NCLEX PN Pharmacology Review

NCLEX PN Pharmacology Review Leave the first rating Students also studied Terms in this set (59) Science Medicine Save NCLEX-PN Medications to Know 51 terms shattagirl102__ Preview Exam Cram NCLEX-PN PRACTICE Q...103 terms summer3266Preview NCLEX PN Questions for 2024-2025...Teacher 186 terms TutorDkPreview NCLEX 75 terms awi Practice questions for this set Learn1 / 7Study using Learn side effects headache and dizziness, pt should avoid driving or using heavy machinery Nifedipinecauses vasodilation, resulting in decreased BP Signs of Allergic reactionhypotension, pruritus, flushing, wheezing Eplerenonetreat HTN, adverse effects; diarrhea, decreased sodium levels, vaginal bleeding, increased potassium levels cause of potassium retention effect Choose an answer 1Cefotetan (Cefotan)2Metformin (Glucophage) 3Ondansetron (Zofran)4Albuterol (Proventil) Don't know?

Hydrochlorothiazidecan cause hypokalemia from excessive potassium excretion, other adverse effects are hyperchloremia, hypernatremia, hypercalcemia.Pioglitazoneoral antidiabetic agent, works by increasing the body's sensitivity to insulin Acarboseoral antidiabetic agent that postpones the absorption of glucose Glipizideoral antidiabetic agent that stimulates insulin secretion Timolol eyedropstreat glaucoma, press the nasolacrimal duct to prevent the medication from absorbing into systemic circulation Magnesium sulfatedepresses neuromuscular activity, leading to muscle weakness and paralysis Magnesium toxicitybradycardia, hyporeflexia, urine output 30ml or less, respirations less than 12/min, Human papillomavirus vaccine (HPV2)3 doses of immunization over 6mths, Baclofenantispasmodic, decreased muscle spasticity in client w/ MS, can cause urinary retention, drowsiness in early phase of therapy, hypotension CD4 T-cell countindicates the status of the pts immune system, a rise indicates return of immune function for HIV pt Bethanecholmuscarinic agonist that increases GI motility leading to abdominal cramps and diarrhea Varicella (chickenpox vaccine)hypersensitivity to neomycin is contraindicated for receiving vaccine Risperidonetreat schizophrenia, put client at risk for developing diabetes due to metabolic effects of medication, obtain fasting glucose baseline prior to administration of first dose, and again, 12wks later, then annually Benzodiazepine (Lorazepam)withdrawal causes tremors and dizziness making ADL's difficult to perform Metoprololslows the conduction through AV node therefore is contraindicated in pt who have AV block that is greater than first degree, caution in pt with diabetes mellitus because it can mask the manifestations of hypoglycemia Captopriltreat HTN, greatest risk to pt is infection r/t neutropenia therefore unexplained fever, sore throat, and fatigue can indicate and infection and provider should be notified Tolbutamidetreat DM, contraindicated in pt with hypersensitivity to sulfonamide antibiotics that might also be allergic to sulfonylureas Isotretinoinpt teaching will need to have triglyceride levels monitored, may cause nosebleeds, due to nature of severe birth defects pt will need 2 negative pregnancy test prior to starting medication

Amphotericin Badverse reaction is ototoxicity (vertigo, tinnitus, hearing loss) Gemfibrozilmyopathy is an adverse effect, report muscle weakness or tenderness Simvastatinnotify provider if muscle pain or tenderness develops could indicate rhabdomyolysis Lisinopril (Zestril)ACE inhibitor, can result in buildup in bradykinin, resulting in nonproductive cough, pt should withhold medication and follup with provider for further evaluation Levodopa/carbidopa (Sinemet)dopaminergic medication, works by activating dopamine receptors, restoring nerve transmission in the basal ganglia for pt with Parkinsons disease, allows client to move freely and resume ADL's Regular Insulinclear in appearance, discard if appear cloudy Phenylephrine (Neo-Synephrine)may cause tachycardia and other cardiac arrhythmias Administer regular and NPH insulin stepsswab top of both insulin bottles with alcohol wipe, insert air into NPH insulin equal to dose, remove and insert air in regular insulin equal to dose, then withdraw dose from regular insulin and administer then withdraw correct dose from NPH insulin and admin subcutaneously Alendronate (Fosamax)admin on empty stomach with 8oz water, may cause esophageal ulcerations if lodged in esophagus, remain upright for 30min after admin Gentamicin (Garamycin)is nephrotoxic, monitor BUN and serum creatinine levels Celecoxib (Celebrex)cyclo-oxygenase (COX-2) inhibitors act by suppressing inflammation and relieving pain, will allow pt to move more easily Isoniazid (INH)can cause liver damage, important for nurse to determing the clients daily alcohol intake because alcohol use increase risk, pt should reduce or avoid all use of alcohol Scopolamine patchtreat motion sickness, should be placed behind the ear Prednisone (glucocorticoids)suppress the body's immune response increasing risk of infections, pt should notify provider Anaphylaxis Behavioral signsapprehension, uneasiness, restlessness and anxiety Albuterol (Proventil)activates beta2-adrenergic receptors in the heart, increase in heart rate is a side effect Cocaine intoxicationtachycardia, elevated BP, dilated pupils, display grandiosity and euphoria Tetracycline hydrochloride (Sumycin)causes photosensitivity and increased severity of sunburn

Ferrous sulfatetreat iron deficiency anemia, improvement in hemoglobin levels increases oxygen transport to the tissues and increases activity tolerance Spironolactone (aldactone)potassium sparing diuretic, salt substitutes are high in potassium can place pt at risk for hyperkalemia Digoxin toxicitynausea, vomiting, anorexia, and fatigue Ciprofloxacin (Cipro)pt should avoid products with cations such as antacids, iron salts, milk and other dairy products because they reduce the absorption of ciprofloxacin Doxycycline (Vibramycin)should be taken with a full glass of water to ensure it passes into the stomach which will prevent esophageal ulcerations Cefotetan (Cefotan)a cephalosporin, group of antibiotics hat are similar to penicillins (PCN), should be avoided in pt who is allergic to PCN Digoxin and chlorothiazideincrease pt risk of developing digoxin toxicity due to chance of developing hypokalemia Mesalamine (Asacol)maintenance therapy for inflammatory bowel disease and pt should take daily for at least 3-6 weeks Metformin (Glucophage)oral antidiabetic agent, used to treat DM II by decreasing glucose production in the liver, facilitates decreased glucose production; monitor for adverse effects muscle pain, agitation, GI manifestation such as bitter or metallic taste Repaglinide (Prandin)HbA1c lab test should be review to obtain information about long term therapeutic, measures blood glucose levels over past 2-3mths; glycosylated HbA1c Furosemide (Lasix)can cause BP to drop, medication should be withheld if BP 85/60 Atorvastatin (Lipitor) and fenofibrate (TriCor)treats hypercholesterolemia, both meds may cause myopathy, pt has increased risk for myopathy than if either taken alone Dimenhydrinate (Dramamine)an antihistamine, has anticholinergic properties, anticholinergic meds can cause urinary retention thus compounding urinary tract symptoms associated with prostatic hypertrophy, is contraindicated in pt with benign prostatic hypertrophy (BPH) Ondansetron (Zofran)side effects headache and dizziness, pt should avoid driving or using heavy machinery Propylthiouracil (Propyl-Thyracil)desired effect HR WNL, reduction in serum T4 level, improved sleep patterns, increased attention span