Pharm question...

[Beachgirl101]

can anyone help with these question??? my nursing pharm class was given a take home quiz ( and was told to get together as a group). we cannot deside on these....

3. the patient diagnosed with neurogenic diabetes insipidus is prescribed vasopression tannate in oil. which instructions should the nurse teach?

a) sleep with the head of the bed elevated

b) use a tuberculin syringe to administer medication

c) administer the medication in the evening

d) alternate nares when taking the medication

answer: ___________ we think b or c

7. the male patient diagnosed with complains of urinary frequency and nocturia tells the nurse he taking the herbal supplement, saw palmetto. which statement is the nurse's best response?

a) "use of saw palmetto is an old wives tale"

b) "this herb does help shrink the prostate tissue"

c) "have you noticed any itching or rashes?"

d) "saw palmetto has been known to cause cancer"

answer: ___________ we think b or c

8. the nurse is administering morning medications. which combination of medications should the nurse question administering?

a) teraosin (hytrin) and captopril (capoten).

b) finasteride (proscar) and digoxin (lanoxin)

c) tamsulosin (flomax) and metformin (glucophage)

d) serenoa repens (saw palmetto) and metoprolol (toprol xl)

answer: ___________ we think d

10. the client in cardiogenic shock is receiving norepinephrine (levophed). which priority intervention should the nurse implement?

a) do not abruptly discontinue the medication

b) administer the medication on an infusion (iv) pump

c) check the client's creatinine level and bun

d) "monitor the client's bp continuously

answer: ___________ we think b or d

13. the nurse is preparing to administer labetalol (normodyne) iv push for a patient diagnosed with hypertensive crisis. which intervention should the nurse implement? (best answer)

a) monitor the client's labetalol serum drug level

b) keep the medication covered with tin foil

c) administer the medication slow iv push over 5 minutes

d) teach the client signs/symptoms of hypertension

answer: ___________ we think c or d

15. the nurse is preparing to administer a calcium channel blocker, a loop diuretic, and a beta blocker to a client diagnosed with arterial hypertension. which action should the nurse implement first?

a) hold the medication and notify the physician regarding medications

b) check the client's bp

c) contact the pharmacist to discuss the medications

d) double check the physicians order

answer: ___________ we think a or d

19. which drug would be given to treat neostigmine (prostigmin) overdose?

a) acetylcholine acetate (miochol)

b) atropine sulfate

c) bethanechol (urecholine)

d) kidocaine (xylocaine)

answer: ___________ we think a

21. calculate the mls of the medication to be given with each dose and every day?

the physician ordered furosemide (lasix) 2mg/kg po every 8 hrs for a child with congestive heart failure (chf). the child weighs 10kg. the pharmacist dispensed an oral solution of furosemide which indicates on the label: each ml contains furosemide 10mg. the container holds 120mls.

answer: ___________ each dose answer: ___________ every day not sure we think 240 ml every 8 hours or 720 ml a day.

22. calculate how many mls you will give (administer) for each dose and daily?

the physician ordered meperidine (demerol) 1.5mg/kg po every 4 hrs for a child status post appendectomy. the child weighs 22lbs. the pharmacist dispensed meperidine syrup. the label reads: 50mg per 5mls. there is 500mls in the bottle.

answer: ___________ each dose answer: ___________ every day dont understand at all help please...

[nrsang97, BSN, RN]

I do not mind helping with homework but you need to use some alternate resources. Have you checked the web? Some of the questions are incomplete to me. No route for #3. You need to know if it is nasal or not. But I am going to guess to alternate each nare. I have given this nasal many times. However it is supplied in injection.

I highly suggest you take a math for meds class if it is available to you. It helped me greatly.

I can help with the calculations.

#21, Child weighs 10kg, ordered for 2mg/kg. 2x10= 20mg. Dose is 20mg po q8 hours. Supplied in 10mg per ml. 10x2=20 mg. Dose is 2ml each dose. 6ml per day.

#22, convert pounds to kg by dividing 22 by 2.2= 10kg. 1.5x10=15mg.

Dose will be 15mg. Now figure out how much to give. Concentration is 50mg per 5ml. Each ml contains 10mg. You will give 1.5ml. 1.5x6=9ml/day( q4 hours is 6 times a day)

That amount in the bottle is ment to confuse you. You only need to know the concentration for dosage. I hope I made this somewhat clear. I was trying to show you my work. I decided not to use ratio and proportion as I was taught.

[Virgo_RN, BSN, RN]

Oh, PHARM question!!!! I was wondering what a pham question was.

