NUR 3145 - Pharmacotherapeutics Pharm Quiz

NUR 3145 Pharmacotherapeutics Pharm quiz 1. Patient presents to ED with dry, non productive cough, patient has been dx with bronchitis and it has been determined medicine is needed to initiate sputum so the cough will be ...

NUR 3145 Pharmacotherapeutics Pharm quiz 1. Patient presents to ED with dry, non productive cough, patient has been dx with bronchitis and it has been determined medicine is needed to initiate sputum so the cough will be productive. Which med does nurse anticipate physician to prescribe a. Guaifenesin b. Sucralfate c. H2 receptor agonist d. 2. A patient has been dx with asthma. Prescribed ICS, the nurse providing discharge teaching 3. A patient with asthma has been prescribe an anti-inflammatory medication, the patient asks the nurse how this medication a. Increase ability to metabolize medication in lower bronchioles b. Decrease ability of mucous secretion c. Decrease airway d. Increases uptake of corticosteroids to medication 4. A nurse is providing discharge teaching to a patient with an order chemical stimulant laxatives prn, the nurse cautions the patient about which possible adverse effect? 5. A patient with hypertension and asthma can have an adverse reaction to which class of drugs a. aspirin and nsaids may cause bronchoconstriction in sensitive patients b. Non selective beta adergenic antagonist such as propranolol, carvedilil, Labetalol may cause llamas vasoconstriction c. SAMAs an LAMAs may cause vaso constriction in sensitive patients d. 6. Deaths due to the delayed bronchial effects on the improper use black box label 7. Which of the following medications provides the best anti inflammatory effect for the treatment of asthma 8. A nurse questions the order when omeprazole is prescribed to a patient taking Plavix (clopidogrel) adverse effect is: a. Antiplatelet effect will be more effective b. Patient may experience a lower risk of bleeding c. The antiplatelet effect will be less effective 9. A nurse giving discharge instructions to a patient scription for antihistamine informs the patient they are receiving the most sedating antihistamine which antihistamine is the most sedating 10. A patient with a history of angina has been prescribed pseudoephedrine for nasal congestion the nurse understands new to pseudo ephedrine should not be used by a. patients with any type of heart disease b. is safe to take pseudoephedrine if you're only taking labetalol c. rebound congestion is more common when a person with angina take pseudoephedrine d. it is safe to use this pseudo ephedrine if you're only taking nitro 11. Which medication prescribed for asthma has a narrow therapeutic range and must be monitored with plasma drug levels 12. a nurse counsels a patient using 2 different types of medication hey Saba and a inhaled glucocorticoid the patient questions purpose of inhaler the nurses best response would be that 13. How true receptor blockers pathol physiologically worked to promote ulcer healing 14. What are some of the adverse effects of PPI's (select all) **maybe all of them??? a. inhibit absorption of calcium b. increased fractures increase c. absorption of some medications for example drugs for HIV and antifungals such as ketoconazole that d. inhibit absorption of vitamin D 15. nurse teaching to a patient with gerd identify some of the non drug measures used for gerd a. avoidance of alcohol b. stop smoking meals c. avoid late night meals d. weight loss 16. Care feet promote ulcer healing by careful a. Creating a barrier to …… hydrogen ions ?? b. Increasing bile salts to increase mucosal lining c. Decreasing hepatic drug metabolising enzymes or d. increasing hepatic drug metabolising enzymes 17. PPIs work 90% compared to 65% for histamine receptor antagonist maybe and have more adverse effects and should be used for the shortest amount of time. T/ F ? 