NSG 318 FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
↑ risk of MI, stroke, breast cancer, dementia, & venous
thromboembolism Correct Answer Adverse effects of estrogen-
progestin combination contraceptives
↑ risk of stroke & thromboembolism Correct Answer Adverse
effects of estrogen alone contraceptives
10-20mcg/mL Correct Answer Therapeutic drug levels of
phenytoin
21mmHg
(others will monitor until pressures reach 28-30mmHg) Correct
Answer When is glaucoma therapy initiated?
Absence seizures (petit mal) Correct Answer Only last a few
seconds
Seen most often in children & often misdiagnosed for ADHD
absence, atonic, tonic-clonic Correct Answer 3 types of
generalized seizures
adverse effects of diazepam (Valium) Correct Answer AE:
IV admin → hypotension, muscular weakness, tachycardia, &
respiratory depression
adverse effects of ethosuximide (Zarontin) Correct Answer
AE:
drowsiness, dizziness, lethargy
,Very rare but serious: systemic lupus erythematosus, aplastic
anemia, agranulocytosis, pancytopenia
adverse effects of finasteride (Proscar) Correct Answer AE:
sexual dysfunction (16% of pts) including. . .
Impotence
Impaired fertility
Diminished libido
Ejaculatory dysfunction
Other minor effects include: headache, rash, dizziness, and
asthenia
adverse effects of IUD/IUC Correct Answer AE:
Increased risk of infection for 3 weeks
Increased bleeding during menstrual cycles
Amenorrhea, Dysmenorrhea, intermenstrual bleeding
Perforation of uterus during insertion
Expulsion of device
adverse effects of latanoprost (Xalatan) Correct Answer AE:
Conjunctival edema, tearing
Dryness, burning, pain, irritation
Eyelashes grow thicker and/or darker
Changes in pigmentation of iris (hyperpigmentation) of treated
eye and periocular skin
adverse effects of Ortho-Novum Correct Answer AE:
Breast tenderness, weight gain, breakthrough bleeding
Less common: changes in vision, changes in urinary function,
HTN, thromboembolic disorders
, adverse effects of oxytocin (Pitocin) Correct Answer AE:
In fetus: Fetal tachycardia, dysrhythmias, intracranial
hemorrhage.
In mother: Rapid, painful, uterine contractions. uterine rupture,
seizures, coma
adverse effects of phenobarbital (Luminal) Correct Answer
AE:
drowsiness, vitamin deficiencies (vitamin D; folate [B9]; and
B12), laryngospasms, worsen pre-existing pain
adverse effects of phenytoin (Dilantin) Correct Answer AE:
Dysrhythmias (bradycardia, ventricular fibrillation)
Severe hypotension
Hyperglycemia
Severe CNS reactions (headache, nystagmus, ataxia, confusion
& slurred speech, paradoxical nervousness, twitching, insomnia)
adverse effects of sildenafil (Viagra) Correct Answer AE:
HYPOTENSION!!!!!
Headache, dizziness, flushing, rash, nasal congestion
Diarrhea, dyspepsia, UTI
Chest pain, indigestion
Blurred vision, changes in color perception
Priapism
adverse effects of testosterone Correct Answer AE:
Virilization
Salt and water often retained (causes edema, liver damage, acne
& skin irritation)