NSG124 / NSG 124 HESI (Latest 2024 / 2025 Update): Pharmacology | Guide with Questions and Verified Answers | 100% Correct | Graded A - Herzing

HESI: NSG 124 / NSG124 (Latest 2024 / 2025 Update) Pharmacology | Guide with Questions and Verified Answers | 100% Correct | Graded A - Herzing Q: Codeine 1) Class 2) Besides pain relief, what else can it be used for? 3) Side effect Answer: 1) Opioid 2) Cough suppressant at low doses 3) Constipation Q: Morphine 1) Class 2) Priority concern 3) Name 4 indications 4) Antidote Answer: 1) Opioid 2) Respiratory depression 3) Acute pain due to MI or cancer, dyspnea caused by pulmonary edema, surgery, preoperative medication 4) Naloxone Q: Nursing interventions for any opioid Answer: 1) Monitor vital signs 2) Assess client thoroughly before administration 3) Provide non-pharm interventions for pain relief alongside medication (massage, distraction, hot/cold, deep breathing) 4) Give med 30-60 min before painful activities (wound care, ambulating) 5) Monitor resp rate. Hold med if RR12. 6) Monitor LOC 7) Assess bowel function for constipation 8) Have opioid antagonist available (Naloxone) Q: -pam & -lam Medications 1) Class 2) Uses (4) 3) Contraindication 4) Side effects 5) Signs of toxicity 6) Antidote 7) Withdrawal taper time Answer: 1) Benzodiazepines 2) Reduce anxiety, sedative, muscle relaxer, anticonvulsant 3) Acute narrow-angle glaucoma 4) Daytime sedation, dizziness, headache, blurred or double vision, hypotension 5) Somnolence, confusion, diminished reflexes 6) Flumazenil 7) Gradually over 2-6 weeks Q: Phenobarbital & Secobarbital 1a) Class Zolpidem (Ambien) 1b) Class 2) Use 3) Side effects 4) Interventions Answer: 1a) Barbiturate 1b) Sedative 2) Short-term treatment of insomnia, sedation to relieve anxiety, tension, and apprehension 3) Dizziness, drowsiness, confusion, irritability, agranulocytosis, thrombocytopenic purpura, megaloblastic anemia 4) Use with caution in clients with suicidal tendencies or a history of addiction, avoid alcohol, take medication 30 min prior to bedtime Q: Rocuronium, Vecuronium, & Succinylcholine 1) Class 2) Use 3) Life-threatening side effect of succinylcholine 4) Antidote for succinylcholine 5) What should always be given before one of these medications? Answer: 1) Nicotinic blocker (paralytic) 2) Intubation, surgeries, procedures 3) Malignant hyperthermia 4) Dantrolene 5) Sedative first (like Etomidate), then paralytic *Date (etomiDATE) before you ROC or SUC Q: -mycin, -micin, -cin (Vancomycin, Gentamicin, Amikacin) 1) Class 2) Adverse effects 3) Patient teaching 4) Interventions 5) Med is usually given IV. What infection is the exception? 6) What is special about Amikacin? Answer: 1) Aminoglycoside 2) Ototoxicity, confusion, disorientation, renal toxicity, GI upset, palpitations, changes in BP, hypersensitivity reactions 3) Take full course 4) Vanco go slow - infuse over at least 1 hour, need trough levels (nephrotoxic) 5) C. Diff - give PO because infection is in the gut 6) Amikacin usually works on bacteria resistant to gentamycin and tobramycin Q: Cef-, ceph- (Ceftriaxone, Cephalexin) 1) Class 2) Adverse effects 3) Patient teaching Answer: 1) Cephalosporin 2) GI upset, pseudomembranous colitis (C.diff), headache, dizziness, lethargy, paresthesias, nephrotoxicity, superinfection 3) Take full course Q: -floxacin (Ciprofloxacin) 1) Class 2) Adverse effects 3) Patient teaching Answer: 1) Fluoroquinolone 2) Headache, dizziness, insomnia, depression, GI upset, bone marrow depression, fever, rash, photosensitivity, Achilles tendon rupture 3) Take full course Q: -thromycin (Azithromycin) 1) Class 2) Adverse effects 3) Patient teaching Answer: 1) Macrolides 2) GI upset, pseudomembranous colitis (C.diff), confusion, abnormal thinking, superinfection, hypersensitivity reaction