Term
| What emergency drug can be used with an aspirin overdose and why? |
|
Definition
| sodium bicarbonate, it neutralizes acid and increases renal excretion of the acid |
|
|
Term
| What mineral can be used for nighttime leg cramps? |
|
Definition
|
|
Term
| Why does Coumadin have so many drugs listed as interactions? |
|
Definition
|
|
Term
| If a patient suddenly stops Dilantin therapy, what could be the outcome? |
|
Definition
|
|
Term
| Since thorazine and like medications can cause agranulocytosis, what would you want patient to admit immediately? |
|
Definition
|
|
Term
| What is the most important question to ask a pt starting antidepressants? |
|
Definition
| Have you had any suicidal thoughts lately? |
|
|
Term
| If a child is experiencing anorexia due to Ritalin, what should nurse suggest? |
|
Definition
| eat before taking medication |
|
|
Term
| If a patient who is alcoholic and on antabuse treatment, stops pills for a week and starts drinking, what will happen? |
|
Definition
| sever headache, nausea, vomiting |
|
|
Term
| What is more potent, codeine or morphine? |
|
Definition
|
|
Term
| How soon should patient take nitrate after feeling angina? |
|
Definition
|
|
Term
| What is the goal of therapy for Parkinson's patient? |
|
Definition
| Decrease tremors, and improve functioning and ADLs |
|
|
Term
| What effect does Epogen have on the cardiovascular system? |
|
Definition
|
|
Term
| A patient presents in the ED after overdose of Oxycontin, what drug would be used? |
|
Definition
|
|
Term
| What could be assessed if a patient on Coumadin takes ginkgo biloba? |
|
Definition
| signs of bleeding- petechiae and bleeding gums |
|
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Term
|
Definition
| inhaling of volatile substances like paint thinner |
|
|
Term
| Why can't Concerta be easily refilled? |
|
Definition
| it is a controlled substance |
|
|
Term
| What IV drug is used to treat status epilepticus? |
|
Definition
|
|
Term
| Propranolol (Inderal) being used to treat HTN in a male client may have what effect? |
|
Definition
| decreased sexual function |
|
|
Term
| What is a renal system symptom of an anticholinergenic? |
|
Definition
|
|
Term
| If a nurse commits a med error, what should she do? |
|
Definition
| document the med given, notify prescriber, fill out an incident report |
|
|
Term
| If a patient who is treated with phenobarbital for seizures discovers she is pregnant, what should be done? |
|
Definition
|
|
Term
| How does reteplase (Retivase) improve function after an MI? |
|
Definition
| dissolves clot and reestablishes tissue perfusion |
|
|
Term
| A patient with angina being treated with amlodipine (Norvasc) must be taught to report which critical finding? |
|
Definition
| Weight gain of 2 lbs/day or 5 lbs/week |
|
|
Term
| For which kind of seizure is ethosuximide (Zarontin) prescribed? |
|
Definition
|
|
Term
| A patient is on nadolol (Corgard), what respiratory effects may this drug have? |
|
Definition
| bronchospasm/bronchoconstriction |
|
|
Term
| Before giving Vasotec to a patient, what should the nurse do? |
|
Definition
|
|
Term
| How does doxazoin (Cardura) decrease BP? |
|
Definition
|
|
Term
| What effect does garlic have on INR in a patient on Coumadin therapy? |
|
Definition
|
|
Term
| If a patient is on cholestryamine for lowering cholesterol, what is an essential nursing assessment intervention? |
|
Definition
| Assess bowel sounds in all 4 quadrants |
|
|
Term
| How does HCTZ decrease blood pressure |
|
Definition
| increases urinary excretion |
|
|
Term
| If a pt being treated with atenolol (Tenomin) suddenly stops taking it, what could be the outcome? |
|
Definition
|
|
Term
| What effect does propanolol have in a diabetic? |
|
Definition
| blunt adrenergic symptoms and decrease in blood sugar |
|
|
Term
| Why would you give an IV drug instead of an oral for nausea? |
|
Definition
|
|
Term
| What are the drug effects of meds such as Aricept for Alzheimer's? |
|
Definition
| it decreases the symptoms for a while |
|
|
Term
| What agency is responsible for approving drugs? |
