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Final Exam: NUR2474/ NUR 2474 (New 2024/ 2025 Update) Pharmacology Guide| Questions and Verified Answers| 100% Correct| Grade A - Rasmussen $11.99
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Final Exam: NUR2474/ NUR 2474 (New
Update) Pharmacology Guide| Questions
and Verified Answers| 100% Correct|
Grade A - Rasmussen
QUESTION
Therapeutic range for warfarin?
Answer:
o INR 2-3
o Prior to surgery, INR 1-2
QUESTION
Pt has recurring pain. Provider tells pt to take acetaminophen. However, pt also drinks alcohol
3x a day. What's the max dose of acetaminophen that the pt can take?
Answer:
o 2 grams (2000mg) d/t liver damage risk
o 4 grams for normal person
QUESTION
Pt with arthritis. Provider instructs pt to take ibuprofen for discomfort. What education is
needed?
Answer:
o Take with food
o Do not take at HS (hour of sleep)
- Prevents med from sitting in stomach & causing ulceration
o Max dose per day = 2400 mg
- Can be split into 3x a day / 4x a day
,QUESTION
Provider orders pt to take long-term glucocorticoids. After many months, pt comes in w/ puffy
cheeks & a hump on their back. What labs will be ordered?
Answer:
Electrolytes
QUESTION
Should glucocorticoids be stopped abruptly if pt has adverse reactions?
Answer:
No, taper med
QUESTION
Side effects of long-term glucocorticoids?
Answer:
o Cushing's syndrome
o Skin breakdown
o Poor immune system
o Cataracts
o Muscle atrophy
QUESTION
Pt comes to ER with pneumonia. Pt is on warfarin for 1-fib. Provider orders ciprofloxacin. What
lab will be ordered?
Answer:
INR
QUESTION
Pt having a severe/acute gout attack. What med will be ordered?
,Answer:
o Allopurinol
o Probenecid
o Ibuprofen
QUESTION
Pt w/ infection is prescribed vancomycin. Nurse monitors BUN & creatinine levels and sees
they are getting higher. What should the nurse do?
Answer:
Notify provider
- Will order a less nephrotoxic antibiotic
QUESTION
Order for gentamicin but the amount seems unusual for an adult dose (1/2 the typical dose).
What's the first thing to do before calling provider?
Answer:
o Look at pt's past medical history
o Gentamicin is nephrotoxic so if pt has kidney problems the dose will be lower than usual
QUESTION
35 year old with strep throat started on amoxicillin twice daily for 7 days. 20 minutes after AM
dose, pt is SOB, itching, BP 100/58. What's going on?
Answer:
o Allergic reaction
o Stop med, notify provider
o Give epinephrine
QUESTION
Pt is receiving IV antibiotics. Safety checks done & education given. Pt's call light goes off.
Nurse observes IV site is red/inflamed. What will the nurse do?
, Answer:
o Stop medication
o IV infiltration, remove IV, start new IV, restart med
QUESTION
What are we always watching for when giving vancomycin?
QUESTION
Pt on cephalosporin for 48 hours. Nurse walks into room and there's an odor. Pt has voided 5-6
times in 4hrs and stool is not formed. What is going on?
Answer:
o C-diff, dehydration
o Notify provider, start precautions
(Will order metronidazole, vancomycin)
o Stop antibiotic, use bleach for cleaning
o Get cultures, put pt in isolation
o Wash hands with soap and water
QUESTION
Side effects for clindamycin that are worrisome?
Answer:
o Diarrhea; killed not only bad bacteria but the normal flora, as well; can lead to C-diff
QUESTION
Child needs to be on tetracycline (not the 1st choice). What can be done to prevent
brown/yellow discoloration of teeth?
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