Nursing Pharmacology Quiz
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Questions and Answers

Which of the following is a symptom of acute acetaminophen toxicity?

  • Lethargy
  • Dizziness
  • Nausea
  • Vomiting (correct)

Patients taking ibuprofen do not need regular eye exams.

False (B)

What is the antidote for fentanyl?

Naloxone

Do not crush or swallow enteric-coated ______.

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

What is a key priority to assess before administering morphine?

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

What is a common laboratory finding in patients undergoing chemotherapy for skin conditions like squamous cell carcinoma?

<p>Decreased platelet count (A)</p> Signup and view all the answers

Match each medication with its appropriate instruction:

<p>Acetaminophen = Monitor for signs of toxicity Ibuprofen = Have regular eye exams Naproxen = Do not crush or swallow Codeine = Change position slowly</p> Signup and view all the answers

What does the Gardasil vaccine help protect against?

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

Regular insulin should always be drawn after NPH insulin to prevent contamination.

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

What should a nurse ask a client before administering a vaccine to ensure safety?

<p>If they have allergies</p> Signup and view all the answers

What time frame should a nurse expect NPH insulin to peak after administration?

<p>4 to 14 hours</p> Signup and view all the answers

Patients prescribed levothyroxine should take the medication _______.

<p>before meals or several hours after meals</p> Signup and view all the answers

Match the following medications with their indications:

<p>NPH insulin = Intermediate-acting insulin Levothyroxine = Hypothyroidism Propylthiouracil (PTU) = Hyperthyroidism Prednisone = Rheumatoid arthritis</p> Signup and view all the answers

What precaution should patients receiving radioactive iodine treatment take?

<p>Use isolation from others (D)</p> Signup and view all the answers

Patients taking prednisone for rheumatoid arthritis should expect an improved range of motion to indicate the treatment is effective.

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

What risk should a nurse monitor in a patient receiving PTU for hyperthyroidism?

<p>Risk of infection</p> Signup and view all the answers

What is the main effect of albuterol for someone with asthma?

<p>Decrease coughing episodes (C)</p> Signup and view all the answers

Lisinopril is safe for pregnant women.

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

How long should you hold your albuterol metered dose inhaler after taking the medication?

<p>10 seconds</p> Signup and view all the answers

Lisinopril can cause a persistent dry cough, which should be reported to your ______.

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

Match the medication with its relevant side effect:

<p>Albuterol = Tachycardia Fluconazole = Oral candidiasis Diphenhydramine = Dry mouth Spironolactone = Hyperkalemia</p> Signup and view all the answers

Which food should be avoided when taking verapamil?

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

Patients on methotrexate should not be concerned about infections.

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

What is the normal potassium level that would raise concern when a patient is taking spironolactone?

<p>5.2</p> Signup and view all the answers

What could happen if vitamin B12 deficiency is left untreated?

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

What is the antidote for heparin?

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

A prolonged PR interval on an EKG indicates magnesium deficiency.

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

Atorvastatin requires a liver function test before starting therapy.

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

What should the nurse do to monitor a patient receiving IV potassium replacement?

<p>Conduct cardiac monitoring during the infusion.</p> Signup and view all the answers

Which food source contains iron that is most easily absorbed by the body?

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

Sildenafil can cause __________ when ingested with nitrates.

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

What route should Depo Medroxyprogesterone be administered?

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

The antidote for warfarin is __________.

<p>Vitamin K</p> Signup and view all the answers

What should a patient taking clopidogrel be monitored for as an adverse effect?

<p>Bloody or black stools (A)</p> Signup and view all the answers

Match the medications with their corresponding actions:

<p>Azithromycin = Treats chlamydia Cephalexin = Has penicillin characteristics Fluoroquinolone = Alternative for penicillin-allergic patients Epinephrine = First-line treatment for anaphylaxis</p> Signup and view all the answers

Match the medications to their related patient education:

<p>Atorvastatin = Notify provider if arms feel weak Buspirone = Monitor for headache Metoclopramide = Watch for sedation Sucralfate = Take on empty stomach at night</p> Signup and view all the answers

Administering insulin intramuscularly requires a 90-degree angle.

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

What is the recommended urine output for a client receiving IV magnesium replacement?

<p>1 ml per kilogram per hour</p> Signup and view all the answers

Patients taking iron supplements should avoid orange juice.

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

Where do we inject vitamin K intramuscularly in a newborn?

<p>Vastus lateralis</p> Signup and view all the answers

Flashcards

Acetaminophen Toxicity Symptoms

Key symptom is vomiting, especially with high doses.

Ibuprofen Patient Teaching

Regular eye exams are crucial while taking ibuprofen.

Enteric-coated Naproxen Instructions

Do not crush or chew enteric-coated naproxen pills.

Suspected Medication Tampering

Report any suspected medication tampering to the charge nurse.

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Morphine Administration Priority

Respiratory rate is the priority vital sign before administering morphine.

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Fentanyl Antidote

Naloxone is the antidote for fentanyl toxicity.

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Acute Toxicity Pupillary Response

Pupillary dilation (widening) is a possible symptom of acute toxicity.

