Galen NUR 210 Newest Exam 3/ Study Guide
Questions with Correct Detailed Answers
(Verified Answers) Graded A+
Mannitol (Osmotic Diuretics) Action - Correct Answer - Causes water, chloride,
potassium, and water to be excreted through the kidneys
Mannitol (Osmotic Diuretics) Uses - Correct Answer - -Prevent Kidney Failure
- Decrease Intracranial Pressure (ICP)
-Decrease Intraocular Pressure (IOP)
-Usually used in an emergency situation
Mannitol (Osmotic Diuretics) Side effects/adverse reactions - Correct Answer - -GI upset
-Fluid and electrolyte imbalance
-Pulmonary edema from rapid shift of fluids
-Tachycardia
-Rapid Fluid Loss, Acidosis
(Extreme Caution: Heart disease, Heart Failure, and Renal Failure)
Spironolactone (Potassium-Sparring Diuretics) Action - Correct Answer - -Blocks
Aldosterone
-Because of blocking aldosterone, the renal tubules promote sodium and water
excretion and potassium retention
pg. 1
,Spironolactone (Potassium-Sparring Diuretics) Uses - Correct Answer - -To treat fluid
overload associated with heart failure
-Hepatic Cirrhosis
Spironolactone (Potassium-Sparring Diuretics) Side effects/adverse reactions - Correct
Answer - -GI distress, dizziness, weakness
-Hypotension, Orthostatic Hypotension
-Fluid and electrolyte imbalance
-Photosensitivity
-Hyperkalemia
Spironolactone (Potassium-Sparring Diuretics) Contraindications - Correct Answer - -
Severe Kidney/Renal Disease
-Hyperkalemia
Spironolactone (Potassium-Sparring Diuretics) Interactions - Correct Answer - -
Potassium supplements
-ACE Inhibitors and Angiotensin II Receptor blocks
Antitubercular Drugs - Drug combinations: Single-drug and multi drug therapy - Correct
Answer - Single drug: Not used as it is ineffective
Multidrug: Decreases bacterial resistance to drug and treatment duration decreased
Antitubercular Drugs - Treatment regimen is divided into - Correct Answer - 2 phases
Antitubercular Drugs - Phase 1 - Correct Answer - *Isoniazid *Rifampin
-More effective than second-line
-Less toxic than second-line
pg. 2
,Duration: Approximately 2 months
Antitubercular Drugs - Phase 2 - Correct Answer - -Less effective
-More Toxic
Duration: Approximately 4 to 7 months
Dextromethorphan hydrobromide (Antitussives) Uses - Correct Answer - Provide
temporary suppression of nonproductive cough, to reduce viscosity of tenacious
secretions
Dextromethorphan hydrobromide (Antitussives) Side effects/adverse reactions - Correct
Answer - -Nausea
-Dizziness
-Drowsiness, sedation
Dextromethorphan hydrobromide (Antitussives) Contraindications - Correct Answer - -
COPD
-Chronic productive cough
-Children under 2
Dextromethorphan hydrobromide (Antitussives) Interactions - Correct Answer - -Other
CNS depressants
-Grapefruit juice
albuterol (bronchodilators-beta 2 agonist) Action - Correct Answer - -Stimulates beta 2
adrenergic receptors in the lungs, which relaxes the bronchial smooth muscle causing
bronchodilation
-Rapid onset
-Longer duration and fewer side effects than epi
pg. 3
, albuterol (bronchodilators-beta 2 agonist) Uses - Correct Answer - -treat bronchospasm,
asthma, bronchitis, COPD
-Rescue inhaler
albuterol (bronchodilators-beta 2 agonist) Side effects/adverse reactions - Correct
Answer - -Tremors, anxious, nervous, sweating
-Insomnia
-Palpitations
-Hypertension
-Hyperglycemia
Guaifenesin (Expectorants) Action - Correct Answer - Loosens bronchial secretions so
they can be coughed up
Guaifenesin (Expectorants) Use - Correct Answer - -Dry, nonproductive cough
-some antitussive side effect
Guaifenesin (Expectorants) Side effect - Correct Answer - Nausea/vomiting
Cold Medication Care Plan Interventions/Teaching - Correct Answer - -Monitor vital
signs
-Monitor secretions
-Monitor for cough suppression & respiratory status with narcotics
-Teach proper use of nasal spray
-Increase fluids (especially with expectorants)
-Don't drive until action is known
-Decongestants can cause insomnia, take early in the day
-Read labels to know what medications are in multiple symptom control medication
-Contact HCP if cough last longer than 1 week
