NURS pharm 180 Final WCU Complete
Exam set with Questions and
correct/verified Answers
what needs to be taken with psyllium and how much? - correct answer-✅8 oz of water to prevent
obstruction of esophagus
how long till psyllium to take effect? - correct answer-✅24 hours
what needs to be increased in pt taking psyllium? - correct answer-✅fluids
docusate sodium side effects? - correct answer-✅diarrhea, nausea, cramps, dizziness, PALPITATIONS,
syncope (sign of dehydration)
what should pt report when using docusate sodium? - correct answer-✅unrelieved constipation
what is diphenoxylate and atropine used for? - correct answer-✅slowing peristalsis to alleviate diarrhea
why is diphenoxylate atropine for short term use? - correct answer-✅b/c schedule V drug so preventing
dependency
priority nursing assessment for vomiting? - correct answer-✅symptoms that precipitate it and
electrolyte status
with pancreatitis when does it hurt most and where is the pain located? - correct answer-✅after a
meal, pain in the epigastric area that radiates to the back
what do you give pancrelipase with? - correct answer-✅food
nursing assessments for pancrelipase? - correct answer-✅pork allergy/ religious beliefs
what should you see with effective pancrelipase treatment? - correct answer-✅decrease in steatorrhea
omeprazole is used for what and how long is therapy? - correct answer-✅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? - correct answer-✅-osteoporosis
-increase calcium and vit. D
When should omeprazole be taken? - correct answer-✅30 mins before 1st meal of day
side effects of ranitidine? - correct answer-✅HEADACHE
what can occur in men taking ranitidine? - correct answer-✅impotence, loss of libido
what should be avoided taking within an hour of ranitidine administration - correct answer-✅antacid
when should ranitidine be given? - correct answer-✅at bedtime with no regard to food
common side effect of aluminum hydroxide? - correct answer-✅constipation
what symptoms can indicate a more serious disease when on ranitidine therapy? - correct answer-
✅epigastric pain, bloody tarry stools, heartburn
what does sucralafate do? - correct answer-✅coats ulcer and prevents erosion
can sucralafate be taken with antacids? - correct answer-✅no
when should sucralafate be administered? - correct answer-✅take on empty stomach before meals and
before bedtime
what should pt increase with sucralafate? - correct answer-✅fluids and fiber
misoprostol is dangerous for which individual? - correct answer-✅pregnant because category X
what is prochlorperazine used for? - correct answer-✅anti-emetic
what are does related side effects of prochlorperazine? - correct answer-✅anticholinergic effects-->dry
mouth, sedation, constipation
orthostatic hypotension, tachycardia
when should you discontinue use of prochlorperazine? - correct answer-✅extrapyramidal symptoms
occur including tremors, stoop slow gait, drooling, pill rolling
, can you administer omeprazole at the same time as antacids? - correct answer-✅yes
what should you avoid with omeprazole? - correct answer-✅NSAIDs (gastric irritation)
Ondansetron side effects - correct answer-✅- Headache (common)
- electrolyte imbalance
- Sensation of warmth or flushing, pruritus
- Dysrhythmias
Lab values for hypothyroidism - correct answer-✅Decreased T3 and T4
Increased TSH
therapeutic effect of levothyroxine? - correct answer-✅increased t3 and t4
decreased TSH
side effects of levothyroxine? - correct answer-✅hyperthyroidism, wt loss, heat intolerance, insomnia,
diarrhea, anxiety
what time of day should you administer levothyroxine? - correct answer-✅morning
how long till therapeutic effects of levothyroxine? - correct answer-✅1-3 weeks
serious adverse effect of propylthiouracil? - correct answer-✅agranulocytosis (infection risk)
what does radioactive iodide do? - correct answer-✅destroy follicular cells to treat hyperthyroidism
pt teaching for radioactive iodide therapy - correct answer-✅-they will need thyroid hormone
replacement after
-avoid pregnant women/children for 1 week
insulin side effects - correct answer-✅hypoglycemia
hypokalemia (inverse relationship with insulin)
insulin glargine - correct answer-✅long acting
up to 24 hr
onset at 1.1 hr
insulin lispro - correct answer-✅onset 15 min
peak 1 hr
duration 3 hr
insulin regular - correct answer-✅onset 30-60 min
peak 1-5 hr
duration 6-10 hr
NPH insulin - correct answer-✅onset: 1.5 hours
peak: 6-14 hours
duration: 16-24 hours
mixing insulin steps - correct answer-✅NPH air then regular air then regular draw then NPH draw
How does glipizide work? - correct answer-✅Stimulates insulin secretion from pancreatic islets
what should pt avoid with glipizide - correct answer-✅alcohol
does metformin stimulate insulin secretion? - correct answer-✅no
how does metformin work? - correct answer-✅Decreases the hepatic glucose production and increases
peripheral glucose uptake (decrease resistance)
acarbose blocks enzymes where? - correct answer-✅small intestine, Block enzymes in small intestine
responsible for breaking down complex carbohydrates into monosaccharides
Rosiglitazone works by - correct answer-✅Decreases the hepatic glucose production and increases
peripheral glucose uptake (decrease resistance)
-same as metformin
how long till optimal lowering of glucose with rosiglitazone - correct answer-✅3-4 months
common side effects of rosiglitazone? - correct answer-✅weight gain, fluid retention, headache
repaglinide works by - correct answer-✅stimulating insulin secretion from pancreatic islet cells
