Nursing Pharmacology Quiz
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Nursing Pharmacology Quiz

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Questions and Answers

Which medication should the nurse prepare to administer for a client with hyperparathyroidism and a serum calcium level of 13 mg/dL?

  • Calcium gluconate
  • Calcium chloride
  • Large doses of vitamin D
  • Calcitonin (Miacalcin) (correct)

    • What is the most appropriate nursing action when a client complains of local discomfort and burning after applying mafenide acetate (Sulfamylon)?

  • Discontinuing the medication
  • Notifying the registered nurse
  • Informing the client that this is normal (correct)
  • Applying a thinner film than prescribed to the burn site

    • Which indication might suggest a systemic effect from topical mafenide acetate (Sulfamylon) treatment?

  • Elevated blood pressure
  • Hyperventilation (correct)
  • Local pain at the burn site
  • Local rash at the burn site

    • Which sign indicates systemic toxicity from salicylic acid prescribed for psoriasis?

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

    Chemical sunscreens are most effective when applied:

    <p>At least 30 minutes before exposure to the sun</p> Signup and view all the answers

    With which food item should oral iron supplements be administered for a child with iron deficiency anemia?

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

    Before administering isotretinoin, which laboratory test should be prescribed?

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

    If a client is taking isotretinoin, which medication should the nurse contact the health care provider about?

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

    What condition is the client likely being treated for if azelaic acid (Azelex) is prescribed?

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

    Which statement made by the client indicates a lack of understanding regarding silver sulfadiazine (Silvadene) treatment?

    <p>The medication will permanently stain my skin.</p> Signup and view all the answers

    Where should a topical corticosteroid be applied to monitor for increased systemic absorption?

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

    What should the nurse do if the client receiving an IV infusion of antineoplastic medication complains of pain at the insertion site?

    <p>Notify the registered nurse.</p> Signup and view all the answers

    Which diagnostic study should be prescribed for a client receiving bleomycin?

    <p>Pulmonary function studies</p> Signup and view all the answers

    During treatment with busulfan (Myleran), which laboratory value should be monitored?

    <p>Uric acid level</p> Signup and view all the answers

    When administering antineoplastic medication, which instruction is essential for the client?

    <p>Consult with HCPs before receiving immunizations.</p> Signup and view all the answers

    What side effect specific to vincristine (Oncovin) should the nurse monitor for?

    <p>Numbness and tingling in the fingers and toes</p> Signup and view all the answers

    What should be documented in a client's history when administering asparaginase?

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

    What side effect specifically associated with etoposide (VePesid) should the nurse be aware of?

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

    What is the primary action of Tamoxifen for a client with metastatic breast carcinoma?

    <p>Compete with estradiol for binding to estrogen in tissues containing high concentrations of receptors.</p> Signup and view all the answers

    Which laboratory value should be monitored for a client receiving tamoxifen?

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

    In a client receiving cisplatin, which adverse effects should the nurse monitor for?

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

    Why is calcium gluconate prescribed after a thyroidectomy?

    <p>To treat hypocalcemic tetany.</p> Signup and view all the answers

    During discharge teaching for a newly diagnosed diabetes mellitus client, what should the nurse emphasize?

    <p>Rotate the insulin injection sites systematically.</p> Signup and view all the answers

    What action indicates the need for further teaching when mixing regular and NPH insulin?

    <p>Withdraws the NPH insulin first</p> Signup and view all the answers

    How should unopened vials of insulin be stored?

    <p>Refrigerate the insulin.</p> Signup and view all the answers

    What substance should be avoided by a client taking glimepiride (Amaryl)?

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

    What should the nurse question when sildenafil (Viagra) is prescribed for a client?

    <p>Use of nitroglycerin</p> Signup and view all the answers

    How should exenatide (Byetta) be administered for a client with type 1 diabetes who takes insulin?

    <p>The medication is withheld and the HCP is called to question the prescription.</p> Signup and view all the answers

    When is the most likely time for a hypoglycemic reaction to occur after administering Humulin NPH insulin?

    <p>4 to 12 hours after administration</p> Signup and view all the answers

    Which medication may have contributed to hyperglycemia in a client previously well-controlled with glyburide?

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

    What statement indicates that further teaching is necessary for a client taking prednisone?

    <p>I can take aspirin or my antihistamine if I need it.</p> Signup and view all the answers

    What therapeutic response should the nurse monitor after administering desmopressin acetate (DDAVP) for diabetes insipidus?

    <p>Decreased urinary output</p> Signup and view all the answers

    Which instruction should a nurse reinforce for a client with type 2 diabetes mellitus taking repaglinide and metformin?

    <p>The repaglinide is not taken if a meal is skipped.</p> Signup and view all the answers

    What action will the nurse take to monitor the treatment effectiveness of infliximab (Remicade) in a client with Crohn's disease?

    <p>Checking the frequency and consistency of bowel movements</p> Signup and view all the answers

    What condition is loperamide hydrochloride (Imodium) used for?

    <p>An episode of diarrhea</p> Signup and view all the answers

    For which condition should ondansetron (Zofran) be administered to a postoperative client?

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

    What effect indicates that pancrelipase (Pancrease MT) is having its intended benefit?

    <p>Reduction of steatorrhea</p> Signup and view all the answers

    Which central nervous system side effect should the nurse monitor for in a client taking cimetidine (Tagamet)?

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

    Why is sucralfate (Carafate) scheduled to be taken 1 hour before meals and at bedtime?

    <p>One hour before meals and at bedtime</p> Signup and view all the answers

    What indicates that misoprostol (Cytotec) is having its intended therapeutic effect?

