pharmacology

SITUTATION: Mr. Don Romantiko , a 64 yearol! "arten!er ha! e#perience! a $en$ation o% che$t
tightne$$, che$t pain, $&eating an! a %eeling o% apprehen$ion. A !iagno$i$ o% 'AD &ith angina
pectori$ &a$ e$ta"li$he!.
1. The physician orders for nitroglycerin tablet. The nurse knows that the pharmacological
action of the drug is: DILATE TE !"#"$A#% A#TE#IE&
'. The nurse gi(e instructions to the patient on nitroglycerin intake. e remarked) *I think I
will try not to take too many of these pills.+ At this instance) the nurse,s -E&T reply would
be: *%". /ILL -E $EEDI$0 "$L% T#EE TA-LET& T" EA&E TE 1AI$ A$D
I2 .$#ELIE3ED) %". 4.&T &EE5 4EDI!AL ATTE$TI"$.+
6. The nurse must emphasi7e to the patient which "$E of the following side effects of
nitroglycerin8 EADA!E
9. A patient is taking Lo(astatin : a Lipid lowering drug. The nurse should ad(ice the patient
to: TA5E TE D#.0 AT -ED TI4E
;. The nurse applies the ordered nitroglycerin ointment on the patient,s chest wall. /hich
nursing action is considered inappropriate8 &E &1#EAD& TE "I$T4E$T /< E#
2I$0E#&
=. /hich of the following antihypertensi(e drugs is an e>ample of Angiotensin?' #eceptor
-lockers @A#-sA 8 I#-E&A#TA$
B. Don #omantiko asked the nurse what he could do about his concern about se> acti(ity. The
nurse best suggests: &.00E&T& TAT I& /I2E A&&.4E TE T"1 1"&ITI"$
C. The nurse understands that her discharge teaching is effecti(e regarding lifestyle
modification when the patient says: *I /ILL &T"1 /AT I4 D"I$0 /E$E3E# I
A3E 1AI$ A$D TA5E TE 1ILL+
SITUATION: Manny (ac)*te i$ a!mitte! to the me!ical &ar! &ith the !iagno$i$ o% e$$ential
hyperten$ion. +e ha! hyperten$i,e emergency - ho*r$ ago an! &a$ ho$pitali.e! %or %*rther
o"$er,ation.
D. The nurse administers prescribed anti?hypertensi(e meds. If it can be any of the following)
she will check the pulse prior to gi(ing : 4ET"1#"L"L
1E. After administering a blood pressure lowering agent) the nurse must caution the patient:
T" A3"ID A-#.1T !A$0E "2 1"&ITI"$ or T" TA5E /A#4 &"/E#
I44EDIATEL% A2TE# TA5I$0 TE D#.0
11. The nurse prepares to gi(e a diet appropriate for a hypertensi(e patient. /hich food should
the nurse include in the menu8 2#E& !IT#.& F.I!E A$D !A5E
1'. If the physician orders !aptopril as the house medication for the high -1) the nurse must
caution that the side effect of this drug that is disturbing is : !".0
16. After taking Aluminum hydro>ide @AmphogelA for the therapy of ulcer) the patient should
e>pect to e>perience: DI22I!.LT% I$ DE2E!ATI"$
19. The nurse determines that the following drugs are anti?ulcer drugs that can be prescribed
by the physician to the patient. "ne is not included: ' -L"!5E#&
SITUATION: Mr. (eenag Samantalahan, 6/ y.o. 0*$ine$$man a&aken$ in the mi!!le o% the night
&ith !y$pnea, "ilateral "a$ilar rale$ na! %rothy $p*t*m. +e i$ "ro*ght to the Mahi&aga ho$pital.
+i$ !iagno$i$ i$ conge$ti,e heart %ail*re.
1;. The physician gi(es the patient furosemide and digo>in. The nurse,s main concern is to:
"-&E#3E 2"# &I0$& A$D &%41T"4& "2 %1"5ALE4IA
1=. The mechanism of action of digo>in that makes it useful in patients with !2 is that it:
E$A$!E& !A#DIA! !"$T#A!TILIT%
1B. The nurse is (ery (igilant about digo>in o(erdose. /hich one statement below by the
patient may alert the nurse of a possible de(elopment of to>icity8 *$.#&E) I D"$,T
2EEL LI5E EATI$0 2"# TE 1A&T 2E/ DA%&.+
1C. The nurse e(aluates that the drug digo>in is effecti(e when the patient manifests:
I$!#EA&ED .#I$E ".T1.T
1D. The following manifestations must be assessed by the nurse to detect beginning digitalis
to>icity with the e>ception of: %1E#TE$&I"$
'E. The nurse instructs the patient on diet modification during digitalis therapy. &he is certain
that her teaching is effecti(e when the patient will choose all the food items below) e>cept:
2LA3"#ED 0ELATI$ A$D I!ED TEA
'1. The nurse obtains an apical pulse at 'C beats<min. &he is bringing the ne>t dose of digo>in
and then proceeds to do which one action below8 AD4I$I&TE# TE D#.0
SITUATION: Mr. 1o$o, an 23 yearol! a!ole$cent i$ $een in the health center "eca*$e o% ea$y
%atiga"ility an! %re)*ent !i..ine$$.
''. The health center physician determines that he has de(eloped haemolytic anemia after
taking antibiotic. The nurse will anticipate this is caused by which antibiotic8
TET#A!%!LI$E
'6. The nurse administers the oral iron tablet. e will gi(e the medication: /IT A&!"#-I!