|
Definition
|
|
Term
| What is a psychological addiction? |
|
Definition
| The craving for a substance |
|
|
Term
| Why will meds potentially become less effective during pregnancy? |
|
Definition
| there is an increased blood volume...baby is taking some of mother's blood supply |
|
|
Term
| A classic first symptom of digitalis toxicity is... |
|
Definition
|
|
Term
| After exposure to anthrax, what antibiotic should be administered? |
|
Definition
|
|
Term
| What effect would the nurse expect when administering buspar (Buspirone)? |
|
Definition
| a decrease in anxiety and an increase in relaxation |
|
|
Term
| What makes herbals so different from drugs in safety? |
|
Definition
| Manufacturers do not need to assure safety of efficacy |
|
|
Term
| What are the procedures following a medication error designed to do? |
|
Definition
| to verify that patient safety was protected |
|
|
Term
| When administering heparin, should the nurse aspirate? |
|
Definition
|
|
Term
| What adverse reaction symptom should a patient taking a statin admit immediately? |
|
Definition
|
|
Term
| If the patient says a med is too expensive, what advice should you give them? |
|
Definition
|
|
Term
If a malnourished client is prescribed a high protein binding drug, what will happen?
|
|
Definition
| Drug may reach toxic levels due to more free drug |
|
|
Term
| What anticoagulant is safe during pregnancy? |
|
Definition
|
|
Term
| Why would the physician change the prescription for an antibiotic that is water-soluble to a lipid-soluble when the patient is diagnosed with meningitis? |
|
Definition
| only lipid-soluble drugs can cross the blood brain barrier |
|
|
Term
| What is the most commonly used replacement drug for heroine addiction? |
|
Definition
|
|
Term
| When taking muscle relaxants, what must be done to assist GI function? |
|
Definition
|
|
Term
| If a patient is started on a beta blocker, what must you teach them to do each day? |
|
Definition
| take their pulse for one full minute |
|
|
Term
| Why must a patient taking lithium for bipolar depression use table salt (sodium)? |
|
Definition
| to allow for renal clearance of lithium to prevent toxicity |
|
|
Term
| If a patient admits to using alcohol, what should you ask them next? |
|
Definition
| How many drinks to you have per day? |
|
|
Term
| What would you monitor in an African American client who is started on erythromycin? |
|
Definition
| RBCs in CBC due to hemolysis from a possible G6PD deficiency |
|
|
Term
| Why do patients on Dilantin need routine blood levels tested? |
|
Definition
| Dilantin has a tight therapeutic index |
|
|
Term
What is the antidote to nerve gas exposure? |
|
Definition
|
|
Term
| What cardiac effect may benztropine (Cogentin) have on the Parkinson's patient? |
|
Definition
|
|
Term
| How does a nerve block decrease pain for the chronic pain sufferer? |
|
Definition
| it blocks the transmission of the pain sensation along the nerve |
|
|
Term
| What action is expected when albuterol is administered to the asthmatic client? |
|
Definition
|
|
Term
| What electrolytes can be depleted from Lasix therapy? |
|
Definition
|
|
Term
| What class of drugs are contraindicated with Dantirum? |
|
Definition
|
|
Term
| What two things should you check before giving any new drug to a patient? |
|
Definition
| verify patient's identity and check allergies |
|
|
Term
| Why shouldn't Parkinson's patients take a multivitamin with levadopa? |
|
Definition
| B6 prevents absorption of the levadopa |
|
|
Term
| What is a physical addiction? |
|
Definition
| physical withdrawal symptoms |
|
|
Term
| What administration procedure would make aspirin more effective and why? |
|
Definition
| empty stomach, there is more acid present |
|
|
Term
| What is an adverse reaction of aspirin in the elderly? |
|
Definition
|
|
Term
| Why does diltiazem (Cardizem) sometimes cause headaches? |
|
Definition
| it dilates blood vessels in the brain |
|
|
Term
| What is the adverse effect of administering hypotonic fluid IV? |
|
Definition
| first thing that happens: confusion, LOC, headache |
