NUR 240 EAQ PHARMACOLOGICAL AND PARENTERAL
THERAPIES TEST LATEST ACTUAL EXAM REAL
QUESTIONS AND WELL ELABORATED ANSWERS
(CORRECT VERIFIED ANSWERS) LATEST UPDATED
VERSION) |GUARANTEED PASS A+
percutaneous catheter insertion: position, dressing, action - ANSWER: head low
position and supine
client turns head away from insertion site
client performs valsalva maneuver during
dressing is antibiotic ointment and transparent dressing
percutaneous catheter triple lumen fx - ANSWER: distal: administer blood products
or draw blood
middle: TPN
proximal: infuse, draw blood and administer medications
adverse reaction v. adverse effect - ANSWER: adverse reaction: potentially
dangerous consequences- HCP should be notified
adverse effects: intense effects
propanthelie bromide class and indication 2 - ANSWER: anticholinergic
indications: urinary incontinence and peptic ulcer disease
anticholinergic action causes 6 (2 eye, 2 lung, 2 GI) - ANSWER: competes with
acetlycholine at receptor sites in ANS
causes relaxation of ciliary muscles and dilation of pupil
causes bronchodilation and decreases bronchial secretions
decreases mobility and GI secretions
atropine sulfate class, when to give, client needs to 2 - ANSWER: anticholinergic
give 30 min before meals
in non-emergent situations, be certain client voids before taking drug
avoid heat (perspiration is decreased)
atropine sulfate c/i 3 - ANSWER: glaucome
asthma
hypertension
bella donna, benztropine, scopolamine, trihexyphenydil, tiotropium, iproproprium
class - ANSWER: anticholinergic
anticholinergic c/i - ANSWER: glaucoma
,iproproprium/tiotropium indications and route - ANSWER: bronchospasm and
longterm tx of asthma
ipropropprium administered as aerosol or nebulizer
tiotropium administered in poweder form
benztropine/trihexyphenydil indication, to d/c, s/e - ANSWER: used for parkinson's
disease
taper down before d/c
s/e: orthostatic hypotension
atropine sulfate antidote - ANSWER: physostigmine salicylate
timing of anticholinergics - ANSWER: at bedtime
2 h after eating
30 min before eating
antipsychotics: pregnancy, do not mix with 2, how long to achieve steady plasma
levels, monitor 1 - ANSWER: may cause false-positive pregnancy tests
do not mix with caffeine or apple juice
takes 4-6 weeks for steady plasma levels
monitor bowel fx
peak, onset, duration of rapid acting insulin - ANSWER: onset: 15-30 min
peak: 1-3 h
duration: 3-6 h
rapid acting insulins 3 - ANSWER: lispro
aspart
glulisine
rapid acting time of adverse reaction; to prevent - ANSWER: mid morning
client should eat within 5-15 min after injection
insulin used in pumps - ANSWER: rapid acting
short acting insulin onset, peak, duration - ANSWER: onset: 30-60 min
peak: 1-5 h
duration: 6-10 h
short acting solution (clear or cloudy), timing of adverse rx 2 and prevention -
ANSWER: clear solution
timing: mid morning and mid afternoon
give 20-30 min before meal
, intermediate 2 and short acting insulin ex - ANSWER: intermediate: NPH (isophane),
insulin detemir (can also be considered long acting in some texts)
short: regular
peak, onset, duration of intermediate acting - ANSWER: onset: 1-2 h
peak: 6-14 h (NPH), 12-24 h (detemir)
duration: 16 h (NPH)
timing of adverse rx for intermediate, solution, timing of admin - ANSWER: cloudy
and white solution
early evening for s/e
admin: can be given after meals
long acting insulin ex - ANSWER: glargine
glargine peak, onset, duration - ANSWER: peak: no peak
onset: 3-4 h
duration: 24 h
when to give glargine, intx - ANSWER: give at bedtime
cannot be mixed with other insulins
IV insulin - ANSWER: regular
all others are SQ
herbal interactions to increase bg - ANSWER: gingko
herbal interactions that decrease bg 2 - ANSWER: garlic
ginseng
to decrease tissue irritation with insulin - ANSWER: administer at room temp
medications that increase bg 5 - ANSWER: estrogen
corticosteroids
glucocorticoids
thiazide diuretics
thyroid meds
medications that decrease bg 4 - ANSWER: tricyclic antidepressants
MAOI
aspirin
anticoagulants
insulin vials shelf life and fridge life - ANSWER: shelf: 1 month
fridge: 3 months
if diabetic, notify hcp if 4 - ANSWER: fever
