NUR 411 Exam 2
What are some adverse effects that the nurse must observe for with patients receiving
opioids? - answerCNS depression, decreased mental status, respiratory depression,
constipation
What is the most toxic effect of acute acetaminophen overdose? – answer
hepatotoxicity- increased LFTs, jaundice, vomiting, CNS stimulation with excitement,
and delirium followed by coma or death
What contraindications are there for acetaminophen therapy? – Answer allergies, liver
disease, and G6PD deficiency
When monitoring patient's taking systemically administered glucocorticoids, what is the
nurse to monitor for? - answer monitor for electrolyte imbalances- especially
hypernatremia, hyperglycemia, hypokalemia, and hypocalcaemia
What is a potential effect from long-term corticosteroid therapy? - answerosteoporosis
How should patients take their glucocorticoids? - answerat the same time everyday,
usually in the morning, with a meal
What patient should be closely monitored when taking a glucocorticoid, such as
someone with diabetes? - answermonitor for hyperglycemia
What medical history is a contraindication to glucocorticoid therapy? - answergastritis,
reflux disease, ulcer disease, diabetes, and cardiac/renal/or liver dysfunction
What is Finasteride (Proscar) for? - answerbenign prostatic hyperplasia (BPH)
What are potential side effects of Finasteride (Proscar)? - answerloss of libido, loss of
erection, ejaculatory dysfunction, hypersensitivity reactions, gynecomastia (enlarged
breasts), severe myopathy, and a 50% decrease in PSA concentration
What is the most important precaution when administering Finasteride (Proscar)? -
answerwomen who are pregnant or trying to become pregnant must wear gloves when
handling Finasteride
What potential drug effects are there for alpha1 blockers for treatment of BPH? -
answerantihypertensives
, What are potential interactions for Tamsulosin (Flomax)? - answerazole fungal drugs,
erythromycin and clarithromycin, cardiac drugs (e.g. propranolol and verapamil), and
protease inhibitors
What is an indication for Methyltestosterone (Android) in women? -
answerendometriosis and fibrocystic breast disease
What are potential interactions with Sildenafil (Viagra)? - answernitrates such as
nitroglycerin, isosorbide, mononitrate, or isosorbide dinitrate
How is Transdermal Testosterone (Testoderm) applied? - answerto the scrotal skin
Which drugs have interactions when taking an H2 antagonist? - answerAll H2 receptor
antagonists may inhibit the absorption of certain drugs, such as the antifungal
ketoconazole, which require an acidic gastrointestinal environment for gastric
absorption.
Cimetidine has the highest potential for interactions and is used less than Famotidine
and Ranitidine
Smoking may impair the absorption of H2 antagonists
Why are calcium antacids not used as frequently as others? - answertheir use may lead
to development of kidney stones and may cause increased gastric acid production
What potential problems exist with the overuse of sodium bicarbonate? -
answermetabolic alkalosis
What condition will the nurse monitor for with sodium bicarbonate treating gastric
hyperacidity? - answermetabolic alkalosis
Who needs to use caution when using antacids containing magnesium? -
answerpatients with renal disease
What factors can influence the effectiveness of taking Cimetidine (Tagamet)? -
answerdo not smoke or use NSAIDs
What are adverse effects for aluminum-containing antacids? - answerconstipation
Why is it important to drink a full glass (8 oz) of water when taking Psyllium
(Metamucil)? - answerpsyllium can swell in the throat if not taken with at least 8 oz of
water; drinking plenty of fluids also helps improve bowel function
What patient teaching should be included with a pediatric patient with diarrhea? -
answerdo not give bismuth subsalicylate (pepto-bismol) to children because it contains
aspirin
What are some adverse effects that the nurse must observe for with patients receiving
opioids? - answerCNS depression, decreased mental status, respiratory depression,
constipation
What is the most toxic effect of acute acetaminophen overdose? – answer
hepatotoxicity- increased LFTs, jaundice, vomiting, CNS stimulation with excitement,
and delirium followed by coma or death
What contraindications are there for acetaminophen therapy? – Answer allergies, liver
disease, and G6PD deficiency
When monitoring patient's taking systemically administered glucocorticoids, what is the
nurse to monitor for? - answer monitor for electrolyte imbalances- especially
hypernatremia, hyperglycemia, hypokalemia, and hypocalcaemia
What is a potential effect from long-term corticosteroid therapy? - answerosteoporosis
How should patients take their glucocorticoids? - answerat the same time everyday,
usually in the morning, with a meal
What patient should be closely monitored when taking a glucocorticoid, such as
someone with diabetes? - answermonitor for hyperglycemia
What medical history is a contraindication to glucocorticoid therapy? - answergastritis,
reflux disease, ulcer disease, diabetes, and cardiac/renal/or liver dysfunction
What is Finasteride (Proscar) for? - answerbenign prostatic hyperplasia (BPH)
What are potential side effects of Finasteride (Proscar)? - answerloss of libido, loss of
erection, ejaculatory dysfunction, hypersensitivity reactions, gynecomastia (enlarged
breasts), severe myopathy, and a 50% decrease in PSA concentration
What is the most important precaution when administering Finasteride (Proscar)? -
answerwomen who are pregnant or trying to become pregnant must wear gloves when
handling Finasteride
What potential drug effects are there for alpha1 blockers for treatment of BPH? -
answerantihypertensives
, What are potential interactions for Tamsulosin (Flomax)? - answerazole fungal drugs,
erythromycin and clarithromycin, cardiac drugs (e.g. propranolol and verapamil), and
protease inhibitors
What is an indication for Methyltestosterone (Android) in women? -
answerendometriosis and fibrocystic breast disease
What are potential interactions with Sildenafil (Viagra)? - answernitrates such as
nitroglycerin, isosorbide, mononitrate, or isosorbide dinitrate
How is Transdermal Testosterone (Testoderm) applied? - answerto the scrotal skin
Which drugs have interactions when taking an H2 antagonist? - answerAll H2 receptor
antagonists may inhibit the absorption of certain drugs, such as the antifungal
ketoconazole, which require an acidic gastrointestinal environment for gastric
absorption.
Cimetidine has the highest potential for interactions and is used less than Famotidine
and Ranitidine
Smoking may impair the absorption of H2 antagonists
Why are calcium antacids not used as frequently as others? - answertheir use may lead
to development of kidney stones and may cause increased gastric acid production
What potential problems exist with the overuse of sodium bicarbonate? -
answermetabolic alkalosis
What condition will the nurse monitor for with sodium bicarbonate treating gastric
hyperacidity? - answermetabolic alkalosis
Who needs to use caution when using antacids containing magnesium? -
answerpatients with renal disease
What factors can influence the effectiveness of taking Cimetidine (Tagamet)? -
answerdo not smoke or use NSAIDs
What are adverse effects for aluminum-containing antacids? - answerconstipation
Why is it important to drink a full glass (8 oz) of water when taking Psyllium
(Metamucil)? - answerpsyllium can swell in the throat if not taken with at least 8 oz of
water; drinking plenty of fluids also helps improve bowel function
What patient teaching should be included with a pediatric patient with diarrhea? -
answerdo not give bismuth subsalicylate (pepto-bismol) to children because it contains
aspirin