A!ID
'9. The nurse instructs the patient taking cisplatin that the most common &E of this is:
%1E#E4E&I&
';. The doctor decides to order iron de>tran one ampule. The nurse prepares to administer the
drug: I$T#A4A&!.LA#) G?T#A!5 4ET"D
'=. 5nown as the fastest acting insulin of all time: A&1A#T
SITUATION: Mr$. 'ynthia 4illar, 56 yearol! actre$$ i$ a!mitte! "eca*$e o% a !iagno$i$ o% !eep
,ein throm"o$i$ 7D4T8.
'B. The nurse employs which of the following non?pharmacological measures in caring for
4rs. 3illar8 ELE3ATE TE LE0& /IT A 1ILL"/
'C. The physician orders eparin $a for 4rs. 3illar. The nurse understands the reason for this
therapy is that: TE#E I& A $EED T" 1#E3E$T 2.#TE# !L"T 2"#4ATI"$ I$
TE I$3"L3ED 3E&&EL&
'D. If the doctor orders for heparin therapy monitoring) the nurse must obtain which laboratory
tests from the lab unit8 1A#TIAL T#"4-"1LA&TI$ TI4E
6E. The abo(e laboratory (alue must is considered therapeutic if the result is about: '> TE
$"#4AL
61. The nurse must administer heparin to 4rs. 3illar. &he determines that the most common
routes of administration are : &! and I3
6'. /hen the nurse is monitoring the patient for digo>in o(erdose) she is obser(ing for the
following signs<symptoms) e>cept8 E1I&TAHI&
66. The specific treatment for schistosomiasis and other helminthic infection is:
1#AGII.A$TEL
69. The type of diuretic that is used for increased I"1 and increased I!1: "&4"TI!
DI.#ETI!&
6;. /hich one effect of parenteral 3ancomycin therapy will cause prority nursing concern8
#ED$E&& "2 .11E# T#.$5 @#ED$E!5 &%$D#"4EA
6=. In the e(ent of an o(erdose of insulin) the nurse prepares which one antidote for to>icity8
!"LA
6B. The doctor switched from standard heparin to low molecular weight heparin @L4/A
inJection. The ad(antage of L4/ o(er the standard heparin is: TE L4/ D"E&
$"T $EED 2#EI.E$T LA-"#AT"#% 4"$IT"#I$0
6C. In the treatment of cholinergic crisis) one of the following drugs commonly used:
AT#"1I$E
6D. If 4rs. Amor is discharge with /arfarin $a) the nurse must include in her discharge
teaching which one8 #E1"#T A$% -#I0T #ED -L""D I$ TE &T""L "# .#I$E
9E. The nurse must remind the patient that warfarin therapy is monitored with the use of which
laboratory e>aminations8 1T and I$#
SITUATION: Mr$. 9im ha! a pre,io*$ attack o% mil! $troke an! coronary artery !i$ea$e. She i$
taking A$pirin.
91. The reason aspirin is utili7ed as an anti?platelet medication is because: A&1I#I$
A22E!T& TE T#"4-"HA$E 1#"D.!TI"$ "2 TE 1LATELET.
9'. The nurse administers aspirin: /IT 4EAL&
96. 4rs. 5im had a sudden se(ere and prolonged chest pain. Acute 4I is suspected. The nurse
anticipates the doctor to order a fibrinolytic ) and this may be: &TE1T"5I$A&E
99. If the abo(e drug is ordered to be gi(en I3 drip) the nurse must be aware of which
potential effect8 %1E#&E$&ITI3IT% #EA!TI"$
9;. If the patient is recei(ing tissue plasminogen acti(ator) the nurse must make which one
priority inter(ention8 "-TAI$ A &TA$D -% A4I$"!A1#"I! A!ID
9=. The effecti(eness of thyroid replacement hormone can be e(aluated as successful when the
client e>periences: I$!#EA&E I$ 1%&I!AL A!TI3IT%
9B. Fewpampam C y.o. pupil is diagnosed with tonsillitis with known allergy to penicillin.
/hat is the drug that is usually gi(en8 E#%T#"4%!I$
9C. Drug therapy for rheumatoid arthritis: &ALI!%LATE&
9D. Drug that will respond best for methotre>ate to>icity8 LE.!"3"#I$
;E. A powerful physical antidote that absorbs most poison is: A!TI3ATED !A#!"AL
;1. 4s. Tina Talakan is ha(ing asthma) he is taking corticosteroid and bronchodilator) you
instruct him to: TA5E TE -#"$!"DILAT"# 2I#&T) TE$ &TE#"ID
;'. Disulfiram @antabuseA therapy is to be continued at home) the nurse should warn 2ernando
to a(oid: !".0 4EDI!I$E
;6. The nurse should teach client during 4onoamine o>idase inhibitors @4A"IA therapy to
a(oid consuming: !EE&E
;9. The drug of choice for client rush in the E# suffering from sei7ure is : DIAGE1A4
@3ALI.4A
;;. The therapeutic serum le(el of Lithium on an adult is: E.;?1.; mEK<L
;=. The nurse should gi(e one of the following instructions to Almiro who is on 1T.
@1rophylthiouracilA regimen: *%". 4.&T #E1"#T &"#E T#"AT+
;B. /hich of these chemotherapy drugs has a to>ic effect causing bone marrow depression)
diarrhea) stomatitis) and nausea and (omiting8 -.&.L2A$
;C. 4ia is taking chemotherapy. The nurse has to assess for signs and symptoms of
une>plained palpitations if the drug prescribed is: DA.$"#.-I!I$
;D. /hen assessing a female client who is recei(ing Antithyroid drugs) which of the following
would alert the nurse8 LETA#0%
=E. 4etronida7ole is ordered) one of the temporary side effects of this drug that you must
e>plain to your client is: 4ETALLI! TA&TE