|
|
Term
| Why do patients with TB take multiple drugs? |
|
Definition
| It decreases resistance to any one drug |
|
|
Term
| What two types of toxicity can drugs ending in "-mycin" cause? |
|
Definition
| ototoxicity and nephrotoxicity |
|
|
Term
| What daily intervention should the nurse make for a patient on garamycin? |
|
Definition
| whisper test, checking for ototoxicity |
|
|
Term
| Before administering amphotericin B, what should the nurse check? |
|
Definition
|
|
Term
| The patient is prescribed cephapine or maxopine, what do you check first? |
|
Definition
| if pt has allergy to penicillin |
|
|
Term
| A patient is using lamisil (treatment of fungal infection of toenails). What med should not be used for a headache? |
|
Definition
|
|
Term
| What lab tests for HIV effectiveness? |
|
Definition
|
|
Term
| How does tamoxifen work with breast cancer? |
|
Definition
| blocks? estrogen receptors |
|
|
Term
| If a patient is on a MAOI and takes benedryl, what will the outcome be? |
|
Definition
|
|
Term
| What effect does isopril have on blood sugar? |
|
Definition
|
|
Term
| Why is Pepto Bismol effective againt h. pylori? |
|
Definition
| it prevents the attachment |
|
|
Term
| When is Lispro insulin best administered? |
|
Definition
|
|
Term
| A client being treated with phosomax should report what electrolyte imbalance? |
|
Definition
|
|
Term
| If a patient's eye drops sting, what should nurse tell patient? |
|
Definition
| this is common and normal |
|
|
Term
| Which anti-arthritic drugs are safe durng pregnancy? |
|
Definition
|
|
Term
| How long after eye drop administration should contact lenses be left out of eyes? |
|
Definition
|
|
Term
| What time of day should you take glucocorticoids? |
|
Definition
|
|
Term
| What advantages do inhaled glucocorticoids have over systemic glucocorticoids? |
|
Definition
| it provides local relief, reduces systemic side effects |
|
|
Term
| A patient is on Dantrum, what drug is contraindicated? |
|
Definition
| berapamil (calcium channel blocker) |
|
|
Term
| A patient on Procardia has experienced heart failure, what should you check for? |
|
Definition
| breath sounds, listening for crackles |
|
|
Term
| What is the priority assessment on a patient on inalopril (Vasotec)? |
|
Definition
|
|
Term
| What ADR of captopril would cause health care provider to change drug to ARB? |
|
Definition
|
|
Term
| What major side effect of beta blockers cause men to stop taking them? |
|
Definition
|
|
Term
| Patient on spirinolactone should be assessed for which electrolyte imbalance? |
|
Definition
|
|
Term
| A patient on garamycin should be assessed for... |
|
Definition
| hearing and renal function (ototoxicity and nephrotoxicity) |
|
|
Term
| A diabetic on isopril should be monitored for what? |
|
Definition
| hyperglycemia, tachycardia |
|
|
Term
| What treatment can a patient with arthritis who becomes pregnant use? |
|
Definition
| heat therapy and splinting |
|
|
Term
| When teaching a patient to administer their own ear drops, what postition should they be in? |
|
Definition
|
|
Term
| If a patient is switched to a more potent drug, will their dosage increase or decrease? |
|
Definition
|
|
Term
| What do pharmacogenomics mean for the future? |
|
Definition
| more specific and individualized drugs |
|
|
Term
| What drug treats absent seizures? |
|
Definition
|
|
Term
| What does an absent seizure look like? |
|
Definition
| zoning out, blank, no tremors |
|
|
Term
| What would you be most concerned about in a patient that just overdosed on a tricyclic antidepressant? |
|
Definition
|
|
Term
| What is tardive dyskinesia? |
|
Definition
| lip smacking and unusual facial movements |
|
|
Term
|
Definition
|
|
Term
| What drug classification can cause tardive dyskinesia and acathesia? |
|
Definition
|
|
Term
| Patients taking drugs that cause bone marrow suppression should report what? |
|
Definition
| infection and sore throat |
|
|
Term
| Any drug that causes CNS depression may cause what ADR? |
|
Definition
|
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