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ATI Pharmacology Proctored Review
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Patient identifiers - correct-answer- - Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? -
correct-answer- ■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal
failure (ARF)
- Gradual increase over months to years for chronic renal failure (CRF)
exceeding 4 mg/dL
■ Blood urea nitrogen (BUN)
- 80 to 100 mg/dL within 1 week with ARF
- Gradual increase with elevated serum creatinine over months to years for
CRF
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
What food should you increase when taking Lasix? - correct-answer- - increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice)
Patient reports IV discomfort, what is your first action? - correct-answer- color and temperature
How does baclofen work? - correct-answer- Antispastic muscle relaxant; blocks nerve signals from muscles at the level of the spinal cord
Relationship btw lithium & sodium - correct-answer- Lithium is a sodium, so maintain the same salt intake
Omeproazole - correct-answer- Take before eating
Drink cool glass of water after taking
Avoid alcohol & NSAIDS.
Notify provider of abdominal pain & diarrhea
Use backup of contraceptives for women.
Causes of digoxin toxicityb - correct-answer- Renal impairment
Use of diuretics
Dehydration
Low potassium
Hypomagnesemia
Combining w/ other meds
Hypothyroidism
Taking too much
Lovastatin administration - correct-answer- Oral tablets
At night
Store at room temp, away from moisture and light
Seizure medications (anticonvulsants) - correct-answer- Need backup method of birth control
Treatment of TB - correct-answer- Isoniazid
Rifampin
Pyrazinamide
Streptomycin
Nalbuphine - correct-answer- Narcotic used to treat severe pain
Often given before or during surgery & medical procedures
Patient identifiers - correct-answer- - Medical record number
-home telephone number
What lab values should a nurse monitor for a patient with chronic renal failure? -
correct-answer- ■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific gravity
☐ Serum creatinine
Sumatriptan (treats migraine headaches) adverse effect - correct-answer- pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - correct-answer- - • Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
- Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
- Do not cut patches to ensure appropriate
dosage.
- Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
- Wash skin with soap and water and dry
thoroughly before applying new patch.
RBC Blood transfusion - correct-answer- http://www.atitesting.com/ati_next_gen/FocusedReview/data/datacontext/RM% 20AMS%20RN%208.0%20Chp%2044.pdf (prime with normal saline and infuse with sodium chloride).
What to understand about Parkinson's Meds? - correct-answer- - they don't cure disease, they slow the process.
NEUPOGEN (filgrastim)-what is the appropriate route of this med? - correct- answer- administered by subcutaneous injection or IV infusion
Lisinopril therapeutic effect - correct-answer- blood pressure answer (e.g. 120/80)
Medication for Schizophrenia - correct-answer- risperidone, Risperdal
-Anorexia
-Nausea/Vomiting
Singulair - correct-answer- used before exercise to prevent breathing problems during exercise (bronchospasm).
What medication to administer with Tylenol overdose? - correct-answer- acetylcysteine (Mucomyst) must be given IV
HPV vaccine - correct-answer- Human Papilloma Virus (HPV2, HPV4) - - Three doses should be given over a 6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose should be administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
Opioid toxicity-what to check first - correct-answer- oxygen saturation
Valporic Acid lab - correct-answer- liver
Lithium report immediately - correct-answer- slurred speech
Sumatriptan (treats migraine headaches) adverse effect - correct-answer- pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw
slow or difficult speech
Know about Transdermal patch - correct-answer- - • Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
- Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
at night).
- Do not cut patches to ensure appropriate
Medication for Schizophrenia - correct-answer- risperidone, Risperdal
Macrodantin medication - correct-answer- used to treat or prevent certain urinary tract infections
Haldol-inform if you are taking ____________ medication. - correct-answer- - benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax.
Fosomax - correct-answer- same as-Alendronate is used for treating osteoporosis in men and postmenopausal women.
Lipitor - correct-answer- - lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL.
Garamycin- - correct-answer- Antibiotic that is toxic to the kidney, injected for radiology studies.
Digoxin side effects - correct-answer- - Fatigue
-Bradycardia
-Anorexia
-Nausea/Vomiting
Singulair - correct-answer- used before exercise to prevent breathing problems during exercise (bronchospasm).
What medication to administer with Tylenol overdose? - correct-answer- acetylcysteine (Mucomyst) must be given IV
HPV vaccine - correct-answer- Human Papilloma Virus (HPV2, HPV4) - - Three doses should be given over a 6 month
-interval for females at 11 to 12 years of age (minimum age is 9 years).
-The second dose should be administered 2 months after the first dose, and the third dose should be administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of age.
Regarding Controlled Substances (I, II, III, IV, & V):
Rate from Most Addictive to Least Addictive. - correct-answer- I, II, III, IV, V
What are some Adverse Effects of Opiates? - correct-answer- - Hypotension
- Constipation
- Urinary Retention
What is the Antidote for Opiate Overdose? - correct-answer- Narcan (naloxone)
APAP / AKA? - correct-answer- Tylenol
ASA / AKA? - correct-answer- Aspirin
Give Examples of Combination Opiates / NSAIDS. - correct-answer- - Percocet
What is the Antidote for APAP (Tylenol) Overdose? - correct-answer- Mucomyst
What are some Adverse Effects of Steroid Therapy? - correct-answer- - Hyperglycemia
- Fluid retention
- Hypokalemia
- GI irritation
- Bleeding tendencies
- Osteoporosis (fractures)
- Adrenal atrophy (cortex)
- Muscle wasting
- Cushing's syndrome
What are the S/S of Serotonin Syndrome? - correct-answer- - Agitation
-Rigidity
What is a Benefit of using Risperdal (risperdone)?
What is a Negative of using Risperdal (risperdone)? - correct-answer- Causes the Fewest Extra-pyramidal Symptoms
Slower Acting (1-2 weeks)
How should Lithium be Administered? - correct-answer- With Food or Milk
Lithium is Contraindicated for Concurrent Use with which Substances? - correct- answer- - Diuretics
What are some Risks of Lithium Use? - correct-answer- Seizures & Arrhythmias
What are the Indications for Valproic Acid? - correct-answer- - Seizures
- Migraine
- Bipolar Disorder
What should be Monitored during Valproic Acid therapy? - correct-answer- S/S of Hepato-toxicity
What are the Indications for Lyrica (pregabalin)? - correct-answer- - Epilepsy
- Anxiety
- Migraine
- Neuropathic Pain
Define Extra-pyramidal Symptoms. - correct-answer- Drug-Induced Movement Disorders.
Which Lab Values should be Monitored during Penicillin Therapy? - correct- answer- RBC, WBC, & Platelet Counts
