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GALEN COLLEGE OF NURSING PHARM EXAM 1 LATEST
Typology: Exams
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What can Amitriptyline used for? a. Anxiety b. Sleep c. Pain d. Major depression e. Migraines - ANSWERS-b. Sleep (Low Dose) d. Major depression e. Migraines
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What is lithium used for? a. Depression b. ADHD c. Sleep d. Bipolar - ANSWERS-d. Bipolar What are signs and symptoms of Lithium Toxicity? a. Tremors b. PinPoint Pupil c. Confusion d. GI Upset e. Blurred Vision - ANSWERS-a. Tremors c. Confusion d. GI Upset e. Blurred Vision What are the possible side effects of Lithium?
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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 What is Diazepam primarily used for? - ANSWERS-Seizure control What are the side effects of benzodiazepines (pams, lams) - ANSWERS- CNS Depression Drowsiness Lethargy Confusion
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A patient is discussing her new order for Alprazolam for insomnia, what statement by the nurse requires further teaching? a. " I will take this medication at night" b. " I will not drive when taking this medication" c. " I can take melatonin to increase my chances of better sleep with this medication" - ANSWERS-c. " I can take melatonin to increase my chances of better sleep with this medication" A patient is suffering with new diagnosed seizures, what patient would be contraindicated for a new order of benzodiazepines (pams & lams) a. Cardiopulmonary patient b. Patient with diabetes c. Patient with infection of the right hip taking IV ABT - ANSWERS-a. Cardiopulmonary patient (Heart Disease, COPD) A patient is having trouble sleeping and the Primary care physician order zolpidem for the patient, which statement requires further teaching?
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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)
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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
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***rare condition that happens in children after a viral infection or illness, especially if they took aspirin (salicylate) to treat their symptoms. A patient has been admitted to the hospital, stating that he has had a acute onset of tinnitus (hearing loss), this can be a possible sign of toxicity of which medication? a. Aspirin b. Celecoxib c. Senna d. Ginger - ANSWERS-a. Aspirin Which of the following medications is a Cox 2 inhibitor, and only concern is inflammation? a. Acetaminophen b. Celecoxib c. Aspirin - ANSWERS-b. Celecoxib
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What patient teaching would you give to a patient taking NSAIDS? (Select all that apply) a. Always wear gloves when administering the medication to yourself b. This medication causes photosensitivity c. When taking medication take with food to avoid upset stomach d. watch for S/S of bleeding - ANSWERS-c. When taking medication take with food to avoid upset stomach d. watch for S/S of bleeding *GI upset is a normal s/e but If patient is having severe pain or burning in abdomen when taking medication can be a possible GI bleed The patient is newly diagnosed with heart disease and stated that he has been taking Celecoxib for the past 30 years, what is the best statement to tell the patient regarding the medication and his new diagnosis? a. " Taking this medication can put you at risk for a heart attack b. " This can cause you to have cramps in the abdomen" c. " This can cause your heart to stop"
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d. Steak ( seafood, like purine foods, salmon) (Steak, like red meats) What patient teaching would you give to a patient taking Allopurinol? (Select All that apply) a. Monitor Liver and Kidney function/ Labs b. Yearly dentist exams c. Yearly Eye Exams d. Uric Acid Levels e. Increase fluid intake f. Eat foods like fish, salmon and shrimp - ANSWERS-a. Monitor Liver and Kidney function/ Labs c. Yearly Eye Exams d. Uric Acid Levels e. Increase fluid intake *** This medication can cause a deviation to those baseline labs, problems in vision, and increase fluid to flush out the Uric Acid
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What is the antidote for Acetaminophen? - ANSWERS-acetylcysteine What is the safe daily dose for Acetaminophen? a. 8 - 10g b. 3 - 4g c. 20 - 30g d. 5 - 8g - ANSWERS-b. 3 - 4g
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c. Hypotension d. Slow Breathing - ANSWERS-b. Pin Point Pupils c. Hypotension d. Slow Breathing Which of the following medications is used for the Overdose of Morphine? a. Acetylsystaine b. Methylphenidate c. Naloxone d. Melatonin - ANSWERS-c. Naloxone The nurse assessed a patient with an order for Morphine, and while assessing the patient she assessed that the patient had 10 breaths per minute, and she administered the Antidote Naloxone, what symptoms does the nurse suspect from the patient after administering the Antidote medication? a. Patient will have pain b. Patient will have Seizure
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c. Patient will go into Coma d. Patient will have no reaction - ANSWERS-a. Patient will have pain A patient has been having Cluster headaches which of the following medications does the nurse suspect will be ordered for this patient? a. Tylenol b. Carbidopa c. Morphine d. Sumatriptan - ANSWERS-d. Sumatriptan What is Morphine used for? (Select all that apply) a. Cough b. Sedation c. Pain d. Headaches - ANSWERS-a. Cough c. Pain
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