ICHS PHARMACOLOGY CORRECT FINAL EXAM
QUESTIONS AND ANSWERS SET A+
✔✔Patients using MAO Inhibitors should avoid__________. -✔✔Foods with tyramine
(Aged cheese, wine, etc)
✔✔What are the limits of acetaminophen? -✔✔4g/day (may be lowered to 3g/day)
2g/day for liver problems or advanced age
✔✔What is the tylenol overdose drug? -✔✔acetylcysteine
✔✔For ACE inhibitors, what would be a sign that the patient isn't tolerating the drug
very well? -✔✔Dry, persistent cough
✔✔What are the nursing activities for administering Ace Inhibitors? -✔✔1) Monitor BP
and Serum K
2) Monitor for 1st Dose Hypotensive Effect and instruct patient to change positions
slowly
3)Monitor cough
✔✔What are the nursing activities for ARB's? -✔✔1)Monitor BP and Serum K (Watching
for hyperkalemia)
2) Manage symptoms of hypotension
✔✔What population do CCB's work best for? -✔✔African Americans (in combination
with diuretics)
✔✔What are the nursing activities for CCB patients? -✔✔1)Monitor BP and HR
2)Assess for hypotension and instruct patient to change positions slowly
✔✔What are the general nursing activies for all antihypertensive drug patients? -✔✔1)
Administered as ordered
2) Maintain safety (because of the risk of postural hypotension)
, 3)Assess sexual dysfunction
4) Know when to hold the drug and seek clarification
✔✔What factors effect absorption or drugs? -✔✔First-pass effect (how much drug is
metabolized by liver)
Food
Milk
Antacids
Grapefruit juice
Route of administration
Coatings
✔✔What are the seven "rights"? -✔✔Right Dose
Right Documentation
Right Drug
Right Patient
Right Route
Right Time
Right of Refusal
✔✔What are the fastest to slowest routes of administration? -✔✔IV, SL, IM, SubQ, Oral,
Topical
✔✔When we think of excretion, we think of __________. -✔✔Kidneys
✔✔If there is impaired excretion, it could lead to______. -✔✔Toxicity
✔✔Explain a schedule C-1 Drug -✔✔Most addictive, high potential for abuse, no
medical use
✔✔With Warfarin, the patient should avoid________. Why? -✔✔Leafy Greens
Due to the decreased anticoagulant effect
✔✔Tetracycline and Quinolones patients should avoid______________. -✔✔Dairy
Products due to the decreased treatment effect due to absorption
✔✔Statin, Antidsyrhythmics and CCB patients should avoid____________________. -
✔✔Grapefruit Juice
✔✔MAO inhibitor patients and Linezolid patients should avoid_________________. -
✔✔Foods with tyramine due to the raised blood pressure and a possible hypertensive
crisis.
QUESTIONS AND ANSWERS SET A+
✔✔Patients using MAO Inhibitors should avoid__________. -✔✔Foods with tyramine
(Aged cheese, wine, etc)
✔✔What are the limits of acetaminophen? -✔✔4g/day (may be lowered to 3g/day)
2g/day for liver problems or advanced age
✔✔What is the tylenol overdose drug? -✔✔acetylcysteine
✔✔For ACE inhibitors, what would be a sign that the patient isn't tolerating the drug
very well? -✔✔Dry, persistent cough
✔✔What are the nursing activities for administering Ace Inhibitors? -✔✔1) Monitor BP
and Serum K
2) Monitor for 1st Dose Hypotensive Effect and instruct patient to change positions
slowly
3)Monitor cough
✔✔What are the nursing activities for ARB's? -✔✔1)Monitor BP and Serum K (Watching
for hyperkalemia)
2) Manage symptoms of hypotension
✔✔What population do CCB's work best for? -✔✔African Americans (in combination
with diuretics)
✔✔What are the nursing activities for CCB patients? -✔✔1)Monitor BP and HR
2)Assess for hypotension and instruct patient to change positions slowly
✔✔What are the general nursing activies for all antihypertensive drug patients? -✔✔1)
Administered as ordered
2) Maintain safety (because of the risk of postural hypotension)
, 3)Assess sexual dysfunction
4) Know when to hold the drug and seek clarification
✔✔What factors effect absorption or drugs? -✔✔First-pass effect (how much drug is
metabolized by liver)
Food
Milk
Antacids
Grapefruit juice
Route of administration
Coatings
✔✔What are the seven "rights"? -✔✔Right Dose
Right Documentation
Right Drug
Right Patient
Right Route
Right Time
Right of Refusal
✔✔What are the fastest to slowest routes of administration? -✔✔IV, SL, IM, SubQ, Oral,
Topical
✔✔When we think of excretion, we think of __________. -✔✔Kidneys
✔✔If there is impaired excretion, it could lead to______. -✔✔Toxicity
✔✔Explain a schedule C-1 Drug -✔✔Most addictive, high potential for abuse, no
medical use
✔✔With Warfarin, the patient should avoid________. Why? -✔✔Leafy Greens
Due to the decreased anticoagulant effect
✔✔Tetracycline and Quinolones patients should avoid______________. -✔✔Dairy
Products due to the decreased treatment effect due to absorption
✔✔Statin, Antidsyrhythmics and CCB patients should avoid____________________. -
✔✔Grapefruit Juice
✔✔MAO inhibitor patients and Linezolid patients should avoid_________________. -
✔✔Foods with tyramine due to the raised blood pressure and a possible hypertensive
crisis.
