NURS pharm 180 Final WCU Exam
Questions And Answers 2025 Update.
What needs to be taken with psyllium and how much? - Answer✔8 oz of water to prevent
obstruction of esophagus
how long till psyllium to take effect? - Answer✔24 hours
what needs to be increased in pt taking psyllium? - Answer✔fluids
docusate sodium side effects? - Answer✔diarrhea, nausea, cramps, dizziness, PALPITATIONS,
syncope (sign of dehydration)
what should pt report when using docusate sodium? - Answer✔unrelieved constipation
what is diphenoxylate and atropine used for? - Answer✔slowing peristalsis to alleviate diarrhea
why is diphenoxylate atropine for short term use? - Answer✔b/c schedule V drug so preventing
dependency
priority nursing assessment for vomiting? - Answer✔symptoms that precipitate it and
electrolyte status
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with pancreatitis when does it hurt most and where is the pain located? - Answer✔after a meal,
pain in the epigastric area that radiates to the back
what do you give pancrelipase with? - Answer✔food
nursing assessments for pancrelipase? - Answer✔pork allergy/ religious beliefs
what should you see with effective pancrelipase treatment? - Answer✔decrease in steatorrhea
omeprazole is used for what and how long is therapy? - Answer✔for peptic ulcers & GERD
short term use: 4-8 wks
with continued use of omeprazole what is the pt at risk for and what should you teach them to
prevent this? - Answer✔-osteoporosis
-increase calcium and vit. D
When should omeprazole be taken? - Answer✔30 mins before 1st meal of day
side effects of ranitidine? - Answer✔HEADACHE
what can occur in men taking ranitidine? - Answer✔impotence, loss of libido
what should be avoided taking within an hour of ranitidine administration - Answer✔antacid
when should ranitidine be given? - Answer✔at bedtime with no regard to food
common side effect of aluminum hydroxide? - Answer✔constipation
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what symptoms can indicate a more serious disease when on ranitidine therapy? -
Answer✔epigastric pain, bloody tarry stools, heartburn
what does sucralafate do? - Answer✔coats ulcer and prevents erosion
can sucralafate be taken with antacids? - Answer✔no
when should sucralafate be administered? - Answer✔take on empty stomach before meals and
before bedtime
what should pt increase with sucralafate? - Answer✔fluids and fiber
misoprostol is dangerous for which individual? - Answer✔pregnant because category X
what is prochlorperazine used for? - Answer✔anti-emetic
what are does related side effects of prochlorperazine? - Answer✔anticholinergic effects-->dry
mouth, sedation, constipation
orthostatic hypotension, tachycardia
when should you discontinue use of prochlorperazine? - Answer✔extrapyramidal symptoms
occur including tremors, stoop slow gait, drooling, pill rolling
can you administer omeprazole at the same time as antacids? - Answer✔yes
what should you avoid with omeprazole? - Answer✔NSAIDs (gastric irritation)
Ondansetron side effects - Answer✔- Headache (common)
- electrolyte imbalance
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