Amanda Burton
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Pharmacology Quiz am Pharmacology Final Review , erstellt von Amanda Burton am 19/10/2017.

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Pharmacology Final Review

Frage 1 von 131

1

The nursing process consists of many steps and they are

Wähle eine oder mehr der folgenden:

  • Assessment

  • Diagnosis

  • Planning

  • Implementation

  • Evaluation

  • Right Drug

  • Right Time

  • Right dose

  • Right patient

  • Right route

Erklärung

Frage 2 von 131

1

Fülle die Lücken, um den Text zu vervollständigen.

What are the 6 rights of med administration for the patient.





Erklärung

Frage 3 von 131

1

This is information given by the patient or family, include the concerns or symptoms felt by the patient.

Wähle eine der folgenden:

  • Subjective data

  • Objective data

Erklärung

Frage 4 von 131

1

This involves looking and listening carefully, it is a process that helps you get information about the patient, the patient's problem, and anything that may influence the choice of drug to be given to the patient.

Wähle eine der folgenden:

  • Assessment

  • Database

  • Diagnosis

  • Planning

  • Implementation

  • Evaluation

Erklärung

Frage 5 von 131

1

This is measurable data and are obtained when the health care provider gives the patient a physical examination.

Wähle eine der folgenden:

  • Subjective

  • Objective

Erklärung

Frage 6 von 131

1

The most important time to obtain assessment data on the patient is:

Wähle eine der folgenden:

  • any time care is administered by the nurse

  • when the patient is first admitted to the hospital

  • when the patient's condition changes significantly

  • any time additional objective data is required

Erklärung

Frage 7 von 131

1

The nurse is considering various factors in planning to give a medication. The highest priority step in the planning process is:

Wähle eine der folgenden:

  • collect and use information about the patient and the medication

  • develop a teaching plan for the patient

  • decide on a reason for the administration

  • plan for special equipment that will be needed

Erklärung

Frage 8 von 131

1

The LPN is collecting data for the initial assessment of a patient upon admission to the hospital. Which action should the LPN consider to be the highest priority?

Wähle eine der folgenden:

  • Decide on special equipment that will be needed to administer the patient’s medication.

  • Monitor the patient for his response to administered medication.

  • Collect and document a complete set of baseline vital signs.

  • Review the nursing care plan to verify that it is being followed accurately.

Erklärung

Frage 9 von 131

1

Which patient is most at risk to experience a medication error?

Wähle eine der folgenden:

  • A 38-year old male patient admitted for repair of a fractured femur

  • A 14 year old female patient who is experiencing a UTI

  • A 52 year old female presurgical patient who speaks English as a second language

  • An 82 year old make who is experiencing a cardiac dysrhythmia

Erklärung

Frage 10 von 131

1

What are some ways to identify your patient:

Wähle eine oder mehr der folgenden:

  • Name

  • Birth date

  • Wrist band

  • Room number

  • Name on outside of door

  • Name on the MAR

  • Name on Medications

Erklärung

Frage 11 von 131

1

Fülle die Lücken, um den Text zu vervollständigen.

Evaluation requires the nurse to watch for the patient's response to a drug, noting both and findings.

Erklärung

Frage 12 von 131

1

These type of drugs have a potential for high abuse, an example of some of these drugs are herion, LSD, marijuana, peyote, and methamphetamine.

Wähle eine der folgenden:

  • Scheduled 1 narcotic

  • Scheduled 2 narcotic

  • Scheduled 3 narcotic

  • Scheduled 4 narcotic

Erklärung

Frage 13 von 131

1

These types of drugs have a high potential for abuse may lead to severe psychologic or physical dependence, some examples of these type of drugs are amphetamines, methadone, morphine, pentobarbital, oxycodone (Percocet).

Wähle eine der folgenden:

  • Scheduled 1 narcotics

  • Scheduled 2 narcotics

  • Scheduled 3 narcotics

  • Scheduled 4 narcotics

Erklärung

Frage 14 von 131

1

Which statements describe the nurse's responsibilities when working with controlled substances?

