NUR 3145 Pharmacotherapeutics Pharm quiz (Final Exam)

NUR 3145 Pharmacotherapeutics Pharm quiz (Final Exam)

1.  Patient presents to ED with dry, non productive cough, patient has been dx with bronchitis and

it has been determined medicine is needed to initiate sputum so the cough will be productive. 

Which med does nurse anticipate physician to prescribe

a. Guaifenesin

b. Sucralfate

c. H2 receptor agonist

d.

2. A patient has been dx with asthma. Prescribed ICS, the nurse providing discharge teaching

a. Inhaled ICS are not for use for acute asthma attack or asthmaticus

3. A patient with asthma has been prescribe an anti-inflammatory medication, the patient asks the

nurse how this medication

a. Increase ability to metabolize medication in lower bronchioles

b. Decrease ability of mucous secretion

c. Decrease airway

d. Increases uptake of corticosteroids to medication

4. A nurse is providing discharge teaching to a patient with an order chemical stimulant laxatives

prn, the nurse cautions the patient about which possible adverse effect?

a. abdominal cramping 

5. A patient with hypertension and asthma can have an adverse reaction to which class of drugs

a. aspirin and nsaids may cause bronchoconstriction in sensitive patients

b. Non selective beta adergenic antagonist such as propranolol, carvedilil, Labetalol may

cause llamas vasoconstriction

c. SAMAs an LAMAs may cause vaso constriction in sensitive patients

d.

6. Deaths due to the delayed bronchial effects on the improper use black box label

a. Salmeterol

7. Which of the following medications provides the best anti inflammatory effect for the treatment

of asthma

a. Fluticasone and salmeterol

8. A nurse questions the order when omeprazole is prescribed to a patient taking Plavix

(clopidogrel) adverse effect is:

a. Antiplatelet effect will be more effective

b. Patient may experience a lower risk of bleeding

c. The antiplatelet effect will be less effective 

9. A nurse giving discharge instructions to a patient scription for antihistamine informs the patient

they are receiving the most sedating antihistamine which antihistamine is the most sedating

a. Benadryl 

10. A patient with a history of angina has been prescribed pseudoephedrine for nasal congestion the

nurse understands new to pseudo ephedrine should not be used by

a. patients with any type of heart disease

b.  is safe to take pseudoephedrine if you're only taking labetalol

c. rebound congestion is more common when a person with angina take pseudoephedrine

d.  it is safe to use this pseudo ephedrine if you're only taking nitro

11. Which medication prescribed for asthma has a narrow therapeutic range and must be monitored

with plasma drug levels

a. Theophylline

12.  a nurse counsels a patient using 2 different types of medication hey Saba and a inhaled

glucocorticoid the patient questions purpose of inhaler the nurses best response would be that

glucocorticoids prescribed to help control asthma

13.  How true receptor blockers pathol physiologically worked to promote ulcer healing

a.  Suppress gastric acid secretion

14. What are some of the adverse effects of PPI's  (select all)  **maybe all of them???

a. inhibit absorption of calcium

b.  increased fractures increase

c. absorption of some medications for example drugs for HIV and antifungals such as

ketoconazole that

d. inhibit absorption of vitamin D

15. nurse teaching to a patient with gerd identify some of the non drug measures used for gerd

a. avoidance of alcohol

b. stop smoking meals

c. avoid late night meals

d. weight loss

16. Care feet promote ulcer healing by careful

a. Creating a barrier to …… hydrogen ions ??

b. Increasing bile salts to increase mucosal lining

c. Decreasing hepatic drug metabolising enzymes or

d. increasing hepatic drug metabolising enzymes

17. PPIs work 90% compared to 65% for histamine receptor antagonist maybe and have more

adverse effects and should be used for the shortest amount of time.  T/ F ?

18. Which medication can reduce the effect of clopidogrel, antiplatelet?

a. Carafate

b. Ppis

c.

insulin

19. Which class of diuretics is particularly therapeutic in patientt with renal impairment ?

a. Thiazide

b. Loop diuretics???

c. Hydrochlorothiaze

d. Potassium sparing

20. Which drug class is the most effective anti emetic

a. Carafate

b. Phenergan

c. Zofran

d. Reglan

21. What are the therapeutic uses of Reglan pro-kinetic drug ?

a. Decrease nausea vomiting

b. Decrease heartburn