NURS 2207 Medications (Exam 1) – Questions With
Complete Solutions
Acetaminophen (Tylenol) Right Ans - Cannot be given at the same time as
Toradol
Action: Inhibits synthesis of prostaglandins that may serve as mediators of
pain and fever, primarily in the CNS
Use/Indication: Treatment of mild pain, fever
Nursing Assessment: Assess pain prior to administration and 30-60 min after
Side Effects: Neutropenia, pancytopenia, rash, urticaria
Contraindications: Previous hypersensitivity; products containing alcohol,
aspartame, saccharin, sugar, or tartrazine; severe hepatic impairment/acute
liver disease
Route: PO, Rectal, or IV
Annusol Suppository/ Cream Right Ans - Action: The active ingredient
helps decrease the irritation in the area and acts as an astringent
Use: Minor pain, itching, swelling, and discomfort caused by hemorrhoids and
other problems of the anal area (anal fissures, itching)
Nursing Assessment: Assess anus for or increased redness, swelling, etc.
before and after application
Side Effects: Redness, burning, itching at application site
Contraindications: History of hypersensitivity to any of the components
Route: Rectal
Ampicillin (mother and infant) Right Ans - Action: Binds to bacterial cell
wall, resulting in cell death
Use: Prevention or treatment of infections (certain high-risk patients
undergoing C-section)
Nursing Assessment: Assess patient for infection/ the infection site to
document before administration
Side Effects: Seizures, C-Dif, diarrhea, rash, anaphylaxis, serum sickness
Contraindications Hypersensitivity to penicillins
Route:
Children: PO
Adults: IM and IV
, Bisacodyl (Ducolax) Suppository Right Ans - Action: Stimulates peristalsis;
alters fluid and electrolyte transport, producing fluid accumulation in the
colon
Use: Treatment/ prevention of constipation
Nursing Assessment: Assess for abdominal distention, bowel sounds, and
usual pattern of bowel function
Side Effects: Abdominal cramps, nausea, diarrhea
Contraindications: Hypersensitivity; abdominal pain; nausea or vomiting
Route: Rectal
Cefotaxime (mother and infant) Right Ans - Action: Bind to the bacterial
cell wall membrane, causing cell death
Use: Prophylactic and treatment of infections of susceptible organisms
Nursing Assessment: Assess patient for infection/ the infection site to
document before administration
Side Effects: Seizures, C-Dif, diarrhea, nausea, vomiting, pain or phlebitis at
IM/IV site, anaphylaxis, stevens- johnson syndrome
Contraindications:
Hypersensitivity to cephalosporins or penicillins
Infant: hyperbilirubinemic neonates; neonates <28 days requiring calcium-
containing IV solutions
Route:
Mother: IM, IV
Infants: IV
Diphenhydramine hydrochloride (Benadryl) Right Ans - Action:
Antagonizes the effects of histamine at H1- receptor sites; does not bind to or
inactivate histamine; significant CNS depressant and anticholinergic
properties
Use: Relief of allergic symptoms; Parkinson's disease and dystonic reaction
from meds; mild nighttime sedation; prevention of motion sickness;
antitussive (syrup only)
Nursing Assessment: Monitor for sedation or confusion due to increased
sensitivity to anticholinergic effects
Side Effects: Drowsiness, anorexia, dry mouth, hypotension, wheezing
Contraindications: Hypersensitivity; acute asthma attacks; lactation; known
alcohol intolerance
Route: PO, IM, IV, Topical
Complete Solutions
Acetaminophen (Tylenol) Right Ans - Cannot be given at the same time as
Toradol
Action: Inhibits synthesis of prostaglandins that may serve as mediators of
pain and fever, primarily in the CNS
Use/Indication: Treatment of mild pain, fever
Nursing Assessment: Assess pain prior to administration and 30-60 min after
Side Effects: Neutropenia, pancytopenia, rash, urticaria
Contraindications: Previous hypersensitivity; products containing alcohol,
aspartame, saccharin, sugar, or tartrazine; severe hepatic impairment/acute
liver disease
Route: PO, Rectal, or IV
Annusol Suppository/ Cream Right Ans - Action: The active ingredient
helps decrease the irritation in the area and acts as an astringent
Use: Minor pain, itching, swelling, and discomfort caused by hemorrhoids and
other problems of the anal area (anal fissures, itching)
Nursing Assessment: Assess anus for or increased redness, swelling, etc.
before and after application
Side Effects: Redness, burning, itching at application site
Contraindications: History of hypersensitivity to any of the components
Route: Rectal
Ampicillin (mother and infant) Right Ans - Action: Binds to bacterial cell
wall, resulting in cell death
Use: Prevention or treatment of infections (certain high-risk patients
undergoing C-section)
Nursing Assessment: Assess patient for infection/ the infection site to
document before administration
Side Effects: Seizures, C-Dif, diarrhea, rash, anaphylaxis, serum sickness
Contraindications Hypersensitivity to penicillins
Route:
Children: PO
Adults: IM and IV
, Bisacodyl (Ducolax) Suppository Right Ans - Action: Stimulates peristalsis;
alters fluid and electrolyte transport, producing fluid accumulation in the
colon
Use: Treatment/ prevention of constipation
Nursing Assessment: Assess for abdominal distention, bowel sounds, and
usual pattern of bowel function
Side Effects: Abdominal cramps, nausea, diarrhea
Contraindications: Hypersensitivity; abdominal pain; nausea or vomiting
Route: Rectal
Cefotaxime (mother and infant) Right Ans - Action: Bind to the bacterial
cell wall membrane, causing cell death
Use: Prophylactic and treatment of infections of susceptible organisms
Nursing Assessment: Assess patient for infection/ the infection site to
document before administration
Side Effects: Seizures, C-Dif, diarrhea, nausea, vomiting, pain or phlebitis at
IM/IV site, anaphylaxis, stevens- johnson syndrome
Contraindications:
Hypersensitivity to cephalosporins or penicillins
Infant: hyperbilirubinemic neonates; neonates <28 days requiring calcium-
containing IV solutions
Route:
Mother: IM, IV
Infants: IV
Diphenhydramine hydrochloride (Benadryl) Right Ans - Action:
Antagonizes the effects of histamine at H1- receptor sites; does not bind to or
inactivate histamine; significant CNS depressant and anticholinergic
properties
Use: Relief of allergic symptoms; Parkinson's disease and dystonic reaction
from meds; mild nighttime sedation; prevention of motion sickness;
antitussive (syrup only)
Nursing Assessment: Monitor for sedation or confusion due to increased
sensitivity to anticholinergic effects
Side Effects: Drowsiness, anorexia, dry mouth, hypotension, wheezing
Contraindications: Hypersensitivity; acute asthma attacks; lactation; known
alcohol intolerance
Route: PO, IM, IV, Topical