Wähle eine der folgenden:

  • Medication not administered during a patient's stay can be used for another patient.

  • The ability to administer controlled substances is determined by state nurse practice acts.

  • Controlled substances should be monitored for potential health care provider abuse

  • Nurses can only possess a controlled substance if they are administering them, are in control of a supply, or if the drugs have been prescribed for personal use.

  • Nurses should immediately discard any refused scheduled controlled medication in the trash.

Erklärung

Frage 15 von 131

1

Whether the prescription is for hospitalized or non-hospitalized patients, the order contains the same information:

Wähle eine oder mehr der folgenden:

  • Patients full name

  • Date

  • Name of drug

  • Route

  • Dose

  • Frequency

  • Duration

  • Signature of Prescribers

Erklärung

Frage 16 von 131

1

A physician has prescribed a "now" dose of Lasix 50 mg IV push, this dose should be administered?

Wähle eine der folgenden:

  • Immediately

  • Within 1.5 hours

  • With regular scheduled meds

  • When you finally notice the order has been put in

Erklärung

Frage 17 von 131

1

This is the tendency of the molecules of a substance to move from a region of high concentration to one of lower concentration.

Wähle eine der folgenden:

  • Diffusion

  • Osmosis

  • Filtration

Erklärung

Frage 18 von 131

1

This is the diffusion of fluid through a semipermeable membrane; the flow is primarily from the thicker or more concentrated solution or less concentrated solution.

Wähle eine der folgenden:

  • Diffusion

  • Osmosis

  • Filtration

Erklärung

Frage 19 von 131

1

This is the passage of a substance through a filter or through a material that prevents passage of certain molecules.

Wähle eine der folgenden:

  • Diffusion

  • Osmosis

  • Filtration

Erklärung

Frage 20 von 131

1

Per Mrs. Stockdale what is one of the major symptoms of someone who abuses narcotics?

Wähle eine der folgenden:

  • Constipation

  • Headache

  • Diarrhea

  • Memory loss

Erklärung

Frage 21 von 131

1

This is another route for enteral medications, for patients who cannot swallow or who are weal or nauseated may be able to take medications through this tube. It leads directly through the nose and into the stomach.

Wähle eine der folgenden:

  • Nasogastric

  • Epigastric

  • Orogastric

  • Trachostomy

Erklärung

Frage 22 von 131

1

How far in front of the patients mouth should they hold the inhaler or nebulizer for effective administration.

Wähle eine der folgenden:

  • 1 to 2 inches

  • 2 to 4 inches

  • Inside the lips

  • 1.5 to 3 inches

Erklärung

Frage 23 von 131

1

What are you going to do before you squeeze the canister for the patient to inhale the medication.

Wähle eine der folgenden:

  • Have the patient exhale

  • Have the patient hold their breath

  • Have the patient Tilt their head back

  • Have the patient put their chin to their chest

Erklärung

Frage 24 von 131

1

The patient has an order to receive packed red blood cells. The most appropriate needle gauge for the nurse to choose is:

Wähle eine der folgenden:

  • 25

  • 23

  • 21

  • 19

Erklärung

Frage 25 von 131

1

The nurse has just administered an intradermal injection. The nurse should inspect the injection site afterward for evidence of a

Wähle eine der folgenden:

  • blister

  • bleb

  • bruise

  • blood droplet

Erklärung

Frage 26 von 131

1

The nurse is administering an IM injection. The most appropriate angle for administration is:

Wähle eine der folgenden:

  • 90 degrees

  • 45 degrees

  • 30 degrees

  • 15 degrees

Erklärung

Frage 27 von 131

1

The nurse believes that the client is experiencing an allergic response to the IV fluid that is infusing. The highest priority initial action by the nurse should be:

Wähle eine der folgenden:

  • clamp the tubing

  • stop the infusion

  • monitor the patient closely

  • notify the physician

Erklärung

Frage 28 von 131

1

These are used for the relief of overactive or nonproductive coughs.

