NUR 2474 Pharmacology for Professional Nursing
Rasmussen Pharm Test 3 (Module 7-10)
For patients who don't require PPIs or H2 inhibitors, antacids should be taken when?
Correct Answer:
Whenever heartburn occurs (PRN)
An asthmatic client comes into the ER with rapid pulse, rapid RR, and minimal breath sounds in the bases. Which of these therapies should the nurse anticipate and have available, pending provider's orders?
Correct Answer:
Duoneb (albuterol and ipratropium) via nebulizer;
Methylprednisolone (Solumedrol) IVC;
Oxygen;
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A patient with pneumonia-related cough has been advised to add guaifenesin to the regimen of antibiotics. The client asks about the purpose of the drug.How should the nurse respond?
Correct Answer:
"Guaifensin will help stimulate the flow of secretions and help you bring them up."
The nurse, who is caring for a post-operative client, administers Compazine, a phenothiazine (related to Thorazine). What side effects should the nurse watch for given this drug class?
Correct Answer:
Extrapyramidal symptoms (EPS)
A client has been prescribed Librax (chlordiazepoxide and clidinium), an anticholinergic benzodiazepine, for IBS. Which of these conditions would constitute a contraindication for Librax?
Correct Answer:
history of substance abuse, glaucoma
A spouse of a hospice client wants to know why the sublingual dose of morphine is so much lower than the MS contin dose that was given orally, as well as the IM injection dose that was given in the hospital. How should the nurse respond?
Correct Answer:
"The oral dose was a slow delivery dose. Sublingual is rapid and given more often."
"The MS Contin was partly metabolized in the liver before it started working."
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"Sublingual medications enter the bloodstream more rapidly than IM doses."
Avoid taking these classes of diuretics if serum potassium levels are low.
Correct Answer:
loop and potassium-wasting diuretics
Avoid doing this if triglyceride levels are high.
Correct Answer:
Take in more calories than needed
The ventrogluteal site is recommended when intramuscular opiates are ordered to treat abdominal pain. What are the landmarks for the ventrogluteal site?
Correct Answer:
Palm over greater trochanter with fingertips over the anterior superior iliac crest.
Avoid taking these classes of medications if SBP <90.
Correct Answer:
Antihypertensives and Diuretics
Nitrates
Correct Answer:
Sildenafil (Viagra) should be avoided in patients taking this class of medications.
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