CORRECT ANSWERS/A+ GRADE
what things should we always do when giving methylphenidate to a child with ADHD - correct
answer - ALWAYS: give the drug in the morning, after breakfast, and give the last dose before
4pm, or else the child will not sleep at night
which 3 drugs are controlled substances and highly abused? - correct answer - amphetamines,
- barbiturates,
- methylphenidate
what is the purpose of drug treatment with Alzheimer Disease patients - correct answer - there
is treatment to help slow down the progression of the disease, but to not
cure it
how does donepezil work - correct answer - it slows the progression of Alzheimers disease by
causing reversible inhibition of cholinesterase and the cholinergic receptors.
what should we do when discontinuing an antidepressant (or any medication) - correct answer
- if antidepressant is stopped cold turkey, withdrawal syndrome can occur.
- we must gradually taper the drug slowly and have the HCP taper it.
- do not let patient taper drug by themselves
what are signs and symptoms of withdrawal syndrome? - correct answer - HA,
- Nausea,
- visual disturbances,
- sweating,
- dizziness,
- tremors
what is the relationship between sertraline and nursing infants? - correct answer - when this
drug is used with a patient who is pregnant or nursing infants, the infant can have neonatal
abstinence syndrome occur
what should we educate pregnant or nursing moms about when using sertraline? - correct
answer - We must educate the patient on potentially using other medications during
this time period, as it can cause potential birth defects and the baby to
become sick.
explain the relationship between fluoxetine and alcohol abuse - correct answer - when this
drug is used with alcohol abuse, it can interact with the medication
,NUR 2474 RASMUSSEN PHARMACOLOGY EXAM 1 STUDY GUIDE WITH LATEST QUESTIONS AND 100%
CORRECT ANSWERS/A+ GRADE
and make the patient very sick..
what should we teach the patient regarding alcohol use - correct answer - the patient must
avoid alcohol while taking most medications
what is the first line medication used to stop a seizure? - correct answer - diazepam (benzo) by
IM
. explain side effect - correct answer - unavoidable secondary drug effects produced at
therapeutic doses.
- May be unwanted, but unavoidable and expected.
explain adverse effect - correct answer - undesired and unexpected severe responses to a
medication. They do have
the potential to cause harm.
explain allergies/anaphylaxis - correct answer - an immune response to a medication that
causes a reaction that can be mild to life threatening
what are s/s of allergic reactions? - correct answer - itchy,
- rash,
- hives,
- wheezes,
- SOB,
- swelling of face,
- lips and throat.
what should we do if we a patient actively in allergic reaction? - correct answer - stop the
medication,
- call the doctor,
- D/C lines,
- check for antidotes, and
- give emergency care based on ABC's
what should we do before giving any medication? - correct answer - ask about patient allergies
to medications and what happens when they take
them.
, NUR 2474 RASMUSSEN PHARMACOLOGY EXAM 1 STUDY GUIDE WITH LATEST QUESTIONS AND 100%
CORRECT ANSWERS/A+ GRADE
- remember if they report they get any s/s of allergic run with medication use,
we must hold med and call dr.
explain intended drug effects - correct answer - effects that we want to see and that are
therapeutic when using the drug. Ex:
with an antidepressant, we want to see a mood change, because that is the
intended use of the drug.
explain teratogenic effect - correct answer - a drug induced birth defect that can cause harm to
the fetus
Why we do not allow pregnant moms or those lactating to not take certain medications -
correct answer - so they do not harm their child.
. explain paradoxical effect - correct answer - The opposite of the intended drug response
example of paradoxical response - correct answer - Benzo's may be used for sedation and
insomnia treatment, but may instead
cause them to stay up, have excitement, and to be rowdy. The opposite.
explain tolerance - correct answer - occurs when there is a long term reduced responsiveness
to a medication over time, causing the medication to not produce a therapeutic effect. Will
need to increase the dose to get the same effect. Will be higher dose but the effects will be
seen. will take longer to wean also
explain dependence - correct answer - the patient gets used to the drug and cannot stop using
it. When they do stop the med cold turkey they can have withdrawal symptoms. Why we have
to wean and taper the drug
explain addiction - correct answer - occurs when the patient abuses the drug and uses it for
pleasure instead as prescribed.
why may we give a atypical antipsychotic medication (2nd generation)? - correct answer - when
one cannot handle the EPS that the 1stgeneration drugs produce.
which patient populations should we not use a atypical antipsychotic with? - correct answer -
those with diabetes, those with high cholesterol
what can the atypical antipsychotics cause? - correct answer - drug onset diabetes, drug onset
high cholesterol, weight gain
why should not we use an atypical antipsychotic with a patient with dementia? - correct answer
- It will not work to control the disease and will exaggerate the psychosis. They will need a
cholinesterase inhibitor