NR 293 Final Exam Questions And Answers Rated A+ Guaranteed Satisfaction 2023/2024 (PHARM)

NR 293 Final Exam Questions And Answers Rated A+ Guaranteed Satisfaction 2023/2024 (PHARM). A patient who is diagnosed with shingles is taking topical acyclovir, and the nurse is providing instructions about adverse effects. The nurse will discuss which adverse effects of topical acyclovir therapy? ( Chapter 40) a. Insomnia and nervousness b. Temporary swelling and rash c. Burning when applied d. This medication has no adverse effects. ANS: C Transient burning may occur with topical application of acyclovir. The other options are incorrect 8. Adverse effects of doxazosin A patient has a new order for the adrenergic drug doxazosin (Cardura). When providing education about this drug, the nurse will include which instructions? d. “Be sure to lie down after taking the first dose, because first-dose hypotension may make you dizzy.” ANS: D A patient who is starting doxazosin should take the first dose while lying down because there is a first-dose hypotensive effect with this medication. The other options are incorrect. 9.Adverse effects of orlistat: 2. A patient who started taking orlistat (Xenical) 1 month ago calls the clinic to report some embarrassing adverse effects. She tells the nurse that she has had episodes of “not being able to control my bowel movements” Which statement is true about this situation? B.the patient will need to restrict fat intake to less than 30 % to help reduce these adverse effects. Restrict dietary intake of fat to less than 30% of total calories can help reduce some of the GI adverse effects, which include oily spotting, flatulence, and fecal incontinence. Used for weight loss 10.Adverse effects with thyroid medications (Chapter 31) A patient, newly diagnosed with hypothyroidism, receives a prescription for a thyroid hormone replacement drug. The nurse assesses for which potential contraindication to this drug? D. Recent myocardial infarction ANS: D Contraindications to thyroid preparations include known drug allergy to a given drug product, recent myocardial infarction, adrenal insufficiency, and hyperthyroidism..  Administration of antiemetics with chemotherapy treatment A patient is on a chemotherapy regimen in an outpatient clinic and is receiving a chemotherapy drug that is known to be highly emetogenic. The nurse will implement which interventions regarding the pharmacologic management of nausea and vomiting? (Select all that apply.) B. Administering antinausea drugs 30 to 60 minutes before chemotherapy is started E. Instructing the patient that the antinausea drugs may cause extreme drowsiness F. Instructing the patient to rise slowly from a sitting or lying position because of possible orthostatic hypotension ANS: B, E, F Antiemetics should be given before any chemotherapy drug is administered, often 30 to 60 minutes before treatment, but not immediately before chemotherapy is administered. Do not wait until the nausea begins. Most antiemetics cause drowsiness, not restlessness and anxiety. Orthostatic hypotension is a possible adverse effect that may lead to injury.  Administration of mannitol Mannitol (Osmitrol) has been ordered for a patient with acute renal failure. The nurse will administer this drug using which procedure? 1.Intravenously, through a filter ANS: A Mannitol is administered via intravenous infusion through a filter because of possible crystallization. It is not available in oral form. The other options are incorrect. For acute renal failure, osmotic diuretic A patient in the neurologic intensive care unit is being treated for cerebral edema. Which class of diuretic is used to reduce intracranial pressure? C. Osmotic diuretics ANS: B Mannitol, an osmotic diuretic, is commonly used to reduce intracranial pressure and cerebral edema resulting from head trauma. The nurse will be giving ophthalmic drugs to a patient with glaucoma. Which drug is given intravenously to reduce intraocular pressure when other medications are not successful? D. Mannitol (Osmitrol) ANS: C Drugs used to reduce intraocular pressure include osmotic diuretics such as mannitol, which is given intravenously. Tobramycin and bacitracin are antibiotics; ketorolac has anti-inflammatory actions.  Adverse effects and interactions with lithium Most serious effect – cardiac dysrhythmia, long term treatment for hypothyroidism Others: drowsiness, slurred speech, epilepsy-type seizures, choreoathetotic movements, ataxia, hypotension Interactions: do not drastically change their sodium intake, and avoid overhydration or dehydration No anecdote, but mannitol will be given Lithium interacts with postassium –sparing diuretics 0.6 to 1.2 levels theraputic