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Codeine Discharge Instructions

Instruct patients to change positions slowly after taking codeine.

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NPH Insulin Peak Time

NPH insulin typically peaks 4 to 14 hours after injection.

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Insulin Administration Sequence

Inject air into NPH, then regular insulin, drawing regular insulin first, followed by cloudy NPH to avoid contamination.

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Levothyroxine Timing

Take levothyroxine before a meal or several hours after a meal.

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Radioactive Iodine Precautions

Patients receiving radioactive iodine should separate themselves from close contacts for a period to minimize radiation exposure.

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Granulocytosis & PTU

Granulocytosis (increased white blood cells) is a potential adverse effect of PTU & thus an increased infection risk.

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Prednisone Effectiveness

Effective prednisone treatment for rheumatoid arthritis results in improved range of motion.

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Subcutaneous Regular Insulin Timing

Administer subcutaneous regular insulin before breakfast (e.g., at 7:30) after checking blood glucose levels.

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Chemotherapy for Skin Cancer

Topical application is often used for squamous cell carcinoma chemotherapy to treat skin cancer.

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Albuterol holding time

Hold the albuterol-metered dose inhaler for 10 seconds after taking the medication.

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Albuterol asthma effect

Albuterol helps with asthma by decreasing coughing, opening airways, and preventing wheezing.

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Methotrexate rheumatoid arthritis precautions

When taking methotrexate for rheumatoid arthritis, avoid people with infections, report unexplained bruising, and don't drink alcohol.

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Albuterol and Theophylline effect

Albuterol, similar to theophylline, can cause tachycardia (fast heart rate).

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Montelukast timing

Take montelukast once daily in the evening.

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Diphenhydramine (Benadryl) side effect

Diphenhydramine (Benadryl) can cause dry mouth as a side effect.

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Fluconazole side effect

Fluconazole can cause oral candidiasis (thrush).

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Lisinopril pregnancy warning

Do not take lisinopril if pregnant, as it may cause fetal defects.

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Atorvastatin Baseline Test

Before starting atorvastatin, a liver function test is required to evaluate potential liver damage.

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Atorvastatin Adverse Effect

Report muscle weakness to your healthcare provider if you are taking atorvastatin.

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Heparin Antidote

Protamine sulfate is the antidote for heparin overdose.

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Warfarin Antidote

Vitamin K is the antidote for warfarin overdose.

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Warfarin & Herbal Contraindications

Saw palmetto, glucosamine, and glycosylation are contraindicated with warfarin.

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Clopidogrel Adverse Effect

Bloody or black stools can be a sign of bleeding if you're taking clopidogrel for a cardiac stent.

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Omeprazole Effectiveness

Omeprazole is effective if the patient reports a decrease in acid reflux symptoms.

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Sucralfate Effectiveness

Sucralfate protects against acid erosion in the duodenum, making it effective for duodenal ulcers.

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Untreated B12 Deficiency

A lack of vitamin B12 can lead to mood swings, difficulties with movement, and vision problems if left untreated.

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Hypomagnesemia Toxicity Sign

Prolonged PR interval on an electrocardiogram (EKG) indicates magnesium toxicity in a patient receiving intravenous magnesium.

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Administering IV Potassium

When giving IV potassium, monitor the patient's heart during the infusion, ensure adequate urine output, and educate them about high potassium foods.

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Depo-Medroxyprogesterone Administration

Depo-Medroxyprogesterone should be administered as a deep intramuscular injection.

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Sildenafil and Nitrates

Combining sildenafil with nitrates can cause dangerously low blood pressure (hypotension).

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Penicillin Anaphylaxis Post-Surgery

If a patient with a history of penicillin allergy has cephalexin (structurally similar to penicillin) prescribed post-surgery, request a different antibiotic.

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Anaphylaxis to Penicillin: Immediate Action

In case of anaphylaxis to penicillin, administer epinephrine (EpiPen) immediately.

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Azithromycin for Chlamydia

Azithromycin is a common antibiotic prescribed to treat chlamydia infection.

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Study Notes

Acute Acetaminophen/Tylenol Toxicity

  • Identification: Vomiting is a key indicator
  • Daily Acetaminophen Use: Investigate daily acetaminophen use for managing mild knee pain

Ibuprofen and Chronic Hip Pain

  • Teaching Point: Regular eye exams are important when taking this medication.

Enteric-Coated Naproxen

  • Patient Instructions: Do not crush or swallow enteric-coated naproxen.

Nurse Observation of Morphine Administration

  • Action: Inform the charge nurse if another nurse removes a small amount of morphine from a syringe before administering it to a client.

Morphine Administration Prioritization

  • Priority Data: Respiratory rate is crucial for administering morphine.

Fentanyl Antidote

  • Antidote: Naloxone

Acute Toxicity in Emergency Room

  • Expected Condition: Pupillary dilation is a potential sign of acute toxicity

Codeine Patient Discharge Teaching

  • Instruction: Teach patients to change positions slowly after taking codeine.

