PHARMACOLOGY EXAM 2 RASM USSEN NEWEST 2024 ACTUAL EXAM 15 0 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ When assessing a patient that is prescribed desmopressin for diabetes insipidous, what are the expected outcomes? - ...ANSWER... decreased urine output and elevated BP What is concerning for a patient on long -term steroid therapy? - ...ANSWER... fever, even low grade can indicate infection due to an impaired immune system What vaccines are contraindicated for individuals that are immune suppressed? - ...ANSWER... Live attenuated vaccines ( nasal flu, small pox, varicella, mmr, rotavirus) If patient is alert and oriented but blood sugar is below 50, what is the first thing you do? - ...ANSWER... feed them What drug treats high potassium (hyperkalemia)? - ...ANSWER... Sodium polystyreine sulfo nate What steps would you take for an anaphylactic reaction? - ...ANSWER... Stop antibiotic, assess vitals, give epi How does a sliding scale work? - ...ANSWER... Based on current blood sugar How is DKA treated? - ...ANSWER... Insulin, fluids, electrolytes (especially K+) What would contribute to a patient having issues drawing up their insulin? - ...ANSWER... Retinopathy associated with diabetes When should levothyroxine be administered? - ...ANSWER... in the morning before breakfast What should be avoided when taking metronidazole? - ...ANSWER... drinking alcohol results in disulfiram reaction (VOMIT) Who is at the highest risk for DVT on oral contraceptives? - ...ANSWER... Smokers What patien t teachings when prescribed cyclophosphamide? - ...ANSWER... hemorrhagic systitis prevention Education for Fluroquinolones? (floxacins) - ...ANSWER... Inactivated by minerals and vitamins (zinc, calcium, magnesium, aluminum), ACHILLES RUPTURE, photosensitiv ity What can occur when steroids are abruptly stopped? - ...ANSWER... Renal insufficiency (Addisons syndrome) What is levothyroxine used to treat? - ...ANSWER... Hypothyroidism What is a patient teaching for Micostatin? - ...ANSWER... swish and swallow Who can't use yogurt to restore normal flora? - ...ANSWER... Lactose intolerant individuals This medications onset time is 5 -15 minutes so this medication should be taken in close proxi mity to a meal - ....ANSWER... Humalog On a thin patient, this angle is best when giving a subcutaneous injection - ....ANSWER... 45 degrees This is what diabetics should do prior to exercise - ....ANSWER... Eat a snack or a meal This class of medications can increase sugar levels causing a need for more insulin - ....ANSWER... Glucocorticoids
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