NURS PHARM 180 FINAL WCU EXAM |ACTUAL
QUESTIONS AND ANSWERS \ LATEST 2024
what needs to be taken with psyllium and how much? - 8 oz of water to prevent
obstruction of esophagus
how long till psyllium to take effect? - 24 hours
what needs to be increased in pt taking psyllium? - fluids
docusate sodium side effects? - diarrhea, nausea, cramps, dizziness, PALPITATIONS,
syncope (sign of dehydration)
what should pt report when using docusate sodium? - unrelieved constipation
what is diphenoxylate and atropine used for? - slowing peristalsis to alleviate diarrhea
why is diphenoxylate atropine for short term use? - b/c schedule V drug so preventing
dependency
priority nursing assessment for vomiting? - symptoms that precipitate it and electrolyte
status
with pancreatitis when does it hurt most and where is the pain located? - after a meal,
pain in the epigastric area that radiates to the back
what do you give pancrelipase with? - food
nursing assessments for pancrelipase? - pork allergy/ religious beliefs
what should you see with effective pancrelipase treatment? - decrease in steatorrhea
omeprazole is used for what and how long is therapy? - for peptic ulcers & GERD
short term use: 4-8 wks
with continued use of omeprazole what is the pt at risk for and what should you teach
them to prevent this? - -osteoporosis
-increase calcium and vit. D
When should omeprazole be taken? - 30 mins before 1st meal of day
side effects of ranitidine? - HEADACHE
, what can occur in men taking ranitidine? - impotence, loss of libido
what should be avoided taking within an hour of ranitidine administration - antacid
when should ranitidine be given? - at bedtime with no regard to food
common side effect of aluminum hydroxide? - constipation
what symptoms can indicate a more serious disease when on ranitidine therapy? -
epigastric pain, bloody tarry stools, heartburn
what does sucralafate do? - coats ulcer and prevents erosion
can sucralafate be taken with antacids? - no
when should sucralafate be administered? - take on empty stomach before meals and
before bedtime
what should pt increase with sucralafate? - fluids and fiber
misoprostol is dangerous for which individual? - pregnant because category X
what is prochlorperazine used for? - anti-emetic
what are does related side effects of prochlorperazine? - anticholinergic effects-->dry
mouth, sedation, constipation
orthostatic hypotension, tachycardia
when should you discontinue use of prochlorperazine? - extrapyramidal symptoms
occur including tremors, stoop slow gait, drooling, pill rolling
can you administer omeprazole at the same time as antacids? - yes
what should you avoid with omeprazole? - NSAIDs (gastric irritation)
Ondansetron side effects - - Headache (common)
- electrolyte imbalance
- Sensation of warmth or flushing, pruritus
- Dysrhythmias
Lab values for hypothyroidism - Decreased T3 and T4
Increased TSH
therapeutic effect of levothyroxine? - increased t3 and t4
decreased TSH
QUESTIONS AND ANSWERS \ LATEST 2024
what needs to be taken with psyllium and how much? - 8 oz of water to prevent
obstruction of esophagus
how long till psyllium to take effect? - 24 hours
what needs to be increased in pt taking psyllium? - fluids
docusate sodium side effects? - diarrhea, nausea, cramps, dizziness, PALPITATIONS,
syncope (sign of dehydration)
what should pt report when using docusate sodium? - unrelieved constipation
what is diphenoxylate and atropine used for? - slowing peristalsis to alleviate diarrhea
why is diphenoxylate atropine for short term use? - b/c schedule V drug so preventing
dependency
priority nursing assessment for vomiting? - symptoms that precipitate it and electrolyte
status
with pancreatitis when does it hurt most and where is the pain located? - after a meal,
pain in the epigastric area that radiates to the back
what do you give pancrelipase with? - food
nursing assessments for pancrelipase? - pork allergy/ religious beliefs
what should you see with effective pancrelipase treatment? - decrease in steatorrhea
omeprazole is used for what and how long is therapy? - for peptic ulcers & GERD
short term use: 4-8 wks
with continued use of omeprazole what is the pt at risk for and what should you teach
them to prevent this? - -osteoporosis
-increase calcium and vit. D
When should omeprazole be taken? - 30 mins before 1st meal of day
side effects of ranitidine? - HEADACHE
, what can occur in men taking ranitidine? - impotence, loss of libido
what should be avoided taking within an hour of ranitidine administration - antacid
when should ranitidine be given? - at bedtime with no regard to food
common side effect of aluminum hydroxide? - constipation
what symptoms can indicate a more serious disease when on ranitidine therapy? -
epigastric pain, bloody tarry stools, heartburn
what does sucralafate do? - coats ulcer and prevents erosion
can sucralafate be taken with antacids? - no
when should sucralafate be administered? - take on empty stomach before meals and
before bedtime
what should pt increase with sucralafate? - fluids and fiber
misoprostol is dangerous for which individual? - pregnant because category X
what is prochlorperazine used for? - anti-emetic
what are does related side effects of prochlorperazine? - anticholinergic effects-->dry
mouth, sedation, constipation
orthostatic hypotension, tachycardia
when should you discontinue use of prochlorperazine? - extrapyramidal symptoms
occur including tremors, stoop slow gait, drooling, pill rolling
can you administer omeprazole at the same time as antacids? - yes
what should you avoid with omeprazole? - NSAIDs (gastric irritation)
Ondansetron side effects - - Headache (common)
- electrolyte imbalance
- Sensation of warmth or flushing, pruritus
- Dysrhythmias
Lab values for hypothyroidism - Decreased T3 and T4
Increased TSH
therapeutic effect of levothyroxine? - increased t3 and t4
decreased TSH
