NUR 1460c Exam 1 MEDS Questions With Complete
Solutions
Alprazolam (Xanax) Correct Answers -CLASSIFICATION
INDICATIONS for USE
Benzodiazepines
Tx: Acute anxiety
Panic disorders
-ADVERSE/SIDE EFFECTS
Headache and dry mouth Can cause over-sedation. Serious
effects on those with liver/renal disease.
-NRSG. IMPLICATIONS
PATIENT TEACHING
Can be taken with or without food.
Avoid EtOH
Can produce dependency/abuse issues
Atenolol (Tenormin) Beta 1
OFF-LABEL DRUG USE
Using a drug off-label means that a drug has been approved by
the FDA for one purpose, and it's being used for a different
purpose that hasn't been approved. Correct Answers -
CLASSIFICATION
INDICATIONS for USE
Beta 1 Blocker
blocking the action of certain natural chemicals in your body,
such as epinephrine, on the heart and blood vessels.
Tx-Off label use for short-term acute anxiety
Hypertension helps prevent strokes, heart attacks, and kidney
problems. This medication is also used to treat chest pain
(angina) and to improve survival after a heart attack.
,-ADVERSE/SIDE EFFECTS
· Dizziness or lightheadedness.
· Tiredness, depression. Nausea.
· Dry mouth, stomach pain.
· Vomiting, gas or bloating.
· Hypotension
-NRSG. IMPLICATIONS
PATIENT TEACHING
Take medication as directed, at the same time each day, even if
feeling well; do not skip or double up on missed doses. Take
missed doses as soon as possible up to 8 hr. before the next
dose. Abrupt withdrawal may precipitate life-threatening
arrhythmias, hypertension, or myocardial ischemia.
Bupropion (Wellbutrin, Zyban) Correct Answers -Not
approved for children
-CLASSIFICATION
INDICATIONS for USE
Norepinephrine-dopamine reuptake inhibitor (NDRI)
Tx: Depression/smoking cessation/ADHD/SAD
-ADVERSE/SIDE EFFECTS
headaches- seizures-hypo-hypertension
Weight gain may cause agitation
-NRSG. IMPLICATIONS
PATIENT TEACHING
3-4 wks. to reach therapeutic effect-TID dosing, unless given in
ER tabs
Avoid TB medication (decrease metabolism of med) AED,
TCIs, Benzodiazepines, Haloperidol (can cause seizures)
Buspirone (Buspar) Correct Answers -CLASSIFICATION
, INDICATIONS for USE
Anxiolytic
Tx: anxiety for adults, elderly, and children 6 yr. of age or older
Panic attacks- long-term management
-ADVERSE/SIDE EFFECTS
Not to be given with MAOIs = severe hepatic or renal
hypersensitivity
-NRSG. IMPLICATIONS
PATIENT TEACHING
The start of therapy can cause dizziness; watch for orthostatic
Hypotension
Avoid EtOH, antifungal medications, Herbal meds, Valerian, St.
John's wort, and Kava (increases CNS effects)
Avoid GRAPEFRUIT JUICE
(inhibits metabolism of the medication)
Multi-time dosing throughout the day- Cumulative effect may
take 3-4 weeks before symptoms are relieved.
DOESN'T CAUSE DEPENDENCY ISSUES
Calcium Gluconate Correct Answers -CLASSIFICATION
INDICATIONS for USE
Intravenous medication
Tx: conditions arising from calcium deficiencies such as
hypocalcemic tetany, hypocalcemia related to
hypoparathyroidism, and hypocalcemia due to rapid growth or
pregnancy. Also, to Tx hyperkalemia cardiotoxicity-ECG
monitoring
Antidote for Hypermagnesemia
-ADVERSE/SIDE EFFECTS
· Dry mouth,
· increased thirst,
Solutions
Alprazolam (Xanax) Correct Answers -CLASSIFICATION
INDICATIONS for USE
Benzodiazepines
Tx: Acute anxiety
Panic disorders
-ADVERSE/SIDE EFFECTS
Headache and dry mouth Can cause over-sedation. Serious
effects on those with liver/renal disease.
-NRSG. IMPLICATIONS
PATIENT TEACHING
Can be taken with or without food.
Avoid EtOH
Can produce dependency/abuse issues
Atenolol (Tenormin) Beta 1
OFF-LABEL DRUG USE
Using a drug off-label means that a drug has been approved by
the FDA for one purpose, and it's being used for a different
purpose that hasn't been approved. Correct Answers -
CLASSIFICATION
INDICATIONS for USE
Beta 1 Blocker
blocking the action of certain natural chemicals in your body,
such as epinephrine, on the heart and blood vessels.
Tx-Off label use for short-term acute anxiety
Hypertension helps prevent strokes, heart attacks, and kidney
problems. This medication is also used to treat chest pain
(angina) and to improve survival after a heart attack.
,-ADVERSE/SIDE EFFECTS
· Dizziness or lightheadedness.
· Tiredness, depression. Nausea.
· Dry mouth, stomach pain.
· Vomiting, gas or bloating.
· Hypotension
-NRSG. IMPLICATIONS
PATIENT TEACHING
Take medication as directed, at the same time each day, even if
feeling well; do not skip or double up on missed doses. Take
missed doses as soon as possible up to 8 hr. before the next
dose. Abrupt withdrawal may precipitate life-threatening
arrhythmias, hypertension, or myocardial ischemia.
Bupropion (Wellbutrin, Zyban) Correct Answers -Not
approved for children
-CLASSIFICATION
INDICATIONS for USE
Norepinephrine-dopamine reuptake inhibitor (NDRI)
Tx: Depression/smoking cessation/ADHD/SAD
-ADVERSE/SIDE EFFECTS
headaches- seizures-hypo-hypertension
Weight gain may cause agitation
-NRSG. IMPLICATIONS
PATIENT TEACHING
3-4 wks. to reach therapeutic effect-TID dosing, unless given in
ER tabs
Avoid TB medication (decrease metabolism of med) AED,
TCIs, Benzodiazepines, Haloperidol (can cause seizures)
Buspirone (Buspar) Correct Answers -CLASSIFICATION
, INDICATIONS for USE
Anxiolytic
Tx: anxiety for adults, elderly, and children 6 yr. of age or older
Panic attacks- long-term management
-ADVERSE/SIDE EFFECTS
Not to be given with MAOIs = severe hepatic or renal
hypersensitivity
-NRSG. IMPLICATIONS
PATIENT TEACHING
The start of therapy can cause dizziness; watch for orthostatic
Hypotension
Avoid EtOH, antifungal medications, Herbal meds, Valerian, St.
John's wort, and Kava (increases CNS effects)
Avoid GRAPEFRUIT JUICE
(inhibits metabolism of the medication)
Multi-time dosing throughout the day- Cumulative effect may
take 3-4 weeks before symptoms are relieved.
DOESN'T CAUSE DEPENDENCY ISSUES
Calcium Gluconate Correct Answers -CLASSIFICATION
INDICATIONS for USE
Intravenous medication
Tx: conditions arising from calcium deficiencies such as
hypocalcemic tetany, hypocalcemia related to
hypoparathyroidism, and hypocalcemia due to rapid growth or
pregnancy. Also, to Tx hyperkalemia cardiotoxicity-ECG
monitoring
Antidote for Hypermagnesemia
-ADVERSE/SIDE EFFECTS
· Dry mouth,
· increased thirst,
