Test III (Pharm)

What are the first line therapies for allergic rhinitis

What are adverse effects of inhaled glucocorticoids?

How long does inhaled glucocorticoids take effect?

Oral antihistamines are most effective when taken when?

What are the two intranasal antihistamines?

Intranasal cromolyn is most effective when given when?

Examples of sympathomimetics? MOA? Admin?

AE of phenylephrine/pseudoephedrine?

How to reduce rebound congestion caused by phenylephrine/pseudoephedrine

Diff bet topical and oral sympathomimetics?

Which 2 sympathomimetics are used for abuse? prevention?

What other drugs are used for allergic rhinitis? (3)

SE of montelukast (singulair)?

2 major groups of antitussives?

benzonatate MOA; how to take?

combination cold remedies usually include:

OTC cold remedies should not be used by:

Which instruction by the nurse should be the priority for a patient scheduled to start intranasal cromolyn [NasalCrom]

Which instruction should the nurse include in the teaching for a patient prescribed cetirizine [Zyrtec] for seasonal allergic rhinitis?

Which class of drugs is most effective in preventing and treating seasonal and allergic rhinitis?

Which instruction should be included in the teaching for a patient being started on the antihistamine azelastine [Astelin]

Goals of treatment of TB

Sputum cultures of TB takes how many weeks? faster way?

The principal cause of emergence of resistance in TB is

Rule in TB therapy; rationale

2 phases of TB therapy

Patients with HIV cannot take which TB med? why?

2 tests for latent TB

Treatment of latent TB

First line drugs for TB

AE of isoniazid

Admin of isoniazid

Isoniazid can raise levels of which drug? s/s?

Besides TB, rifampin is also used for? 4

AE of rifampin (2)

Rifampin can decrease effectiveness of which meds? (3)

AE of pyrazinamide? (2)

AE of ethambutol? (1)

Which med is used instead of ethambutol for children?

The injectable drugs used for TB can cause? 2

Cycloserine AE? level?

Bedaquiline is used for? AE?

MB leprocy tx regimen?

Single-lesion leprosy tx?

Clofazimine SE?

A patient who has tuberculosis is treated with isoniazid. The nurse should monitor for which symptoms, which could indicate a vitamin B6 deficiency caused by the medication?

What are the agents used to promote follicular maturation and/or ovulation?

how is cervical mucus restored?

What is the mechanism of action of clomiphene?

Before starting therapy with clomiphene, what two things need to be ruled out?

What is the admin schedule of clomiphene?

What is the most serious AE of menotropin?

Monitoring of menotropin therapy:

Menotropin consists of what?

What is the AE of hCG?

hCG admin routes? w/ clomiphene? w/ menotropin/follitropin?

what is the pretreatment for hCG?

Which medication is a dopamine agonist used to correct amenorrhea and infertility d/t high prolactin?

Which of these instructions should a nurse give a patient who is to start taking clomiphene [Clomid]? "Have intercourse every other day for 5 to 10 days after the last dose of this medication."

When evaluating the effects of leuprolide [Lupron] in a patient who has endometriosis, a nurse should monitor the laboratory results for which hormone or hormones?

he nurse is aware that goserelin [Zoladex] has several uses, including which? (Select all that apply.)

Prinicipal inidication for androgens?

Hormone therapy has 3 indications

Which 2 antidepressants are being used to treat hot flashes?

Admin of estrogen patch? cream? gel? spray? ring?

During the follicular phase of the menstrual cycle, estrogen has which effects on the female reproductive organs?

What is the primary difference between the selective estrogen receptor modulators tamoxifen and raloxifene?

Progestins may be used to treat which conditions?

Which 2 progestins have the greatest risk for thrombosis?

Risk factors that increase risk of thromboembolism: 3

OCs should be DC'd when before surgery?

Which meds REDUCE the effects of OCs?

Which meds need be increased when used with OCs?

IUDs should only be used by who?

Mifepristone (Mifeprex) is used for what?

A patient who takes an angiotensin-converting enzyme (ACE) medication is scheduled to begin taking the Yaz oral contraceptive (OC). Which laboratory results should the nurse monitor during the first cycle of use?

A nurse obtains a health history from a patient who is scheduled to take a combination OC. Which factor in the patient's history should the nurse recognize as a contraindication to this treatment?

he nurse is aware that which 28-day regimen is least likely to simulate ovarian production of estrogens and progestins?

What is the main diff between NRTIs and NNRTIs?

Efavirenze (Sustiva) AE 4

AEs of protease inhibitors (5)

Scultpra is used to

Tesamorelin (Egrifta) is used for

Most common AE of Lopinavir/Ritonavir (Kaletra)

A cardiac AE of Lopinavir/Ritonavir (Kaletra) is

Oral solutions of Lopinavir/Ritonavir (Kaletra) should not be given to

Enfuvirtide (Fuzeon) is a? MOA? admin?

Maraviroc (Selzentry) is a? MOA? use of drug is low bc?

What are the lab tests performed in HIV therapy?