[catlover13]

13. the nurse is preparing to administer labetalol (normodyne) iv push for a patient diagnosed with hypertensive crisis. which intervention should the nurse implement? (best answer)

a) monitor the client's labetalol serum drug level

b) keep the medication covered with tin foil

c) administer the medication slow iv push over 5 minutes

d) teach the client signs/symptoms of hypertension

answer: ___________ we think c or d

hi,

i'm getting ready to walk out the door for my job...but i've got a few minutes, and i thought i'd post.

i also thought it might be more of a help for you guys, if you got the reasoning behind the answers, not just the answers. and i'm not trying to be sarcastic or a smart a** here, but i might use some stuff to try to get the emotion, or the thoughts behind the answers...really, i'm just trying to help.

so, i skimmed your post, and this question jumped out at me...pharm is my weakest area, so i've learned what works for me, and that can be important for you too - to learn what works best for you.

now, i'm going to pick apart the question....

13. the nurse is preparing to administer labetalol (normodyne) iv push for a patient diagnosed with hypertensive crisis. which intervention should the nurse implement? (best answer)

here's your information, well, almost all of it, you get some additional clues in the a,b,c,d answers, but first what is the question asking?

really, no joke here, what is the question asking?

you have a pt dx with hypertensive crisis!!! what does this mean? really? it means, that there is a pt, who just had their vitals taken, by a health care professional somewhere...and that the healthcare professional recognized that the pt was is hypertensive crisis. that is, the b/p is so high, that the pt is in imminent danger of stroking, resulting in possible death!!!

what else do you know from the question? there has been an order given...so there is a pa or doc somewhere who has seen the sky high b/p and has made a decision to give a med as the immediate intervention...

do you see where this points you? you, a nurse, have been given an order to give a med...so your question really focuses on the giving of the med. the question even tells you the med...labetalol (normodyne). and the question also tells you how to give the me. iv push.

a) monitor the client's labetalol serum drug level

b) keep the medication covered with tin foil

c) administer the medication slow iv push over 5 minutes

d) teach the client signs/symptoms of hypertension

answer: ___________ we think c or d

now read your answers and see which fits the question..

one at a time...

a) monitor the client's labetalol serum drug level

does this fit? is this the best nursing action? what is a serum drug level? it's a level that pops up in the blood, after administration, and you're not going to have to worry about that right now. remember, you're pt is in imminent danger!!! worry about this later, if it is a concern with this drug.

b) keep the medication covered with tin foil

hmm, as i'm typing, i have not yet looked up this drug, so you're getting my reasoning (i'm hoping this helps you understand how you answer these questions).

my gut reaction - you've got to get this med on board your pt. unless it's such a sensitive drug that between the time you draw it up, go to the pt and administer, that you need to keep it under foil, i don't think this is your best answer.

c) administer the medication slow iv push over 5 minutes

ding,ding,ding!!! i think this is correct. you've got a med order, it needs to be given now, and you know that it is to be given iv. you must do no harm, and there are iv meds that must be administered slowly, so as to not hurt your pt....i'll look it up after i finish typing...

d) teach the client signs/symptoms of hypertension

look, this is a good answer, if, the question asked you about a pt coming in with a history of hypertension, and they had been keeping a log that showed that they had recorded high b/p's several times, but had not notified the primary care giver.

if your pt is in hypertensive crisis, you've got to do something now to keep them alive!!! and not stroke out, etc.

i hope this helps...

anyone else out there want to tackle a question by giving the reasoning behind the answer?

i think that lots of us can just give you the answer, a, b, c, d. but, you've got to know why that answer is correct.

please let me know if this helped!!!

try this link:

http://ccn.aacnjournals.org/cgi/content/full/23/3/30

from the article:

recommended dose and administration

labetalol is administered by repeated bolus doses given by slow intravenous injection or by continuous infusion until the desired blood pressure is achieved.

got to run....really did this help?

[Beachgirl101]

Thank you to all that applied. My college does not offer a nursing math class, but I will look other places for one (as I feel it would help greatly). The reason I was concerned with selecting slow IV push for 5 min. The medication is pushed for 2 min. usually. Does that matter?

[tvccrn, ASN, RN]

Thank you to all that applied. My college does not offer a nursing math class, but I will look other places for one (as I feel it would help greatly). The reason I was concerned with selecting slow IV push for 5 min. The medication is pushed for 2 min. usually. Does that matter?

The one problem with the labatelol question is there isn't a dose. Labatelol is given at a rate of 1 mg over 1 minute. Therefore the time would vary according to the dose. I.E.: 5mg = 5 minutes (this is the "standard" dose). BUT, 3 mg would = 3 minutes.

[Beachgirl101]

tvccrn,

Thanks!! you made the very clear. The problem with this class is the student is expected to think like a nurse, but we have not started nursing school yet. So, people like myself have to turn to this wonderful site for help. Thanks..