    <p>Relief of epigastric pain</p> Signup and view all the answers

    Study Notes

    Hyperparathyroidism and Medications

    • In hyperparathyroidism, elevated serum calcium level (13 mg/dL) requires administration of Calcitonin (Miacalcin) to lower calcium levels.

    Burn Care and Topical Medications

    • Mafenide acetate (Sulfamylon) may cause discomfort and burning, which is a normal reaction to local application.
    • Systemic effects of topical mafenide include hyperventilation.

    Psoriasis Treatment

    • Salicylic acid use can lead to systemic toxicity, indicated by symptoms like tinnitus.

    Sunscreen Application

    • Chemical sunscreens should be applied at least 30 minutes before sun exposure for optimal effectiveness.

    Pediatric Iron Supplementation

    • Iron supplements for a child with iron deficiency anemia are best absorbed with orange juice, which enhances iron absorption.

    Isotretinoin Administration

    • Before isotretinoin treatment in severe acne, triglyceride levels must be monitored due to potential side effects.

    Compatibility with Isotretinoin

    • Concurrent use of Vitamin A with isotretinoin should be avoided due to increased risk of toxicity.

    Azelaic Acid for Acne

    • Azelaic acid is primarily used to treat acne.

    Silver Sulfadiazine Understanding

    • Although silver sulfadiazine is antibacterial, patients should know it does not permanently stain the skin.

    Corticosteroid Monitoring

    • Applying topical corticosteroids in sensitive areas (e.g., axilla) signals potential for increased systemic absorption.

    IV Infusion Complications

    • Pain or swelling at an IV site during antineoplastic infusion necessitates notifying the registered nurse.

    Bleomycin and Pulmonary Function

    • Clients receiving bleomycin for squamous cell carcinoma should undergo pulmonary function studies due to risk of pulmonary toxicity.

    Monitoring Uric Acid Levels

    • Uric acid levels are monitored in clients treated with busulfan for acute myelocytic leukemia due to high risk of hyperuricemia.

    Antineoplastic Medication Guidance

    • Clients on antineoplastic medications should consult HCPs before receiving immunizations to prevent adverse effects.

    Vincristine Side Effects

    • Nerve damage from vincristine may present as numbness and tingling in extremities.

    Asparaginase Caution

    • History of pancreatitis in clients receiving asparaginase requires careful administration consideration.

    Etoposide and Orthostatic Hypotension

    • Orthostatic hypotension is a specific side effect associated with etoposide administration.

    Tamoxifen Mechanism

    • Tamoxifen competes with estradiol for binding in tissues with high estrogen receptors, making it useful for metastatic breast cancer.

    Calcium Monitoring with Tamoxifen

    • Calcium levels should be monitored in patients receiving tamoxifen due to potential shifts in calcium metabolism.

    Cisplatin Adverse Effects

    • Cisplatin therapy should be monitored for tinnitus, ototoxicity, nephrotoxicity, and hypomagnesemia.

    Calcium Gluconate Post-Thyroidectomy

    • Calcium gluconate is administered post-thyroidectomy to treat hypocalcemic tetany.

    Insulin Injection Practices

    • Insulin vials should be rotated systematically to prevent tissue damage and ensure efficacy.

    Mixing Insulin

    • Regular insulin must always be withdrawn before NPH insulin to avoid contamination and ensure correct dosing.

    Storing Insulin

    • Unopened insulin vials must be refrigerated to maintain effectiveness.

    Glimepiride and Alcohol

    • Clients taking glimepiride should avoid alcohol to prevent adverse reactions.

    Sildenafil Contraindications

    • Sildenafil should not be used by clients who are also on nitroglycerin due to the risk of severe hypotension.

    Exenatide with Type 1 Diabetes

    • Exenatide is not recommended for type 1 diabetes; consult HCP if prescribed.

    Hypoglycemia Risk with NPH Insulin

    • Hypoglycemic reactions with NPH insulin usually occur 4 to 12 hours post-administration.

    Medications Causing Hyperglycemia

    • Prednisone can raise blood glucose levels, complicating diabetes management.

    Prednisone Teaching Points

    • Clients should avoid aspirin and antihistamines with prednisone due to increased bleeding risk.

    Desmopressin for Diabetes Insipidus

    • The therapeutic effect of desmopressin is indicated by decreased urinary output.

    Medications for Type 2 Diabetes

    • Metformin can cause diarrhea; repaglinide should not be taken if a meal is skipped. Carrying simple sugars for hypoglycemia is also recommended.

    Infliximab Effectiveness

    • Effectiveness of infliximab for Crohn's disease can be monitored through the frequency and consistency of bowel movements.

    Loperamide Use

    • Loperamide is administered for episodes of diarrhea, providing symptomatic relief.

    Ondansetron Administering

    • Ondansetron is effective for managing postoperative nausea and vomiting.

    Pancrelipase Effectiveness

    • A reduction in steatorrhea indicates effective pancreatic enzyme replacement with pancrelipase.

    Cimetidine CNS Monitoring

    • Confusion is a common CNS side effect in older adults taking cimetidine.

    Sucralfate Dosing Schedule

    • Sucralfate should be given one hour before meals and at bedtime for optimal effectiveness.

    Misoprostol Therapeutic Effect

    • Relief of epigastric pain indicates that misoprostol is effectively protecting the gastric mucosa.

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    Description

    Test your knowledge with this nursing pharmacology quiz focused on medications for hyperparathyroidism and burn injuries. Questions include drug selection and patient care considerations. Perfect for nursing students and practitioners alike.

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