NUR 113 Drug Test

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Questions and Answers

What is the primary purpose of diphtheria and tetanus toxoid vaccines?

  • Cure for diphtheria and tetanus
  • Treatment of diphtheria and tetanus
  • Prevention of diphtheria and tetanus (correct)
  • Management of diphtheria and tetanus

Which of the following is NOT a potential adverse effect of Gentamicin?

  • Nausea
  • Respiratory Depression (correct)
  • Hypersensitivity
  • Tinnitus

What is a contraindication for Keppra?

  • History of seizures
  • Renal impairment
  • Hepatic dysfunction
  • Known drug allergy (correct)

What nursing consideration is important when a client is prescribed meropenem for a complicated intra-abdominal infection?

<p>Assessing renal function (D)</p> Signup and view all the answers

Which type of insulin has a faster onset but shorter duration of action compared to regular insulin?

<p>Lispro insulin (A)</p> Signup and view all the answers

What is the typical peak effect of regular insulin after administration?

<p>1/2 to 2 hours (A)</p> Signup and view all the answers

What is the typical onset of action for NPH insulin?

<p>2 to 3 hours (C)</p> Signup and view all the answers

Which type of insulin has a relatively constant basal insulin level with no significant peak compared to NPH insulin?

<p>Glargine insulin (B)</p> Signup and view all the answers

What is a potential side effect of Glimepiride?

<p>Hypoglycemia (B)</p> Signup and view all the answers

Which of the following drugs is used to treat Peptic Ulcer disease, GERD, and Zollinger-Ellison syndrome?

<p>Famotidine (B)</p> Signup and view all the answers

Which of the following is a potential adverse effect of Valproic Acid?

<p>Hepatotoxicity (B), Pancreatitis (D)</p> Signup and view all the answers

What is the primary use of Naloxone?

<p>To reverse the effects of opioid overdose (C)</p> Signup and view all the answers

What is the antidote for Enoxaparin overdose?

<p>Protamine sulfate (B)</p> Signup and view all the answers

Which of the following is a side effect of Morphine?

<p>Respiratory depression (C)</p> Signup and view all the answers

What is the correct dosage of Carafate solution for a 1 g/5 ml solution?

<p>20 ml in 24 hrs (A)</p> Signup and view all the answers

What is the appropriate needle gauge and length for an intramuscular injection?

<p>25-27g &amp; 1-1 ½ inch (D)</p> Signup and view all the answers

Which of the following is a landmark for the ventrogluteal injection site?

<p>Greater trochanter (B)</p> Signup and view all the answers

What should you monitor when a patient is receiving unfractionated heparin therapy?

<p>INR (B)</p> Signup and view all the answers

Which of the following is a potential adverse effect of naloxone administration?

<p>Hypotension (B)</p> Signup and view all the answers

What is a potential adverse effect of excessive paracetamol (acetaminophen) dosing?

<p>Hepatotoxicity (D)</p> Signup and view all the answers

What is a potential adverse effect of naloxone?

<p>All of the above (D)</p> Signup and view all the answers

What is a common side effect of ondansetron?

<p>Headache (C)</p> Signup and view all the answers

What is a major adverse effect of excessive paracetamol dosing?

<p>Hepatotoxicity (C)</p> Signup and view all the answers

What is the correct amount of insulin to administer for the first red dot in the provided information?

<p>72u (C)</p> Signup and view all the answers

What is the correct amount of insulin to administer for the arrow in the provided information?

<p>There is not enough information to determine the correct amount (C)</p> Signup and view all the answers

What is the correct gauge and length of the needle for an intramuscular injection for an adult?

<p>25-27g and 1-1/2 inch (A)</p> Signup and view all the answers

What is the name of the site landmark indicated by the red dot in the information about the red dot labels?

<p>All of the above (D)</p> Signup and view all the answers

What is the name of the site landmark indicated by the red dot in the information on ventrogluteal injection?

<p>All of the above (D)</p> Signup and view all the answers

What is the 24-hour ml total administered by the nurse for a client who receives Carafate Solution 1GM BID, if the solution is available as Carafate solution 500mg/5ml?

<p>20ml (C)</p> Signup and view all the answers

Which of the following is NOT a potential adverse effect of naloxone?

<p>Hypertension (D)</p> Signup and view all the answers

Which insulin has a duration of action exceeding 24 hours?

<p>Degludec (B)</p> Signup and view all the answers

What is NOT a potential adverse effect of ketorolac?

<p>Respiratory depression (D)</p> Signup and view all the answers

Which condition is a contraindication for prescribing Keppra?

<p>Known drug allergy (B)</p> Signup and view all the answers

What is a common side effect of Ativan?

<p>Drowsiness (B)</p> Signup and view all the answers

What should be assessed when prescribing meropenem for a complicated intra-abdominal infection?

<p>Renal function (A)</p> Signup and view all the answers

Which adverse effect is potentially caused by Glucophage?

<p>Lactic acidosis (D)</p> Signup and view all the answers

What are potential side effects of Solumedrol?

<p>Fluid retention and hyperglycemia (D)</p> Signup and view all the answers

What should be monitored when a client is taking Reglan?

<p>Liver function (D)</p> Signup and view all the answers

Clients taking metoprolol for hypertension should avoid which substance?

