Ch 41,42,43
...41,42, 43
126
Final
Exam
100

Why might the physician add streptomycin to a patient's antitubercular drug regimin?

If the patient develops a multi-resistant strain of mycobacterium tuberculosis it enhances the effectiveness of medications to treat.

100

amphotericin B infusions are likely to cause fever, chills, hypotension, joint/muscle pain, nausea, general mailase as a reaction. In our patients with severe infections requiring this drug, what might we do to offset this reaction?

steroids, antiemetics, antipyretics, antihistamines

100

Your patient is starting on cyclosporin following an organ transplant (which you know prevents T-Cell immune responses). Give 3 education points for this medication: 

Monitor for s/s infections and report them (oral patches, fever, sore throat etc

Avoid crowds (d/t risk for infection)

Brands can not be interchanged

Strict schedule must be maintained

Daily compliance is impairative 

Avoid taking with grapefruit, pineapple or papaya 


100

Drug classification of Metoprolol (Lopressor)?

Beta Blocker

100

Drug classification of Phenytoin (Dilantin) ?

Antiepileptic

200

____________ may be given with isoniazid to prevent or treat the adverse effect of peripheral neuropathy

Vitamin B6 (pyridoxine)

200

You alert the doctor when you read an order for __________ in your patient with a known history of cardiac dysrhythmias as it is contraindicated.

Voriconazole

200

What is temazepam (Restoril) prescribed to treat?

Insomnia/Sleeplessness

200

To reduce the potential for sleep disturbances, what should the nurse recommend about taking prescribed medications for ADHD/ADD?

Medications should be taken in the morning. Avoid taking it later in the day to reduce the potential for insomnia and sleeplessness.

200

You have given epinephrine, what effects are we monitoring and assessing for post-administration?

Tachycardia

Dysrhythmias 

Chest pain

Palpatations

300

fluconazole (Diflucan) given with an oral anticoagulant can _______ the effectiveness of the anticoagulant and put the patient at risk for ___________

INCREASE; BLEEDING

300

True or False: Ethambutol (Myambutol) would be used to treat your patient with an infestation of flukes

TRUE

300

What are two commonly prescribed medications used to treat early-stage Alzheimer's disease?

donepezil (Aricept)

memantine (Namenda)

300

_________ drugs effects mimic the parasympathetic system

Cholenergic

300

When preparing the medication noxaparin (Lovenox), how does the nurse expect to administer this?

Subcutaneous (SQ)

400

Name 3 possible adverse effects of Ethambutol to monitor for: 

optic neuropathy

optic neuritis

retrobulbar neuritis 

decreased visual acuity

peripheral neuropathy

hepatotoxicity

numbness and tingling of extremities due to peripheral neuritis.

400

________ is an antiprotozoal and used to treat mainly Plasmodium vivax and Plasmodium ovale

Primaquine

400

True or False: folic acid can cause damage to the fetus during pregnancy

FALSE

In fact: The CDC urges all women of reproductive age to take 400 micrograms (mcg) of folic acid each day, in addition to consuming food with folate from a varied diet to prevent some neural tube birth defects

400

True or False: For transdermal nitro it is recommended to remove the patch at night for 8 hours, then apply a new patch in the morning.

TRUE

400

TRUE or FALSE: If your patient is having an adverse effect from a medication, it would be appropriate for the nurse to instruct the patient to stop/discontinue taking it..

FALSE: The nurse would immediately alert the provider or instruct the patient to report the effect right away for further instruction.


IF there is a parameter in place ex. BP/pulse, etc it is appropriate to HOLD the drug and contact the physician after

500

Your patient on Rifampin calls to report that their urine, stool and tears are all reddish-orange. What do we advise this patient?

This is an expected side effect of this medication.

500

If you have a patient who is traveling and requires treatment with hydroxychloroquine, what will you educate your patient about the duration of the regimin?

Medication will be started started 1 to 2 weeks before exposure and continued for 4 weeks after the person has left the area

500

You have given midazolam (Versed) for conscious sedation to your patient and reversal is needed due to respiratory depression, what medication will you administer?

Flumazenil (Romazicon)

500

List 3 common side effects of anticholenergic drugs:

Dry mouth

Constipation

Dilated Pupils

Urinary retention

Decreased sweating

Increased heart rate

500

Because of the possible adverse effects of sedation with  carbamazepine (Tegretol) what is a nursing diagnosis that applies to a patient who is new to this medication?

Risk for falls