Wähle eine der folgenden:

  • Antitussives

  • Decongestant

  • Expectorant

  • Antihistamines

Erklärung

Frage 29 von 131

1

A popular Xanthine Bronchoilator that is effective in management of bronchial constriction and spasm, that is used to relax the smooth muscle cells in the bronchi and blood vessels in the lungs.

Wähle eine der folgenden:

  • theophylline (Elixophyllin)

  • albuterol (Proventil)

  • fluticasone (Flovent)

  • ipratropium bromide (Atrovent)

Erklärung

Frage 30 von 131

1

These directly affect the alpha receptors of blood vessels in the nasal mucosa, causing vasoconstriction and are used to relieve nasal congestion that accompanies allergic rhinitis, sinusitis, and upper respiratory tract infections.

Wähle eine der folgenden:

  • Antitussives

  • Decongestants

  • Expectorant

  • Antihistamines

Erklärung

Frage 31 von 131

1

When your taking a decongestant because it is over the counter it is safe to use for as long as you experience symptoms.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 32 von 131

1

These are agents that decrease the thickness of respiratory secretions and aid in their removal; So Guaifenesin is used to treat symptoms of productive cough, these type of products may be useful in chronic respiratory disease when thick mucus is a complication and are indicated in patients with cough.

Wähle eine der folgenden:

  • Antitussive

  • Decongestant

  • Expectorant

  • Antihistamine

Erklärung

Frage 33 von 131

1

While administering a expectorant your nursing actions should be to educate your patient on things that need to be done while taking this medication. You should teach them that

Wähle eine oder mehr der folgenden:

  • They should drink a full 8 oz glass of water while taking this medication

  • They should use a air humidifier while using this medication

  • They should double the dose if the original dose isn't working

  • They should continue to take this dose for as long as symptoms persist

Erklärung

Frage 34 von 131

1

A patient tells the nurse that he frequently treats his child's chronic allergies with OTC antihistamines. The most appropriate response from the nurse should be:

Wähle eine der folgenden:

  • "Antihistamines are excellent drugs to use to treat children."

  • "Antihistamines can be used with children if the child is monitored closely."

  • "Antihistamines are usually not effective when given to children."

  • "Antihistamines overdosage can be fatal, especially in children."

Erklärung

Frage 35 von 131

1

Your doctor has placed you on Flonase for your nasal congestion, is it safe for him to also administer your immunizations while on this prescription.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 36 von 131

1

What is the drug of choice in the prophylactic treatment of TB infections.

Wähle eine der folgenden:

  • Isoniazid (INH)

  • Ciprofloxacin

  • norfloxacin (Noroxin)

  • levofloxacin (Levaquin)

Erklärung

Frage 37 von 131

1

When a drug is described as an agonist, it means it:

Wähle eine oder mehr der folgenden:

  • can only work by absorption

  • will be effective against bacteria

  • produces an action similar to the body's own chemical

  • stops other chemicals from working in the body

Erklärung

Frage 38 von 131

1

Drugs that act on a receptor in the body to stop a reaction are referred to as

Wähle eine der folgenden:

  • agonists

  • partial agonists

  • antagonists

  • antireceptors

Erklärung

Frage 39 von 131

1

You've administered a medication to your patient for the first time, with a rapid response they start experiencing tightness in their throat, bronchospasm, feelings of apprehension, tingling and swelling in the face or throat, decrease in BP and elevation of heart rate, or in severe cases loss of consciousness or death.

Wähle eine der folgenden:

  • An allergic reaction

  • An anaphylactic reaction

  • An idiosyncratic response

  • A normal side effect

Erklärung

Frage 40 von 131

1

A patient comes into the clinic complaining of a nonproductive cough and muscle aches for 5 days. She has no sore throat, fever, or swollen lymph nodes. She is coughing so much that she is unable to sleep at night. The physician might order which of the following.

Wähle eine der folgenden:

  • A decongestant

  • An expectorant

  • An antitussive

  • An antibiotic

Erklärung

Frage 41 von 131

1

A patient is experiencing severe headache and pressure over her eyes. She feels congested. She has no temperature elevation. She has a past history of sinus infection. The physician might order which of the following?