THERAPIES TEST LATEST ACTUAL EXAM REAL
QUESTIONS AND WELL ELABORATED ANSWERS
(CORRECT VERIFIED ANSWERS) LATEST UPDATED
VERSION) |GUARANTEED PASS A+
percutaneous catheter insertion: position, dressing, action - ANSWER: head low
position and supine
client turns head away from insertion site
client performs valsalva maneuver during
dressing is antibiotic ointment and transparent dressing
percutaneous catheter triple lumen fx - ANSWER: distal: administer blood products
or draw blood
middle: TPN
proximal: infuse, draw blood and administer medications
adverse reaction v. adverse effect - ANSWER: adverse reaction: potentially
dangerous consequences- HCP should be notified
adverse effects: intense effects
propanthelie bromide class and indication 2 - ANSWER: anticholinergic
indications: urinary incontinence and peptic ulcer disease
anticholinergic action causes 6 (2 eye, 2 lung, 2 GI) - ANSWER: competes with
acetlycholine at receptor sites in ANS
causes relaxation of ciliary muscles and dilation of pupil
causes bronchodilation and decreases bronchial secretions
decreases mobility and GI secretions
atropine sulfate class, when to give, client needs to 2 - ANSWER: anticholinergic
give 30 min before meals
in non-emergent situations, be certain client voids before taking drug
avoid heat (perspiration is decreased)
atropine sulfate c/i 3 - ANSWER: glaucome
asthma
hypertension
bella donna, benztropine, scopolamine, trihexyphenydil, tiotropium, iproproprium
class - ANSWER: anticholinergic
anticholinergic c/i - ANSWER: glaucoma
,iproproprium/tiotropium indications and route - ANSWER: bronchospasm and
longterm tx of asthma
ipropropprium administered as aerosol or nebulizer
tiotropium administered in poweder form
benztropine/trihexyphenydil indication, to d/c, s/e - ANSWER: used for parkinson's
disease
taper down before d/c
s/e: orthostatic hypotension
atropine sulfate antidote - ANSWER: physostigmine salicylate
timing of anticholinergics - ANSWER: at bedtime
2 h after eating
30 min before eating
antipsychotics: pregnancy, do not mix with 2, how long to achieve steady plasma
levels, monitor 1 - ANSWER: may cause false-positive pregnancy tests
do not mix with caffeine or apple juice
takes 4-6 weeks for steady plasma levels
monitor bowel fx
peak, onset, duration of rapid acting insulin - ANSWER: onset: 15-30 min
peak: 1-3 h
duration: 3-6 h
rapid acting insulins 3 - ANSWER: lispro
aspart
glulisine
rapid acting time of adverse reaction; to prevent - ANSWER: mid morning
client should eat within 5-15 min after injection
insulin used in pumps - ANSWER: rapid acting
short acting insulin onset, peak, duration - ANSWER: onset: 30-60 min
peak: 1-5 h
duration: 6-10 h
short acting solution (clear or cloudy), timing of adverse rx 2 and prevention -
ANSWER: clear solution
timing: mid morning and mid afternoon
give 20-30 min before meal
, intermediate 2 and short acting insulin ex - ANSWER: intermediate: NPH (isophane),
insulin detemir (can also be considered long acting in some texts)
short: regular
peak, onset, duration of intermediate acting - ANSWER: onset: 1-2 h
peak: 6-14 h (NPH), 12-24 h (detemir)
duration: 16 h (NPH)
timing of adverse rx for intermediate, solution, timing of admin - ANSWER: cloudy
and white solution
early evening for s/e
admin: can be given after meals
long acting insulin ex - ANSWER: glargine
glargine peak, onset, duration - ANSWER: peak: no peak
onset: 3-4 h
duration: 24 h
when to give glargine, intx - ANSWER: give at bedtime
cannot be mixed with other insulins
IV insulin - ANSWER: regular
all others are SQ
herbal interactions to increase bg - ANSWER: gingko
herbal interactions that decrease bg 2 - ANSWER: garlic
ginseng
to decrease tissue irritation with insulin - ANSWER: administer at room temp
medications that increase bg 5 - ANSWER: estrogen
corticosteroids
glucocorticoids
thiazide diuretics
thyroid meds
medications that decrease bg 4 - ANSWER: tricyclic antidepressants
MAOI
aspirin
anticoagulants
insulin vials shelf life and fridge life - ANSWER: shelf: 1 month
fridge: 3 months
if diabetic, notify hcp if 4 - ANSWER: fever
