revised 2023 hesi pharmacology exit exam chemotherapy with complete solutions
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HESI Pharmacology Exit Exam 2023
1. What is the indication for metoclopramide/reglan?:
Prevention of chemotherapy-induced emesis and diabetic
gastroparesis
2. Side effects of metoclopramide/reglan: Drowsiness, EPS such as
tremors
3. Notify MD if what occurs when using metoclopramide/reglan:
Tremors
4. What is the indication xenical (orlistat, Alli): For PTs with
BMI of 30+; LT weight control
5. SE of xenical (orlistat or alli): Oily stool and flatulence
6. Nursing implications for a pt on xenical (orlistat or alli): Ask
pt to describe dietary intake since SE are increased if greater than
30% of fat is in diet.
7. What can decrease side effects of xenical (orlistat or alli):
Fiber laxatives like Metamucil help decrease SE by binding to the fat.
8. Which type of fluids need plenty of water?: Bulk forming
laxatives
9. Why do you need plenty of fluids when taking bulk forming
laxatives: Be- cause they can produce esophageal and or intestinal
obstruction
10.Laxative use assessment: Last BM and characteristics,
abdominal pain, fever and obstruction. Assess dietary and fluid intake.
,11.With laxative use the nurse should: Encourage fluids, fiber and
exercise as tolerated/indicated
12.Laxative use and result in: Lack of bowel tone which can lead to
dependency
13.what is ondansetron (zofran): antiemetic
14.What is ondansetron (zofran)used for?: Prevention of N/V
associated with chemotherapy and radiation therapy.
15.Who should you use caution with when giving
ondansetron/zofran?: PTs with liver failure
16.Drugs for ulcerative colitis and crohns: 5 aminosalicylates;
mesalamie, sulfasalazine.
17.How do 5 aminosalicylates; (mesalamie, sulfasalazine)
work?: They de- crease GI inflammation
19.Which drug can cause colitis/c.diff: Linezolid/zyvox
20.What kind of infection is c.diff: Suprainfection
, 21.What is azithromycin/zithromax?: An antibiotic
22.What does azithromycin/zithromax treat?: STDs such as:
gonorrhea and chlamydia
23.How much azithromycin/zithromax is usually required?: One
dose of 1g or 2g.
24.If a female pt has trichomonas (any STI) and is
asymptomatic does the male need to be tested?: Yes!
25.azithromycin/zithromax can cause what?: Hepatotoxicity-
elevated liver en- zymes
26.What is nitrofurantoin/cipro used for?: An antibiotic for UTI
27.nitrofurantoin/cipro side effect: Hepatotoxicity, skin reactions,
neuropathy
28.nitrofurantoin/cipro nursing considerations: Give with milk or
meals check LFTs. Watch for numbness or tingling of extremities this
can be an irreversible peripheral neuropathy
29.Drug of choice for treating c.diff?: Metronidazole/flagyl
30.When is metronidazole/flagyl to be taken?: With food and
around the clock
31.What should be avoided when taking metronidazole/flagyl
and why?: Al- cohol; can cause a disulfiram-like reaction
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