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NIU NURS 316 PHARM HESI QUESTIONS AND CORRECT ANSWERS
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Basic Nursing Skills/Safety - Albuterol-Assess Albuterol (Ventolin) Drug Class: Short Acting Beta 2 Agonist Indication: Prevention or relief of bronchospasm related to asthma, bronchitis, and other pulmonary diseases Adverse: Nausea, anxiety, palpitations, tremors, increased HR Route: Oral, Inh...

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  • August 5, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • niu nurs 316 pharm hesi questions and correct answ
  • basic nursing skillssafety albuterol assess al
  • drug class short acting beta 2 agonist

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  • NUR 316
  • NUR 316

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NIU NURS 316 PHARM HESI
QUESTIONS AND CORRECT ANSWERS
Basic Nursing Skills/Safety - Albuterol-Assess ✅Albuterol (Ventolin)

Drug Class: Short Acting Beta 2 Agonist

Indication: Prevention or relief of bronchospasm related to asthma, bronchitis, and other
pulmonary diseases

Adverse: Nausea, anxiety, palpitations, tremors, increased HR

Route: Oral, Inhalation

Assess: *Respiratory assessment, watch for tachycardia and rebound bronchospasm.
Sequence: Albuterol (short acting)> Salmeterol (long acting)> Prednisone
(corticosteroid)> Gentamicin (antibiotic)

Basic Nursing Skills/Safety - Allergic reaction ✅S/S: Skin erythema, mild rash, hives,
dizziness, flushing, shortness of breath, wheezing, facial swelling, itching, constriction of
bronchial airways, tachycardia

Treatment: Epinephrine

Leadership - Amlodipine - Evaluate ✅Amlodipine (Norvasc)

Drug Class: Calcium Channel Blocker

Indication: Angina (chronic stable) and hypertension, good for african american

Adverse: Reflex tachycardia, hypotension, peripheral edema, palpitations, constipation,
nausea, dyspnea, rash, flushing. **Gingivital hyperplasia, tenderness, and bleeding in
the gums

*Evaluate: Ensure stable vitals, HR, BP
(BP should decrease), monitor for S/S of reflex tachycardia, caution in those w/
hypotension

Considerations: Most popular CCB, only taken, only available orally, avoid grapefruit,
drink prune juice for constipation

Interactions: Nitrates, grapefruit

,Skills/Nutrition - Orlistat-Weight Management ✅Orlistat (Xenical)

Drug Class: Lipase inhibitor (Anorexiant) *Nonstimulant

Indication: Obesity

Action: Binds to and blocks gastric/pancreatic enzymes (lipase), inhibits absorption of
caloric intake from fatty foods

Contraindication: Chronic malabsorption syndrome (Crohn's, colitis, short bowel
syndrome) or cholestasis, pregnancy B

Adverse: Steatorrhea (oily stools), fecal incontinence, GI distress, headache, upper
respiratory tract infection, decreases vitamins A, D, E, and beta carotene **Causes
renal stones/gall stones. Interacts w/ clyclosporine and levothyroxine

Considerations: Supplement fat soluble vitamins, restrict dietary fats (to less than 30%
of total calories), monitor body weight and BMI

Skills/Safety - St. John's Wort ✅St. John's Wort (Hypericum perforatum)

Drug Class: Herbal (herbal prozac)

Indications: Depression, anxiety, sleep disorders, nervousness

Adverse: Photosensitivty, dry mouth, fatigue, dizziness, confusion, GI upset, allergy

Contraindication: Bipolar depression, schizophrenia, Alzheimer's, dementia

*Don't take w/ other antidepressants

Drug Interactions: MAOI's, SSRI's, TCA's, benzo's, cyclosporine/immunosuppressants,
tyramine-foods, opiods, digoxin, estrogen, warfarin, triptans, (AND MORE!!)

Nursing Skills/Safe administration/Safety - Clopidogrel - When to hold? ✅Clopidogrel
(Plavix)

Drug Class: Antiplatelet (ADP Inhibitor)

Indication: Reduce risk of thrombotic stroke, prophylaxis against TIA's, post MI
prevention of thrombosis

Adverse: *Bleeding, chest pain, edema, epitaxis, flulike symptoms, headache,
dizziness, fatigue, abdominal pain, diarrhea/nausea, rash, pruitis (itching)

, Contraindications: Thrombocytopenia, active bleeding, leukemia, traumatic injury, GI
ulcer, vitamin K deficiency, recent stroke, allergy

Considerations:
- Hold 5-7 days prior to surgery
- Effects reduced by amiodarone, CCB's, NSAID's, and PPI's
- Increased bleeding risk in pts >75 y/o, history of stroke, or weigh less than 60kg
(132lbs)
- Use of dipyridamole increases bleeding potential
- Hold if platelet counts are at or below 80,000 cells/mm3
- Platelet therapeutic range: 150,000-450,000

Nursing Skills/Safe administration/Safety - Imitrex Contraindications ✅Sumatriptan
(Imitrex)

Drug Class: SSRA (triptans)

Indication: Migraine headache

Adverse: Cardiovascular adverse effects, nervousness, insomnia, convulsions

Contraindication: Cardiovascular disease, angina, history of stroke, MI

Consideration:
- No more than 2 injections during 24-hour period, 1 hr between injections
- Contact prescriber/emergency if swelling around the eyes, pain or tightness in chest or
throat, wheezing, and/or heart throbbing
- Rapid relief if taken before headache worsens
- Monitor S/S of coronary artery vasospasm, mI, serotonin syndrome

Safety/Teaching - Cyclosporine-Grapefruit ✅Cyclosporine (Sandimmune)

Drug Class: Immunosuppressant

Indication: Prevention of organ rejection (kidney, liver, and heart)

Adverse: Hypertension, neurotoxicity (including tremor), hepatotoxicity (with cholestasis
and hyperbilirubinemia), nephrotoxicity (IS COMMON), posttransplant diabetes, gingival
hyperplasia, hirsutism, **HAND TREMORS

Consideration:
**Avoid vaccines & alcohol
**Grapefruit can cause cyclosporine toxicity
- Grapefruit can inhibit metabolizing enzymes and increase activity of cyclosporine
- Increases bioavailability of drug by 20-200% and should be avoided

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