NURS180 –MIDTERM EXAM 2024/2025 NEWESTT!! COMPLETE
ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS ) ALREADY GRADED A+.
Patient teaching for someone when they take Alendronate (fosomax) (how to
take) Sit upright for 30 minutes after taking this medication
Take with 8oz of water
What food should be avoided by a patient taking spironolactone?
Potassium rich foods or supplements
Why would a biphosphonate (alendronate) be prescribed?
They are used to decrease the number and action of osteoclasts and inhibit
bone reabsorption
Used to treat osteoporosis
What are some side effects of long term glucocorticoid use?
Avoid social interaction/potential for infection
Hyperglycemia
Osteoporosis
Peptic ulcer disease
F/E imbalances
,What can happen if you push IV potassium chloride too fast?
Cardiac arrest
Death
What are some complications (side effects) of taking PPIs to treat GERD?
Hypomagnesmia
Pneumonia
C. Diff
Headache
Dizziness
Diarrhea
Abdominal pain
What lab value is expected to go up with long term glucocorticoid use?
Blood glucose
What drugs can be used to treat hypertension?
ACE inhibitors
Aldactone (spironolactone)
What is the normal lab value for sodium?
135-145 mEq/L
What is the normal lab value for potassium?
,3.5-5.0 mEq/L
What is the normal lab value for blood glucose?
70-110 mg/dL
Describe thiazide diuretics
End in -thiazide
Act on the distal end of the renal tubule
#1 choice for essential hypertension
Reduce urine output in diabetes insipidus
What are you concerned with when a patient is being treated with lasix and
aminoglycoside?
Ototoxicity - tinnitus
What would you teach a patient with heart failure that is taking
spironolactone and a potassium supplement?
Stop taking the potassium supplement bc spironolactone is a potassium
sparking diuretic
Is it safe for a patient to take aspirin if they have rheumatoid arthritis?
Watch out for bleeding
Yes, uncles they have underlying PUD or GERD
What medications can you NOT take with baclofen?
Other CNS depressants
What does folic acid prevent during pregnancy?
neural tube defects
How should a patient take ferrous sulfate?
, On an empty stomach
With food if GI upset
What can you eat to help your body absorb iron?
Citrus juices or eating foods high in vitamin C
What minerals should you NOT take with spironolactone?
Potassium
Sodium
What anticonvulsant interferes with combined oral contraceptives?
Phenobarbital
What herbs can interfere with contraceptives?
St. John's wort
Garlic
What do you do if you forget to take a dose of your contraceptive?
Take the dose as soon as possible
Do not double dose
What medication can cause rhabdomyolysis?
Colchicine and atovarsatin
What are some adverse effects of colchicine (anti gout?
N/v/d
Thrombocytopenia
Rhabdomyolysis
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