NUR 213 Pharmacology – Fully Solved Exam Questions, A+ Grade Study Material

NUR 213 Pharmacology with 100% fully
solved questions(graded A+)
Lithium indication/ interventions - answer Mgmt of manic phase of Bipolar Disorder/ Prevention
of manic-depressive psychosis; Encourage 10-12 glasses water/day & adequate salt intake; take w/
meals to avoid GI upset; target lithium level - 0.8-1.2 & level are drawn frequently (@ 1st twice a wk
then q 2-3 months
Use cautiously in clients w/ renal dysfunction, heart dx, hyponatremia & dehydration.


Side Effects of Lithium - answer Hyponatremia, ataxia, HA, dysrhythmias, dry mouth, fine hand
tremors, polyuria, impaired vision, drowsiness, dizziness, V/D


Donepezil Indication/Interventions - answer Mgmt of dementia in Alzheimer's dx; take @ same
time qday, give w/ meals to decrease GI upset, educate pt. drug does not cure but stabilizes sx's


Donepezil Side effects - answer Hypo/HTN, UTI, rash, dark urine/sweating, hyperlipidemia,
fatigue, insomnia, dizziness, HA, N/V/D


Carbidopa-levodopa Indication/Interventions - answer Tx of Parkinson dx & syndrome; Monitor
for impaired voluntary movements, admin. during wake/walking hrs, change positions slowly, take
w/ food, protein decreases the effect of med


Carbidopa-levodopa Side effects - answer Twitching, HA, dizziness, dark urine/sweat, blurred
vision, orthostatic hypotension, hemolytic anemia, rash, increased LFTs, N/V


Fluoxetine Indication/Interventions - answer Tx of major depression, OCD, bulimia, premenstrual
dysphoric disorder & panic disorders; Can take wks for effects, monitor for SI, avoid alcohol, may
cause serotonin syndrome


Fluoxetine Side effects - answer Sexual dysfunction, dyspnea, hyponatremia, cough, visual
changes, tachycardia, drowsiness, UTI, rash, insomnia, hot flashes, palpitations, N/D

, Quetiapine Indication/Interventions - answer Tx of bipolar disorder, depression & schizophrenia;
Change positions slowly, monitor for increase SI; monitor CBC & LFT, educate pt to have routine
eye exams q6 months


Quetiapine Side effects - answer Drowsiness, orthostatic hypotension , dry mouth, extrapyramidal
sx, hyponatremia, vision problems, wt. gain, nausea, *neuroleptic malignant syndrome (Life
threatening)*


Chlorpromazine Indication/Interventions - answer Tx of psychotic disorders & severe N/V; Can
darken urine, *HIGHEST risk for extrapyramidal sx & neuroleptic malignant syndrome*, change
positions slowly, monitor for increase in SI, monitor CBC & LFT, educate pt to have routine eye
exams q 6 months


Chlorpromazine Side effects - answer Drowsiness, orthostatic hypotension , dry mouth,
extrapyramidal sx, hyponatremia, vision problems, wt. gain, nausea, *neuroleptic malignant
syndrome (Life threatening)*


Aripiprazole Indication/Interventions - answer Tx of psychotic disorders & adjunct for
depression; monitor weight.. Can extrapyramidal sx and neuroleptic malignant syndrome.


Aripiprazole Side effects - answer Wt. gain, insomnia, vomiting, blurred vision, orthostatic
hypotension


Amiodarone Indication/Interventions - answer Mgmt of ventricular arrhythmias not controlled by
1st line agents; teach pt to check radial pulse & take exactly as ordered @ same time each day


Amiodarone Side effects - answer Dizziness, fatigue, bradycardia, hypotension, rash,
hepatotoxicity, photosensitivity


Zolpidem tartrate Indication/Interventions - answer Short-term tx of insomnia; can cause sleep
driving, worsen depression, monitor for SI & addictive effect


Zolpidem tartrate Side effects - answer HA, drowsiness, dizziness, nausea, "drugged feeling",
abnormal thinking, leukopenia