Pharm HESI Review 1st and 2nd Attemp

Pharm HESI Review 1st and 2nd Attempt 1. Infected foot (Lamisil) = HX of alochol 2. On Coumadin = don’t walk barefoot 3. Dilantin = gingival hyperplasia 4. Patient in ER, nurse concerned = Digoxin and Lasix 5. Planning on pregnant (Accutane) = wait a month 6. Prozac = wait 5 weeks before starting 7. Parkinson’s patient, wife calls = ask what meds he’s taking 8. Patient taking Aldectone (Aldactone) = check electrolytes 9. Aricept (Dementia) = altered thought process 10. Glaucoma patient = pupils take longer to respond 11. Male athlete, small testicles = ask about steroids 12. Tylenol OD = ASD, ALT – liver enzymes 13. GERD (Lansoprazole) = takes several weeks to take effect 14. IV med given, how long will it take = migraine relief within 15 min. 15. Oily stool = ask what they have been eating 16. Gentomycin = decreased hearing loss 17. HIV patient = causes liver problems (liver enzymes) 18. Lithium before you start test = creatine check – kidney test 19. Vitamin D overdose, how do you tell? = Calcium 12 (norm 9-10.5) 20. Synthroid toxicity (for hyperthyroidism) = jittery and restlessness 21. Bactrim and TM2, why together? = two drugs kill the bacteria 22. Eliminate resistance to antibiotics = don’t use when you have flu or cold 23. Allergic to cephalosporin (cypro), don’t take what? = Penicillin 24. GI upset, patient wants to stop meds = don’t stop abruptly 25. Glucagon Diabetes type 1 = hypoglycemia (severe signs) 26. Metformin = diuresis and jittery 27. Toradol = give with meals This study source was downloaded by from CourseH on :27:53 GMT -05:00 28. Tetracycline = don’t go in sunlight 29. Tensilon pearls, what is the effect of it? = reduces cough (denies cough) 30. Patient taking new med, gained 5 lbs = check lung sounds 31. Dopamine, IV site swollen = withdraw 5mL 32. Problem with bladder, how is med effective? = intake and output is equal 33. Myasthenia gravis, how is Tensilon effected? = decreased muscle weakness 34. Theophylline, COPD = palpitation, restlessness and ____ 35. Taking Rifampine, needs more teaching = still take oral birth control 36. Peak and trough question = trough before the 4th dose 37. Antidepressant, avoid these foods = wine and avocado 38. Bulk laxative = take an extra glass of water 39. Lamirudine = abdominal pain and elevated liver 40. Benadryl over the counter = don’t operate heavy machinery 41. Bone pain = administer analgesic 42. Low grade fever = administer acetaminophen 43. Pernicious anemia receiving B12 injection = notify HCP for decrease frequency 44. Aricept med for Alzheimer’s = slows progression of diagnoses 45. Receiving opioid epidural and PO = obtain pulse ox 46. Eye drop med, best environment = dim lights 47. Patient on BuSpar, effective teaching = effects take 2-3 weeks 48. Patient teaching Epipen = do not reuse 49. Patient having jaw pain and stiff neck = give Benadryl 50. Patient having chest pain on Nitro patch = leave patch in place and give SL nitro 51. Patient receiving calcium phosphlo, which lab to monitor? = phosphorus 52. MS patient receiving baclofen = get up and rise slowly 53. Symptom of taking too much synthroid = restlessness 54. Patient on prednisone for months has big face = decrease med to solve problem 55. Potassium is 6.6 which med is safe to give = hydrocholorthiazide This study source was downloaded by from CourseH on :27:53 GMT -05:00 56. Patient doesn’t want lactulose because 3 soft stools yesterday = explain it decreases ammonia levels 57. Adverse effect and notify HCP = yellow sclera 58. Meds that’s safe for ng five year = Maalox 59. Select all: soft bristle tooth brush, check coagulation studies, notify HCP 60. Math: 1.2 million units, you have 600,000/2mL – how many? = 4 61. Math: 1800 to be given in 24 hours, how many mL/hr? = 75 62. Patient has naloxone, resp. still 4 and O2 is 75 = administer another dose of naloxone 63. Patient with stomatitis wants to take med after breakfast = discuss important of taking med 1 hour before food 64. Patient with GERD worsening epigastric pain = ask how patient is taking med 65. Med starts with ‘T’ for blood pressure, patient put on and states she’s happy she doesn’t have to take all her other BP meds now = teach patient this is a conjunction med and to continue other meds 66. Patient on Advair teach = don’t take more than twice a day 67. Patient on oral asthma med = take once a day to control asthma 68. Systemic candidiasis, Diflucan adverse reaction = sore throat 69. 10/50 mg x 1 mL = 0.2 – 400 mL/hr 70. Vitamin C = teach client to include fruits in diet 71. Jaundice = serum lab liver enzymes 72. Zovirax = intake, output 73. Laxative bedfast client determines frequency and consistency of bowel movements 74. NSAIDS = observe gastrointestinal bleeding 75. BP 21-/110 nitro IV 10 mcg = reevaluate BP 76. Promotes excretion of uric acid (Probenecid) 77. Trental = monitor numeric pain scale 78. Acetone = nothing but water with medication This study source was downloaded by from CourseH on :27:53 GMT -05:00