Nur 256 Exam #3 Pharmacology Review Questions.docx

Hypoglycemia - correct answer When administering insulin, the nurse must keep in mind that which is the most immediate and serious adverse effect of insulin therapy? Glargine - correct answer A dose of long-acting insulin has been ordered for bedtime for a patient with diabetes. The nurse expects to give which type of insulin? Regular - correct answer A patient is to be given an insulin drip to control his high blood glucose levels. The nurse knows that the type of insulin that would be used for this intravenous infusion would be which of these? Irritability, sweating, and confusion - correct answer While monitoring a patient who is receiving insulin therapy, the nurse observes for which signs of hypoglycemia? With the first bite of a meal - correct answer When will the nurse administer the drug acarbose? "It increases insulin production." - correct answer A patient taking glipizide asks the nurse, "How does my insulin pill work, anyway?" Which information will the nurse provide to the patient regarding the mechanism of action of glipizide? Gastroparesis - correct answer The nurse is reviewing the history of a patient who will be taking the amylin mimetic drug pramlintide. Which condition is a contraindication to the use of this drug? Sulfonylureas - correct answer The nurse will monitor for significant interactions if sitagliptin is given with which drug class? Liver disease - correct answer Which is a major risk factor for the development of type 2 diabetes? 7 - correct answer Which A1C level represents the desired level for the glycemic goal for patients with diabetes? Chronic lung disease - correct answer Which patient condition would the nurse identify as being a contraindication for the use of Afrezza 24 hours - correct answer The duration of action of insulin glargine is 4 units - correct answer The sliding-scale insulin order reads, 'Do bedside glucose testing before meals. For glucose results over 150 mg/dL, give regular insulin, 1 unit for ever 20 mg/dL over 150 mg/dL." If the blood glucose level is 238 mg/dL, how many units of insulin will the patient receive? 37 units - correct answer A patient will be receiving NPH insulin 30 units combined with 7 units of regular insulin. How many total units will be administered to the patient? The length of treatment required to eradicate the organism may be from several weeks to as long as 1 year. - correct answer Which statement accurately describes antifungal therapy for topical infections? Insert once daily at bedtime for 7 consecutive days - correct answer When instructing a patient on how to use miconazole vaginal cream for vaginal yeast infections, the nurse will keep in mind that this medication will be given in which manner? 3 to 4 weeks - correct answer When instructing a patient about the actions and uses of benzoyl peroxide, the patient asks when positive results from this medication can be expected. Which statement indicates the nurse's best response? Aerosol spray - correct answer A patient has a painful sunburn that covers a large area of her body and has asked the nurse for "something to make it feel better." The nurse keeps in mind that which formulation of topical medication will be easiest to use to cover this area? Oil - correct answer A patient needs a medication that has excellent emollient properties. Because she works as a swimming coach, the medication prescribed should not was off when it comes into contact with water. If each has the same healing properties, which would be the best for this patient? Common adverse effects include stinging, itching, and rash; Topically applied acyclovir does not cure viral skin infections but does seem to decrease the healing time and pain; Antiviral drugs are applied topically for the treatment of both initial and recurrent herpes simplex infections - correct answer The nurse is administering topical antiviral drugs. Which statements about these drugs are true? She will need to use two forms of birth control while taking this medication - correct answer A 22 yo woman is taking isotretinoin as part of the treatment for severe cystic acne. Which statement about isotretinoin therapy is true? Shellfish - correct answer Before using povidine-iodine solution to prepare skin for surgery, the nurse will ask the patient about allergies to which substance? Swelling; Scaling; Burning; Tenderness - correct answer A patient will be receiving fluorouracil cream as part of treatment for basal cell carcinoma of the skin on her nose. The nurse will instruct the patient about which possible adverse effects? Burns - correct answer The nurse notes the patient has an order for silver sulfadiazine. The nurse would anticipate the patient is experiencing which diagnosis? 100 mL/hr - correct answer The order for a patient who has a severely infected skin wound reads, "Administer clindamycin (Cleocin) 300 mg diluted in 50 mL 0.9% NS IVPB every 6 hours. Infuse over 30 minutes." When calculating the rate for this IVPB, the nurse will set the infusion pump to what rate? 167 mL/hr - correct answer A patient will be receiving intravenous amphotericin B (Fungizone) for a severe fungal infection that has not responded to other medications. The order reads, "75 mg in 1000 mL D5W to infuse over 6 hours." The nurse will set the infusion pump to what rate? Accommodation - correct answer Adjustment of the lens of the eye for variations in distance Blepharitis - correct answer Inflammation of the eyelids