LPN- Transition Pharmacology Review
Exam Questions with Correct Answers
know what nitroglycerin is used for and the common SE , know the different routes
and safety of each route - know the proper placements of the patch - ANSWER-used
for -angina, perioperative HTN, CHF assoc/MI, Raynaud's disease (topical
SE-: hypotension, tacycardia, HA, Dizziness, syncope, rash
Sublingual tabs under tongue or buccal pouch, discard unused med after 6 mos,
take SR w/ H20, don't chew
Place transdermal to hair free skin, NOT on extremities, remove before cardioversion
Using applicator apply topically over 6x6" area, cover w/ plastic wrap
know what patient teachings needs to be initiated when giving meds that causes
sedation or drowsiness - ANSWER-Fall
know what sulfonamides are used for and nursing interventions that needs to be
initiated - ANSWER-UTI, ulcerative colitis, Crohn's, otitis media, conjunctivitis,
meningitis, toxoplasmosis, Rheumatoid arthritis, p carinii pneumonia
take on empty stomach w/ full glass of water
know what 2 classes that tylenol and ASA are placed in - ANSWER-Antipyretic
(Fever)/ Analgesic (pain)
know what nursing measures need to be taken to give antihypertensive safely -
ANSWER-- Understanding the history of the patient
- BP within parameters for medication
know what dilantin ( phenytoin) is used for and it's common SE - ANSWER-used for -
Partial, tonic-clonic seizures
Action: delay influx of Na ions across neuronal membranes, suppress neuronal
activity
SE- toxicity, nystagmus, sedation, ataxia, diplopia, cognitive, gingival hyperplasia,
skin rash, Stevens-Johnson, teratogenic, suicide ideation, dysrhythmias, ↓BP,
bleeding, hirsutism,
know the purpose of enteric coated ASA and where are they digested - ANSWER-
The coating is there for a slow release and to protect the stomach from the
medication
, its digested in the small intestine
know what nursing measures to be addressed to five a loop diuretic safely- and what
complications can arise from abnormal potassium levels - ANSWER-Cardiac
dysrhythmia
know what class pepcid and Tagament is in and know what they are used for -
ANSWER-Class- H-2 receptor blockers or antagonists
Used for- Suppress gastric acid secretion Use:1st choice tx gastric & duodenal
ulcers
know what your scope of practice is with monitoring of iv fluid - ANSWER-I can not
push IV drugs and my job will be to Monitor and write down the flow and rate
know what class lanoxin/digoxin is - know what lab is needed to be assessed - know
what s/s of toxicity are know what the normal daily dosage are - ANSWER-Class-
ANTIDYSRHYTHMICS Glycoside
Labs-caution w/↓K⁺ & mag, ↑Ca⁺
S/S- arrythymias, dig toxicity,fatigue, bradycardia, HB; GI,anorexia, N,V,D;
↓platelets; yellow visual disturbance
Daily Dosage- Narrow therapeutic range 0.5 - 2 mg/mL
know what your five rights are for safety of med administration and how many times
the medications needs to be checked - ANSWER-Right patient
Right medication
Right Dose
Right Route
Right Time
you check 3 times
know what effect occurs when a medication is given IV,IM, Oral , SL (Sublingual) or
Topical - is it a local effect a systemic effect - ANSWER-IV = Systemic effect
IM= Systemic effect
Oral= Systemic effect
SL= Systemic effect
Topical = Local effect
Exam Questions with Correct Answers
know what nitroglycerin is used for and the common SE , know the different routes
and safety of each route - know the proper placements of the patch - ANSWER-used
for -angina, perioperative HTN, CHF assoc/MI, Raynaud's disease (topical
SE-: hypotension, tacycardia, HA, Dizziness, syncope, rash
Sublingual tabs under tongue or buccal pouch, discard unused med after 6 mos,
take SR w/ H20, don't chew
Place transdermal to hair free skin, NOT on extremities, remove before cardioversion
Using applicator apply topically over 6x6" area, cover w/ plastic wrap
know what patient teachings needs to be initiated when giving meds that causes
sedation or drowsiness - ANSWER-Fall
know what sulfonamides are used for and nursing interventions that needs to be
initiated - ANSWER-UTI, ulcerative colitis, Crohn's, otitis media, conjunctivitis,
meningitis, toxoplasmosis, Rheumatoid arthritis, p carinii pneumonia
take on empty stomach w/ full glass of water
know what 2 classes that tylenol and ASA are placed in - ANSWER-Antipyretic
(Fever)/ Analgesic (pain)
know what nursing measures need to be taken to give antihypertensive safely -
ANSWER-- Understanding the history of the patient
- BP within parameters for medication
know what dilantin ( phenytoin) is used for and it's common SE - ANSWER-used for -
Partial, tonic-clonic seizures
Action: delay influx of Na ions across neuronal membranes, suppress neuronal
activity
SE- toxicity, nystagmus, sedation, ataxia, diplopia, cognitive, gingival hyperplasia,
skin rash, Stevens-Johnson, teratogenic, suicide ideation, dysrhythmias, ↓BP,
bleeding, hirsutism,
know the purpose of enteric coated ASA and where are they digested - ANSWER-
The coating is there for a slow release and to protect the stomach from the
medication
, its digested in the small intestine
know what nursing measures to be addressed to five a loop diuretic safely- and what
complications can arise from abnormal potassium levels - ANSWER-Cardiac
dysrhythmia
know what class pepcid and Tagament is in and know what they are used for -
ANSWER-Class- H-2 receptor blockers or antagonists
Used for- Suppress gastric acid secretion Use:1st choice tx gastric & duodenal
ulcers
know what your scope of practice is with monitoring of iv fluid - ANSWER-I can not
push IV drugs and my job will be to Monitor and write down the flow and rate
know what class lanoxin/digoxin is - know what lab is needed to be assessed - know
what s/s of toxicity are know what the normal daily dosage are - ANSWER-Class-
ANTIDYSRHYTHMICS Glycoside
Labs-caution w/↓K⁺ & mag, ↑Ca⁺
S/S- arrythymias, dig toxicity,fatigue, bradycardia, HB; GI,anorexia, N,V,D;
↓platelets; yellow visual disturbance
Daily Dosage- Narrow therapeutic range 0.5 - 2 mg/mL
know what your five rights are for safety of med administration and how many times
the medications needs to be checked - ANSWER-Right patient
Right medication
Right Dose
Right Route
Right Time
you check 3 times
know what effect occurs when a medication is given IV,IM, Oral , SL (Sublingual) or
Topical - is it a local effect a systemic effect - ANSWER-IV = Systemic effect
IM= Systemic effect
Oral= Systemic effect
SL= Systemic effect
Topical = Local effect
