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Pharm Exam 4: Recall + Buzzwords

250 terms bella_young7Preview sleep disorders, ADHD, substance U...52 terms adanner2016Preview Schizophrenia lecture 33 terms Ashool_Preview emt 13 61 terms a_q A patient is admitted with bipolar affective disorder. The nurse acknowledges that which medication is used to treat this disorder for some patients in place of lithium?a.thiopental b.gingko biloba c.fluvoxamine (Luvox) d.divalproex (Depakote) d The nurse realizes that some herbs interact with selective serotonin reuptake inhibitors. Which herb interaction may cause serotonin syndrome?a.feverfew b.ma-huang c.St. John's wort d.gingko biloba c A selective serotonin reuptake inhibitor (SSRI) is prescribed for a patient. The nurse knows that which drug is an SSRI?a.paroxetine (Paxil) b.amitriptyline (Elavil) c.divalproex sodium (Depakote) d.bupropion HCl (Wellbutrin) a A patient is taking tranylcypromine sulfate (Parnate) for depression. What advice should the nurse include in the teaching plan for this medication?a.Warn the patient about severe hypotension.b.Instruct the patient to avoid beer and cheddar cheese.c.Encourage the patient to take ginseng and ephedra.d.Encourage the patient to eat fruit such as bananas.b

Which statement is true concerning lithium?a.The maximum dose is 3.4 g/d.b.The therapeutic drug range is 2.5 to 3.5 mEq/L.c.Lithium increases receptor sensitivity to GABA.d.Concurrent NSAIDs may increase lithium levels.d When a patient is taking an antidepressant, what should the nurse do? (Select all that apply.) a.Monitor the patient for suicidal tendencies.b.Observe the patient for orthostatic hypotension.c.Teach the patient to take the drug with food if GI distress occurs.d.Tell the patient that the drug may not have full effectiveness for 1 to 2 weeks.e.Advise the patient to maintain adequate fluid intake of 2 L/d.a,b,c,d A patient is taking lithium. The nurse should be aware of the importance of which nursing intervention(s)? (Select all that apply.) a.Observe the patient for motor tremors.b.Monitor the patient for orthostatic hypotension.c.Draw lithium blood levels immediately after a dose.d.Advise the patient to drink 750 mL/d of fluid in hot weather.e.Advise the patient to avoid caffeinated foods and beverages.f.Teach the patient to take lithium with meals to decrease gastric irritation.a,b,e,f A patient is receiving amoxicillin (Amoxil). The nurse understands that the action of this drug is by which process?a.Inhibition of protein synthesis b.Alteration of membrane permeability c.Inhibition of bacterial cell-wall synthesis d.Alteration of bacterial ribonucleic acid synthesis c Amoxicillin (Amoxil) is prescribed for a patient who has a respiratory infection. The nurse is teaching the patient about this medication and realizes that more teaching is needed when the patient makes which statement?a."This medication should not be taken with food." b."I will take my entire prescription of medication." c."I should report to the physician any genital itching." d."If I experience any excess bleeding, I will contact the health care provider." a

A patient is prescribed dicloxacillin (Dynapen). For which adverse effect should the nurse monitor the patient?a.Constipation b.Renal failure c.Hypertension d.Hemolytic anemia d A patient is taking cefoperazone (Cefobid). The nurse anticipates which appropriate nursing intervention(s) for this medication? (Select all that apply.) a.Monitoring renal function studies b.Monitoring liver function studies c.Infusing IV medication over 30 minutes d.Monitoring the patient for mouth ulcers e.Advising the patient to take the medication with food a,b,c,d A patient has been prescribed amoxicillin (Amoxil). What does the nurse know is true about this medication?a.It has a normal adult dose of 2 grams q6h.b.It has a common side effect of hypotension.c.It has an intramuscular administration route.d.It is used to treat respiratory infections.d Penicillin G has been prescribed for a patient. Which nursing intervention(s) should the nurse perform for this patient? (Select all that apply.) a.Collect culture and sensitivity (C&S) before the first dose.b.Monitor the patient for mouth ulcers.c.Instruct the patient to limit fluid intake to 1000 mL/day.d.Have epinephrine on hand for a potential severe allergic reaction.e.No particular interventions are required for this patient.a,b,d A patient is prescribed cephradine (Velosef). Which actions should the nurse implement? (Select all that apply.) a.Report seizures to the health care provider.b.Advise the patient to eat yogurt to prevent superinfection.c.Monitor the patient for allergic reaction, especially after the first and second dose.d.Advise the patient to take medication on an empty stomach, even if GI distress occurs.e.Culture the infected area before administering the first dose.a,b,c,e

A patient is taking azithromycin (Zithromax). Which nursing interventions would the nurse plan to implement for this patient? (Select all that apply.) a.Monitor periodic liver function tests.b.Dilute with 50 mL of D5W for IV administration.c.Instruct the patient to report any hearing loss.d.Instruct the patient to report evidence of superinfection.e.Teach the patient to take oral drug 1 hour a.c. or 2 hours p.c.f.Advise the patient to avoid antacids from 2 hours prior to 2 hours after administration.a,c,d,e,f For which serious adverse effect should the nurse closely monitor a patient who is taking lincosamides?a.Seizures b.Ototoxicity c.Hepatotoxicity d.Pseudomembranous colitis d The nurse enters a patient's room to find that his heart rate is 120, his blood pressure is 70/50, and he has red blotching of his face and neck. Vancomycin (Vancocin) is running IVPB. The nurse believes that this patient is experiencing a severe adverse effect called "red man syndrome." What action will the nurse take?a.Stop the infusion and call the laboratory.b.Reduce the infusion to 10 mg/min.c.Encourage the patient to drink more oral fluids up to 2 L/day.d.Report onset of Stevens-Johnson syndrome to the health care provider.a A patient is receiving tetracycline (Vibramycin). Which advice should the nurse include when teaching this patient about tetracycline?a.Take sunscreen precautions when at the beach.b.Take an antacid with the drug to prevent severe GI distress.c.Obtain frequent hearing tests for early detection of hearing loss.d.Obtain frequent eye checkups for early detection of retinal damage.a A patient is taking levofloxacin (Levaquin). What does the nurse know to be true regarding this drug?a.Administered IV only b.May cause hypertension c.Classified as an aminoglycoside d.An adverse effect is dysrhythmia d