Pharmacology Exam 3

Your patient is on methylprednisolone for asthma. Which of the following adverse effects is found in long-term systemic steroid use?

• paradoxical bronchospams

• adrenal suppression

• growth suppression in adults

• insomnia

Which drug is a LABA

• salmeterol

• albuterol

• tiotropium

• ipratropium

Your patient is taking an inhaled glucocorticoid for asthma. What would you say to or ask the patient? SATA

• "make sure you rinse mouth with water after each use"

• "do you know how to use a spacer?"

• "make sure you eat on this medication to reduce GI upset"

• "we're going to start on a low dose and titrate you to a high dose to avoid adrenal suppression"

Which of the following insulin has a duration of 3-5 hours?

• regular (Humulin R)

• glulisine (Apidra)

• lispro (Humalog)

• NPH insulin

What are some nursing consideration for Levothyroxine? SATA

• take dose in AM on an empty stomach

• separate other drugs by 4 hours

• doses start low and are once daily due to the long half-life

• continue giving med if patient is on warfarin

Which of the following reaches the site of action faster, requires hand-breath coordination, and can use with a spacer?

• Nebulizer

• MDI

• DPI

• Soft mist inhaler

What's the correct order to draw up NPH and regular insulin?***

• 1. 1. air into regular

  2. 2. air into NPH

  3. 3. draw up regular

  4. 4. draw up NPH

• 1. 1. air into NPH

  2. 2. air into regular

  3. 3. draw up NPH

  4. 4. draw up regular

• 1. 1. air into NPH

  2. 2. air into regular

  3. 3. draw up regular

  4. 4. draw up NPH

Your patient is receiving Gentamicin q8 hrs over 30 minutes for meningitis at 8:30 PM. When would you draw their peak/trough levels?***

• peak: 9:00 PM

  trough: 4:00 AM

• peak: 9:30 PM

  trough: 4:00 AM

• peak: 9:00 PM

  trough: 4:30 AM

• peak: 9:30 PM

  trough: 4:30 AM

How does insulin lower blood glucose?***

• By promoting glucose uptake into cells and inhibiting glucose production in the liver

• By increasing glucose production in liver

• By blocking glucose absorption in the intestine

• By stimulating breakdown of glycogen into glucose

Your type 2 diabetic patient is scheduled to get a CT with contrast. What is your PRIORITY nursing action?

• Check GFR and BUN labs only

• Check BG and administer metformin before pt goes to CT

• Hold metformin before/after CT depending on BMP results

• Hold metformin before CT and adminster 30 minutes after CT