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NURSING NU1426 Pharmacology Exit HESI

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Nurse should observe most closely for drug toxicity when a client receives med that has what characteristic Nurse is conducting DC teaching about anti-anxiety drug diazepam (valium) Nursing instruction most important for patient on Zyloprim Client getting Tofranil (Imipramine) Magnesium antidote Patient with hyperthyroidism taking inderal (propanalol) Medication dosing-heparin 25000 units at 7ml/hr doctor changed rate to 900 units what is the Med was ordered 100mg in 4 divided doses in 24 hours available in 25mg, how many will you give every 6 hours Patient on benzos Patient Dx with bipolar-how to know if meds are effective Patient on Heparin going for surgery in a.m.,-priority Best time to give patient Abx (I think) Medication calculation-patient weighs equal to 16kg-order for Tamiflu 45mg BID Peptic ulcer med-what action Patient on folliculitis medication-what to teach Vasopressin Know why Digoxin and Lasix are used together Tamoxifen Citrate use and therapeutic outcome Fosomax for osteoarthritis patient teaching Rifampin for TB Pyridium for bladder infection Stay in bed for 3 hours post first Ace Inhibitor dose Avoid grapefruit juice with CCB Lipitor (statins) in PM only-no grapefruit juice Trough draw Peak draw Potassium sparing diuretic need to watch for hyperkalemia Using bronchodilators before steroids for asthma teaching Insulin can be kept at room temp Drawing insulin Know the insulins and their peak/onset (there are several Qs about this in different formats) Chlamidia Trichomoniasis Candidiasis Herpes Simplex 2 Parkinson’s disease Phenobarbitol Preparing to administer a drug to a pt with an infection RN is teaching a pt about a new drug… what’s most important to teach the pt to improve the intensity of the response to the drug A nurse is giving morphine 2 mg IV to a pt after surgery and she has followed the “six rights of administration”… RN doesn’t understand why a pt is to receive a prescribed med Administration of schedule IV drug, the RN understands Where would a RN direct a pt to obtain more info about prescribed medications RN is prepared to administer Epinephrine to pt that has a severe allergic reaction Digoxin has 36-48 hr half life – because of the length of half life, the RN expects to be dosing this medication Pt is prescribed Cimetidine (histamine 2 antagonist) to treat gastric ulcer Drug X has a therapeutic index of 10 and drug Y has an index of 2 A pt taking Digoxin is also prescribed Propanolol. The 2 drugs combined may cause a serious decrease in HR A pt prescribed CCB Diltiazem to treat hypertension Which of the pts would be at highest risk for an adverse reaction RN receives a handwritten medication order – can’t read A breast-feeding pt is prescribed an antimicrobial medication The RN is evaluating the kidney fx of an 82 yo pt before administration of medications – The most important factor in an adverse drug reaction in the elderly population is A pt is prescribed Bethanocol (Muscarinic Agonist) for urinary retention – if pt exhibits signs of overdose such as: increased salivation, sweating, bradycardia, hypotention, the RN would administer The pt takes Oxybutinin (anticholenergic) for OOB takes an OTC antihistamine (anticholenergic) for hay fever After IM injection of penicillin the pt develops severe difficulty breathing and swollen tongue (Anaphylaxis)

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