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NURS 6015 Exam 5 2025/2026 Latest Exam with Correct and Verified Answered Questions Actual Exam Guaranteed Pass A+ Graded- Marquette University
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Glucocorticoids example? prednisone prednisone mainly used at? higher, pharmacologic doses when we want anti-inflammatory, anti-immune effects prednisone adverse effects edema, fluid overload osteoporosis risk of infection--> dont get live vaccines peptic ulcer disease
hyperglycemia CNS disturbances growth suppression in children cushings disease teaching points with prednisone dont get live vaccines risk for infection do not mix with NSAIDs can cause peptic ulcer disease take in morning due to CNS disturbances what can occur with prolonged use of prednisone adrenal suppression may need alternate day dosing or taper the dose mineralocorticoid example fludrocortisone
levothyroxine drug interactions many drug interactions safest bet to take first thing in the morning before you eat or take other pills do not switch between brands levothyroxine is used for? improvement of hypothyroid symptoms S/S of levothyroxine? too high of dose symptoms of hyperthyroidism too low of dose continued signs of hypothyroidism what needs to be monitored when a pt is on levothyroxine? monitor TSH, T4 (drug has a long half life so may not see changes for 4-6 weeks) Thioamides examples propylthiouracil (PTU) and methimazole
PTU and methimazole used for? prevent formation of thyroid hormone treatment for hyperthyroidism PTU safer in pregnancy Do not take if breastfeeding PTU-->hepatotoxic what drug is commonly used for graves disease methimazole iodine solution is used for? treat hyperthyroidism can be given before thyroid surgery to prevent thyroid storm which has dangerous CV complications can cause thyroid cells to become oversaturated with iodine and stop hormone production iodine solution can cause iodism which is?
extreme caution in pregnancy and while breastfeeding take in the morning with a full glass of water, remain upright for a full 30 mins because it can leads to esophageal ulcers can cause bone pain in those being treated for paget's disease calcitonin salmon action inhibits bone resorption pt teaching with calcitonin salmon given IV or nasal spray can cause flushing of the face and hands nasal or injection site irritation rapid acting insulin example lispro
pt teaching with lispro make sure you give with the tray needs to be given right when pt eating short acting regular insulin is? often what is in a continous drip intermediate acting insulin example NPH NPH cloud in appearance roll vial gently to mix usually dosed twice daily, not necessarily in conjunction with a meal can be mixed with lispro or regular in same syringe administer within 15 min of mixing draw up clear then cloud insulin
if you suspect hypoglycemia what do you do? check glucose level if pt is conscious have them drink juice and repeat blood sugar if unconscious can give IM glucagon or D50 IV most likely to get hypoglycemic episode when the insulin is at its peak activity what should you rotate injection sites of insulin? to avoid lipohypertrophy what is insulin the drug of choice for managing diabetes during pregnancy? it does not cross placenta diabetic ketoacidosis body starts breaking down fat
characterized by fruit breath, dehydration, excessive thirst, polyuria, confusion, high blood sugars, ketones in urine Type 2 diabetic medications Sulfonylureas 1st generation: Chlorpromaide 2nd generation: Glyburide Sulfonylureas 1st and 2nd generation stimulate? pancreas to release insulin risk of hypoglycemia 1st generation chlorpropamide associated with? associated with increased risk of CV disease and death interact with protein bound drugs pt teaching with sulfonylureas patients may have an allergy
sitagliptin monitor? pancreatitis Glitazones example rosiglitazone rosiglitazone action decreases insulin resistance inhibits gluocneogensis what do you need to monitor for a pt on rosiglitazone hepatotoxicity and development of HF can cause ovulation in premenopausal women Meglitinides example repaglintide repaglintide action
rapid stimulates insulin production take with food do not take if skipping a meal gemfibrozil slows metabolism, increased risk of hypoglycemia acarbose blocks? intestinal absorption causes fermentation in intestines -->GI symptoms avoid in those the thave history of GI disorders caution if mixing metformin or sulfonylurea which also cause GI symptoms fludrocortisone treatment of cortical insufficiency, treatment of hypotension prednisone is mainly used? at higher pharmacologic doses when we want anti-inflammatory, anti immune effects
fludrocortisone is used for? adrenal insuffienicey increases sodium reabsorption sodium and water rendition and potassium excretion fludrocortisone causes? increased fluid volume loss of potassium can cause HTN increased needs during time of stress just like our own body secretes more cortisol called stress hormone when we are stressed fludrocortisone caution use in? HF when should a pt take levothyroxine?
has many drug interactions safest best is to take first thing in the morning before you eat or take other pills therapeutic effect of levothyroxine improvement of hypothyroid symptoms too high of a dose of levothyroxine symptoms of? hyperthyroidism too low of a dose of levothyroxine symptoms of? hypothyroidism when a pt is on levothyroxine what should you monitor? monitor TSH, T oxybutynin action? block spasms of the urinary bladder for patients by inhibiting effects of acetylcholine
side effects of dextroemthorphan CNS: drowsiness, dizziness respiratory depression with large doses GI: dry mouth drying of secretions drug interactions with dextromethorphan should not be combined with an MAOI can cause hypotension, fever, nausea, myoclonic jerks, coma Pseudoephedrine is a? used to be in OTC sudafed and cold/sinus medications has been replaced with phenylephrine can still get pseudoephedrine from behind the pharmacy counter have to show ID
pseudoephedrine main action? alpha 1 agonist vasoconstriction in sinuses alleviation of sinus congestions caution with what pts pseudoephedrine cautious in patients with history of HTN, heart disease, thyroid disease what should the nurse monitor when a pt is on pseudoephedrine can see stimulation of heart and increase in BP monitor HR and BP drug interactions with pseudoephedrine caution if giving with other sympathomimetic drugs diphenhydramine is used for? antihistamine blocks H1 receptors
