NUR 521 EXAM 3 REVIEW
QUESTIONS WITH COMPLETE
SOLUTIONS
Nursing assessment of somatropin - Answer- monitor height and weight at least
monthly, glucose, thyroid function test, growth hormone levels
PK of octreotide - Answer- SC, IM, IV
PT of octreotide - Answer- acromegaly
AE of octreotide - Answer- blood glucose changes**, GI discomfort, headache,
hypertension, possible bradycardia or other cardiac arrhythmias
nursing assessment of octreotide - Answer- assess adherence if a life-long treatment
AE of sildenafil - Answer- priapism- erection lasting longer than 4-6hrs
Contra/Precautions of sildenafil - Answer- do not take w/in 24hr of taking a *nitrate or
peripheral alpha blocker
PK of Finasteride (Propecia) - Answer- topical form for male pattern baldness
Contra/Precautions of Finasteride (Proscar) - Answer- Greg women or women who
want to be pregnant should not handle this drug (Cat X) unless wearing gloves
PD of desmopressin - Answer- synthetic drug mimics/replaces natural ADH
PT of desmopressin - Answer- assess I & O, specific gravity
AE of desmopressin - Answer- water intoxication (most often at beginning)
PD of Sumatriptan - Answer- stimulation of the 5-HT receptors results in
vasoconstriction
PK of Sumatriptan - Answer- SC*, intranasal, or oral
AE of sumatriptan - Answer- *coronary artery vasospasm, cardiac dysrhythmias angina,
myocardial ischemia & dizziness
, nursing assessment of sumatriptan - Answer- must take at onset of headache, NOT A
DAILY DRUG
PK of ibuprofen - Answer- - give w milk or food to decrease GI distress
- do not crush or chew
AE of ibuprofen - Answer- risk of CVA or MI w prolonged use
Contra/Precautions of ibuprofen - Answer- assess age/weight in children
interactions of ibuprofen - Answer- glucocorticoids and anticoagulants
nursing assessment of ibuprofen - Answer- - avoid all NSAIDs 1 week before surgery or
invasive procedure
- contraindicated in last trimester
nursing assessment of codeine/hydrocodone - Answer- do not give to pt w resp
distress, chest tube, asthma, pneumonia, etc.
nursing assessment of pentazocin - Answer- - naloxone is antidote for overdose
- do not withdraw abruptly
PD of acetaminophen - Answer- - primarily acting in the CNS
- no effects on platelet aggregation
AE of acetaminophen - Answer- toxicity: anorexia, nausea, vomiting, pallor, abd. pain,
Late stage- jaundice/liver issues
nursing assessment of acetaminophen - Answer- - max dose: 4000mg
- antidote for overdose: acetylcystiene (Mucomyst)
PK of naloxone - Answer- IV, IM, SC, Intranasal (results in 1-2min)
PT of naloxone - Answer- - reversal of opiod effects
- titrate carefully
AE of naloxone - Answer- too rapid reversal can cause nausea, vomiting, tremors and
hypertension (sudden withdrawal syndrome)
PD of morphine - Answer- agonist at mu, kappa, and possibly delta opiate receptors
AE of morphine - Answer- - pupil miosis
- toxicity: *pinpoint pupils, sedation, coma, resp depression/arrest
nursing assessment of morphine - Answer- assess resp status, assess pain prior and
during therapy (reassess w/in 60 min after administration)
QUESTIONS WITH COMPLETE
SOLUTIONS
Nursing assessment of somatropin - Answer- monitor height and weight at least
monthly, glucose, thyroid function test, growth hormone levels
PK of octreotide - Answer- SC, IM, IV
PT of octreotide - Answer- acromegaly
AE of octreotide - Answer- blood glucose changes**, GI discomfort, headache,
hypertension, possible bradycardia or other cardiac arrhythmias
nursing assessment of octreotide - Answer- assess adherence if a life-long treatment
AE of sildenafil - Answer- priapism- erection lasting longer than 4-6hrs
Contra/Precautions of sildenafil - Answer- do not take w/in 24hr of taking a *nitrate or
peripheral alpha blocker
PK of Finasteride (Propecia) - Answer- topical form for male pattern baldness
Contra/Precautions of Finasteride (Proscar) - Answer- Greg women or women who
want to be pregnant should not handle this drug (Cat X) unless wearing gloves
PD of desmopressin - Answer- synthetic drug mimics/replaces natural ADH
PT of desmopressin - Answer- assess I & O, specific gravity
AE of desmopressin - Answer- water intoxication (most often at beginning)
PD of Sumatriptan - Answer- stimulation of the 5-HT receptors results in
vasoconstriction
PK of Sumatriptan - Answer- SC*, intranasal, or oral
AE of sumatriptan - Answer- *coronary artery vasospasm, cardiac dysrhythmias angina,
myocardial ischemia & dizziness
, nursing assessment of sumatriptan - Answer- must take at onset of headache, NOT A
DAILY DRUG
PK of ibuprofen - Answer- - give w milk or food to decrease GI distress
- do not crush or chew
AE of ibuprofen - Answer- risk of CVA or MI w prolonged use
Contra/Precautions of ibuprofen - Answer- assess age/weight in children
interactions of ibuprofen - Answer- glucocorticoids and anticoagulants
nursing assessment of ibuprofen - Answer- - avoid all NSAIDs 1 week before surgery or
invasive procedure
- contraindicated in last trimester
nursing assessment of codeine/hydrocodone - Answer- do not give to pt w resp
distress, chest tube, asthma, pneumonia, etc.
nursing assessment of pentazocin - Answer- - naloxone is antidote for overdose
- do not withdraw abruptly
PD of acetaminophen - Answer- - primarily acting in the CNS
- no effects on platelet aggregation
AE of acetaminophen - Answer- toxicity: anorexia, nausea, vomiting, pallor, abd. pain,
Late stage- jaundice/liver issues
nursing assessment of acetaminophen - Answer- - max dose: 4000mg
- antidote for overdose: acetylcystiene (Mucomyst)
PK of naloxone - Answer- IV, IM, SC, Intranasal (results in 1-2min)
PT of naloxone - Answer- - reversal of opiod effects
- titrate carefully
AE of naloxone - Answer- too rapid reversal can cause nausea, vomiting, tremors and
hypertension (sudden withdrawal syndrome)
PD of morphine - Answer- agonist at mu, kappa, and possibly delta opiate receptors
AE of morphine - Answer- - pupil miosis
- toxicity: *pinpoint pupils, sedation, coma, resp depression/arrest
nursing assessment of morphine - Answer- assess resp status, assess pain prior and
during therapy (reassess w/in 60 min after administration)