Does anyone know if Vasopressin tannate in oil can be administered by nasal spray or is it only injection?

[tvccrn, ASN, RN]

Beachgirl,

You say you haven't started nursing school yet. Did the class not suggest a medication guide book? Like Nursing 2007 etc. If not, you may do well by going ahead and buying one. They update them every year, but if your's isn't too old you will still find most of the meds you need in it. When I went to school (many moons ago) they didn't have herbal/drug interactions in them, but now they do and mine from 2005 is a big reference for me. I'm at home right now, but I keep mine at work for looking at whenever I need it.

[grandee3]

13. the nurse is preparing to administer labetalol (normodyne) iv push for a patient diagnosed with hypertensive crisis. which intervention should the nurse implement? (best answer)

a) monitor the client's labetalol serum drug level

b) keep the medication covered with tin foil

c) administer the medication slow iv push over 5 minutes

d) teach the client signs/symptoms of hypertension

answer: ___________ we think c or d

hi,

i'm getting ready to walk out the door for my job...but i've got a few minutes, and i thought i'd post.

i also thought it might be more of a help for you guys, if you got the reasoning behind the answers, not just the answers. and i'm not trying to be sarcastic or a smart a** here, but i might use some stuff to try to get the emotion, or the thoughts behind the answers...really, i'm just trying to help.

so, i skimmed your post, and this question jumped out at me...pharm is my weakest area, so i've learned what works for me, and that can be important for you too - to learn what works best for you.

now, i'm going to pick apart the question....

13. the nurse is preparing to administer labetalol (normodyne) iv push for a patient diagnosed with hypertensive crisis. which intervention should the nurse implement? (best answer)

here's your information, well, almost all of it, you get some additional clues in the a,b,c,d answers, but first what is the question asking?

really, no joke here, what is the question asking?

you have a pt dx with hypertensive crisis!!! what does this mean? really? it means, that there is a pt, who just had their vitals taken, by a health care professional somewhere...and that the healthcare professional recognized that the pt was is hypertensive crisis. that is, the b/p is so high, that the pt is in imminent danger of stroking, resulting in possible death!!!

what else do you know from the question? there has been an order given...so there is a pa or doc somewhere who has seen the sky high b/p and has made a decision to give a med as the immediate intervention...

do you see where this points you? you, a nurse, have been given an order to give a med...so your question really focuses on the giving of the med. the question even tells you the med...labetalol (normodyne). and the question also tells you how to give the me. iv push.

a) monitor the client's labetalol serum drug level

b) keep the medication covered with tin foil

c) administer the medication slow iv push over 5 minutes

d) teach the client signs/symptoms of hypertension

answer: ___________ we think c or d

now read your answers and see which fits the question..

one at a time...

a) monitor the client's labetalol serum drug level

does this fit? is this the best nursing action? what is a serum drug level? it's a level that pops up in the blood, after administration, and you're not going to have to worry about that right now. remember, you're pt is in imminent danger!!! worry about this later, if it is a concern with this drug.

b) keep the medication covered with tin foil

hmm, as i'm typing, i have not yet looked up this drug, so you're getting my reasoning (i'm hoping this helps you understand how you answer these questions).

my gut reaction - you've got to get this med on board your pt. unless it's such a sensitive drug that between the time you draw it up, go to the pt and administer, that you need to keep it under foil, i don't think this is your best answer.

c) administer the medication slow iv push over 5 minutes

ding,ding,ding!!! i think this is correct. you've got a med order, it needs to be given now, and you know that it is to be given iv. you must do no harm, and there are iv meds that must be administered slowly, so as to not hurt your pt....i'll look it up after i finish typing...

d) teach the client signs/symptoms of hypertension

look, this is a good answer, if, the question asked you about a pt coming in with a history of hypertension, and they had been keeping a log that showed that they had recorded high b/p's several times, but had not notified the primary care giver.

if your pt is in hypertensive crisis, you've got to do something now to keep them alive!!! and not stroke out, etc.

i hope this helps...

anyone else out there want to tackle a question by giving the reasoning behind the answer?

i think that lots of us can just give you the answer, a, b, c, d. but, you've got to know why that answer is correct.

please let me know if this helped!!!

try this link:

http://ccn.aacnjournals.org/cgi/content/full/23/3/30

from the article:

recommended dose and administration

labetalol is administered by repeated bolus doses given by slow intravenous injection or by continuous infusion until the desired blood pressure is achieved.

got to run....really did this help?

catlover, where were you when i had to go thru pharm in nsg school?

just because we had all the meds on index cards and listed all info about med does not mean we grasped it the right way. my instructor did not use rationials. thanks!