Pharmacology Exam 4

The nurse will monitor for which adverse reaction to calcium containing antacids?

Which type of antacids will a nurse most likely question in an order for a patient who has chronic renal failure?

Which of the following drugs is sometimes added to the oral medication protocol with PPIs to reduce flatulence and abdominal discomfort associated with gas?

A patient with peptic ulcer disease reports pain while urinating. A urinalysis reveals the presence of cystine, oxalate, and urate renal stones. Which antacid might the patient be overusing?

A patient is being prepared for a colonoscopy. The nurse expects which laxative to be used as preparation for this procedure?

Which of the following antidiarrheals is a controlled substance?

This class of laxatives, which produces normal, formed stools with very few (if any) adverse effects is which of the following?

A patient who has been using pepto-bismol for the past several days has come into the clinic worried about his black stools. Which of the following responses is most appropriate for the nurse?

A patient has been receiving long-term antibiotic therapy as part of treatment for an infected leg wound. He tells the nurse that he has had "spells of diarrhea" for the last week. Which medication is most appropriate for him at this time?

Which of the following pharmacologic interventions creates a drug-induced acidic environment that also functions to reduce ammonia levels while producing a laxative effect?

A patient taking alosetron to treat her IBS has recently called in to her provider to report severe constipation and terrible abdominal pain. The nurse tells her to come to the clinic right away. Which life-threatening complication of IBS treatment is this patient at risk for?

When reviewing the various types of anti nausea medications, the nurse recognizes that prokinetic drugs such as metaclopramide (Raglan) are also used for:

A patient has been newly prescribed meclizine (Antivert) for the treatment of vertigo. Which of the following patient statements indicate a need for further patient education?

A patient using a transdermal scopolamine patch has set a watch alarm to help her remember to change her patch. When her alarm goes off, how much time has passed?

Lack of which of the following vitamins leads to rickets, osteomalacia, and tetany?

Which of the following vitamin injections are given to newborns prophylactically within 1 hour of birth?

While caring for a newly admitted patient who has a long history of alcoholism, the nurse anticipates that part of the patient's medication regimen will include which vitamin?

The nurse is providing care to a patient following a non-accidental traumatic brain injury. The patient has developed diabetes insipidus due to the injury. What medication is most often used in the management of diabetes insipidus?

When monitoring for the therapeutic effects of intranasal desmopressin (DDVAP) in a patient who has diabetes insipidus, which assessment finding will the nurse look for as an indication that the medication therapy is successful?

What would the nurse assess when monitoring for the therapeutic effectiveness of vasopressin?

What would the nurse assess when monitoring for the therapeutic outcome with Somatropin treatment?

A patient receiving propylthiouracil (PTU) asks the nurse how this medication will help relieve his symptoms. What is the nurse’s best response?

A patient recently diagnosed with hypothyroidism is prescribed Synthroid. She demonstrates the need for further teaching when she states which of the following?

To help with insomnia associated with thyroid hormone replacement therapy, the nurse will teach the patient to:

The pharmacy has called a patient to notify her that the current brand of thyroid replacement hormone is on back order. The patient calls the clinic to ask what to do. Which is the best response by the nurse?

When checking a patient's fingerstick blood glucose level, the nurse obtains a reading of 42 mg/dL. The patient states he is awake, but feels a bit "cloudy-headed." After double-checking the patient's glucose level and getting the same reading, which action by the nurse is most appropriate?

The patient is prescribed 30 units regular insulin and 70 units NPH insulin subcutaneously every morning. The nurse will provide which instruction to the patient?

Which insulin can be administered by continuous intravenous infusion?

What class of drugs can raise blood glucose even if everything else is being done correctly?

A pregnant patient was recently diagnosed with gestational diabetes. The nurse should expect which of the following orders?

A student nurse has asked her preceptor to explain the concept of basal dosing as it relates to insulin administration. Which of the following is the best response of the preceptor?

A nurse is providing teaching for a client who has a new prescription for metformin. Which of the following adverse effects of metformin should the nurse instruct the client to report to the provider?

The nurse is discussing with a patient the time of day for taking prednisone. What information would the nurse include in the teaching based on knowledge of glucocorticoids?

When teaching a patient who has been prescribed a daily dose of prednisone (Deltasone), the nurse knows that the patient will be told to take the medication at which time of day to help reduce adrenal suppression?

The nurse has provided teaching about oral corticosteroid therapy to a patient. Which statement by the patient shows a need for more teaching?