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

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

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

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

    Lisinopril is safe for pregnant women.

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

    Patients on methotrexate should not be concerned about infections.

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

    What is the antidote for heparin?

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

    A prolonged PR interval on an EKG indicates magnesium deficiency.

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

    Atorvastatin requires a liver function test before starting therapy.

    <p>True</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</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</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</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</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

    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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