Gardasil Vaccine

  • Purpose: Protects against HPV

Hepatitis B Vaccine Administration

  • Technique: Locate the deltoid muscle and measure 3 fingerbreadths below the acromion process to administer the vaccine.

Client Safety Before Vaccine Administration

  • Verification: Ask the client if they have any allergies before administering a vaccine.

Acute Leukemia and Chemotherapy Treatment

  • Expected Abnormalities: Decreased platelet count, leukocyte count, and erythrocyte count are potential abnormalities after aggressive chemotherapy treatment.

Squamous Cell Carcinoma Chemotherapy

  • Method: Topical application as the chemotherapy method is suspected.

NPH Insulin Administration Time Frame

  • Peak Time: Expect NPH insulin to peak between 4 and 14 hours after administration. Insulin was given at 7:30 AM, so the peak time should be between 11:30 AM and 7 PM.

Insulin Detemir Administration Time

  • Administration Time: Administer insulin detemir once a day before bedtime.

Regular and NPH Insulin Administration Sequence

  • Sequence: Inspect vials for contaminants, roll NPH vial, inject air into NPH vial, inject air into regular insulin vial, then inject.

Hypothyroidism and Levothyroxine Administration

  • Instruction: Take levothyroxine before a meal or several hours after a meal to prevent interaction.

Radioactive Iodine Patient Instructions

  • Patient Instructions: Keep a distance from friends and family members.

Hyperthyroidism Treatment (PTU) Monitoring

  • Monitoring: Monitor for infection

Rheumatoid Arthritis Treatment (Prednisone) Effectiveness

  • Indication of Effectiveness: Improved range of motion.

Albuterol Inhaler Holding Time

  • Holding Time: Hold the albuterol metered-dose inhaler for 10 seconds after inhalation.

Rheumatoid Arthritis and Methotrexate Medication Instructions

  • Instructions: Avoid people with infections, report any unexplained bruising, and do not drink alcoholic beverages.

Albuterol Use in Asthma Management

  • Benefits: Reduces coughing, opens airways, and prevents wheezing.

Fluconazole Side Effects

  • Side Effect: Oral candidiasis.

Lisinopril Contraindications

  • Contraindication: Pregnancy

Lisinopril Discharge Instructions

  • Instructions: Notify the provider if pregnancy occurs, monitor blood pressure routinely, and report persistent dry cough.

Spironolactone Adverse Effect with Liver Failure

  • Adverse Effect: Potassium levels of 5.2, meaning possible hyperkalemia

Hyperlipidemia and Atorvastatin Treatment

  • Reporting: The client should be told to report feelings of weakness in their arms.

Heparin Antidote

  • Antidote: Protamine sulfate

Warfarin Antidote

  • Antidote: Vitamin K

Clopidogrel Adverse Effect

  • Adverse Effect: Bloody or black stools

Omeprazole Effectiveness Evaluation

  • Evaluation: Patient reports the absence of acid in digestion.

Sucralfate Effectiveness Evaluation

  • Evaluation: Medication protects against acid erosion, taken at night on an empty stomach.

Lorazepam in Surgical Patients

  • Effectiveness Indicators: Sedation, drowsiness, sleepiness

Metoclopramide Adverse Effects

  • Adverse Effect: Sedation

Buspirone Adverse Effects

  • Adverse Effect: Headache

Iron Supplement Information

  • Consumption Information: Consume iron supplements with orange juice.

General Anxiety Disorder Buspirone

  • Adverse Effect Monitoring: The nurse needs to monitor the client for headache.

Iron Absorption Enhancement

  • Food Source: Chicken is a good source of iron that is easily absorbed

Vitamin K Injection Site

  • Injection Site: Vastus lateralis

Vitamin B12 Deficiency Manifestations

  • Manifestations: Mood changes, mobility challenges, and visual deficit.

Hypomagnesemia Toxicity Indication

  • Indicator: Prolonged PR interval on EKG

Osteoporosis Treatment (Alendronate) Instructions

  • Instructions: Take alendronate with 8 oz of water, not with milk, and not with any other food.

Glaucoma Treatment (Timolol) Administration

  • Administration: Conjunctival sac.

Quetiapine Adverse Effect

  • Adverse Effect: Sedation

Potassium Replacement (IV Potassium) Considerations

  • Considerations: Repeat blood serum potassium, ensure 1mL/kg urine output per hour, cardiac monitoring, and educate on high-potassium foods.

Depo Medroxyprogesterone Administration

  • Route: Deep intramuscular (IM)

Sildenafil Side Effects

  • Side Effects: Hypotension if taken with nitrates

Penicillin G Anaphylaxis

  • First Aid Action: Administer epinephrine.

Azithromycin Treatment Information

  • Patient Instructions: Notify the provider about fever or sore throat symptoms.

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Final Pharm Exam

Description

Test your knowledge on nursing pharmacology, focusing on medications like acetaminophen, ibuprofen, and morphine. This quiz covers key concepts such as toxicity indicators, patient instructions, and prioritization in drug administration. Perfect for nursing students and professionals looking to refresh their medication management skills.

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