Pharmacology & Medication Management Flashcards
7 cards from real MSNCB practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pharmacology & Medication Management flashcards as text
A post-op patient is prescribed ketorolac (Toradol). The nurse should assess which organ system most closely during therapy?
Answer: Renal function
Ketorolac is an NSAID that can cause renal vasoconstriction and acute kidney injury, particularly in hypovolemic or older patients.
Which medication used for type 2 diabetes is associated with the highest risk of hypoglycemia when used as monotherapy?
Answer: Glipizide (Glucotrol)
Sulfonylureas like glipizide stimulate insulin release independent of blood glucose levels, making hypoglycemia the most common serious adverse effect.
A patient prescribed furosemide should be monitored for which electrolyte disturbance?
Answer: Hypokalemia
Furosemide is a loop diuretic that causes significant potassium loss in the urine, requiring routine monitoring for hypokalemia.
A nurse administers insulin glargine at 0800. When should the nurse assess the patient for peak hypoglycemic effect?
Answer: Glargine has no pronounced peak
Insulin glargine (Lantus) is a long-acting insulin with a flat pharmacokinetic profile and no pronounced peak, providing stable 24-hour basal coverage.
Which medication requires the nurse to hold it if the patient's heart rate is below 60 bpm?
Answer: Metoprolol
Metoprolol is a beta-blocker that decreases heart rate and should be withheld and the provider notified if the apical pulse is below 60 bpm.
A patient is prescribed nitroglycerine for angina. Which patient teaching point is most important?
Answer: Sit or lie down before taking nitroglycerin
Nitroglycerin causes rapid vasodilation and orthostatic hypotension, so sitting or lying down prevents falls and syncope upon administration.
A patient taking isoniazid (INH) for tuberculosis prophylaxis should receive which supplement to prevent peripheral neuropathy?
Answer: Pyridoxine (Vitamin B6)
Isoniazid interferes with pyridoxine (vitamin B6) metabolism, causing peripheral neuropathy that is prevented by concurrent B6 supplementation.