* ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/11 -bronchodilator, could be for a COPD exacerbation -Monitor blood levels by regular lab draws -toxicity s/s= dysrhythmias, seizures Who is indicated for albuterol? - Ans:-treatment and prevention of bronchospasm (acute or severe) in patients with reversible obstructive airway disease, including exercise-induced bronchospasm What is albuterol? - Ans:--inhaled B2 agonist -bronchodilator Adverse effects of albuterol and pt edu? - Ans:--AE= tachycardia -edu= avoid taking at bed time, do not take with B1 agonis