NUR2474 / NUR 2474 Pharmacology for Professional Nursing Final Exam Review | Rated A Complete Guide| Questions and Answers| Latest 2021/2022 | Rasmussen College

NUR2474 / NUR 2474 Pharmacology for Professional Nursing Final Exam Review | Rated A Complete Guide| Questions and Answers| Latest 2021/2022 | Rasmussen College A. Sulfamethoxazole (sometimes a combo called sulfamethoxazole/trimethoprim is used) (Bactrim) 1. How does it work? What diagnosis is it effective for (be specific)? - Separately they are bacteriostatic, to that they are bactericidal., really good for tough UTIs 2. What classification(s) does it fit into? Does this classification have many look alike/sound alike drugs? - Sulfa antibiotics, many of them have the Sulfa prefix 3. What are the side/adverse effects? - Decreased appetite, N/V, painfull or swollwn tongue ringing in ears feeling tired and kidney stones 4. What prefix tells you this belongs to the classification it is in? - Sulfa 5. Why does one teach patients to drink plenty of water with this? - To prevent the formation of kidney stones 6. What would you do if your patient developed a rash, temperature, and was tachycardic while receiving this medication? - Stop giving, contact Dr prepare to administer Epi. B. Cephalexin, Cefoxitin: 7. How does it work? What diagnosis is it effective for (be specific)? - Bactericidal, same mode of action as other beta lactam antibiotics but are les susceptible to Beta lactamases. Cephalosporins disrupt the synthesis of peptidoglycan layer that makes the cell wall - Strep throat 8. What classification(s) does it fit into? Does this classification have many looks alike/sound alike drugs? - Cephalosporins - Many start with the ceph and cef and are famous for error because of the look and sound alike 9. What are the side/adverse effects? - V/N/D 10. How does it interfere with warfarin? - Cause warfarin levels to go up and make the INR higher. This means that the warfarin needs to be reduced while on this medication. The INR will be considered first. Watch for bruising bleeding and black stools 11. Why is it important to observe for side effects if someone has had an allergic reaction to penicillin’s? This is not a penicillin. - Observer the patient because sometimes a cross allergy can occur. C. Metronidazole: 12. How does it work? What diagnosis is it effective for (be specific)? - Given for C diff. which is often induced by other antibiotics like cephalosporins, penicillin…ect. - When the c diff infection starts they discontinue the other antibiotic and can starte on metronidazole 13. What classification(s) does it fit into? Does this classification have many look alike/sound alike drugs? - nitroimidazoles 14. What are the side/adverse effects? - Dizziness - Headache - Stomach up set N/V - Loss of appetite - Diarrhea - Constipation - Metallic taste in mouth may occur 15. Can it be mixed with alcohol? Why or why not? - No. liver damage, BP drop D. Acyclovir: 16. How does it work? What diagnosis is it effective for (be specific)? - Antiviral - herpes 17. What classification(s) does it fit into? Does this classification have many look alike/sound alike drugs? - Antiviral 18. What are the side/adverse effects? - AE o Kidney damage o Hepatitis - Common o Agitation o Diarrhea o Dizziness o Drowsiness o Hair loss o Headact o Intestinal/stomach irritation o Muscle pain o vomiting 19. Pregnancy implications? Nephrotoxicity (labs that indicate kidney function: creatinine, BUN)? How can one decrease the risk of kidney damage while on this medication? - Can be used during pregnancy - Hydrate the client for a full two hours after infusion to reduce risk of kigney damage. E. Amoxicillin 20. How does it work? What diagnosis is it effective for (be specific)? - Beta lactam antibiotics dirupt the synthesis of peptidoglycan layer forming the bacterial cell wall - Strep… 21. What classification(s) does it fit into? Does this classification have many look alike/sound alike drugs? - Penicillins – may have the siffix cillin 22. What are the side/adverse effects? - Anaphylaxsis - N/V/D - Abdominal pain 23. What are contraindications? - Previous allergy 24. If one is allergic to one “cillin,” meaning a penicillin-like drug, they are allergic to all “cillins.” What is a cross-allergy? - If you are allergic to one you are allergic to them all