pharmacology exam 1
+ adrenergic chronotope - ANS-increases HR
+ adrenergic dromotope - ANS-will increase velocity of conduction
+ adrenergic inotrope - ANS-increases contractility
3 kinds of decongestants - ANS-1)adrenergic ( quickens)
2)anticholinergics (Drys out)
3)corticosteroids
five steps of the nursing technique (ANPIE) - ANS-1) Assessment
2)Nursing prognosis
3) making plans
four) implementation
five) Evaluation
50mg of medicine was given, in five hours (1/2-existence), how lots is left? - ANS-25mg
a ten year antique is brought to the ED even as having an bronchial asthma assault. She is
given a nebulizer treatment of albuterol. What's the nurse's instantaneous assessment
priority?
A) determine time of Childs remaining meal
B)reveal SPO2 with pulse ox
C) display Childs temperature
D) provide training on bronchial asthma control - ANS-B)reveal SPO2 with pulse ox
a forty 12 months antique girl is seen in a health facility. She has been newly diagnosed with
RA. Which remedy does the nurse expect being ordered?
A)methotrexate
B)adalimumab
C)Infliximab
D)Etanercept - ANS-A) methotrexate
WHY? Encouraged treatment of RA is methotrexate or leflunomide
a fifty eight yr old is convalescing inside the ICU after a MI. The nurse notes an order for a
beta-blocker metoprolol. What's the reason?
A) dilate coronary arteries
B)inhibit stimulation of myocardium through circulating catecholamines
C)provide a high quality inotropic impact
D)keeps a sufferers BP - ANS-B)inhibit stimulation of myocardium through circulating
catecholamines
,WHY? Metoprolol has cardioprotective impact with the aid of reducing the hearts reaction to
catecholamines
a 60 12 months old female asks the nurse about taking ginkgo to assist together with her
memory. The patient has a history of arthritis, kind 2 diabetes, thyroid ailment, and high
blood pressure. She is taking NSAIDS, anti diabetic meds, thyroid replacing hormone, and a
beta blocker for BP. What capacity unfavourable affects from Gingko would be maximum
regarding for this affected person?
A)stomach dissatisfied
B)diarrhea
C)bleeding
D)drowsiness - ANS-C) Bleeding
a 94 12 months old has a severe dry cough. He has coughed so difficult that the muscle
tissues in his chest are hurting. He's unsteady on his toes and barely burdened. Which drug
would be the high-quality preference for this sufferers cough?
A)Benzonatate
B) Dextromethorphan
C) codeine cough syrup
D) Guaifenesin - ANS-B) dextromethorphan
a hospitalized affected person has an order for ketorolac (toradol). The nurse notes that the
order is only for five days. What's the rationale for this.
A)the patients pain have to subside with the aid of that point
B)there are worries approximately dependancy to the drug
C)the drug can reason intense renal and GI outcomes
D)the drug loses its effectiveness over the years - ANS-C)the drug can purpose extreme
renal and GI effects
a nurse does now not be aware that a sufferers IV web site is swollen, red, painful, and heat
to touch nor that the IV has quit infusing well. What moral main does this involve?
A)breach of duty
B)duty
C)causation
D)damage - ANS-A)breach of responsibility
a nurse makes an mistakes while administering medicinal drugs to a patient. Which motion
with the aid of the nurse calls for the supervising nurse to intervene?
A) the nurse completes an incident record
B) the nurse informs the prescriber of the error
C) the nurse files destructive consequences to the medicine errors
D) the nurse facts final touch of an incident report inside the scientific document - ANS-D)
the nurse information final touch of an incident record in the clinical document
a affected person has two inhalers a bronchodilator and a corticosteroid. Which inhaler
ought to the affected person take first?
A)Bronchodilator
B)Corticosteroid
, C) would not matter - ANS-A)bronchodilator
WHY? Bronchodilator reasons a greater open airway and lets in for higher penetration of
corticosteroid
a patient is complaining of extreme pain and has orders for morphine sulfate. The nurse
knows that the course that might provide the slowest pain remedy might be which direction?
A)IV
B)IM
C)SUBQ
D)PO - ANS-D)PO
Why? Due to the fact routes that go at once into the blood are immediate, but PO tablets are
metabolized and will motive less alleviation.
A affected person is experiencing bronchospasm after strolling 1/2 a mile. He has numerous
inhalers with him. Which one must be used at the moment?
A)Albuterol
B)Salmeterol
C)fluticasone
D) salmeterol and Fluticasone - ANS-A) albuterol
WHY? Because it's miles used for emergent situations (quick acting), but the different three
meds are used in long term treatment
a patient is prescribed 2 unique types of inhaled medicinal drugs for remedy of COPD. After
administering the first remedy, how long need to the nurse wait before giving the second?
A)1 minute
B) five minutes
C)10 minutes
D)15 minutes - ANS-B) five mins
a patient is prescribed ibuprofen 200mg PO every 4 hours as wished for pain. The drugstore
sends up enteric lined capsules, however the affected person refuses the pills, pointing out
she can't swallow tablets. What's going to the nurse do?
A) Crush the pills and blend them with applesauce or pudding
B) name the pharmacy and ask for the liquid form of the medicine
C) call the drugstore and ask for the IV shape move the medication
D) inspire the affected person to try to swallow the tablets - ANS-B) call the drugstore and
ask for the liquid shape of the drugs
Why? Because a liquid form remains given via the oral path
a affected person is getting better from an appendectomy. She additionally has allergies and
allergies to shellfish and iodine. To manage her put up-op pain, the doctor has prescribed
patient-controlled analgesia (PCA) with hydromorphone (dilaudid). Which crucial sign is of
finest situation?
