PHARMACOLOGY EXIT HESI_2020
Pharmacology Exit HESI
Nurse should observe most closely for drug toxicity when a client receives med that has what
... [Show More] characteristic
Narrow therapeutic index
Nurse is conducting DC teaching about anti-anxiety drug diazepam (valium)
Evaluate the ingredients of all over-the-counter drugs for alcohol content
Nursing instruction most important for patient on Zyloprim
Increase fluid intake
Client getting Tofranil (Imipramine)
Give medication at night
Magnesium antidote
Calcium gluconate
Patient with hyperthyroidism taking inderal (propanalol)
Decreases pulse rate
Medication dosing-heparin 25000 units at 7ml/hr doctor changed rate to 900 units what is the
Mls/hr
Med was ordered 100mg in 4 divided doses in 24 hours available in 25mg, how many will you give every 6 hours
1
Patient on benzos
Answer is not narcan
Patient Dx with bipolar-how to know if meds are effective
Family states patient is doing better with manic phases
Patient on Heparin going for surgery in a.m.,-priority
Assess patient for bleeds
Best time to give patient Abx (I think)
Time was like 1000, 1400, 1200, and 0400…best to give around the clock
Medication calculation-patient weighs equal to 16kg-order for Tamiflu 45mg BID
Must round up-answer is 3.8ml
Peptic ulcer med-what action
Histamine 2 agonist
Patient on folliculitis medication-what to teach
Drink with full glass of water
Vasopressin
Vasoconstrictor
Know why Digoxin and Lasix are used together Tamoxifen Citrate use and therapeutic outcome Fosomax for osteoarthritis patient teaching Rifampin for TB
Rusty-orange/red colored urine and body fluids
Pyridium for bladder infection
Orange/red/pink urine
Stay in bed for 3 hours post first Ace Inhibitor dose Avoid grapefruit juice with CCB
Lipitor (statins) in PM only-no grapefruit juice Trough draw
30 minutes before scheduled dose
Peak draw
30-60 minutes after administration
Potassium sparing diuretic need to watch for hyperkalemia
Aldactone (spirinolactone)
Using bronchodilators before steroids for asthma teaching
Exhale completely, inhale deeply, hold breath for 10 seconds
Insulin can be kept at room temp
28 days
Drawing insulin
Clear (regular) first then cloudy (NPH)
Know the insulins and their peak/onset (there are several Qs about this in different formats)
Rapid-Lispro (Humalog) and Aspart (Novolog) Onset: 5-15 minutes
Peak: .75-1.5 hours
Short acting- regular (humulin) Onset: 30-60 minutes Peak: 2-3 hours (IV ok)
Intermediate acting- NPH Onset: 1-2 hours Pea:k 6-12 hours
Long acting- Glargine (lantus) Onset: 1.1 hour Peak: 14-20 hours (DO NOT MIX)
Chlamidia
Tetracycline
Trichomoniasis
Flagyl
Candidiasis
Nystatin
Herpes Simplex 2
Acyclovir
Parkinson’s disease
Levodopa/Carbidopa
Phenobarbitol
Seizures
Preparing to administer a drug to a pt with an infection
The drug will destroy the microorganism
RN is teaching a pt about a new drug… what’s most important to teach the pt to improve the intensity of the response to the drug
Take the prescribed dose [Show Less]