Pharmacology Exam 4 Flashcards
The nurse is teaching patients about self-injection of insulin. Which statement is true regarding injection sites?
Rotate sites within the same location for about 1 week before rotating to a new location.
A patent has been taking levothyroxine (Synthroid) for more than one decade for primary hypothyroidism. Today she calls because she has a cousin who can get her the same medicine in generic form from a pharmaceutical supply company. Which is the nurses best advice?
It's better not to switch brands unless we check with your doctor.
The nurses notes in a patients medication history that the patient has been taking vasopresin. based on this finding, the nurse interprets that the patient has which disorder?
A patient is asking advice about which over-the-counter antacid is considered the most safe to use for heartburn. The nurse explains that the reason that calcium antacids are not used as frequently as other antacids is for which of these reasons?
Their use may result in kidney stones.
A patient, newly diagnosed with hypothyroidism, receives a prescription for a thyroid hormone replacement drug. The nurse assesses for which potential contraindication to this drug?
Recent myocardial infraction
A 19 year-old student was diagnosed with hypothyroidism and has started thyroid replacement therapy with levothyroxine (Synthroid). After 1 week, she called the clinic to report that she does not feel better. Which response from the nurse is correct?
The full therapeutic effect may not occur for 3 to 4 weeks.
The nurse is administering liquid oral iron supplements. Which intervention is appropriate when administering this medication?
Instruct the patient to take the medication through a plastic straw.
A patient has been taking iron supplements for anemia for 2 months. During a follow-up assessment, the nurse will observe for which therapeutic response?
Increased activity tolerance
A patient who has been been taking cimetidine (Tagamet) for hyperacidity calls he clinic to say that the medication has not been effective. The nurse reviews his history and notes that which factor may be influencing the effectiveness of this drug?
He smokes two packs of cigarettes a day.
The nurse is administering insulin lispro (Humalog) and will keep in mind that this insulin will start to have an effect within which time frame?
A patient in the emergency department was showing signs of hypoglycemia and had a fingerstick glucose level of 34 mg/dL. The patient has just become conscious. What is the nurses next action?
Administer intravenous glucose (50% dextrose)
A patient is receiving lactulose (Enulose) three times a day. The nurse knows that the patient is not constipated and is receiving this drug for which reason?
High ammonia levels
The nurse will teach a patient who is receiving oral iron supplements t o watch for which expected adverse effects?
Black, tarry stools
A laxative has been ordered for a patient. The nurse checks the patients medical history and would be concerned if which condition is present?
Abnormal pain of unknown origin
A nurse is giving instructions to a patient who will be receiving oral iron supplements. Which instructions will be included in the teaching plan?
Take the iron tablets with meals if gastrointestinal distress occurs
A patient who is taking propylthiouracil (PTU) for hyperthyroidism wants to know how this medicine works. Which explanation by the nurse is accurate?
It slows down the formation of thyroid hormone
A patient ask the nurse about the difference between diphenoxylane with atropine (Lomotil) and the over-the-counter drug loperamide (Imodium). Which response by the nurse is correct?
"Imodium does not cause physical dependence."
An 8-year old child has been diagnosed with true pituitary dwarfism and is being treated with somatropin. In follow-up visits, the nurse will monitor for which expected outcome?
The nurse is teaching a group of patients about the self-administration of insulin. What content is important to include?
When mixing insulins, the clear (such as regular) insulin is drawn up into the syringe first.
Teh nurse is teaching a patient who will be taking a proton pump inhibitor as long-term therapy about potential adverse effects. Which statement is correct?
Long term use of these drugs may contribute to osteoporosis.
A patient will be taking a 2-week course of combination therapy will omeprazole (Prilosec) and another drug for a peptic ulcer caused by Helicobacter pylori. The nurse expects a drug form which class to be ordered with the omeprazole?
Which action is most appropriate regarding the nurse's administration of a rapid-acting insulin to a hospitalized patient?
Wive it within 15 minutes of mealtime
A patient is receiving a tube feeding through a gastrostomy. The nurse expects that which type of drug will be used to promote gastric emptying for this patient?
Prokinetic drugs, such as metoclopramide (Reglan)
While recovering from surgery, a 74-year old woman started taking a stimulant laxative, senna (Senkot), to relieve ... Which teaching principal is appropriate for his patient?
Long term use of laxatives often results in decreased bowel tone and may lead to dependency.
