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EXAM 1: NUR 210/ NUR210 PRINCIPLES OF
PHARMACOLOGY EXAM| QUESTIONS AND
VERIFIED ANSWERS| GRADE A| GALEN
QUESTION: What are the uses, side effects, adverse
reactions/toxicity, patient teaching, and contraindications for Midazolam (Benzodiazepine)?Answer: Benzodiazepine- Midazolam Uses: Conscious sedation S/E: Dizzy Adverse reactions/ Toxicity: Respiratory depression PT teaching: Safety Contraindications: Cardiopulmonary disease
QUESTION: What are the uses, side effects, and adverse
reactions/toxicity for Zolpidem Tartrate (Non-Benzodiazepine)?Answer: Non- Benzodiazepine- zolpidem tartrate Uses:
Insomnia S/E: Dizziness, Drowsiness, Behavioral changes
Adverse reactions/ Toxicity: Complex sleep behavior
QUESTION: What are the uses, side effects, and nursing
considerations for Lidocaine (Local Anesthetic)?Answer: Local Anesthetic- Lidocaine Uses: Minor procedure
S/E: Confusion, drowsiness, stinging, bradycardia Nursing
considerations: Rapid onset
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QUESTION: What are the uses, side effects, adverse
reactions/toxicity, and patient teaching for Spinal and Epidural Anesthesia?Answer: Spinal Anesthesia- Spinal, Epidural Uses: Pain,
Pregnancy S/E: Back pain, Shivering Adverse reactions/
Toxicity: Respiratory depression, Hypotension, Headache,
Nerve damage Pt teaching: Lay flat, Monitor for headache
QUESTION: What are the uses, side effects, adverse
reactions/toxicity, patient teaching, nursing considerations, lab values, and contraindications for Ibuprofen (NSAID, non- selective)?Answer: NSAID (non-selective)- Ibuprofen Uses: Moderate to
high pain, fever, inflammation S/E: GI distress, Blurred vision,
Fluid retention, headache, peripheral edema Adverse Reactions/
Toxicity: Seizure, Ulcer, Hearing loss, Tinnitus, Kidney
damage, kidney damage, nephrotoxicity Pt teaching: take with
full glass of water, take as directed, don't take more than 10
days/pain and 3 days/fever Nursing considerations: Pts with
asthma, allergy, nasal polyps have high risk for reactions, assess
GI bleed, look 4 renal impairment Lab values: BUN, CBC,
serum creatine, liver function test will be increased, alcohol
increases bleeding Contraindications: CABG, pregnancy,
asthma, contraindicated in bleeding disorders.
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QUESTION: What are the uses, side effects, adverse
reactions/toxicity, and contraindications for Celecoxib (NSAID, COX-2 inhibitor)?Answer: NSAID(COX 2 inhibitor)- Celecoxib Uses:
Inflammation, Severe S/E: Dizziness, GI distress, Peripheral
edema, Herbal remedies Adverse reactions/ Toxicity:
Thromboembolism Contraindications: CABG, Angina, Renal/
Hepatic disfunction
QUESTION: What are the uses, side effects, adverse
reactions/toxicity, and contraindications for Aspirin (NSAID, Salicylate)?Answer: NSAID(Salicylate)- Aspirin Uses: Inflammation, anti- platelet S/E: GI distress, Nosebleed Adverse reactions/ Toxicity: Hearing, Tinnitus, Reye syndrome, Hyperuricemia
Contraindications: GI bleeding, Gout, Pregnancy
QUESTION: What are the uses, side effects, adverse
reactions/toxicity, patient teaching, nursing considerations, lab values, and contraindications for Allopurinol (Anti-gout)?Answer: Anti-gout- Allopurinol Uses: Lowers uric acid levels S/E: GI upset, dizziness Adverse reactions/ Toxicity:
Hepatotoxicity, hepatotoxicity Pt teaching: No alcohol, increase
water intake, alkaline diet Nursing considerations: I &O,
monitor kidney function Lab values: I&O, BUN, Creatinine
Contraindications: Severe kidney disease
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QUESTION: What are the uses, side effects, adverse
reactions/toxicity, patient teaching, nursing considerations, and lab values for Acetaminophen (Non-Opioid Analgesic)?Answer: Non- Opioid Analgesic- Acetaminophen Uses: Pain, fever, NOT NSAID S/E: GI upset Adverse reactions/ Toxicity: Hepatotoxicity (Liver), steven Johnson syndrome, epidermal
necrolysis Pt teaching: Take exactly as directed, chronic used
can lead to hepatotoxicity, avoid alcohol, consult PCP if fever
not relieved in 3 days. Nursing considerations: Asses for overall
alcohol use and health status. Lab values: Evaluate hepatic
hematologic & renal function. (About 4g/per day)
QUESTION: What are the uses, side effects, adverse
reactions/toxicity, patient teaching, nursing considerations, lab values, and contraindications for Morphine Sulfate (Opioid Analgesic)?Answer: Opioid Analgesic- Morphine sulfate Uses: MI, Cancer
pain, SOB for dyspnea S/E: urinary retention, dizziness,
pinpoint pupils Adverse reactions/ Toxicity: Respiratory
depression, severe hypotension Pt teaching: teach of abuse
potential, avoid use of alcohol, change positions Nursing