1|Page
NURS PHARM 180 FINAL WCU | LATEST
ACTUAL EXAM QUESTIONS WITH VERIFIED
ANSWERS
how long till uric acid levels back to normal with allopurinol treatment -correct-
answer-1-3 weeks
what should pt increase with allopurinol? -correct-answer-fluid: 2-3L per day
what should you monitor with furosemide use? -correct-answer--electrolytes
-BP
-Urine output
what time of day should you take furosemide? -correct-answer-morning
when should you hold use of furosemide? -correct-answer--potassium less than
3.5
-urine output less then 30mL/hr
,2|Page
side effects of furosemide -correct-answer--ototoxic, dehydration, hypotension
-hypokalemia (constipation, fatigue, muscle breakdown/rhabdomyolysis,
weakness or muscle spasms, dysrythmias)
-hyperglycemia
-hyperuricemia (joint pain, flank pain, n/v)
-hypocalcemia (numbness, muscle cramps, dysphagia)
-hypomagnesemia (muscle spasms, nystagmus, muscle weakness, numbness)
what should a pt taking furosemide diet look like? -correct-answer-high in
potassium: banana, avocado, dried fruits, potatoes, nuts, spinach, citrus fruits
which meds does furosemide interact with? Hint: 4 -correct-answer--Digoxin -
ventricular arrhythmias can occur in the presence of ↓ potassium
-Concurrent use with antihypertensives can have additive hypotensive effect
-Lithium carbonate (Eskalith) - serum levels may lead to toxicity if hyponatremia
-NSAIDS - decrease blood flow to the kidneys which reduce effect
what should pt report with furosemide use? -correct-answer-wt loss, light
headedness, weakness, muscle twitching
,3|Page
what are complications of spironolactone use? -correct-answer-hyperkalemia (T
wave elevation)
hyponatremia (HA, nausea, confusion, fatigue)
who is spironolactone contraindicated in? -correct-answer--hyperkalemic pt
-renal or liver failure
what is the difference btwn spironolactone and furosemide/hydrochlorothiazide?
-correct-answer-spironolactone is potassium sparing
what are crystalloids for? -correct-answer-replace fluids and promote urine
output
when giving potassium chloride per oral what should the nurse ensure? -correct-
answer-pt sitting upright to prevent esophagitis
should you administer potassium chloride IV push or in concentrated amounts? -
correct-answer-no can be fatal
, 4|Page
which drugs increase the risk for hyperkalemia with potassium supplement
administration interactions? -correct-answer-ACE inhibitor, potassium sparing
diuretic
what is sodium bicarbonate used to treat? -correct-answer-acidosis
Side effects of sodium bicarbonate -correct-answer-metabolic alkalosis
hypokalemia
Who is sodium bicarb contraindicated in -correct-answer-vomiting, continuous GI
suction
cardiac disease and renal impairment
htn, peptic ulcers
which food is contraindicated with sodium bicarb and why? -correct-answer-
milk/calcium due to milk alkali syndrome
NURS PHARM 180 FINAL WCU | LATEST
ACTUAL EXAM QUESTIONS WITH VERIFIED
ANSWERS
how long till uric acid levels back to normal with allopurinol treatment -correct-
answer-1-3 weeks
what should pt increase with allopurinol? -correct-answer-fluid: 2-3L per day
what should you monitor with furosemide use? -correct-answer--electrolytes
-BP
-Urine output
what time of day should you take furosemide? -correct-answer-morning
when should you hold use of furosemide? -correct-answer--potassium less than
3.5
-urine output less then 30mL/hr
,2|Page
side effects of furosemide -correct-answer--ototoxic, dehydration, hypotension
-hypokalemia (constipation, fatigue, muscle breakdown/rhabdomyolysis,
weakness or muscle spasms, dysrythmias)
-hyperglycemia
-hyperuricemia (joint pain, flank pain, n/v)
-hypocalcemia (numbness, muscle cramps, dysphagia)
-hypomagnesemia (muscle spasms, nystagmus, muscle weakness, numbness)
what should a pt taking furosemide diet look like? -correct-answer-high in
potassium: banana, avocado, dried fruits, potatoes, nuts, spinach, citrus fruits
which meds does furosemide interact with? Hint: 4 -correct-answer--Digoxin -
ventricular arrhythmias can occur in the presence of ↓ potassium
-Concurrent use with antihypertensives can have additive hypotensive effect
-Lithium carbonate (Eskalith) - serum levels may lead to toxicity if hyponatremia
-NSAIDS - decrease blood flow to the kidneys which reduce effect
what should pt report with furosemide use? -correct-answer-wt loss, light
headedness, weakness, muscle twitching
,3|Page
what are complications of spironolactone use? -correct-answer-hyperkalemia (T
wave elevation)
hyponatremia (HA, nausea, confusion, fatigue)
who is spironolactone contraindicated in? -correct-answer--hyperkalemic pt
-renal or liver failure
what is the difference btwn spironolactone and furosemide/hydrochlorothiazide?
-correct-answer-spironolactone is potassium sparing
what are crystalloids for? -correct-answer-replace fluids and promote urine
output
when giving potassium chloride per oral what should the nurse ensure? -correct-
answer-pt sitting upright to prevent esophagitis
should you administer potassium chloride IV push or in concentrated amounts? -
correct-answer-no can be fatal
, 4|Page
which drugs increase the risk for hyperkalemia with potassium supplement
administration interactions? -correct-answer-ACE inhibitor, potassium sparing
diuretic
what is sodium bicarbonate used to treat? -correct-answer-acidosis
Side effects of sodium bicarbonate -correct-answer-metabolic alkalosis
hypokalemia
Who is sodium bicarb contraindicated in -correct-answer-vomiting, continuous GI
suction
cardiac disease and renal impairment
htn, peptic ulcers
which food is contraindicated with sodium bicarb and why? -correct-answer-
milk/calcium due to milk alkali syndrome
