NURS 133 FINAL EXAM QUESTIONS AND
ANSWERS UPDATED SOLUTIONS
7 Medication Rights - ANSWERS 1) Right Medication
2) Right Patient
3) Right Dose
4) Right Route
5) Right Time
6) Right Documentation
7) Right Reason
Acetylcysteine (Mucomyst) - ANSWERS Class: Mucolytic
PE: degrades mucus allowing for easier mobilization & expectoration
TE: mucolytic (lowers viscosity of mucus) for cystic fibrosis, COPD
AE: bronchospasm, drowsy, tachycardia, hypotension, chest tightness, rhinorrhea,
>secretions, N/V, rash
NI: assess resp. function & characteristics of secretions, encourage adequate fluid
intake, solution may turn purple after opening, smells like rotten eggs.
,Albuterol (Proventil) - ANSWERS Class: Bronchodilator
PE: Beta 2 adrenergic agonist- binds to beta 2 adrenergic receptors in airway
smooth muscle
TE: bronchodiliation
AE: nervousness, restlessness, tremors, HA, insomnia, hyperactivity in children,
paradoxical bronchospasm, CP, palpitations, angina, dysrhythmias, HTN, N/V,
hyperglycemia, tachycardia.
NI: Assess pulses, BP, breath sounds before administration, note characteristics of
sputum, observe wheezing, shake MDI & allow 1 minute between puffs, use
spacer, mouth care.
Amphetamine+dextroamphetamine (Adderall XR) - ANSWERS Class: CNS
Stimulant
PE: Cause release of norepinephrine, dopamine from nerve endings.
TE: increased motor activity, mental alertness, decreased fatigue, > attention
span (ADHD), physically addictive.
AE: hyperactivty, insomina, restlessness, tremors, palpitations, >HR, anorexia
, NI: avoid use of St. John Wort, fruit juices, monitor V.S. assess for cardiac history,
provide rest, monitor weight, swallow whole, take 6 hours before hs, abuse
warning, limit caffeine.
Atenolol (Tenormin) - ANSWERS Class: Beta Blocker
PE: blocks stimulation of beta 1 adrenergic receptors
TE: <BP & HR, <angina, prevents MI
AE: fatigue, weakness, anxiety, depression, drowsy, blurred vision, stuffy nose,
bronchospasm, wheezing, bradycardia, HF, pulmonary edema, hypotension,
constipation, ED, drug induced lupus.
NI: monitor pulse/BP before administering, teach patient to check pulse, daily
weight, assess for HF, do not discontinue abruptly, change positions slowly,
careful with COPD & asthma pt's
Atomoxetine (Straterra) - ANSWERS Class: Non-Stimulant Norepinephrine
Reputake Inhibitor
PE: Selective norepinephrine uptake inhibitor, inhibits the presynaptic transporter
of norepinephrine.
TE: > attention span with fewer CV effects
AE: SI, dizzy, fatigue, mood swings, insomnia, N/V, constipation, anorexia
