Pharmacology test 4
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Questions and Answers

What is the action and administration route of the medication dinoprostone?

  • Prepares the cervix for delivery and stimulates labor by starting uterine contractions. It's inserted into the vagina. (correct)
  • Acts as a pain reliever and is taken orally.
  • Suppresses ovulation and is injected intramuscularly.
  • Increases blood pressure and is administered intravenously.

    • Which of the following is a recognized risk factor for erectile dysfunction?

  • High cholesterol levels
  • Regular exercise
  • Diabetes (correct)
  • Healthy diet

    • Which medications are typically administered for the diagnosis of Benign Prostatic Hyperplasia (BPH)?

  • Finasteride (Propecia, Proscar) - reduces prostate size (correct)
  • Tamsulosin - relaxes muscles in the prostate (correct)
  • Doxazosin - improves urine flow
  • All of the above

    • Which contraceptive therapies does a client not have to self-administer?

    <p>IUD and implantable rods</p> Signup and view all the answers

    Which of the following is a contraindication to oxytocin therapy?

    <p>Not for use with clients who have cephalopelvic disproportion</p> Signup and view all the answers

    In which clients should combination oral contraceptives be used cautiously?

    <p>Clients with diabetes and heart disease</p> Signup and view all the answers

    What is an important client education point regarding the use of finasteride?

    <p>Wear protective clothing and sunscreen.</p> Signup and view all the answers

    Which of the following drugs is contraindicated for use with sildenafil?

    <p>Nitroglycerin for chest pain</p> Signup and view all the answers

    Which medication is commonly administered for urinary obstruction due to an enlarged prostate?

    <p>Tamsulosin (Flomax) - Relaxes muscle in the prostate and bladder</p> Signup and view all the answers

    What should clients do if they miss a dose of an oral contraceptive?

    <p>Take missed doses as soon as possible</p> Signup and view all the answers

    What should the nurse monitor for in a client receiving terbutaline?

    <p>Monitor heart rate and respiratory status</p> Signup and view all the answers

    Which of the following client safety education points is important for the medication tamsulosin?

    <p>Change positions slowly</p> Signup and view all the answers

    What dietary instruction should be followed when taking the medication sildenafil?

    <p>Do not take the drug with high-fat foods</p> Signup and view all the answers

    Which of the following are recognized side effects of hormone-based contraceptive therapy? (Select all that apply)

    <p>Increased risk for blood clot, mood swings, breast tenderness</p> Signup and view all the answers

    Which of the following nursing care practices are essential when administering magnesium sulfate to a pregnant woman? (Select all that apply)

    <p>Monitor cardiac status, monitor vital signs frequently, maintain strict I&amp;O, and monitor serum magnesium levels</p> Signup and view all the answers

    Which of the following are nursing care considerations associated with the administration of a cervical ripening agent? (Select all that apply)

    <p>Monitoring client and fetus, additional doses may be given, oxytocin may be needed to stimulate labor</p> Signup and view all the answers

    Which of the following statements about Lantus insulin administration is correct?

    <p>Long-acting insulin with sustained blood glucose control, administered every 24 hours for type 1 and type 2 diabetes, chemically similar to insulin produced by the body.</p> Signup and view all the answers

    Which type of insulin is commonly used to correct a high blood sugar?

    <p>Lispro (Humalog) or regular insulin</p> Signup and view all the answers

    Which type of insulin is commonly used as part of a sliding scale insulin protocol?

    <p>Lispro (Humalog) - fast acting insulin</p> Signup and view all the answers

    What nursing assessments are a priority when a client is taking glipizide? (Select all that apply)

    <p>Monitor blood glucose levels closely</p> Signup and view all the answers

    How does the medication thiazolidinedione work on glucose in the body?

    <p>Treats type 2 diabetes by increasing insulin sensitivity</p> Signup and view all the answers

    What is the correct storage information for opened insulin vials?

    <p>Insulin opened and left at room temperature is only good for 30 days</p> Signup and view all the answers

    What are some adverse drug reactions associated with the medication exenatide (Byetta)?

    <p>Pancreatitis, Renal failure</p> Signup and view all the answers

    What are the correct administration instructions for sustained release glipizide?

    <p>Take 1 tablet once a day, 30 minutes before a meal</p> Signup and view all the answers

    How would a nurse evaluate the effectiveness of the medication somatropin (Genotropin)?

    <p>Monitor growth patterns by assessing height/weight</p> Signup and view all the answers

    What is one of the correct administration instructions for the medication pramlintide?

    <p>Take medication before meals</p> Signup and view all the answers

    What is the importance of rotating insulin injection sites?

    <p>Rotate injection sites to prevent skin irritation and lipohypertrophy and increase absorption of insulin</p> Signup and view all the answers

    Which of the following are adverse drug reactions for the medication levothyroxine? (Select all that apply)

    <p>Tremors, palpitations (Report to provider)</p> Signup and view all the answers

    What is the correct protocol for mixing two different types of insulin in a syringe?

    <p>Draw up regular insulin first, then NPH insulin</p> Signup and view all the answers

    What client education should be provided for methotrexate?