-same as glipizide
Exam set with Questions and
correct/verified Answers
what needs to be taken with psyllium and how much? - correct answer-✅8 oz of water to prevent
obstruction of esophagus
how long till psyllium to take effect? - correct answer-✅24 hours
what needs to be increased in pt taking psyllium? - correct answer-✅fluids
docusate sodium side effects? - correct answer-✅diarrhea, nausea, cramps, dizziness, PALPITATIONS,
syncope (sign of dehydration)
what should pt report when using docusate sodium? - correct answer-✅unrelieved constipation
what is diphenoxylate and atropine used for? - correct answer-✅slowing peristalsis to alleviate diarrhea
why is diphenoxylate atropine for short term use? - correct answer-✅b/c schedule V drug so preventing
dependency
priority nursing assessment for vomiting? - correct answer-✅symptoms that precipitate it and
electrolyte status
with pancreatitis when does it hurt most and where is the pain located? - correct answer-✅after a
meal, pain in the epigastric area that radiates to the back
what do you give pancrelipase with? - correct answer-✅food
nursing assessments for pancrelipase? - correct answer-✅pork allergy/ religious beliefs
what should you see with effective pancrelipase treatment? - correct answer-✅decrease in steatorrhea
omeprazole is used for what and how long is therapy? - correct answer-✅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? - correct answer-✅-osteoporosis
-increase calcium and vit. D
When should omeprazole be taken? - correct answer-✅30 mins before 1st meal of day
side effects of ranitidine? - correct answer-✅HEADACHE
what can occur in men taking ranitidine? - correct answer-✅impotence, loss of libido
what should be avoided taking within an hour of ranitidine administration - correct answer-✅antacid
when should ranitidine be given? - correct answer-✅at bedtime with no regard to food
common side effect of aluminum hydroxide? - correct answer-✅constipation
what symptoms can indicate a more serious disease when on ranitidine therapy? - correct answer-
✅epigastric pain, bloody tarry stools, heartburn
what does sucralafate do? - correct answer-✅coats ulcer and prevents erosion
can sucralafate be taken with antacids? - correct answer-✅no
when should sucralafate be administered? - correct answer-✅take on empty stomach before meals and
before bedtime
what should pt increase with sucralafate? - correct answer-✅fluids and fiber
misoprostol is dangerous for which individual? - correct answer-✅pregnant because category X
what is prochlorperazine used for? - correct answer-✅anti-emetic
what are does related side effects of prochlorperazine? - correct answer-✅anticholinergic effects-->dry
mouth, sedation, constipation
orthostatic hypotension, tachycardia
when should you discontinue use of prochlorperazine? - correct answer-✅extrapyramidal symptoms
occur including tremors, stoop slow gait, drooling, pill rolling
, can you administer omeprazole at the same time as antacids? - correct answer-✅yes
what should you avoid with omeprazole? - correct answer-✅NSAIDs (gastric irritation)
Ondansetron side effects - correct answer-✅- Headache (common)
- electrolyte imbalance
- Sensation of warmth or flushing, pruritus
- Dysrhythmias
Lab values for hypothyroidism - correct answer-✅Decreased T3 and T4
Increased TSH
therapeutic effect of levothyroxine? - correct answer-✅increased t3 and t4
decreased TSH
side effects of levothyroxine? - correct answer-✅hyperthyroidism, wt loss, heat intolerance, insomnia,
diarrhea, anxiety
what time of day should you administer levothyroxine? - correct answer-✅morning
how long till therapeutic effects of levothyroxine? - correct answer-✅1-3 weeks
serious adverse effect of propylthiouracil? - correct answer-✅agranulocytosis (infection risk)
what does radioactive iodide do? - correct answer-✅destroy follicular cells to treat hyperthyroidism
pt teaching for radioactive iodide therapy - correct answer-✅-they will need thyroid hormone
replacement after
-avoid pregnant women/children for 1 week
insulin side effects - correct answer-✅hypoglycemia
hypokalemia (inverse relationship with insulin)
insulin glargine - correct answer-✅long acting
up to 24 hr
onset at 1.1 hr
insulin lispro - correct answer-✅onset 15 min
peak 1 hr
duration 3 hr
insulin regular - correct answer-✅onset 30-60 min
peak 1-5 hr
duration 6-10 hr
NPH insulin - correct answer-✅onset: 1.5 hours
peak: 6-14 hours
duration: 16-24 hours
mixing insulin steps - correct answer-✅NPH air then regular air then regular draw then NPH draw
How does glipizide work? - correct answer-✅Stimulates insulin secretion from pancreatic islets
what should pt avoid with glipizide - correct answer-✅alcohol
does metformin stimulate insulin secretion? - correct answer-✅no
how does metformin work? - correct answer-✅Decreases the hepatic glucose production and increases
peripheral glucose uptake (decrease resistance)
acarbose blocks enzymes where? - correct answer-✅small intestine, Block enzymes in small intestine
responsible for breaking down complex carbohydrates into monosaccharides
Rosiglitazone works by - correct answer-✅Decreases the hepatic glucose production and increases
peripheral glucose uptake (decrease resistance)
-same as metformin
how long till optimal lowering of glucose with rosiglitazone - correct answer-✅3-4 months
common side effects of rosiglitazone? - correct answer-✅weight gain, fluid retention, headache
repaglinide works by - correct answer-✅stimulating insulin secretion from pancreatic islet cells
-same as glipizide
