NUR 378
Final Exam: NUR 378 Pharmacology Actual
Questions & Answers – Concordia University
St. Paul
1. AEs of famotidine: insomnia, restlessness, anorexia, hyperglycemia,
tremor, headache, HTN/hypotension
2. Drug interactions for famotidine (acid reducer): - nonselective beta
blockers
- MAOIs or other sympathomimetics
- DM and epinephrine
3. What type of drug is disulfiram?: CNS depressant
4. MOA of disulfiram (CNS depressant): alters the metabolism of alcohol
5. Therapeutic use of disulfiram: treatment of alcoholism
6. AE of disulfiram: - CV: vasodilation over the entire body, hypotension, chest
pain
- CNS: throbbing headache, sweating, weakness, vertigo, confusion
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- GI: N/V, thirst
- Resp: dyspnea
7. Drug interactions for disulfiram: alcohol
8. Patient education for chemotherapy drugs: Irritates GI system, report
AEs, daily mouth care, fever and/or chills may be a sign of infection,
contraception, avoid aspirin, ibuprofen, other OTC combo drugs, pain
control, use nonpharmacological pain control too, frequent skin care,
increase urinary health, increase fluid intake, alopecia, avoid alcohol,
watch for tingling or numbness in the extremities
9. Aging and adverse reactions: - gradual reduction in absorption,
distribution, metabolism, and
excretion, leading to higher likelihood for toxicity
- the need for lower doses
- increased risk of AEs with aging
10. Nursing Process steps (5): Assessment
Analyze
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Planning
Implementation
Evaluation
11. Nursing assessment for digoxin: heart assessment and ECG; lung
assessment; renal and liver function; serum electrolytes; medical and
medication hx; I&O; dietary habits
12. Interventions for safe administration of digoxin: low therapeutic
index: 0.5-2 ng/mL monitor until steady state is reached
low K+ or Mg2+ can increase risk of toxicity; antidote: digoxin immune fab
13. What type of drug is a furosemide?: loop diuretic
14. Therapeutic effect of furosemide: potent diuresis, loss of fluid, reduces
BP, treats edema
15. Nursing assessment for furosemide: medication hx
heart, lung, neurological,
and skin assessments VSs
and orthostatic BPs
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