Nur 2474 Pharm Final Exam – Questions And Answers
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What is the concern for insulin with (propranolol (beta blocker for HTN)
Right Ans - hypoglycemia propranolol mask the signs
Type 2 diabetes started on glipizide what education is needed Right Ans -
diet/exercise take once a day
monitor blood sugar 4xday
weigh daily
do not take is pt has allergy to sulfa
no alcohol of high sugar intake
Pt blood sugar is 317 what insulin should be prepared to give in am Right
Ans - fast acting novalog, lispro
Type 1 diabetic with cystic fibrosis, what is the first thing to do before giving
insulin Right Ans - determine if pt can eat , if yes have food available we
dont want to give fast acting insulin at 7 am if breakfast doesnt come until 8
glargine insulin Right Ans - long acting
what type of estrogen therapy has the least amount of side effects Right
Ans - transdermal
newley dx with a fib what med will pt first be started on Right Ans -
heparin to thin blood and fast acting
what lab should be closely monitored on heparin Right Ans - aptt
when should glargine insulin be given Right Ans - in the evening
Diabetic pt on metformin is having a CT w/ contrast. What education is
needed? Right Ans - hold metformin 24-48 hrs before ct and hold for 48 hrs
after. encourage fluids
med given for hyprothyroidism Right Ans - levothyroxine
take in am on empty stomach
warfarin and cephalexin Right Ans - increases risk of gi bleed asses pt for
bruising and educate py on s/s of bleeding. check inr levels frequently
warfarin teaching Right Ans - avoid eating to many dark leafy greens
exercise
, routine inr labs
take evening 4pm labs done in morning
what can happen to fetus if hypothyroidism goes untreated Right Ans -
miscarriage
neurosphycological birth defects
underweight
side effects of estrogen therapy Right Ans - ovarian cancer
blood clots
bleeding
heparin pt being discharged what med will pt go home on Right Ans -
warfarin
pt has crackles in the lungs distended jugular vein and swollen ankles whats
wrong Right Ans - fluid overload
what does estrogen therapy put women at a greater risk for? Right Ans -
ovarian cancer dvts clot stroke
where should testesterone never be applied to Right Ans - genitals
testosterone pt education Right Ans - labs 14 days after starting med
avoid skin to skin contact with others
do not swim or shower 5-6 hours after application
what are oral androgens Right Ans - sex hormones-testosterone
Pt on oral androgens comes in with jaundice. What should the nurse do?
Right Ans - notify the provider immediately
pt in 20 has enlarged prostates what med will be prescribed Right Ans -
doxazosin
what med is prescribed for ED Right Ans - sildenafil can not take with
nitroglycerin
Pt on PCA pump. Nurse assess pt & sees pt's pulse is 60, RR is 10, and BP is
80/40. What should the nurse do? Right Ans - give naloxone
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