Pharmacology II Bsn 315 hesI revIew exam
wIth correct actual QuestIons and
correctly well defIned answers latest
already graded a+
Rapid acting Insulin - DETAILED ANSWER -Lispro is a rapid acting insulin ( 15 min.), so
meals should be readily available at time of administration. Patients who take this are at
risk for hypoglycemic reaction to occur shortly after administration.
Pregabalin - action - DETAILED ANSWER -Pregabalin is used to manage the pain
associated with diabetic peripheral neuropathy but does not promote wound healing.
The nurse should review the treatment plan & evaluate the strategies used to provide
care for the foot ulceration.
Carbamazepine serum level - DETAILED ANSWER -Carbamazepine, an anti convulsant,
is used to treat bipolar disorder in clients who do not respond to other antimanic agents,
& has a wider margin of safety than lithium but can still produce side effects. The
therapeutic serum drug level of carbamazepine is 8-12 mg/L (33.9-50.8 mmol/L), so the
drug should be administered as prescribed.
CT- Diarrhea- Action - DETAILED ANSWER -Octreotide is given to treat diarrhea & acts
to inhibit gastric secretion & decrease intestinal fluid loss that results from inflammation
of the gastrointestinal mucosa caused by chemotherapy. Octreotide can cause
hyperglycemia & symptoms of acidosis, such as fruity breath odor which should be
reported to the health care provider immediately.
Albuterol- assessment - DETAILED ANSWER -A critical side effect of albuterol is an
irregular rapid heart beat that requires immediate intervention for a potential life-
threatening dysrhythmia.
, ALS- Riluzole - DETAILED ANSWER -Riluzole acts to increase survival time in clients
with amyotrophic lateral sclerosis (ALS), but does not eliminate weakness or muscle
atrophy, sot he nurse should document the findings.
EPS- Cogentin - DETAILED ANSWER -Antipsychotic medications (such as
phenothiazines) can cause muscle stiffness & spasms, which are extrapyramidal side
effects. The nurse should give a PRN prescription for benztropine to relieve those
extrapyramidal side effects.
Zolpidem desired outcome achieved - DETAILED ANSWER -Relief of insomnia is the
desired outcome of Zopidem which causes sedation and induction of sleep.
Atorvastatin (Lipitor) Adverse Effects - DETAILED ANSWER -Rhabdomyolysis (muscle
pain), a condition that causes muscle break down. If patient develops muscle
tenderness during Atorvastatin (Lipitor) therapy, monitor CK levels. If CK levels are
below 10 times the upper limit of normal or myopathy occurs, therapy should be
discontinued.
Hyperthyroidism- medication administration - DETAILED ANSWER -Propylthiouracil
(PTU) blocks the conversion of T4 to T3, which decreases hormone synthesis, and
Lugol's solution (iodine, potassium iodide, together with distilled water) provides iodine
needed in the thyroid hormone molecule. When an anti-thyroid drug & iodine should be
administered at least 1 hour before the PTU, which enhances the therapeutic effect of
both drugs.
Spironolactone- Heart failure - DETAILED ANSWER -Hyperaldosteronism, a disease in
which the adrenal glands make too much aldosterone, causing high blood pressure &
low potassium levels, & spironolactone is used to spare potassium. The nurse should
therefore instruct the client to limit foods that are high in potassium.
Topical Antifungal - DETAILED ANSWER -The nurse should instruct the client to obtain a
prescription for an antifungal medication to treat their toenail fungal infection.
Gout-medications - DETAILED ANSWER -Uricosuric drugs promote the excretion of uric
acid, & are used primarily in the treatment of chronic gout.
wIth correct actual QuestIons and
correctly well defIned answers latest
already graded a+
Rapid acting Insulin - DETAILED ANSWER -Lispro is a rapid acting insulin ( 15 min.), so
meals should be readily available at time of administration. Patients who take this are at
risk for hypoglycemic reaction to occur shortly after administration.
Pregabalin - action - DETAILED ANSWER -Pregabalin is used to manage the pain
associated with diabetic peripheral neuropathy but does not promote wound healing.
The nurse should review the treatment plan & evaluate the strategies used to provide
care for the foot ulceration.
Carbamazepine serum level - DETAILED ANSWER -Carbamazepine, an anti convulsant,
is used to treat bipolar disorder in clients who do not respond to other antimanic agents,
& has a wider margin of safety than lithium but can still produce side effects. The
therapeutic serum drug level of carbamazepine is 8-12 mg/L (33.9-50.8 mmol/L), so the
drug should be administered as prescribed.
CT- Diarrhea- Action - DETAILED ANSWER -Octreotide is given to treat diarrhea & acts
to inhibit gastric secretion & decrease intestinal fluid loss that results from inflammation
of the gastrointestinal mucosa caused by chemotherapy. Octreotide can cause
hyperglycemia & symptoms of acidosis, such as fruity breath odor which should be
reported to the health care provider immediately.
Albuterol- assessment - DETAILED ANSWER -A critical side effect of albuterol is an
irregular rapid heart beat that requires immediate intervention for a potential life-
threatening dysrhythmia.
, ALS- Riluzole - DETAILED ANSWER -Riluzole acts to increase survival time in clients
with amyotrophic lateral sclerosis (ALS), but does not eliminate weakness or muscle
atrophy, sot he nurse should document the findings.
EPS- Cogentin - DETAILED ANSWER -Antipsychotic medications (such as
phenothiazines) can cause muscle stiffness & spasms, which are extrapyramidal side
effects. The nurse should give a PRN prescription for benztropine to relieve those
extrapyramidal side effects.
Zolpidem desired outcome achieved - DETAILED ANSWER -Relief of insomnia is the
desired outcome of Zopidem which causes sedation and induction of sleep.
Atorvastatin (Lipitor) Adverse Effects - DETAILED ANSWER -Rhabdomyolysis (muscle
pain), a condition that causes muscle break down. If patient develops muscle
tenderness during Atorvastatin (Lipitor) therapy, monitor CK levels. If CK levels are
below 10 times the upper limit of normal or myopathy occurs, therapy should be
discontinued.
Hyperthyroidism- medication administration - DETAILED ANSWER -Propylthiouracil
(PTU) blocks the conversion of T4 to T3, which decreases hormone synthesis, and
Lugol's solution (iodine, potassium iodide, together with distilled water) provides iodine
needed in the thyroid hormone molecule. When an anti-thyroid drug & iodine should be
administered at least 1 hour before the PTU, which enhances the therapeutic effect of
both drugs.
Spironolactone- Heart failure - DETAILED ANSWER -Hyperaldosteronism, a disease in
which the adrenal glands make too much aldosterone, causing high blood pressure &
low potassium levels, & spironolactone is used to spare potassium. The nurse should
therefore instruct the client to limit foods that are high in potassium.
Topical Antifungal - DETAILED ANSWER -The nurse should instruct the client to obtain a
prescription for an antifungal medication to treat their toenail fungal infection.
Gout-medications - DETAILED ANSWER -Uricosuric drugs promote the excretion of uric
acid, & are used primarily in the treatment of chronic gout.
