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GALEN COLLEGE OF NURSING PHARM EXAM 1
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GALEN COLLEGE OF NURSING PHARM EXAM 1
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GALEN COLLEGE OF NURSING PHARM EXAM 1What all can benzodiazepines used for? (Select all that apply)
a. anxiety
b. insomnia
c. alcohol withdrawal
d. seizures - Answers- A,C,D
A patient is being induced for sedation, what medication does the nurse assume will be
ordered for the patient?
a. Morphine
b. midazolam
c. phenytoin - Answers- b. midazolam
The nurse gave the patient her Lorazepam at 0800 and came back to re assess patient
and found patient lying in bed with low respirations, shallow breathing, the nurses
should note that?
a. document this as normal side effects
b. Hold Dose Contact PCP, due to Adverse reactions - Answers- b. Hold Dose Contact
PCP, due to Adverse reactions
A patient is having trouble sleeping and the Primary care physician order zolpidem for
the patient, which statement requires further teaching?
a. "this medication is to help me with sleep"
b. " I should take this medication anytime of day
c. " This medication is for a short period of time to help me get routine with sleeping" -
Answers- b. " I should take this medication anytime of day
Pt should take this medication at bedtime
A patient is newly admitted to the hospital, and the paper work states that the patient is
allergic to benzodiazepines, the PCP ordered the patient Zolpidem 0.5mg twice daily for
insomnia . What is the nurses priority action.
a. Give patient the medication as ordered
b. Ask for clarification on order
c. Notify provider that patient is allergic to benzodiazepines - Answers- c. Notify
provider that patient is allergic to benzodiazepines
Both Benzos and the non Benzo Zolpidem have the same actions
A patient has a new order for Zolpidem 0.5 mg and has been taking for past four days,
patient reports feeling drowsy upon waking up, the nurse notes that?
a. this is a normal side effect
b. tell patient to stop taking and contact PCP
c. Abruptly stop taking the medication
d. use melatonin to help - Answers- a. this is a normal side effect
, What are the Adverse Reactions of Zolpidem?
a. Vivid Dreams
b. Drug Tolerance
c. Hangover effect
d. Uric acid increasing - Answers- a. Vivid Dreams (Rebound REM, when taking for a
long time)
b. Drug Tolerance (They keep needing higher doses)
c. Hangover effect (Still Tired not functional)
The nurse is going over medications with the patient about the contraindications of
aspirin, which one of the following statements, determines the patient understood
patient teaching?
a. I cannot give take with other blood thinners like (warfarin, Lovenox)
b. If I experience excessive bruising contact PCP immediately - Answers-
What over the counter medications would be contraindicated when taking Ibuprofen or
Aspirin? (Select all that apply)
a. Melatonin
b. Ginseng
c. Lidocaine patch
d. Ginko
e. Green Tea
f. Garlic - Answers- B
D
E
F
**** These can cause increased bleeding when taking the listed medication
The patient has been taking Ibuprofen 500mg BID, what signs or symptoms requires
immediate follow up ?
a. Black Tarry Stool
b. Coughing
c. Headache
d. leg cramps - Answers- a. Black Tarry Stool
* indicates a sign of internal bleeding
Why is Aspirin contraindicated for children ?
a. UTI
b. Bleeding
c. On going infections
d. Reyes Syndrome - Answers- d. Reyes Syndrome
- Especially if they had a recent infection/virus
***rare condition that happens in children after a viral infection or illness, especially if
they took aspirin (salicylate) to treat their symptoms.
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