When revising the health history of a patient who will be receiving antacids, the recalls recalls that antacids containing magnesium need to be used cautiously in patients with which condition?
The nurse is providing patient teaching about antacids. which statement about antacids are accurate?
-Antacids neutralize acid in the stomach.
-Rebound hyperacidity may occur with calcium-based antacids.
-Magnesium based-antacids cause diarrhea
A patient on chemotherapy is using odanesteron (Zofran) for treatment of nausea .... Adverse effect?
A patient who has bee newly diagnosed with vertigo will be taking an antihistamine antiemetic drug ... Teaching about this drug?
The patient will need to avoid driving because of possible drowsiness.
A patient with hypothyroidism is given a prescription for levothyroxine (Synthroid) ... What will be the advantages of levothyroxine?
The half life of levothyroxine is long enough to permit once-daily dosing.
A patient who has been on long-term corticosteroid therapy has had surgery to correct an abdominal hernia ... which potential effect of this medication may have the most impact on the patients therapy?
Delayed wound healing
A patient is taking chemotherapy with a drug that has a high potential for causing nausea and vomiting ... Which class of antiemetic drugs is most commonly used to prevent nausea ans vomiting for patients receiving chemotherapy?
Serotonin blockers, such as odansetron (Zofran)
A patient is taking omeprazole (Prilosec) for the treatment of gastroesophageal reflux disease (GERD). The nurse will include which statement in the teaching plan about this medication?
"The entire capsule must be taken whole, not crushed, chewed, or opened."
During an admission assessment, the patient tells the nurse that he has bee self-treating his heartburn for 1 year with OTC Prilosec ... This self treatment may have which result?
Masked symptoms of serious underlying disease.
A patient is receiving an aluminum-containing antacid. the nurse will inform the patient to watch for which possible adverse effect?
A patient is newly diagnosed with hypothyroidism ... The nurse will instruct the patient to take this medication at which time of day?
In the morning
During a teaching session for a patient on antithyroid drugs, the nurse will discuss which dietary instructions?
Avoiding foods containing iodine.
The nurse is administering adrenal drugs to a patient. Which action by the nurse is appropriate for this patient?
Rinsing the oral cavity after using corticosteroid inhalers
A patient who wants to prevent problems with constipation .. which type of laxative is safe ... Which class of laxative is considered safe to use on a long-term basis?
A patient is concerned about the body changes that have resulted from long-term prednisone therapy ... Which effect of this drug therapy would be present to support the nursing diagnosis of disturbed body image?
After starting treatment for type 2 diabetes mellitus 6 months earlier, a patient is in the office for a follow up examination ... Monitor which laboratory test to evaluate the patient's adherence to the anti-diabetic therapy over the past few months?
Hemoglobin A1C level
A 75-year old woman wit type 2 diabetes has been recently placed on glipizide (Glucotrol) ... When is the best time to take this medication. What is he nurse's best response?
Take this medication in the morning, 30 minutes before breakfast.
A woman who is planning to become pregnant should ensure the she receives ... to reduce the risk of fetal neural tube defects?
When administering a bulk-forming laxative ... Drink the medication mixed in a full 8-ounce glass of water. Which statement best explains the rationale for this instruction?
These laxatives may cause esophageal obstruction if taken with insufficient water.
When a patient is receiving vasopressin (Pitressin), the nurse will monitor for which therapeutic response?
Decreased urinary output
A glucocorticoid is prescribed for a patient. The nurse checks the patient's medical history knowing that glucocorticoid therapy is contraindicated in which disorder?
Peptic Ulcer Disorder
The nurse is teaching a patient with iron- deficiency anemia about foods to increase iron intake. Which food may enhance the absorption of oral iron forms?
When monitoring a patient who is taking a systematically administered glucocorticoid, the nurse will monitor for signs of which condition?
When teaching about hypoglycemia, the nurse will make sure that the patient is aware of the early signs of hypoglycemia, including:
Confusion and sweating
A patient will be taking oral iron supplements at home. The nurse will include which statements in the teaching plan for this patient?
-Taking the iron tablets with meals
-Taking iron supplements with orange juice enhances iron absorption
-Stools may become black and tarry
The nurse is preparing to administer insulin intravenously. True?
Only regular insulin can be administered intravenously
A patient has a diagnosis of primary hypothyroidism. Which statement accurately describes this problem?
Thyroid gland itself.
During therapy with the drug epoetin alfa (Epogen) ... Adverse effect?