Wähle eine der folgenden:

  • An expectorant

  • An antibiotic

  • An antitussive

  • A decongestant

Erklärung

Frage 42 von 131

1

You are visiting an 80 year old patient in her home. She is recieving 0.125 mg of oral digoxin (Lanoxin) daily. She also takes hydrochlorothiazide 50 mg bid. She complains of blurred vision and nausea. You observe that she is confused and disoriented at times. Which of the following might be the problem?

Wähle eine der folgenden:

  • The patient needs to have her hydrochlorothiazide increased.

  • The patient may have digitalis toxicity

  • The patient may have developed chronic heart failure

  • The patient may have Alzheimer disease

Erklärung

Frage 43 von 131

1

What are some most common adverse reactions to Antiinfectives?

Wähle eine oder mehr der folgenden:

  • hypersensitivity

  • organ toxicity

  • superinfection

  • C Diff

  • hemolysis

  • QT interval prolongation

Erklärung

Frage 44 von 131

1

Fülle die Lücke, um den Text zu vervollständigen

When your 80 year old patient is in need of medication that could possible cause a toxicity because it stores in their fat cells and builds and builds instead of working, what is a phrase that you can remember to remind you that elderly patients should take less medicine.

Erklärung

Frage 45 von 131

1

The patient is prescribed transmucosal nitroglycerin tablets. These tablets should be:

Wähle eine der folgenden:

  • chewed

  • swallowed

  • placed on the tongue

  • placed inside the cheek

Erklärung

Frage 46 von 131

1

The nurse is caring for a patient who presents to the ED with symptoms of lightheadness and palpitations. The patient is treated for supraventricular tachycardia. Once stabilized, she is discharged home with a prescription for an oral calcium channel blocker, Which medication does the nurse anticipate that the doctor will prescribe?

Wähle eine der folgenden:

  • Propranolol (Inderal)

  • Verapamil (Calan)

  • Adenosine (Adenocard)

  • Disopyramide (Norpace)

Erklärung

Frage 47 von 131

1

A patient has been prescribed Pyridium as part of treatment for a UTI. Which manifestation warrants the nurse's immediate intervention?

Wähle eine der folgenden:

  • Reddish-orange urine

  • Vertigo

  • N & V

  • Yellow Sclera

Erklärung

Frage 48 von 131

1

Which patient statement indicates an accurate understanding of the correct way to store nitroglycerin?

Wähle eine der folgenden:

  • "I can keep my medication in a cardboard shoe box."

  • "I can keep my nitroglycerin together with my other pills in my daily container."

  • "I should keep my medication in the original container including the cotton."

  • "I should store my nitroglycerin in the refrigerator."

Erklärung

Frage 49 von 131

1

A nurse is caring for a patient with a history of CAD who reports CP 6/10. After obtaining the pt's V/S and administering nitroglycerin, the nurse carefully monitors the patient for which adverse reaction?

Wähle eine der folgenden:

  • Tachypnea

  • Bradycardia

  • Hypotension

  • Hypothermia

Erklärung

Frage 50 von 131

1

The nurse is caring for a patient who is receiving nitroglycerin. Which symptom would prompt the nurse to intervene immediately?

Wähle eine der folgenden:

  • Blurred vision

  • Flushed face

  • Headache

  • Dizziness

Erklärung

Frage 51 von 131

1

The LPN has been assigned to care for a patient who is receiving a cardiotonic drug. Before administering the medication, what priority action should the nurse take?

Wähle eine der folgenden:

  • Verify the patients BUN and creatinine levels

  • Obtain the patients temperature

  • Auscultate the apical pulse rate for 60 seconds

  • Auscultate the lungs for wheezing

Erklärung

Frage 52 von 131

1

Which symptoms are indicative of digitalis toxicity?

