RASMUSSEN UNIVERSITY PHARMACOLOGY EXAM 2 NEWEST ACTUAL EXAM.

RASMUSSEN UNIVERSITY PHARMACOLOGY EXAM 2 NEWEST ACTUAL EXAM. When assessing a patient that is prescribed desmopressin for diabetes insipidous, what are the expected outcomes? Correct Answerdecreased urine output and elevated BP What is concerning for a patient on long-term steroid therapy? Correct Answerfever, even low grade can indicate infection due to an impaired immune system What vaccines are contraindicated for individuals that are immune suppressed? Correct AnswerLive attenuated vaccines (nasal flu, small pox, varicella, mmr, rotavirus) If patient is alert and oriented but blood sugar is below 50, what is the first thing you do? Correct Answerfeed them What drug treats high potassium (hyperkalemia)? Correct AnswerSodium polystyreine sulfonate What steps would you take for an anaphylactic reaction?Correct AnswerStop antibiotic, assess vitals, give epi How does a sliding scale work? Correct AnswerBased on current blood sugar How is DKA treated? Correct AnswerInsulin, fluids, electrolytes (especially K+) What would contribute to a patient having issues drawing up their insulin? Correct AnswerRetinopathy associated with diabetes When should levothyroxine be administered? Correct Answerin the morning before breakfast What should be avoided when taking metronidazole? Correct Answerdrinking alcohol results in disulfiram reaction (VOMIT) Who is at the highest risk for DVT on oral contraceptives? Correct AnswerSmokers What patient teachings when prescribed cyclophosphamide? Correct Answerhemorrhagic systitis prevention Education for Fluroquinolones? (floxacins) Correct AnswerInactivated by minerals and vitamins (zinc, calcium, magnesium, aluminum), ACHILLES RUPTURE, photosensitivity What can occur when steroids are abruptly stopped? Correct AnswerRenal insufficiency (Addisons syndrome) What is levothyroxine used to treat? Correct AnswerHypothyroidism What is a patient teaching for Micostatin? Correct Answerswish and swallow Who can't use yogurt to restore normal flora? Correct AnswerLactose intolerant individuals This medications onset time is 5-15 minutes so this medication should be taken in close proximity to a meal Correct AnswerHumalog On a thin patient, this angle is best when giving a subcutaneous injection Correct Answer45 degrees This is what diabetics should do prior to exercise Correct AnswerEat a snack or a meal This class of medications can increase sugar levels causing a need for more insulin - Correct AnswerGlucocorticoids This is the drug of choice for a hyperglycemic patient who is unresponsive and has no IV site - Correct AnswerGlucagon If a patient presents with UTI-like symptoms, this must be done prior to administering any antibiotics Correct AnswerObtain a urinalysis and/or urine culture These are the routes of administration for glucagon Correct AnswerSubcutaneous, IM, and IV Stopping the administration of this drug class abruptly can cause Addison's disease - Correct AnswerGlucocorticoids Smoking, age (35 and older), uterine cancer, pregnancy, and a history of DVT are all contrainindications for this class of medication Correct AnswerHormonal contraceptives Administration of this hormone medication should be first thing in the morning and on an empty stomach Correct AnswerLevothyroxine For children under 8 years of age, teeth discoloration is a common side effect of this drug - Correct AnswerTetracycline Steroids, diphenhydramine, and epinephrine can be given to reduce the symptoms of this - Correct AnswerAllergic reaction This class of antibiotics when mixed with alcohol can cause a disulfiram reaction Correct AnswerCephalosporins Azithromycin falls into this class of antibiotics Correct AnswerMacrolides A compromised immune system and antibiotic use can put patients at risk for developing this - Correct AnswerSuper infection Antitubercular medications can cause these lab values to be elevated Correct AnswerLiver function tests (LFTs) Red-pink urine, elevate temperature, and elevated kidney function tests can be caused by this Correct AnswerUrinary tract infection Elevated serum uric acid and WBCs are expected in this disease process Correct AnswerGout This class of antibiotics is associated with hepatotoxicity, so liver function must be closely monitored Correct AnswerMacrolides This disease process is present when a patient has an elevated TSH and decreased T3 and T4 Correct AnswerHypothyroidism Patient education for Nystatin/mycostatin includes this Correct AnswerDo not eat or drink anything directly following a dose A patient on oral contraceptives who is prescribed tetracycline should be told to do what - Correct AnswerUse 2 forms of birth control Patient education for this class of medication should include, avoid minerals such as iron or zinc, avoid direct sunlight, and report calf tenderness Correct AnswerFluoroquinolones Tachycardia, hypertension, palpitations, and seizures are all adverse reactions of this thyroid condition Correct AnswerThyroid Storm This can be caused when antibiotics are taken for viral infections, stopped prior to therapy condition, or the same medication is used over and over Correct AnswerResistance Patient education for this hormone replacement drug is to take the lowest dose possible to achieve the intended effect and to not take for more than 5 years Correct AnswerPremarin Patient education for this drug includes it can turn urine orange and painful bladder spasms should be reduced - Correct AnswerPyridium This is the next step for anyone who may have been exposed to tuberculosis Correct AnswerHave a PPD performed Patients taking this antibiotic should be educated on using a barrier-method form of birth control Correct AnswerTetracycline If a patient who is taking an antibiotic notices raised, itchy, red bumps on their body, you should educate the patient to do this Correct AnswerStop the medication and notify their provider