ATI PN PHARMACOLOGY PROCTORED EXAM REVIEW 2022 QUESTIONS AND ANSWERS

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Patient identifiers -Medical record number -home telephone number What lab values should a nurse monitor for a patient with chronic renal failure? ■ Urinalysis ☐ Hematuria, proteinuria, and ... alterations in specific gravity ☐ Serum creatinine - Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal failure (ARF) - Gradual increase over months to years for chronic renal failure (CRF) exceeding 4 mg/dL ■ Blood urea nitrogen (BUN) - 80 to 100 mg/dL within 1 week with ARF - Gradual increase with elevated serum creatinine over months to years for CRF - 180-200 mg/dL with (CRF) ■ Serum electrolytes - Decreased sodium (dilutional) and calcium, increased potassium, phosphorus, and magnesium ■ Complete blood count (CBC) - Decreased hemoglobin 00:0301:28 What food should you increase when taking Lasix? -increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice) Patient reports IV discomfort, what is your first action? color and temperature Sumatriptan (treats migraine headaches) adverse effect pain, tightness, pressure, or heaviness in the chest, throat, neck, and/or jaw slow or difficult speech Know about Transdermal patch -• Apply at the same time once each day, preferably in the morning. Keep patch on for 12 to 14 hr each day. • Remove the patch at night to reduce the risk of developing tolerance to nitroglycerin. Be medication-free a minimum of 10 to 12 hr each day (usually at night). • Do not cut patches to ensure appropriate dosage. • Place the patch on a hairless area of skin (chest, back, or abdomen) and rotate sites to prevent skin irritation. • Wash skin with soap and water and dry thoroughly before applying new patch. RBC Blood transfusion What to understand about Parkinson's Meds? -they don't cure disease, they slow the process. NEUPOGEN (filgrastim)-what is the appropriate route of this med? administered by subcutaneous injection or IV infusion Lisinopril therapeutic effect blood pressure answer (e.g. 120/80) Medication for Schizophrenia risperidone, Risperdal Macrodantin medication used to treat or prevent certain urinary tract infections Haldol-inform if you are taking ____________ medication. -benzodiazepine class of anti-anxiety drugs (all ending with "pam") and even, Xanax. Fosomax same as-Alendronate is used for treating osteoporosis in men and postmenopausal women. Lipitor -lowers cholesterol in blood, "statins". Reduce LDL and total cholesterol. Raise HDL. GaramycinAntibiotic that is toxic to the kidney, injected for radiology studies. Digoxin side effects -Fatigue -Bradycardia -Anorexia -Nausea/Vomiting Singulair used before exercise to prevent breathing problems during exercise (bronchospasm). What medication to administer with Tylenol overdose? acetylcysteine (Mucomyst) must be given IV HPV vaccine Human Papilloma Virus (HPV2, HPV4) - -Three doses should be given over a 6 month -interval for females at 11 to 12 years of age (minimum age is 9 years). -The second dose should be administered 2 months after the first dose, and the third dose should be administered 6 months after the first dose. -HPV4 may be given to males starting at age 9 years of age. Opioid toxicity-what to check first oxygen saturation Valporic Acid lab liver Lithium report immediately slurred speech Prednisone report sore throat Food to avoid when taking Lithium [Show More]

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