NSG 318 COMPREHENSIVE EXAM UPDATED QUESTIONS
AND SOLUTIONS RATED A+
✔✔Aluminum hydroxide side effects - ✔✔constipation
✔✔Aluminum hydroxide cautions - ✔✔in those with renal or hepatic disease or
dysfunction
✔✔Ranitidine (Zantac) classification - ✔✔histamine 2 blocker
✔✔Ranitidine (Zantac) action - ✔✔blocks H2 receptors in parietal cells = decrease HCl
✔✔Ranitidine (Zantac) side effects - ✔✔impotence, decreased libido, gynecomastia,
headaches, dizziness, constipation.
✔✔Esomeprazole (Nexium) classification - ✔✔proton pump inhibitor
✔✔Esomeprazole (Nexium) mode of action - ✔✔inhibits hydrogen/potassium ATPase to
decrease gastric acid
✔✔Esomeprazole (Nexium) uses - ✔✔- has highest success rate for healing erosive
GERD
- Used to treat duodenal ulcers, GERD, esophagitis, prevention of NSAID ulcers
✔✔Esomeprazole (Nexium) side effects - ✔✔Erectile dysfunction, flatulence,
constipation, diarrhea, blurred vision, drowsiness
✔✔Esomeprazole (Nexium) interventions - ✔✔- highly protein bound, short half life
- should be taken before meals
-prolonged use may increase the risk of cancer
✔✔Esomeprazole (Nexium) drug interactions - ✔✔unspecified interaction with digoxin,
oral coagulants, certain benzos, phenytoin, statins, some antibiotics
✔✔Sucralfate (Carafate) classification - ✔✔Pepsin inhibitor
✔✔Sucralfate (Carafate) Mode of action - ✔✔combines with protein to form thick paste
covering ulcers from acid and pepsin
✔✔Sucralfate (Carafate) drug interactions - ✔✔- decreases the absorption of
tetracycline, phenytoin, fat-soluble vitamins, and some antibiotics
- Antacids decrease the effects of sucralfate
, ✔✔Sucralfate (Carafate) side effects - ✔✔constipation, flatulence, dizziness, headache,
dry mouth
✔✔Sucralfate (Carafate) adverse effects - ✔✔Hyperglycemia, hypophosphatemia
✔✔Solifenacin Succinate (VESIcare) classification - ✔✔Urinary antimuscarinic,
anticholinergic, bladder antispasmodic
✔✔Solifenacin Succinate (VESIcare) uses - ✔✔control overactive bladder, decrease
urge and urinary incontinence
✔✔Solifenacin Succinate (VESIcare) side effects - ✔✔dysphonia, peripheral edema,
elevated hepatic enzymes, abdominal pain
✔✔Assessing an infertile couple - ✔✔Complete health history, complete physical
exams, pa testing, HPV testing, STI cultures, semen eval, other labs
✔✔Clomiphene citrate (clomid) classification - ✔✔ovulation stimulant
✔✔Clomiphene citrate (clomid) side effects - ✔✔breast discomfort, depression,
increased appetite, abdominal pain/bloating, heavier menses, urticaria, photophobia,
diplopia.
✔✔Testosterone classifiation - ✔✔Androgen
✔✔Testosterone mode of action - ✔✔binds to androgen receptors to control
development and maintenance of sex, accessory sex organs, cell metabolism, and
bone/muscle growth
✔✔Testosterone indications - ✔✔androgen deficiency, hypogonadism, delayed puberty,
replacement therapy for testicular failure
✔✔Testosterone admin - ✔✔buccal, nasal, transdermal, parenteral
✔✔Testosterone side effects - ✔✔priapism (persistent painful erection), gynecomastia,
stops spermatogenesis, oligospermia, virilization, mouth soreness, increased/
decreased sexual desire, menstrual irregularities, clitoris hypertrophy, baldness/
hirsutism, increased cholesterol, ALTERS THYROID/LIVER FXN
✔✔Testosterone drug interactions - ✔✔anticoagulants, calcitonin, parathyroid
hormones, antidiabetic agents, corticosteroids, barbiturates, phenytoin, phenylbutazone
✔✔Testosterone cautions - ✔✔check skeletal maturation every 6 months, hypertension,
CAD, seizures, infants, prepubertal kids, older men.