Postexposure prophylaxis (PEP) should be initiated

When should antiretroviral be given when a mother is infected with HIV; which med?

Drug of choice for pneumocystis pneumonia

What 4 meds are used to tx CMV in HIV pts

Med used for meningitis in HIV pt

med used to tx HSV in HIV pts

tx of chlamydia for adults and adolescents

tx of chlamydia for pregnant women

tx of urethral, cervical, and rectal gonorrhea

tx of PID

tx of syphillis

If pt is allergic to PCN, syphyllis can be tx with?

bacterial vaginosis is tx with?

tx for trichomoniasis

tx of genital herpes 3; MOA; admin

A patient who has HIV and is taking the nucleoside/nucleotide reverse transcriptase inhibitor (NRTI) zidovudine [Retrovir] reports vomiting, abdominal pain, fatigue, and hyperventilation. Which laboratory result is the priority for the nurse to evaluate?

A patient has been prescribed efavirenz [Sustiva]. The nurse should instruct the patient to use which administration approach to minimize central nervous system (CNS) adverse effects?

Which is the most common bacterial sexually transmitted disease (STD) in the United States, for which the Centers for Disease Control and Prevention (CDC) has recommended annual screening in certain populations?

A nurse instills 1% silver nitrate topically into the eyes of a neonate on delivery to prevent conjunctivitis caused by what?

How does sildenafil work?

AE of sildenafil

Vardenafil causes

How long is the effects of tadalafil

the PDE5 inhibitors are contraindicated to

Nonoral drugs for ED are usually given

Papapverine and alprostadil is given

what are the 2 groups of BPH drugs

Finasteride MOA? how long does it take to show effect?

AE of finasteride

What is the diff of dutasteride v finasteride?

Alpha1 adrenergic antagonists

3 of the alpha 1 blockers are nonselective

A patient has received a toxic dose of an antihistamine. It is most important for the nurse to assess the patient for what?

Which statement should the nurse include in the teaching for a patient who is to be started on zileuton [Zyflo]?

A patient who has active TB is to start a medication regimen that includes pyrazinamide. The nurse identifies a risk for complications if the patient also has which medical condition?

How is the transdermal contraceptive patch applied?

Contraceptive ring is placed?

When is combo OC initiated?

Loestrin Fe is? dosing?

Introvale, Jolessa, Quasense, Seasonale dosing?

Amethyst and Lybrel dosing?

Guideline for postpartum use of combo OCs

Causes of female infertility (5)

Baseline data needed for zodovudine

abacavir baseline data

Didanosine implementation

Ribavirin should not be combined with

Efavirenz implementation

Which beneficial metabolic effects does estrogen have in nonreproductive tissues?

Progestins may be used to treat which conditions? (Select all that apply.)

A patient tells the nurse, "I use a foam contraceptive by applying it 2 hours before having sex, and I have not gotten pregnant." What is the nurse's best response?

The nurse is aware that the primary use for misoprostol [Cytotec] is what?

Which statement is true about the NuvaRing?

The nurse is aware that which 28-day regimen is least likely to simulate ovarian production of estrogens and progestins?

A nurse should report which finding of ovarian hyperstimulation in a woman receiving menotropins?

he nurse is aware that goserelin [Zoladex] has several uses, including which? (Select all that apply.)

Which measurements should a nurse obtain to evaluate the effects of androgen therapy on the epiphyses of a patient with hypogonadism?

A nurse monitors for which adverse cardiovascular effects in a male patient taking testosterone [Androderm]? (Select all that apply.)

Which statement should a nurse include when providing teaching to a patient who is scheduled to start taking dutasteride [Avodart]?

The nurse is aware that mother-to-child transmission of HIV occurs primarily during labor and delivery. Which of the following can reduce the risk of transmission? (Select all that apply.)

Which finding does the nurse expect when assessing a male patient with secondary syphilis?

H pylori causes PUD likely d/t (4)

H pylori promotes

Zollinger-ellison syndrome is

Goal of therapy in PUD is to (4)

5 major groups of antiulcer

Tx for NSAID-induced ulcers? (2)

Drugs that reduce acidity should be admin in doses enough to

Tests for H pylori (5)

Abx used to tx H pyrlori

Bismuth SE

Metronidazole can cause

Antibiotic regimens for H pylori

H2RA promote; examples

Cimetidine absorption; therapeutic effects

Cimetidine is drug of choice for tx

AE of Cimetidine (5)

Cimetidine can increase levels of

Compared to cimetidine, ranitidine (3)

Most effective drug for suppressing gastric acid secretion

Omeprazole (Prilosec) MOA

Omeprazole tx should be

Omeprazole is used for (5)

ulcer prophylaxis should only be done (4)

AE of omeprazole (4)

PPIs have been associated with

Omeprazole decreases the effects of

Esomeprazole is used for

Sucralfate inidication; AE

Misoprostol is; therapeutic use; MOA; pregnancy category

Pts about to start Misoprostol

ondansetron MOA; SE (3)

Most effective antiemetic caused by cisplatin and other antiCA drugs

Serious AE of ondansetron?

