WorksheetsRev Up to Review, Reverend - Don't Revile the Pharm Revival!
Total questions: 21
Worksheet time: 2hrs 45mins
What is the preferred drug of choice for allergic rhinitis?
cromolyn
fluticasone
fexofenadine
diphenhydramine
A 9 year old with asthma is being discharged with an albuterol MDI from the hospital after asthma exacerbation. What would you suggest be ordered instead by the MD?
recommend a DPI
recommend a nasal spray formulation
recommend a MDI w/ spacer
recommend an acapella
What is the preferred drug to relieve and prevent bronchospasm in a client with COPD
racemic epinephrine
ipratropium
albuterol
dexamethasone
What potential action(s) does prototypic lisinopril have on the body
Acts primarily on preload reducing pulmonary congestion
Acts on preload reducing pulmonary congestion and afterload increasing cardiac output
primarily affects afterload increasing cardiac output
neither preload or afterload are influenced
In what scenario is calcium channel blockers most effective
Electrical heart block somewhere below the SA node
atrial fibrillation
ventricular dysrhythmias
bradycardia
Clopidogrel mechanism of action is most similar to which other coagulation related drug
heparin
aspirin
warfarin
enoxaparin sodium
A drug causes the major arteries to dilate, thus the heart improves cardiac output. This would improve which of the definitions below?
contractile load
renin load
preload
afterload
A client with angina pectoris is taking nitroglycerin SL for chest pain. The healthcare provider adds Metoprolol (Lopressor) to the client's medications. Which assessment finding represents a goal of therapy related to a common mechanism of action of both drugs? (Select All That Apply)
Increased tolerance with physical activity
Decreased episodes of chest pain
Symptomatic Bradycardia
Hypotension
Normotensive
What is true about heparin?
It is able to dissolve clots
Clotting time is shortened
Activates antithrombin III to inhibit thrombin
Safe dosing is monitored by INR
When cardiac output is decreased in HF, the kidneys respond by secreting renin, leading to redirection of available volume back to the heart. What is this volume called?
Contractile Load
Renin Load
Preload
Afterload
A nurse is caring for a client involved in a motor vehicle accident (MVA). Abdominal CT shows evidence of an adrenal hemorrhage and client presents with severe orthostatic hypotension, weak deep tendon reflexes, lethargy, and quick 3 lead EKG shows some dysrhythmias. What are appropriate actions?
Advocate for diuretics to address fluid overload
Give IV insulin to treat hyperglycemia
Treat Hyperkalemia
Administer IV desmopressin
Four clients are receiving corticosteroid replacement therapy over a period of a month. The nurse anticipates that the client at greatest risk for developing adverse effects is the client receiving the drug by which route?
Inhalation
Intra-articular injection
PO
Topical application
A client that has just undergone radioactive iodine therapy is at risk for a certain complication with which of the following signs and symptoms commonly seen?
dehydration, low specific gravity in the urine, polyuria
lethargy, abdominal pail, tachycardia, constipation, fruity breath
Lethargy, hyponatremia, bradycardia, hypoglycemia, hypotension, puffiness of hands and face
abdominal pain, fever, nausea/vomiting, fatigue, poor appetite
The nurse is caring for two clients who are on the same anticholinergic medication. Millie is 88 years old and hospitalized for COPD. Josephine is 23 years old and hospitalized for an abscess on her arm. Which of the following statements are true regarding this class of medication? (Select all that apply)
Dose adjustment is not necessary because these medications are excreted by the kidney.
Dose adjustment is required as the older adult is more susceptible to drug side effects.
Dose adjustment is necessary as the older adult is more likely to have toxic levels secondary to hepatic or renal impairment.
Dose adjustment is necessary as the younger adult is more susceptible to drug side effects secondary to more adipose tissue.
Your client has cardura ordered with her morning medications. What should the RN do prior to administering?
Assess vital signs.
Assess lung sounds
Check intake and output
Make sure the patient has an empty stomach
Muscarinic antagonists compete with acetylcholine for binding at the muscarinic receptors. Because less acetylcholine binds to the receptors, what response is diminished?
sympathetic
parasympathetic
alpha receptors
nicotinic receptors
The client rings their call bell and states, "I'm having trouble breathing!". Which of the following medications would be the priority to give the client for quick relief?
Tiotropium inhaler two puffs
Atrovent inhaler, two puffs
Albuterol inhaler, two puffs
Atropine IV STAT
A client has a PEG tube and is prescribed omeprazole/Prilosec extended release capsule by their gastroenterologist. What is the appropriate nurse action?
Open the capsule and rapid infuse into the PEG tube with 10 cc of water after
Open the capsule and slowly infuse into the PEG tube over 2 minutes with 10 cc of water after
Try and fit the capsule through the PEG tube and flush with 10 cc of water after
Call the gastroenterologist for clarification of order
What is the highest priority for the nurse when administering a muscarinic agent?
Providing a cool cloth due to the increase in diaphoresis (sweating)
Monitoring for reflex tachycardia or other cardiac events
Providing patient and family education prior to discharge
Monitoring intake and output
What are the key points about the use of alteplase? (Select All That Apply)
To be given within 12 hours of an MI
To be given within 3 hours of a thrombotic stroke
alteplase promotes plasmin levels to dissolve fibrin clots
most common side effect is bleeding
alteplase is contraindicated if patient is on warfarin and INR is >1.7
The nurse acknowledges that a client taking Furosemide (Lasix) should be assessed and monitored for the side effect of ?
Hypernatremia
Hyperchloremia
Hypokalemia
Hypoglycemia
