NURS 602; Pharmacology Study Guide 3
1. What non-pharma logical interventions would a patient need who is vomiting?
2. * What nursing instructions would you give a patient on dimenhydrinate (Dramamine)?
3. Adverse ef
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NURS 602; Pharmacology Study Guide 3
1. What non-pharma logical interventions would a patient need who is vomiting?
2. * What nursing instructions would you give a patient on dimenhydrinate (Dramamine)?
3. Adverse effects of diphenoxylate with atropine (Lomotil)?
4. Appropriate goals for a patient who had diarrhea?
5. A patient who is having 3 -4 stools that are hard, the nurse would perform which action?
6. Patient teaching for a patient who is on psyllium (Metamucil)?
7. With children taking metoclopramide (Reglan), this side effect occurs more often?
8. Dronabinol (Marinol), to prevent vomiting, will be given when, during chemotherapy?
9. * What type of drug will be given for a colonoscopy?
10. With prolonged vomiting, the patient could be at risk for what kind of problem?
11. * When a patient is using antiemetic, it is essential that the nurse understands what principle?
12. What would you prescribe to a patient to prevent constipation?
13. What are the side effects of Compazine?
14. What is the action of Reglan?
15. Nursing instructions for a patient on proton pump inhibitors?
16. GERD is often associated with what medical condition?
17. Duodenal ulcers are often caused because…?
18. What is the action of ranitidine (Zantac)?
19. Side effects of aluminum hydroxide?
20. A Patient has chronic gastritis. What vitamin deficiency is common?
21. What to teach a patient who is diagnosed with polycystic ovary syndrome?
22. The nurse will teach this to a patient who is taking oral contraceptives prescribed endometriosis.
23. Patient teaching for a 35-year old woman who uses oral contraceptives and wants to have children?
24. What lab finding would you expect for a patient (age 55) who has developed amenorrhea?
25. Why would a 53-year-old woman want to use a combined estrogen-progesterone hormone replacement therapy to control the effects of menopause?
26. When should a nurse explain about an antipsychotic drug to a patient who has delusions and psychosis?
27. What is of concern for a patient with major depression with suicidal ideations and psychomotor retardation and who has been taking antidepressants for two weeks?
28. Definitions of: Dystonia, akathisia, psuedoparkinsonism, and tardive dyskinesia?
29. Adverse effects of patients on clozapine (Clozaril)? What abnormal lab result?
30. A frequent side effect of antipsychotics that commonly caused non-compliance?
31. A patient on amitriptyline (Elavil) causes constipation and dry mouth. What instruction would the nurse give the patient.
32. What instructions would you give to a patient who is on sertraline (Zoloft) who reports being unable to sleep well?
Take your antidepressant in the morning. Avoid caffeinated food and drinks, particularly late in the day. Get regular physical activity or exercise — but complete it several hours before bedtime so it doesn't interfere with your sleep. Talk to your doctor about taking a sedating medication at bedtime. If insomnia is an ongoing problem, ask your doctor whether taking a low dose of a sedating antidepressant such as trazodone or mirtazapine (Remeron) before bed might help. The nurse should know that one of the common side effects of sertraline (Zoloft) is insomnia. Therefore, most clients are given sertraline (Zoloft) early in the day.
33. What action would the nurse take if a patient on Lithium and the level is 2 mEq/L?
34. Monoamine oxidase inhibitors require strict what?
35. A patient on venlafaxine (Effexor) should avoid what substance or drug?
36. A patient should taper the dose gradually off a benzodiazepine to avoid what (wanting to come off the drug)?
37. What interventions should be included in the nurse’s plan of care who is taking flurazepam (Dalmane)?
38. How long will a patient who has epilepsy need to be on an anticonvulsant?
39. A child with seizures is brought to the ER, the nurse will expect to receive what?
40. A patient is on valproic acid (Depakote) for epilepsy, the nurse would be concerned with what in the patient’s history?
41. A pregnant woman with elevated blood pressure and muscle contractions followed by jerking of arms and legs, the nurse would expect to administer what?
42. What medications help a patient who has exhibited a shuffling gait, lack of facial expression, and tremors at rest?
43. How is the pathology different for Alzheimer’s diseases than Parkinson’s disease?
44. Cogentin will help how (for a patient with Parkinson’s disease)?
to balance cholinergic activity in the basal ganglia. PAGE 315
45. A patient who has Parkinson’s disease and receiving a combination of carbidopa and levodopa, the combination product acts how?
46. What antiviral medication improves symptoms of Parkinson’s disease?
47. Characteristics of a patient with Alzheimer’s disease?
48. What would a nurse monitor for a 12-year-old boy on methylphenidate (Ritalin)?
Evaluate height, weight, and growth of children, because Ritalin can stunt growth in children. PAGE 287
49. A patient on Loxapine (Loxatine) has been taking the medication for 15 months and now has smacking lips and involuntary movements of all extremities. What action should the nurse take?
50. Side effects of clozapine (Clozaril) are?
51. A patient on risperidone (Risperadal) reports drowsiness, and headache. What will the nurse say or do?
52. If a patient who has been taking lorazepam (Ativan) for the past 6 months for anxiety and now says the medication is not working. What has happened?
53. How long does it take for busiprone hydrochloride (BuSpar) to work?
54. What drug treats anxiety?
55. Side effects of Venlafaxine (Effexor)
56. Patient on Fluoxetine (Prozac) reports improved mood. The nurse will counsel the patient about changing the dosing to what schedule now?
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