NUFTA 343 FINAL EXAM QUESTIONS WITH COMPLETE SOLUTIONS

NUFT 343 FINAL WITH COMPLETE
SOLUTIONS
GRADED A+

QUESTIONS AND ANSWERS


OTC meds account for what percent of all meds used in the US?. ANSWER -60%


The nurse associates use of what OTC med with the development of hepatotoxicity?.
ANSWER -acetaminophen (Tylenol)


Dietary Supplement. ANSWER -orally administered alternative medicines including herbal
supplements


Herbs. ANSWER -plant components, including bark, berries, roots leaves, gums, seeds,
stems, and flowers, used for their medicinal qualities


Garlic. ANSWER -herbal dietary supplement used to lower cholesterol levels; used to slow
the development of atherosclerosis
-thins blood, increased risk for bleeding
-interferes with warfarin (Coumadin)


Ginger. ANSWER -herbal dietary supplement used for stomach pain, nausea, and digestion
-thins blood, increased risk for bleeding
-interferes with warfarin (Coumadin)


Gingko. ANSWER -herbal dietary supplement used to boost memory, and for dementia
-thins blood, increased risk for bleeding
-interferes with warfarin (Coumadin)


Ginseng. ANSWER -herbal dietary supplement used to boost the immune system; can
increase BP in high doses

,-thins blood, increased risk for bleeding
-interferes with warfarin (Coumadin)


St. John's Wort. ANSWER -herbal dietary supplement used for mild depression, anxiety,
sleep disorders, and nervousness
interacts with TONS of meds, including warfarin (Coumadin)


Saw Palmetto. ANSWER -herbal dietary supplement used to treat BPH; diuretic; urinary
antiseptic; treatment for alopecia
-may change the effects of hormones in oral contraceptives
-may cause GI upset, headache, dysuria


Feverfew. ANSWER -herbal dietary supplement used for migraines, headaches, menstrual
cramps, inflammation, and fever
-a member of the marigold family; if allergic to ragweed etc, can't take it
-possible reaction with warfarin (Coumadin)


Echinacea. ANSWER -herbal dietary supplement used for flu, colds, to boost immune
system, for upper respiratory infection, and to promote wound healing
-adverse reactions with immunosuppressants


Valerian. ANSWER -herbal dietary supplement used for insomnia/sleep disorders,
anxiety/depression
-CNS depressant: contraindicated for pt with cardiac and liver disease


Evening Primrose. ANSWER -herbal dietary supplement: an oil used for skin with
conditions such as eczema
-interacts with antipsychotic drugs


naloxone hydrochloride (Narcan). ANSWER --pure opioid antagonist - the blocking drug
for the opioid drugs
-indicated for toxicity and overdose of opioids, acts as an antidote by competing with opioid
receptor sites and reversing the effects
-does not produce analgesia or respiratory depression

, Enoxaparin (Lovenox). ANSWER --an anticoagulant
-IV, subQ in abd, rotating sites
-LMWHs low molecular weight heparin
-so small that you don't have to monitor their labs
-very predicated anticoagulant response
-contraindicated with catheter in spine
-do NOT rub after administration or aspirate
-higher degree of bioavailability
-longer elimination half life than heparin 1x day
-protamine sulfate is the antidote


diphenoxylate with atropine (Lomotil). ANSWER --Antidiarrheal/anti motility/opiate
-MoA: acts on smooth muscle of the intestinal tract inhibiting GI motility and excessive GI
propulsion
-Adverse effects: risk for abuse/physical dependence; in high doses: dry mouth, abd pain,
tachycardia, blurred vision
-Contraindications: diarrhea associated with pseudomembranous colitis or toxigenic bacteria


loperamide (Imodium). ANSWER --Antidiarrheal/anti motility/opiate
-MoA: inhibits both peristalsis in the intestinal wall and intestinal secretion
-No reports for physical dependency; available OTC because of its' safety profile
-Contraindications: severe ulcerative colitis, pseudomembranous colitis, acute diarrhea
associated with E. coli


sucralfate (Carafate). ANSWER --Acid-controlling drug
-cytoprotective drug - protects mucus
used for stress ulcers
-attracted to and binds to the base of ulcers and erosions, forming a protective barrier over
these areas
-*nursing implication* don't mix with other meds but if you have to take two hours after;
may cause constipation, dry mouth; use for stress ulcers, PUD