Dose of zofran for post op n/v

Dolasetron AE

Palonosetron compared to other serotonin antagonists

Which 2 glucocorticoids are used to suppress CINV?

Aprepitant (Emend) is approved for? MOA? instruction?

Fosapretitant (Emend) is? indication?

Which benzo is used in combination with other antiemetics? benefits? (4)

Dopamine antagonist (phenothiazine) MOA; SE? (4)

Promethazine can cause

Promethazine is CI in

Which route is preferred for promethazine?

Butyrophenones drugs used for anti NV? MOA? SE?

Which 2 cannbinoids are used to prevent CINV?

Dronabinol is also used to

Cannabinoids SE

Dronabinol is classified as

Regimens for CINV

First-line therapy for NV in pregnancy

Most effective drug for motion sickness; SE? (3)

Most effective antidiarrheal agents (5)

Opioids used for diarrhea

Infectious diarrhea is

tx for infectious diarrhea

Prohyplaxis vaccine for diarrhea

nonspecific drugs for IBS include

IBS-specific drugs include

Alosetron is indicated

Alosetron should be discontinued when

Tegaserod is CI

2 IBD are

5 drugs for IBDs are

Sulfasalazine is indicated for; AE?

Indications for Mesalamine, olsalazine, balasalazide

immunosuppressants used for IBD and crohn's

Immunomodulators used for IBD and crohn's

Infliximabd (remicade) AE

Abx (Flagyl and Cipro) are only effective against

Reglan has 2 actions

Pralifermin is indicated for

A nurse administers which medication to inhibit an enzyme that makes gastric acid in a patient who has a duodenal ulcer?

The nurse is reviewing the prescriber's orders and notes that omeprazole [Prilosec] has been ordered for a patient admitted with acute coronary syndrome (ACS). The nurse should be concerned if this medication is combined with which medication noted on the patient's record?

An 80-year-old patient with a history of renal insufficiency recently was started on cimetidine. Which assessment finding indicates that the patient may be experiencing an adverse effect of the medication?

A nurse is planning care for a patient undergoing chemotherapy. The care plan includes medications to reduce chemotherapy-induced nausea and vomiting (CINV). Which regimen should the nurse recognize as effective?

A nurse teaches a patient who has ulcerative colitis about the side effects of the treatment medication, sulfasalazine [Azulfidine]. Which statement by the patient would indicate understanding of the information?

Laxatives arre contraindicated in pts with

4 classifications of laxatives based on MOA

classification of laxatives based on therapeutic effect

Metamucil; methylcellulose (bulk-forming agent) should be taken

Colace is a ? MOA?

example of stimulant laxatives?

stimulant laxatives are indicated only for

castor oil is indicated for rapid and thorough evacuation of bowels (prep for procedures)

Osmotic laxative (mg salts) are CI in

sodium phos is a? CI?

what are the fat-soluble vits?

what is the first indication of vit A deficiency?

Vit A deficiency can lead to

Vit A toxicity is referred to as? it can lead to?

Vit A (retinol) therapeutic use?

What is the UL of vit A?

classic effects of vit d deficiency

Vit E helps

High-dose vit E increases risk of

Vit K is required

Vit K deficiency can cause

In order to prevent neonatal hemorrhage,

Ther uses for Vit K

Vit C deficiency leads to

the UL for vit C is

niacin deficiency is called

riboflavin (B2) deficiency results in

thiamine (b1) deficiency has two forms

Pyridoxine (B6) deficiency results from

Pyridoxine UL is

Which vit B interferes with levodopa?

folic acid deficiency results in

recommendation to ensure sufficient folate

orlistat is used to? MOA? AE? CI? DI?

Locaserin (Belviq) is used for? MOA? AE? CI? DI?

Which 2 sympathomimetic amines are uses for wt loss?

A patient who has pellagra is taking niacin. Which outcome would be most appropriate for a nurse to establish with the patient?

Which action should a nurse take when preparing to administer vitamin D to a patient diagnosed with hyperparathyroidism?

Which of the following administration techniques would be appropriate when giving a sucralfate [Carafate] tablet to a patient with a duodenal ulcer?

The patient has an order for magnesium oxide/anhydrous citric acid/sodium picosulfate [Prepopik] to be given in 2 doses. The nurse knows that this medication is used for which indication?

A nurse administers palifermin to reduce oral mucositis from chemotherapy in a patient with which type of malignancy?

A nurse should teach a patient who takes alosetron [Lotronex] for diarrhea-prominent irritable bowel syndrome (IBS-D) to stop the medication immediately if the patient develops which condition?

A patient who has pellagra is taking niacin. Which outcome would be most appropriate for a nurse to establish with the patient?

In a patient with a thiamine deficiency, which finding would indicate the development of Wernicke-Korsakoff syndrome?

Which statement about lorcaserin [Belviq] is correct

A female patient is given a prescription for lorcaserin [Belviq]. The nurse ensures that the patient schedules an appointment with which healthcare provider?

The nurse teaches the patient to monitor for which adverse effect when taking phentermine?