18. Which medication can reduce the effect of clopidogrel, antiplatelet? a. Carafate b. Ppis c. insulin 19. Which class of diuretics is particularly therapeutic in patientt with renal impairment ? a. Thiazide b. Loop diuretics??? c. Hydrochlorothiaze d. Potassium sparing 20. Which drug class is the most effective anti emetic a. Carafate b. Phenergan c. Zofran d. Reglan 21. What are the therapeutic uses of Reglan pro-kinetic drug ? a. Decrease nausea vomiting b. Decrease heartburn c. Relieve the feeling of fullness long after meals d. Relieve smptoms of slow stomach emptying 22. Long term therapy with regland can lead to a. autotoxicity b. extrapyramidal reactions c. anti cholinergic effects ??? d. tardive kinesia 23. List the adverse effects of lasik's a. Hypotension b. dehydration c. electrolytes such as sodium decrease of electrolytes such as sodium potassium sleep d. apnea 24. Compazine an phenergan suppress a. Releasing dompamine two receptors in the CTZ b. By decreasing the feeling of fullness c. slowing stomach emptying d. by blocking dopamine two receptors in the chemoreceptor trigger zone 25. The eating nurse is providing discharge teaching a patient with diarrhea an advises that the most effective anti diarrheal medication is : a. reglin b. Zofran c. sucralfate d. Lomotil 26. What adverse effect when lithium in lasix or combined ? a. Low sodium levels in the body can increase lithium levels b. otoxicity c. low sodium in the body can elevate lithium levels to toxic levels d. pulmonary edema 27. Patient recently discharged calls the health care provider to ask adverse effects when diuretics and digoxin are combines a. Gout may develop b. potassium levels can increase dig levels become toxic c. ototoxicity may develop 28. A nurse is providing teaching to a patient discharged prescription for diuretics with renal impairment the nurse cautions the patient to refrain from foods high in potassium a. nuts b. bananas c. coffee d. spinach 29. A patient presents the 80 with hyperkalemia the nurse expects to administer the following medications to treat hyperkalemia a. Potassium sparing diuretic b. Ace inhibitors c. Insulin d. Calcium gluconate, insulin, glucose 30. The nurse practitioner prescribes medication used to treat nausea vomiting and dizziness caused by motion sickness Which may also be used to reduce dizziness and loss of balance a. Meclizine 31. Match the match the following medications with the class a. Xolpanex - bronchodilator b. Benadryl - antihistanmine c. Hydrocones cough suppressant 32. GI meds match a. Ex-lax stimiulant b. Metamucil – bulk formin c. Colace – softener d. M.o.M. – 33. The nurse is caring for a patient taking lasics the nurse should expect which side effects of this medication a. lower blood pressure b. visual disturbances c. tremors d. far sightedness 34. patient is taking lisinopril and spirolactalone should be monitored for which of the following adverse effects a. select all hyperkalemia b. autotoxicity c. fever d. hyportension 35. A patient has taken a high dose of oral glucocorticoids for two months for severe asthma the symptoms have resolved the nurse teaches the patients how to discontinue the medication a. doses should be tapered over the course of seven to 10 days 36. which of the following medications are for allergic rhinitis a. all of them. 37. A patient calls the physician's office and asks how many motion sickness pills he can take a. adults can take one diphenhydramine every 10 hours b. adult can take one diphenhydramine every four to six hours ??? c. the dose is determined by weight d. adult can take one Dyphenhydramine every hour as needed 38. A patient with asthma is admitted to the Ed with severe bronchospasms the Ed will expect the administration of what medication a. Long acting beta salmetrol b. Oral beta two agonist c. Short acting nebulizer albuterol 39. Ipratropium bromide (Atrovent) Are used for the treatment of COPD the anti cholinergic properties with pathophysiologically by promoting a. Decrease secretions b. bronchial vaso constriction c. increased rate of breathing d. bronchial vasodilation 40. a patient who follows a vegan diet will need additional supplementation with which vitamin a. E, D, ascorbic acid or B12 ?? 41. The patient is taking a multi vitamin which includes vitamin K which drug taken with vitamin K would be less effective a. Warfarin b. Dig c. Aspirin d. Furosemide 42. a patient may experience flushing used to treat lipidemia 43. Which of the following drugs is a prokinetic 44. Which anti-emetic is contraindicated in children under age 2? 