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WorksheetsPharm Exam #3
Total questions: 41
Worksheet time: 1hrs 22mins
What type of antigens do vaccines have in them? Select all that apply.
Live
Attenuated
Fake
Killed
True or False. Everyone that gets the vaccine gains immunity.
True
False
A weakened toxin able to form antibodies is called what?
Toxic
Toxius
Toxiod
poisonous
What vaccine do prepubestant and non-pregnant women of childbearing age get?
DTap
Tetanus
chicken pox
Rubella
True or false. Reactions are common in immune globulins.
True
False
What are some reactions that may occur with immune globulins?
Local tenderness and pain at injection site
Malaise
Angioedema
Uticaria
Diarrhea
What are immune globulins made of?
Horse
Human
Dog
Rabbit
Bat
What is the most severe reaction associated with antivenins?
Uticaria
Itching
Hypersensitivity
Cough
How do you reduce stress in a PT?
Aspirate IM vaccine
Give most painful injection first
Lay PT down if older than 3
Use a topical anesthetic
What should be done for a 2 y/o getting vaccinated?
make sure orals are given before
Make sure they are sat up
Give injections before orals
have a good cry session
What are some nursing diagnoses r/t to getting a vaccine?
Risk for injury
Readiness for enhanced health management
Acute pain
Excess fluid volume
What are some minor reactions you may experience after getting a vaccine and will go away within 48 hours?
Aching joints
Dehydrated
Fatigue
Fever
Rashes
What’re some nursing interventions for acute pain?
Inject both arms simultaneously
Inject weak arm
have a quiet atmosphere
Apply compress to irritated area
Decrease fluid
What are some adverse reactions associated with B12 deficiency anemia?
Decrease in RBC production
HF
PE
Decrease in Acne
Itching
during the preadministration assessment for B12 deficiency anemia, what should you ask about?
Diet
Activity level
Anemia
Bleeding
Infection
What is important to monitor in a PT with B12 anemia undergoing cancer treatment?
Radiation levels
Blood count
Diet
Activity level
Which PT should you keep a close eye on if you give them Epoetin Alfa?
Pt with diabetes
Pt with Rhanauds disease
Pt with cancer
Pt with hypertension
True or false. Make sure to shake Epoetin Alfa before giving.
True
False
What may the PT experience when getting B12 anemia therapy?
Dilutional anemia
Fluid retention
Depression
Suicidal tendencies
Fatigue
True or false. The PT should take iron dextran with food.
True
False
when is it okay to take antiacids, tetracyclines, penicillamine, or fluroquinolones with Iron dextran?
Consult HCP
Same time you take the iron
2 hours before
2 hours after
What is one thing we should make sure the Pt does when taking iron dextran?
Gargle the mixture
Periodic blood testing
Take laxatives
Take with food
Drink through a straw
What does a topical/local anesthetic do?
Inhibits the conduction of impulses from sensory nerve fibers
Inhibits the conduction of impulses from central nerve fibers
Inhibits the conduction of brain impulses through their fibers
Inhibits the conduction of impulses from parasympathetic nerve fibers
What is important to do for topical/local anesthetics during preadministration assessment?
Consciousness assessment
Head-to-toe assessment
Pain assessment
Visual acuity assessment
Where may the Pt be put into when on a topical anesthetic?
Psych Ward
Acute Rehab care
Mental hospital
Jail
Long-term care
After you wash you skin, when should the topical corticosteroid be applied?
After it dries
You dont wash your skin before application
While its still moist
What are we even talking about?
What nursing diagnoses apply to topical/local anesthetics?
Impaired skin integrity
Risk for infection
Risk for injury
Disturbed body image
Acute pain
What setting do PT’s typically apply their topical drug in?
Acute rehab care
Home
Hospital
Long-term care
True or false. You apply a thick layer of a topical drug to get the desired affect.
True
False
True or false. Adverse reactions for lidocaine are rare; but include hypersensitivity, local burning, stinging, tenderness, and sloughing.
True
False
What should be done for otic preparations to promote PT comfort?
Hold container in hand
Tell Pt when putting in drops
Tell Pt about feeling of fullness that may occur
Have PT put affected ear toward ceiling
How long should Cerumenex be put int he ear before flushing with warm water?
10 - 15 minutes
5 - 10 minutes
15 - 30 minutes
30 - 45 minutes
True or false. If a PT has been using ophthalmic preparations for a long time they may administer them for themself in a hospital.
True
False
True or false. Ophthalmic solution is dropped directly onto the eye.
True
False
How long should you wait before giving a second ophthalmic medication?
2 minutes
10 minutes
8 minutes
5 minutes
What diagnoses could a PT with ophthalmic medication have?
Risk for infection
Anxiety
Acute Pain
Excessive fluid volume
Risk for injury
True or false. A momentary stinging or burning after putting in eye preparations is normal.
True
False
True or false. It is appropriate to rub the eyes to ensure medication is spread across the eye.
True
False
True or false. Eye medications will not interfere with any activities of everyday life.
True
False
When using eye meds to treat inflammation, if improvement does not occur in (a) days, notify the HCP.
When should you discontinue use of eye medication for glaucoma?
When your eye site improves
Solution is brown
Solution contains precipitate
Changes in lashes occur
Color of iris changes