AND SOLUTIONS RATED A+
✔✔Aluminum hydroxide side effects - ✔✔constipation
✔✔Aluminum hydroxide cautions - ✔✔in those with renal or hepatic disease or
dysfunction
✔✔Ranitidine (Zantac) classification - ✔✔histamine 2 blocker
✔✔Ranitidine (Zantac) action - ✔✔blocks H2 receptors in parietal cells = decrease HCl
✔✔Ranitidine (Zantac) side effects - ✔✔impotence, decreased libido, gynecomastia,
headaches, dizziness, constipation.
✔✔Esomeprazole (Nexium) classification - ✔✔proton pump inhibitor
✔✔Esomeprazole (Nexium) mode of action - ✔✔inhibits hydrogen/potassium ATPase to
decrease gastric acid
✔✔Esomeprazole (Nexium) uses - ✔✔- has highest success rate for healing erosive
GERD
- Used to treat duodenal ulcers, GERD, esophagitis, prevention of NSAID ulcers
✔✔Esomeprazole (Nexium) side effects - ✔✔Erectile dysfunction, flatulence,
constipation, diarrhea, blurred vision, drowsiness
✔✔Esomeprazole (Nexium) interventions - ✔✔- highly protein bound, short half life
- should be taken before meals
-prolonged use may increase the risk of cancer
✔✔Esomeprazole (Nexium) drug interactions - ✔✔unspecified interaction with digoxin,
oral coagulants, certain benzos, phenytoin, statins, some antibiotics
✔✔Sucralfate (Carafate) classification - ✔✔Pepsin inhibitor
✔✔Sucralfate (Carafate) Mode of action - ✔✔combines with protein to form thick paste
covering ulcers from acid and pepsin
✔✔Sucralfate (Carafate) drug interactions - ✔✔- decreases the absorption of
tetracycline, phenytoin, fat-soluble vitamins, and some antibiotics
- Antacids decrease the effects of sucralfate
, ✔✔Sucralfate (Carafate) side effects - ✔✔constipation, flatulence, dizziness, headache,
dry mouth
✔✔Sucralfate (Carafate) adverse effects - ✔✔Hyperglycemia, hypophosphatemia
✔✔Solifenacin Succinate (VESIcare) classification - ✔✔Urinary antimuscarinic,
anticholinergic, bladder antispasmodic
✔✔Solifenacin Succinate (VESIcare) uses - ✔✔control overactive bladder, decrease
urge and urinary incontinence
✔✔Solifenacin Succinate (VESIcare) side effects - ✔✔dysphonia, peripheral edema,
elevated hepatic enzymes, abdominal pain
✔✔Assessing an infertile couple - ✔✔Complete health history, complete physical
exams, pa testing, HPV testing, STI cultures, semen eval, other labs
✔✔Clomiphene citrate (clomid) classification - ✔✔ovulation stimulant
✔✔Clomiphene citrate (clomid) side effects - ✔✔breast discomfort, depression,
increased appetite, abdominal pain/bloating, heavier menses, urticaria, photophobia,
diplopia.
✔✔Testosterone classifiation - ✔✔Androgen
✔✔Testosterone mode of action - ✔✔binds to androgen receptors to control
development and maintenance of sex, accessory sex organs, cell metabolism, and
bone/muscle growth
✔✔Testosterone indications - ✔✔androgen deficiency, hypogonadism, delayed puberty,
replacement therapy for testicular failure
✔✔Testosterone admin - ✔✔buccal, nasal, transdermal, parenteral
✔✔Testosterone side effects - ✔✔priapism (persistent painful erection), gynecomastia,
stops spermatogenesis, oligospermia, virilization, mouth soreness, increased/
decreased sexual desire, menstrual irregularities, clitoris hypertrophy, baldness/
hirsutism, increased cholesterol, ALTERS THYROID/LIVER FXN
✔✔Testosterone drug interactions - ✔✔anticoagulants, calcitonin, parathyroid
hormones, antidiabetic agents, corticosteroids, barbiturates, phenytoin, phenylbutazone
✔✔Testosterone cautions - ✔✔check skeletal maturation every 6 months, hypertension,
CAD, seizures, infants, prepubertal kids, older men.
