NURS 615 PHARM EXAM 4 ACTUAL EXAM

NURS 615 PHARM EXAM 4 ACTUAL EXAM

LATEST QUESTIONS AND CORRECT ANSWERS

(GRADED A+) COLORADO CAR SALES MASTERY

TEST

pseudoephedrine - ANSWER ✔children under 4 should not be prescribed this medication. instead encourage rest, fluids, saline sprays, nasal bulb for clearing of secreations coricidin hbp - ANSWER ✔this medication should be prescribed to pts with htn and c/o of nasal congestion antihistamines - ANSWER ✔these medications have ADRs including sedation, dizziness, tinnitus, lassitude, fatigue headache, irritability antihistamine contraindications - ANSWER ✔these populations include narrow-angle glaucoma, lower respiratory tract symptoms (thickened mucus, impaired cough), stenosing peptic ulcer, symptomatic prostatic hypertrophy, bladder neck obsruction, ploroduodenal obstruction, and MAOI usage codeine - ANSWER ✔this medication acts on the cough center in the medulla to suppress cough antitussive - ANSWER ✔benzonatate (tesselon pearles), dextromethorphan, codeine tiotropium - ANSWER ✔an anticholinergic medication used in the maintenance of COPD montelukast (singulair) - ANSWER ✔ADRs of this medication include headache, GI upset, myalgia, fever serious rxn include suicidal thoughts, hallucinations, depression, numbness/tingling, aggression, anxiety montelukast (singulair) - ANSWER ✔take this medication even if symptom free, not used for acute RATED

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asthma episodes instead should use bronchodilator if needed long acting beta agonists - ANSWER ✔african americans should not be prescribed this class of medications due to a black box warning in deaths from salmeterol, formoterol inhaled corticosteroids - ANSWER ✔patients should use spacer for greater percentage of drug delivery.also should rinse with water and spit to decrease risk for developing oral candidiasis albuterol - ANSWER ✔inhaled beta agonists, relaxation of airway smooth muscles by increasing cAMP inhaled corticosteroids - ANSWER ✔unknown but thought to inhibit igE and mast cell migrations into bronchial tissue short acting beta agonists - ANSWER ✔appropriate for use for bronchospasm r/t asthma, bronchitis, copd. rescue inhale -albuterol, levalbuterol inhaled muscarinic receptor antagonists - ANSWER ✔block muscarinic receptors, decrease formation of cGMP leading to decrease contractility of smooth muscles of the lung -ipratropium, tiotropium inhaled corticosteroids - ANSWER ✔side effects include oral candidiasis (thrush), hoarseness -fluticasone, budesonide, beclomethasone dipropionate antacids - ANSWER ✔best taken 1-2 hours after meals and at bedtime, chewed thoroughly an taken with a half glass of water, may have either constipation or diarrhea depending on which type taken loperamide - ANSWER ✔Acts directly on circular and longitudinal intestinal muscles, through the opioid receptor, to inhibit peristalsis and prolong transit time; reduces fecal volume, increases viscosity, and diminishes fluid and electrolyte loss; demonstrates antisecretory activity. increases tone on the anal sphincter bismuth subsalicylate - ANSWER ✔this medication can cause a darkening of stools and tongue bismuth subsalicylate - ANSWER ✔this medication should not be given to pts under 12 years old that have a fever due to increased risk for reyes syndrome and not to be given to those under 2 yrs old bismuth subsalicylate - ANSWER ✔may be taken every 30-60 minutes, if tx travelers diarrhea it should

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