Wähle eine oder mehr der folgenden:

  • Tachycardia

  • Mania

  • Headache

  • Nausea

  • Reddish-orange urine

  • Anorexia

Erklärung

Frage 53 von 131

1

The patient has been prescribed niacon. The nurse anticipates tthat the patient will have the most difficulty adjusting to the side effect of:

Wähle eine der folgenden:

  • hyperuricemia

  • glucose tolerance

  • flushing

  • constipation

Erklärung

Frage 54 von 131

1

Your going to administer Digoxin 0.125 mg to your patient for Atrial flutter; once obtaining their apical pulse what is a accurate pulse rate to give this medication under?

Wähle eine der folgenden:

  • < 60 or >100

  • > 60 or <100

  • > 50 or < 90

  • anywhere it doesn't matter about heart rate

Erklärung

Frage 55 von 131

1

What is a appropriate Digoxin level

Wähle eine der folgenden:

  • 0.5-2

  • 1-1.5

  • 10-20

  • 12-20

Erklärung

Frage 56 von 131

1

Lidocaine (Xylocaine) may be used for treating which of the following dysrhythmias?

Wähle eine der folgenden:

  • A fib

  • A flutter

  • Life-threatening ventricular dysrhythmias

  • Premature Atrial Contractions

Erklärung

Frage 57 von 131

1

Which of the following is a nitrate compound that is used therapeutically to abort acute attacks of angina pectoris?

Wähle eine der folgenden:

  • Quinidine sulfate

  • Nirtoglycerin

  • Digoxin

  • Minoxidil

Erklärung

Frage 58 von 131

1

A patient is scheduled to leave he hospital tomorrow. He has been instructed to take nitroglycerin sublingually if angina is experienced. Which of the following instructions concerning dosage would he be given?

Wähle eine der folgenden:

  • During an acute attack of angina, he may repeat the dose after 5 to 10 minutes if the pain is not relieved.

  • He should never repeat a dose but should notify the physician if the pain is not relieved.

  • If pain is not relieved within 3 to 5 minutes after taking a dose, he should repeat it. He may do this for three doses. If the pain is not relieved, he should chew an aspirin and go immediately to an emergency room.

  • He can take as many tablets as necessary until relief occurs.

Erklärung

Frage 59 von 131

1

The negative chronotropic side effect in patients receiving Digoxin is evidenced by:

Wähle eine der folgenden:

  • increased heart rate

  • decreased heart rate

  • decreased contraction

  • increased ectopic beats

Erklärung

Frage 60 von 131

1

These products are vasodilators and so have a direct action on vascular smooth muscle and cause it to relax, they increase the use of the other small blood vessels in the heart so that there is better oxygen supply to the inner layers of the heart muscle.

Wähle eine der folgenden:

  • Nitrates

  • Calcium channel blocker

  • Peripheral Vasodilators

  • Angioedema

Erklärung

Frage 61 von 131

1

Your patient has come to the office experiencing chest pain and elevated heart rate of 120 Sinus tachycardia, you would expect the doctor to write them a prescription for what type of dysrhythmia treatment.

Wähle eine der folgenden:

  • propranolol

  • digoxin

  • lidocaine

  • verapamil

Erklärung

Frage 62 von 131

1

Your patient has been seen in the office for a dysrhythmia, heart rate 160 irregular Afib, what would you expect the doctor to write this particularity patient a prescription for:

Wähle eine der folgenden:

  • propranolol

  • digoxin

  • lidocaine

  • verapamil

Erklärung

Frage 63 von 131

1

They prescribed your patient propranolol daily for high blood pressure, you know that this know as what type of drug

Wähle eine der folgenden:

  • Beta blocker

  • Ace inhibitor

  • Statin

  • Loop diuretics

Erklärung

Frage 64 von 131

1

They prescribed your patient lisinopril daily for blood pressure, you know that this know as what type of drug

Wähle eine der folgenden:

  • Beta blocker

  • ACE inhibitor

  • Statins

  • Loop Diuretics

Erklärung

Frage 65 von 131

1

A severe side effect of ACE inhibitors is

Wähle eine der folgenden:

