HESI Pharmacology Exit Exam
What is the indication for metoclopramide/reglan? - ANSPrevention of chemotherapy-induced
emesis and diabetic gastroparesis
Side effects of metoclopramide/reglan - ANSDrowsiness, EPS such as tremors
Notify MD if what occurs when using metoclopramide/reglan - ANSTremors
What is the indication xenical (orlistat, Alli) - ANSFor PTs with BMI of 30+; LT weight control
SE of xenical (orlistat or alli) - ANSOily stool and flatulence
Nursing implications for a pt on xenical (orlistat or alli) - ANSAsk pt to describe dietary intake
since SE are increased if greater than 30% of fat is in diet.
What can decrease side effects of xenical (orlistat or alli) - ANSFiber laxatives like Metamucil
help decrease SE by binding to the fat.
Which type of fluids need plenty of water? - ANSBulk forming laxatives
Why do you need plenty of fluids when taking bulk forming laxatives - ANSBecause they can
produce esophageal and or intestinal obstruction
Laxative use assessment - ANSLast BM and characteristics, abdominal pain, fever and
obstruction. Assess dietary and fluid intake.
With laxative use the nurse should - ANSEncourage fluids, fiber and exercise as
tolerated/indicated
Laxative use and result in - ANSLack of bowel tone which can lead to dependency
what is ondansetron (zofran) - ANSantiemetic
What is ondansetron (zofran)used for? - ANSPrevention of N/V associated with chemotherapy
and radiation therapy.
Who should you use caution with when giving ondansetron/zofran? - ANSPTs with liver failure
Drugs for ulcerative colitis and crohns - ANS5 aminosalicylates; mesalamie, sulfasalazine.
, How do 5 aminosalicylates; (mesalamie, sulfasalazine) work? - ANSThey decrease GI
inflammation
Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine) - ANSNausea, rash, arthralgia,
hematological disorders
Which drug can cause colitis/c.diff - ANSLinezolid/zyvox
What kind of infection is c.diff - ANSSuprainfection
What is azithromycin/zithromax? - ANSAn antibiotic
What does azithromycin/zithromax treat? - ANSSTDs such as: gonorrhea and chlamydia
How much azithromycin/zithromax is usually required? - ANSOne dose of 1g or 2g.
If a female pt has trichomonas (any STI) and is asymptomatic does the male need to be tested?
- ANSYes!
azithromycin/zithromax can cause what? - ANSHepatotoxicity- elevated liver enzymes
What is nitrofurantoin/cipro used for? - ANSAn antibiotic for UTI
nitrofurantoin/cipro side effect - ANSHepatotoxicity, skin reactions, neuropathy
nitrofurantoin/cipro nursing considerations - ANSGive with milk or meals check LFTs. Watch for
numbness or tingling of extremities this can be an irreversible peripheral neuropathy
Drug of choice for treating c.diff? - ANSMetronidazole/flagyl
When is metronidazole/flagyl to be taken? - ANSWith food and around the clock
What should be avoided when taking metronidazole/flagyl and why? - ANSAlcohol; can cause a
disulfiram-like reaction
aminoglycosides examples - ANSgentamicin(garamycin), neomycin, tobramycin(nebcin)
how are aminoglycosides ,(-mycin, -micin), administered? - ANSgiven IV for several days
what is an adverse effect of aminoglycosides (-mycin, -micin) - ANSdecreased
hearing/ototoxicity and nephrotoxicity
what labs need to be evaluated when given aminoglycosides (-mycin, -micin)? - ANSBUN and
creatinine
What is the indication for metoclopramide/reglan? - ANSPrevention of chemotherapy-induced
emesis and diabetic gastroparesis
Side effects of metoclopramide/reglan - ANSDrowsiness, EPS such as tremors
Notify MD if what occurs when using metoclopramide/reglan - ANSTremors
What is the indication xenical (orlistat, Alli) - ANSFor PTs with BMI of 30+; LT weight control
SE of xenical (orlistat or alli) - ANSOily stool and flatulence
Nursing implications for a pt on xenical (orlistat or alli) - ANSAsk pt to describe dietary intake
since SE are increased if greater than 30% of fat is in diet.
What can decrease side effects of xenical (orlistat or alli) - ANSFiber laxatives like Metamucil
help decrease SE by binding to the fat.
Which type of fluids need plenty of water? - ANSBulk forming laxatives
Why do you need plenty of fluids when taking bulk forming laxatives - ANSBecause they can
produce esophageal and or intestinal obstruction
Laxative use assessment - ANSLast BM and characteristics, abdominal pain, fever and
obstruction. Assess dietary and fluid intake.
With laxative use the nurse should - ANSEncourage fluids, fiber and exercise as
tolerated/indicated
Laxative use and result in - ANSLack of bowel tone which can lead to dependency
what is ondansetron (zofran) - ANSantiemetic
What is ondansetron (zofran)used for? - ANSPrevention of N/V associated with chemotherapy
and radiation therapy.
Who should you use caution with when giving ondansetron/zofran? - ANSPTs with liver failure
Drugs for ulcerative colitis and crohns - ANS5 aminosalicylates; mesalamie, sulfasalazine.
, How do 5 aminosalicylates; (mesalamie, sulfasalazine) work? - ANSThey decrease GI
inflammation
Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine) - ANSNausea, rash, arthralgia,
hematological disorders
Which drug can cause colitis/c.diff - ANSLinezolid/zyvox
What kind of infection is c.diff - ANSSuprainfection
What is azithromycin/zithromax? - ANSAn antibiotic
What does azithromycin/zithromax treat? - ANSSTDs such as: gonorrhea and chlamydia
How much azithromycin/zithromax is usually required? - ANSOne dose of 1g or 2g.
If a female pt has trichomonas (any STI) and is asymptomatic does the male need to be tested?
- ANSYes!
azithromycin/zithromax can cause what? - ANSHepatotoxicity- elevated liver enzymes
What is nitrofurantoin/cipro used for? - ANSAn antibiotic for UTI
nitrofurantoin/cipro side effect - ANSHepatotoxicity, skin reactions, neuropathy
nitrofurantoin/cipro nursing considerations - ANSGive with milk or meals check LFTs. Watch for
numbness or tingling of extremities this can be an irreversible peripheral neuropathy
Drug of choice for treating c.diff? - ANSMetronidazole/flagyl
When is metronidazole/flagyl to be taken? - ANSWith food and around the clock
What should be avoided when taking metronidazole/flagyl and why? - ANSAlcohol; can cause a
disulfiram-like reaction
aminoglycosides examples - ANSgentamicin(garamycin), neomycin, tobramycin(nebcin)
how are aminoglycosides ,(-mycin, -micin), administered? - ANSgiven IV for several days
what is an adverse effect of aminoglycosides (-mycin, -micin) - ANSdecreased
hearing/ototoxicity and nephrotoxicity
what labs need to be evaluated when given aminoglycosides (-mycin, -micin)? - ANSBUN and
creatinine
