NUR 214 Exam 5 Medications Review Questions and Correct Answers
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Course
NUR 214
Institution
NUR 214
Which medication class is Hydroxychloroquine? Anti-rheumatic, disease-modifying
What is the action of Hydroxychloroquine in the body? Inhibiting movement of WBC to certain body sites, which impairs antigen-antibody reactions. This will help decrease inflammation in rheumatic areas (joints)
What i...
NUR 214 Exam 5 Medications Review
Questions and Correct Answers
Which medication class is Hydroxychloroquine? ✅Anti-rheumatic, disease-modifying
What is the action of Hydroxychloroquine in the body? ✅Inhibiting movement of WBC
to certain body sites, which impairs antigen-antibody reactions. This will help decrease
inflammation in rheumatic areas (joints)
What is Hydroxychloroquine mainly used for? What are 2 other disease processes it
can be used for? ✅Mainly used for lupus, can also be used for malaria or rheumatoid
arthritis (hence the "anti-rheumatic" effects!)
What route do we typically give Hydroxychloroquine? ✅PO
What are the 5 side effects of Hydroxychloroquine?
*Hint: think about what the action is in the body! ✅1) Tinnitus
2) Hypotension
3) Blurred vision
4) Photosensitivity
5) Bone marrow suppression
What is important to teach the patient to do when taking Hydroxychloroquine? Why?
✅Avoid extreme temperatures. If it cannot be avoided, wear protective clothing and
sunscreen while outside. Photosensitivity is a side effect!
What 3 adverse effects should we teach the patient to report while taking
Hydroxychloroquine? Explain why. ✅1) Hearing problems- tinnitus may occur
2) Vision changes- blurred vision may occur
3) Bleeding/ bruising- bone marrow suppression may occur
What is the main lab we should monitor when a patient is taking Hydroxychloroquine?
Why? ✅We should monitor the CBC because this med can cause bone marrow
suppression, which we know can cause pancytopenia.
What class of medications is Nystatin? ✅An anti-fungal
What is the action of Nystatin in the body? ✅Binds to sterols in fungal cell membrane,
changes the cell wall permeability, which helps to destroy fungal cells.
What do we use Nystatin for? What is the route?
*Hint: what we use it for is the route we also give it ✅Oral and/ or intestinal Candida
infections, so we give it PO
, How do we administer Nystatin correctly? (4 rules) ✅1) Can swab mouth or patient can
swish/ swallow if able
2) Shake before administering
3) Use AFTER oral care
4) Ensure patient does not eat or use any other mouthwash after administering so it can
sit in mouth and work
What class of medications is Filgrastim? ✅A hematopoietic growth factor (helps create
new blood cells)
What is the action of Filgrastim in the body? ✅Stimulates the production, maturation,
and activation of neutrophils to increase migration
What routes can we give Filgrastim? ✅SQ or IV
What is Filgrastim used for? ✅Treats neutropenia (low WBC) after chemotherapy or a
bone marrow transplant
What is the 1 side effect that Filgrastim may cause? Where in the body is the most
common place we may see it? Based on this side effect, what is an intervention we can
do to help it? ✅-Bone pain, mainly in areas of body that have a lot of bone marrow
(ribs, vertebrae, sternum, pelvis).
-We can give a PRN analgesic for bone pain.
What is a nursing intervention we should do for a patient taking Filgrastim?
*Hint: think about the action of this med in the body! ✅1) Monitor WBC count (the
ANC)
What class of medication is Cyanocobalamin? ✅Vitamin B12, a water-soluble vitamin
What is the action of Cyanocobalamin in the body? ✅Co-enzyme for metabolic
functions such as: fat and carb metabolism, protein synthesis, cell replication, and
hematopoiesis. Vitamin B12 is an important ingredient in the formation of RBC
What are the routes we can give Cyanocobalamin? How often do we give them?
Explain why we give them via those routes.
*Hint: the routes and times are based on the type of anemia we are treating ✅-For
vitamin B12 deficiency anemia, we give it PO daily. We give it PO because the body is
able to absorb vitamin B12, there is just a dietary deficiency of it, so a daily PO
supplement is sufficient.
-For pernicious anemia, we give it IM or intranasally weekly or monthly. We DO NOT
give it PO because the body lacks intrinsic factor, which causes the GI tract to become
unable to absorb vitamin B12. So if we give it PO, it will not be absorbed into the body!
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