A)pulse
+ adrenergic chronotope - ANS-increases HR
+ adrenergic dromotope - ANS-will increase velocity of conduction
+ adrenergic inotrope - ANS-increases contractility
3 kinds of decongestants - ANS-1)adrenergic ( quickens)
2)anticholinergics (Drys out)
3)corticosteroids
five steps of the nursing technique (ANPIE) - ANS-1) Assessment
2)Nursing prognosis
3) making plans
four) implementation
five) Evaluation
50mg of medicine was given, in five hours (1/2-existence), how lots is left? - ANS-25mg
a ten year antique is brought to the ED even as having an bronchial asthma assault. She is
given a nebulizer treatment of albuterol. What's the nurse's instantaneous assessment
priority?
A) determine time of Childs remaining meal
B)reveal SPO2 with pulse ox
C) display Childs temperature
D) provide training on bronchial asthma control - ANS-B)reveal SPO2 with pulse ox
a forty 12 months antique girl is seen in a health facility. She has been newly diagnosed with
RA. Which remedy does the nurse expect being ordered?
A)methotrexate
B)adalimumab
C)Infliximab
D)Etanercept - ANS-A) methotrexate
WHY? Encouraged treatment of RA is methotrexate or leflunomide
a fifty eight yr old is convalescing inside the ICU after a MI. The nurse notes an order for a
beta-blocker metoprolol. What's the reason?
A) dilate coronary arteries
B)inhibit stimulation of myocardium through circulating catecholamines
C)provide a high quality inotropic impact
D)keeps a sufferers BP - ANS-B)inhibit stimulation of myocardium through circulating
catecholamines
,WHY? Metoprolol has cardioprotective impact with the aid of reducing the hearts reaction to
catecholamines
a 60 12 months old female asks the nurse about taking ginkgo to assist together with her
memory. The patient has a history of arthritis, kind 2 diabetes, thyroid ailment, and high
blood pressure. She is taking NSAIDS, anti diabetic meds, thyroid replacing hormone, and a
beta blocker for BP. What capacity unfavourable affects from Gingko would be maximum
regarding for this affected person?
A)stomach dissatisfied
B)diarrhea
C)bleeding
D)drowsiness - ANS-C) Bleeding
a 94 12 months old has a severe dry cough. He has coughed so difficult that the muscle
tissues in his chest are hurting. He's unsteady on his toes and barely burdened. Which drug
would be the high-quality preference for this sufferers cough?
A)Benzonatate
B) Dextromethorphan
C) codeine cough syrup
D) Guaifenesin - ANS-B) dextromethorphan
a hospitalized affected person has an order for ketorolac (toradol). The nurse notes that the
order is only for five days. What's the rationale for this.
A)the patients pain have to subside with the aid of that point
B)there are worries approximately dependancy to the drug
C)the drug can reason intense renal and GI outcomes
D)the drug loses its effectiveness over the years - ANS-C)the drug can purpose extreme
renal and GI effects
a nurse does now not be aware that a sufferers IV web site is swollen, red, painful, and heat
to touch nor that the IV has quit infusing well. What moral main does this involve?
A)breach of duty
B)duty
C)causation
D)damage - ANS-A)breach of responsibility
a nurse makes an mistakes while administering medicinal drugs to a patient. Which motion
with the aid of the nurse calls for the supervising nurse to intervene?
A) the nurse completes an incident record
B) the nurse informs the prescriber of the error
C) the nurse files destructive consequences to the medicine errors
D) the nurse facts final touch of an incident report inside the scientific document - ANS-D)
the nurse information final touch of an incident record in the clinical document
a affected person has two inhalers a bronchodilator and a corticosteroid. Which inhaler
ought to the affected person take first?
A)Bronchodilator
B)Corticosteroid
, C) would not matter - ANS-A)bronchodilator
WHY? Bronchodilator reasons a greater open airway and lets in for higher penetration of
corticosteroid
a patient is complaining of extreme pain and has orders for morphine sulfate. The nurse
knows that the course that might provide the slowest pain remedy might be which direction?
A)IV
B)IM
C)SUBQ
D)PO - ANS-D)PO
Why? Due to the fact routes that go at once into the blood are immediate, but PO tablets are
metabolized and will motive less alleviation.
A affected person is experiencing bronchospasm after strolling 1/2 a mile. He has numerous
inhalers with him. Which one must be used at the moment?
A)Albuterol
B)Salmeterol
C)fluticasone
D) salmeterol and Fluticasone - ANS-A) albuterol
WHY? Because it's miles used for emergent situations (quick acting), but the different three
meds are used in long term treatment
a patient is prescribed 2 unique types of inhaled medicinal drugs for remedy of COPD. After
administering the first remedy, how long need to the nurse wait before giving the second?
A)1 minute
B) five minutes
C)10 minutes
D)15 minutes - ANS-B) five mins
a patient is prescribed ibuprofen 200mg PO every 4 hours as wished for pain. The drugstore
sends up enteric lined capsules, however the affected person refuses the pills, pointing out
she can't swallow tablets. What's going to the nurse do?
A) Crush the pills and blend them with applesauce or pudding
B) name the pharmacy and ask for the liquid form of the medicine
C) call the drugstore and ask for the IV shape move the medication
D) inspire the affected person to try to swallow the tablets - ANS-B) call the drugstore and
ask for the liquid shape of the drugs
Why? Because a liquid form remains given via the oral path
a affected person is getting better from an appendectomy. She additionally has allergies and
allergies to shellfish and iodine. To manage her put up-op pain, the doctor has prescribed
patient-controlled analgesia (PCA) with hydromorphone (dilaudid). Which crucial sign is of
finest situation?
A)pulse
