Pharmacology Exam Two

The physician has prescribed a ProAir (albuterol) rescue inhaler for your newly diagnosed asthma patient. What would cause you to question this order?

• Patient is nervous due to hearing that inhalers can make you feel nervous after using them.

• Patient does not like the inhaler due to making their mouth "taste funny" after using it.

• Patient has an allergy to milk products

• Patient has a history of a thyroid disorder.

What drug classification does Norvasc belong to?

• ACE inhibitors

• ARB

• Nitrates

• Calcium channel blockers

Your patient with HTN due to ischemic heart disease informs you that they stopped taking their atenolol due to it making them feel "too tired." What should you as the nurse do next?

• Request that the physician order a new HTN drug for your patient due to side effects.

• Notify physician due to patient abruptly discontinuing their own medication.

• Document what patient told you in your nurse's notes.

• Immediately obtain a set of vital signs.

Patient comes to the clinic complaining of joint pain after being prescribed Lipitor 4 weeks ago. Lab work obtained indicates that the patient is in the beginning stages of renal failure. What can you as the nurse expect to happen?

• Patient will be prescribed NSAIDS to relieve their joint pain and continue taking Lipitor.

• These are normal findings. No changes will be made to this patient's regimen.

• Lipitor will be stopped by the physician due to the joint pain.

• Lipitor may need to be discontinued by the physician due to patient displaying signs of renal failure.

Digoxin is being prescribed to help manage your patient's A Fib. What range of digoxin is considered therapeutic?

• 1-2 ng/ml

• 1.5-2 ng/ml

• 0.5-1 ng/ml

• 0.5-2 ng/ml

Which of the following lab values with cause you concern for a patient taking Digoxin to help manage heart failure?

• Potassium level of 3.5

• BNP level of 100 pg/ml

• BUN level of 21 mg/dL

• digoxin level of 2.6 ng/ml

What disease process would you as the nurse not expect benadryl to be effective in treating?

• Psychosis

• Parkinson's Disease

• Motion Sickness

• 5 year old child with insomnia

What is not correct about the medication Lovenox?

• Given long term as a prophylactic anticoagulant medication after DVT diagnosis

• Given as a SQ injection

• Given short term after knee replacement surgery

• May be given through an IV when diluted in NaCl or D5W fluids

Your patient has been diagnosed with an active case of TB. The physician has ordered isoniazid and rifampin. What is important that you as the nurse educate on?

• Finishing entire course of medication is required often by law.

• Family members may also need to take medication due to exposure.

• Alcohol consumption should be avoided due to risk of hepatitis while on medication.

• GI distress is often a common side effect while taking these medications.

• All of the above.

Your patient has been prescribed heparin due to a diagnosed STEMI. Which of the following would stop you from administering the next scheduled heparin injection after a chart check?

• Bruising at injection sites

• Delayed renal function panel lab results

• Patient allergy to pork

• Patient complain of "stinging" with injection

• Previous medical history of HIT