    <p>Avoid drinking alcohol and report yellowing of the eyes immediately, risk for infection</p> Signup and view all the answers

    What is the primary approach to medication management for clients with AIDS?

    <p>Take multiple medications</p> Signup and view all the answers

    Which type of immunity includes the use of vaccines?

    <p>Artificial Immunity</p> Signup and view all the answers

    Which of the following is an adverse drug reaction of imatinib?

    <p>Fluid retention that could lead to pulmonary edema</p> Signup and view all the answers

    Which of the following HIV medications can help prevent transmission to a fetus?

    <p>Enzyme Inhibitors = Retrovir</p> Signup and view all the answers

    What are some common adverse drug reactions associated with tamoxifen? (Select all that apply)

    <p>Abnormal menstrual bleeding</p> Signup and view all the answers

    What are the recommended immunizations for individuals aged 50 years or older?

    <p>Herpes zoster vaccine and Tetanus booster every 10 years</p> Signup and view all the answers

    Which of the following immunizations are recommended for children from birth through 6 years of age? (Select all that apply)

    <p>Haemophilus influenzae type B (Hib) Measles, mumps, and rubella (MMR)</p> Signup and view all the answers

    What are some common adverse drug reactions associated with the medication vincristine? (Select all that apply)

    <p>Weak hand grasps</p> Signup and view all the answers

    What laboratory value should be monitored and reported while administering zidovudine?

    <p>Monitor hemoglobin level - anemia (&lt;7.5)</p> Signup and view all the answers

    Which of these medications might be prescribed for metastatic breast cancer with HER2?

    <p>Monoclonal Antibody - Trastuzumab (Herceptin)</p> Signup and view all the answers

    Which of the following are adverse drug reactions associated with cisplatin? (Select all that apply)

    <p>Tinnitus, flank pain, sore throat, paresthesia</p> Signup and view all the answers

    What is the primary treatment for an opioid overdose?

    <p>Naloxone</p> Signup and view all the answers

    What are some common adverse drug reactions associated with aspirin?

    <p>Petechiae, gastric ulceration</p> Signup and view all the answers

    Which of the following is a nursing care consideration for a client taking prednisone?

    <p>Serum blood glucose monitoring</p> Signup and view all the answers

    What is a common treatment for an acetaminophen overdose?

    <p>Acetylcysteine</p> Signup and view all the answers

    What are some of the adverse drug reactions associated with the medication celecoxib?

    <p>Renal dysfunction, chest pain</p> Signup and view all the answers

    Which of the following drugs can increase the risk for Reye syndrome?

    <p>Nonopioid Analgesics - First Generation NSAIDs (Cox-1 and Cox-2 inhibitors), Aspirin (ASA), Ibuprofen (Advil, Motrin)</p> Signup and view all the answers

    Which of the following statements is appropriate client education for allopurinol? (Select all that apply)

    <p>Avoid driving or activities that require mental alertness</p> Signup and view all the answers

    Which of the following is a contraindication for tramadol?

    <p>Clients with a seizure disorder</p> Signup and view all the answers

    What are appropriate client education points when taking morphine for acute pain?

    <p>Do not take it before driving. Increase fiber and fluid intake, rise slowly from sitting, take with food.</p> Signup and view all the answers

    What laboratory test should be monitored when a client is taking gentamycin?

    <p>Monitor creatinine levels for renal dysfunction (normal= 0.5-1.5)</p> Signup and view all the answers

    What is the difference between sensitivity and resistance in antibiotic treatment?

    <p>Sensitivity to an antibiotic means the treatment is effective, whereas resistance means the antibiotic is ineffective.</p> Signup and view all the answers

    Which of the following is a standard medication regimen for tuberculosis?

    <p>Several drugs over 6-12 months (isoniazid, rifampin)</p> Signup and view all the answers

    Which of the following are known adverse drug reactions associated with gentamicin? (Select all that apply)

    <p>Tinnitus</p> Signup and view all the answers

    Which clients should the drug imipenem be used cautiously with?

    <p>Clients with a seizure disorder</p> Signup and view all the answers

    What are some adverse drug reactions of rifampin?

    <p>Jaundice (liver toxicity)</p> Signup and view all the answers

    Which nursing interventions should be implemented for a client taking acyclovir?

    <p>Increase fluid intake</p> Signup and view all the answers

    What laboratory values should be monitored when a client is taking acyclovir?

    <p>BUN</p> Signup and view all the answers

    Review which clients the drug metronidazole should be used cautiously with.

    <p>Clients with a seizure disorder</p> Signup and view all the answers

    Which of the following is an appropriate treatment for methicillin-resistant Staphylococcus aureus (MRSA)?

    <p>Vancomycin (Vancocin) - Also used for clients allergic to Penicillin</p> Signup and view all the answers

    Which of the following clients should aztreonam be used cautiously with?

    <p>Patients with renal dysfunction because it is excreted in urine</p> Signup and view all the answers

    Which class of antibiotics is commonly used to treat bacterial meningitis?

    <p>Third generation Cephalosporins - ceftriaxone, cefotaxime</p> Signup and view all the answers

    Which of the following are adverse drug reactions associated with erythromycin? (Select all that apply)

    <p>Cardiac dysrhythmias</p> Signup and view all the answers

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