45. Which of the following labs would be of concern in a patient with prolonged diarrhea a. Bun 22 b. Sodium 135 c. Potassium 3.0 d. HCT 35 46. Match to drug class a. Short acting – albuterol b. Long acting – salmeterol formoterol c. Short acting muscarinic – ? d. Long acting muscarinic – Spiriva 47. A patient calls and asks the nurse what is the best non drowsy motion sickness medication? a. Compazine b. Dramamine c. Meclizine? d. Formoterol 48. A patient being discharge with montelukast asks long term effects of med? a. Agitation b. Disorientation or confusion c. Depression] d. Hallucination 49. A patient being discharge with prednisone asks adverse effects a. Bone and muscle issues b. Hyperglycemia c. Allergic reactions d. CV issues 50. Match with class a. Solumedrol -steroid b. Albuterol – broncholdilatro c. Zyrtec – antihistamine 51. Theophylline treats asthma and copd , it must be used regulary to prevent shortness of breath , this med belongs to class of medications known as ???? a. Xanthines b. Decongestant c. Steroid d antagonist? 52. Which of this list of medications used to treat duodenal ulcers and to prevent their return, also used to treat gastric ulcers a. Cimetidine, ranzatidine…. b. Prilosec, OmePPI, …. 53. Match a. Reglan – antiemetic b. Calcium carbonate – atacids c. Compazine – anpsychotic and antiemetic d. Pepci - ?? histamine 2 receptor??? 54. The follwoig diarrheal medication has been banned due to opioid painkiller seeking dangerously high doses or to treat withdrawl symptoms a. Immodium? b. Carafate c. Ppi 55. A nurse administers Reglan postop, nurse knows pathophysiological effects are 56. A nurse administers omeprazole to increase an enzyme that increases gastric acid in a patient with duonenal acid 57. A nurse asses a male patient develops gynocomastia while receiving treatment for PUD, which medication in patient’s history is recognizing as contributing factor a. Asprin b. Omeprazole c. Flagyl d. Cimetidine 58. Nurse administering omeprazole to a Patient with acute coronary syndrome at the stroke combined with the following medication on the patients Mar is dangerous clopidegrel (Plavix) 59. Which of the following meds in patients Medical history related to development of vitamin B1 (thiamine) deficiency ? a. Chronic alcohol use? b. Gastric resection c. Opioid addict d. Mutriple surgeries 60. Match class a. Cimetidine – histamine H2 blockers b. Omeprazole- PPi c. Sulcrafate – mucosal ( cutoprotectan ) d. Cellulose - bulk 61. Patient calls for best OTC med for motion sickness …. a. Dramamine and meclizine?? b. Reglan and Compazine c. Histamine receptos d. Diphenoxylate with atropine 62. Women using long term inhaled glucocorticoids should be advised to a. Heck bp and blood glucose daily b. Supplement vit d and calcium c. Weig daily 63. Prokinetic help strengthen the LES …. And cause the contents of stomach to empty slower allows more time for acid reflux to occur. False 64. Ibs symptoms can vary….most have atleast two of these symptoms..select all a. Increase gurgling bowel sounds b. Pain cramping c. Feeling of fullness d. Altered bowel habits 65. Diphenoxylate in combo with atropine and lopiramide are used to treat a. Gerd b. Diarrhea c. Constipation d. Stomach acid 66. The following describes the following between PPI’s and H2 receptors….. a. Faster and stronger (first one) 67. The classes of diuretics include all exept a. Loop b. Thiazides c. Potassium sparing? d. Low molecular weight e. Osmotic f. Carbonic anyhydrase 68. Diuretics work pathophysiologically in the body by a. Moving from an area of high concentration to low concentration b. Moving fron an area of low concentration to high c. Increases amount of urine produced by kidneys and increase sodium secretion? d. Only shift fluid from intracellular to extracellular 69. The following medications are thiazide like diuretics except ….. a. Exept for ones ending in -thiazide 70. The following mediations are loop diuretics a. Lasix b. Chlorothiazide c. Torsemide d. Bumex