Pharmacology II BSN 315 HESI Review Rapid acting Insulin - correct answer Lispro is a rapid acting insulin ( 15 min.), so meals should be readily available at time of administration. Patients who take this are at risk for hypoglycemic reaction to occur shortly after administration. Hyperthyroidism - medication administration - correct answer Propylthiouracil (PTU) blocks the conversion of T4 to T3, which decreases hormone synthesis, and Lugol's solution (iodine, potassium iodide, together with distilled water) provides iodine needed i n the thyroid hormone molecule. When an anti-thyroid drug & iodine should be administered at least 1 hour before the PTU, which enhances the therapeutic effect of both drugs. Spironolactone - Heart failure - correct answer Hyperaldosteronism, a disease in which the adrenal glands make too much aldosterone, causing high blood pressure & low potassium levels, & spironolactone is used to spare potassium. The nurse should therefore instruct the client to limit foods that are high in potassium. Topical Antifungal - correct answer The nurse should instruct the client to obtain a prescription for an antifungal medication to treat their toenail fungal infection. Gout -medications - correct answer Uricosuric drugs promote the excretion of uric acid, & are used primarily in the treatment of chronic gout. Glaucoma miotics - side effects - correct answer Miotics cause pupillary constriction. This reduces the eyes ability to dilate at night, & decreases night vision. Bulk -Forming Laxative teaching - correct answer The nurse should inform the client that bulk -forming laxatives should be mixed with a glass of water just prior to administration & follow with an additional glass of water to prevent fecal impaction. COPD - discharge medication - correct answer Guaifenesin is a mucolytic prescribed to liquefy secretions. The nurse should review guaifenesin with the client to facilitate expectoration of thick mucus associated with COPD.
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