<p>Alcohol (A)</p> Signup and view all the answers

What is one of the side effects of rapid vancomycin infusion?

<p>Red man syndrome (B)</p> Signup and view all the answers

Flashcards

Protonix Administration

Granules sprinkled on applesauce for clients who can't swallow capsules.

Valproic Acid Adverse Effects

Potential side effects include pancreatitis and hepatotoxicity.

Vancomycin Infusion Effects

Adverse effects include hypotension, ototoxicity, and red man syndrome.

Enoxaparin Therapy Monitoring

Monitor platelet counts during enoxaparin administration.

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Naloxone Primary Use

Used to reverse the effects of opioid overdoses.

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Protamine Sulfate Antidote

Antidote for enoxaparin overdose.

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Unfractionated Heparin Monitoring

Monitor INR levels with unfractionated heparin.

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Morphine Side Effects

Common side effects include constipation, urinary retention, respiratory depression, and drowsiness.

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Hydrocodone Side Effects

Potential side effects include sedation, constipation, and respiratory depression.

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Ondansetron Side Effect

Headache is a common side effect of ondansetron.

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Diphtheria and Tetanus Vaccines

Vaccines intended for the prevention of diphtheria and tetanus.

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Famotidine Uses

Used to treat Peptic Ulcer disease, GERD, and Zollinger-Ellison syndrome.

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Administering Famotidine

Must be given on an empty stomach for effectiveness.

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Thiazide Diuretic

Furosemide falls under the category of thiazide diuretics.

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Gentamicin Side Effects

Possible side effects include hypersensitivity, tinnitus, and nausea.

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Glimepiride Side Effect

Can cause hypoglycemia as a side effect.

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Lispro Insulin

Has a faster onset but shorter duration than regular insulin.

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Regular Insulin Peak Effect

The peak effect is seen about 1/2 to 2 hours after administration.

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Glargine Insulin Actions

Provides a constant basal insulin level with no significant peak.

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Degludec Insulin

Has a duration of action exceeding 24 hours.

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Ketorolac

NSAID with no reported risk of respiratory depression as an adverse effect.

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Keppra Contraindication

Known drug allergy is a contraindication for Keppra (levetiracetam).

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Ativan Side Effects

A common side effect of Ativan (lorazepam) is drowsiness.

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Meropenem Monitoring

Assess renal function for potential dose adjustment when using meropenem.

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Glucophage Risk

Lactic acidosis is a rare but potentially fatal adverse effect of Glucophage (metformin).

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Solumedrol Side Effects

Potential side effects include increased appetite, hyperglycemia, and fluid retention.

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Reglan Monitoring

Regular liver function tests should be monitored when a client is taking Reglan (metoclopramide).

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Metoprolol and Alcohol

Clients taking metoprolol for hypertension should avoid consuming alcohol.

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Naloxone Use

Naloxone is primarily used to reverse the effects of opioid overdose.

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Adverse Effect of Naloxone

Naloxone can cause pulmonary edema, hypotension, and dysrhythmias.

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Common Side Effect of Ondansetron

A frequent side effect of ondansetron is headache.

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Hepatotoxicity

Major adverse effect of excessive paracetamol dosing leading to liver damage.

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Intramuscular Injection Needle Size

For adults, the needle gauge is 25-27g and 1-1/2 inch in length.

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Deltoid Muscle Landmarks

Key landmarks include the acromion process, deltoid insertion, and deltoid muscle itself.

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Ventrogluteal Injection Landmarks

Important landmarks are ventrogluteal, greater trochanter, and anterior superior iliac spine.

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Carafate Solution Dosage

A client requires 1GM BID of Carafate; thus, 20ml is administered every 24 hours.

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Calculation of Insulin

Different insulin amounts administered are 72u, 62u, and 80u.

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Adverse Effects

Adverse effects can include pulmonary edema, hypotension, and dysrhythmias.

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Purpose of Naloxone

Naloxone is used to reverse opioid overdoses but has potential side effects.

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Study Notes

NUR 113 Drug Test

  • The primary purpose of diphtheria and tetanus toxoid vaccines is prevention of diphtheria and tetanus.
  • Famotidine is used for peptic ulcer disease, GERD, and Zollinger-Ellison syndrome.
  • Administer Famotidine on an empty stomach.
  • Thiazide diuretic is a classification for a client.
  • Common side effects after administering Gentamicin are hypersensitivity, tinnitus, and nausea.
  • A common side effect of glipizide is hypoglycemia.
  • Compared to regular insulin, lispro has a faster onset but shorter duration.
  • The peak time for regular insulin is 1/2 - 2 hours.
  • The peak time for NPH insulin is 2-4 hours.
  • Compared to NPH insulin, glargine has no significant peak, providing a relatively constant basal insulin level.
  • Insulin dosages need correctly recording.
  • Compared to glargine insulin, degludec has a longer duration of action exceeding 24 hours.
  • Respiratory depression is NOT a potential adverse effect of ketorolac.
  • A known drug allergy is a contraindication for Keppra.
  • A common side effect of Ativan is drowsiness.
  • Assessing renal function may be necessary when prescribing Meropenem for complicated intra-abdominal infection.

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