pg. 4
Questions with Correct Detailed Answers
(Verified Answers) Graded A+
Mannitol (Osmotic Diuretics) Action - Correct Answer - Causes water, chloride,
potassium, and water to be excreted through the kidneys
Mannitol (Osmotic Diuretics) Uses - Correct Answer - -Prevent Kidney Failure
- Decrease Intracranial Pressure (ICP)
-Decrease Intraocular Pressure (IOP)
-Usually used in an emergency situation
Mannitol (Osmotic Diuretics) Side effects/adverse reactions - Correct Answer - -GI upset
-Fluid and electrolyte imbalance
-Pulmonary edema from rapid shift of fluids
-Tachycardia
-Rapid Fluid Loss, Acidosis
(Extreme Caution: Heart disease, Heart Failure, and Renal Failure)
Spironolactone (Potassium-Sparring Diuretics) Action - Correct Answer - -Blocks
Aldosterone
-Because of blocking aldosterone, the renal tubules promote sodium and water
excretion and potassium retention
pg. 1
,Spironolactone (Potassium-Sparring Diuretics) Uses - Correct Answer - -To treat fluid
overload associated with heart failure
-Hepatic Cirrhosis
Spironolactone (Potassium-Sparring Diuretics) Side effects/adverse reactions - Correct
Answer - -GI distress, dizziness, weakness
-Hypotension, Orthostatic Hypotension
-Fluid and electrolyte imbalance
-Photosensitivity
-Hyperkalemia
Spironolactone (Potassium-Sparring Diuretics) Contraindications - Correct Answer - -
Severe Kidney/Renal Disease
-Hyperkalemia
Spironolactone (Potassium-Sparring Diuretics) Interactions - Correct Answer - -
Potassium supplements
-ACE Inhibitors and Angiotensin II Receptor blocks
Antitubercular Drugs - Drug combinations: Single-drug and multi drug therapy - Correct
Answer - Single drug: Not used as it is ineffective
Multidrug: Decreases bacterial resistance to drug and treatment duration decreased
Antitubercular Drugs - Treatment regimen is divided into - Correct Answer - 2 phases
Antitubercular Drugs - Phase 1 - Correct Answer - *Isoniazid *Rifampin
-More effective than second-line
-Less toxic than second-line
pg. 2
,Duration: Approximately 2 months
Antitubercular Drugs - Phase 2 - Correct Answer - -Less effective
-More Toxic
Duration: Approximately 4 to 7 months
Dextromethorphan hydrobromide (Antitussives) Uses - Correct Answer - Provide
temporary suppression of nonproductive cough, to reduce viscosity of tenacious
secretions
Dextromethorphan hydrobromide (Antitussives) Side effects/adverse reactions - Correct
Answer - -Nausea
-Dizziness
-Drowsiness, sedation
Dextromethorphan hydrobromide (Antitussives) Contraindications - Correct Answer - -
COPD
-Chronic productive cough
-Children under 2
Dextromethorphan hydrobromide (Antitussives) Interactions - Correct Answer - -Other
CNS depressants
-Grapefruit juice
albuterol (bronchodilators-beta 2 agonist) Action - Correct Answer - -Stimulates beta 2
adrenergic receptors in the lungs, which relaxes the bronchial smooth muscle causing
bronchodilation
-Rapid onset
-Longer duration and fewer side effects than epi
pg. 3
, albuterol (bronchodilators-beta 2 agonist) Uses - Correct Answer - -treat bronchospasm,
asthma, bronchitis, COPD
-Rescue inhaler
albuterol (bronchodilators-beta 2 agonist) Side effects/adverse reactions - Correct
Answer - -Tremors, anxious, nervous, sweating
-Insomnia
-Palpitations
-Hypertension
-Hyperglycemia
Guaifenesin (Expectorants) Action - Correct Answer - Loosens bronchial secretions so
they can be coughed up
Guaifenesin (Expectorants) Use - Correct Answer - -Dry, nonproductive cough
-some antitussive side effect
Guaifenesin (Expectorants) Side effect - Correct Answer - Nausea/vomiting
Cold Medication Care Plan Interventions/Teaching - Correct Answer - -Monitor vital
signs
-Monitor secretions
-Monitor for cough suppression & respiratory status with narcotics
-Teach proper use of nasal spray
-Increase fluids (especially with expectorants)
-Don't drive until action is known
-Decongestants can cause insomnia, take early in the day
-Read labels to know what medications are in multiple symptom control medication
-Contact HCP if cough last longer than 1 week
pg. 4