  • Angioedema

  • Hypotension

  • Flushing

  • Alopecia

Erklärung

Frage 66 von 131

1

Your patient has presented with hyperlipidemia, they doctor has prescribed a HMG-CoA you understand this is what type of drug:

Wähle eine der folgenden:

  • Beta blocker

  • ACE Inhibitor

  • Statins

  • Loop Diuretics

Erklärung

Frage 67 von 131

1

The action of all diuretics is to increase fluid loss from the body. This type of drug acts directly to dilate the smooth muscles in the arterioles and works to prevent the reabsorption of sodium and chloride, may lead to the loss of large amounts of potassium and also works to promote reabsorption of calcium.

Wähle eine der folgenden:

  • Thiazides

  • Loop diuretics

  • Potassium-sparing diuretics

  • Thiazide-like sulfonamides

Erklärung

Frage 68 von 131

1

The action of all diuretics is to increase fluid loss from the body. This acts by blocking active transport of chloride, sodium, and potassium in the thick ascending loop of Henle. These are often used in patients with kidney disease and to treat CHF, cirrhosis of the liver.

Wähle eine der folgenden:

  • Thiazide

  • Thiazide-like sulfonamides

  • Loop diuretics

  • Potassium-sparing diuretics

Erklärung

Frage 69 von 131

1

The action of all diuretics is to increase fluid loss from the body. This type increases the excretion of water and sodium but saves K+, These drugs are used in patients with kidney disease, in older adult patients with poor kidney function who have hypokalemia, or in those patients with the risk for having hypokalemia.

Wähle eine der folgenden:

  • Thiazide

  • Thiazide-like sulfonamides

  • Loop diuretic

  • Potassium-sparing diuretic

Erklärung

Frage 70 von 131

1

When giving elderly patients antihypertensive medications this must be done with precaution because they are most at risk for what type of side effect?

Wähle eine der folgenden:

  • hypertensive crisis

  • postural hypotension

  • angioedema

  • hypokalemia

Erklärung

Frage 71 von 131

1

Nerves send or transmit information from the brain through chemical messengers known as:

Wähle eine der folgenden:

  • basal ganglia

  • peripheral nervous system

  • neurotransmitters

  • central nervous system

Erklärung

Frage 72 von 131

1

Patients taking phenytoin (Dilatin), should be instructed to:

Wähle eine der folgenden:

  • comply with serum liver function lab appointments

  • include foods high in vitamin D and folic acid in their diets

  • monitor for signs of infection

  • take the drug in the morning to mimic natural body systems responses

Erklärung

Frage 73 von 131

1

Antivertigo-antiemtic drugs act by:

Wähle eine der folgenden:

  • causing an increase threshold in the vomiting center

  • producing a therapeutic serum level that is monitored monthly

  • producing drowsiness and thus inhibiting nausea

  • reducing the levels of dopamine and acetylcholine

Erklärung

Frage 74 von 131

1

These type of agents block nerve impulses in the receptors of the sympathetic nervous system and so may be used for either prevention or treatment and should be given as soon as the pain begins.

Wähle eine der folgenden:

  • Antimigraine

  • Anticholinergic

  • Antiepileptic

  • Anticonvulsants

Erklärung

Frage 75 von 131

1

Your diabetic patient is having symptoms: sudden onset of nervousness, visual disturbances, hunger, malaise, cold, clammy skin, lethargy, pallor, diaphoresis, change in level of consciousness, confusion, abnormal behavior, shallow respiration's, feeling of heart pounding or racing, shakiness, sudden anxiety or tingling sensation around the mouth.

Wähle eine der folgenden:

  • hypoglycemia

  • hyperglycemia

Erklärung

Frage 76 von 131

1

Your diabetic patient is having symptoms: Increased thirst, dry mouth, frequent urination, fatigue, headache, blurred vision.

Wähle eine der folgenden:

  • hypoglycemia

  • hyperglycemia

Erklärung

Frage 77 von 131

1

The nurse is caring for a patient who is receiving treatment with an MAO inhibitor (MAOI) medication. Which patient statement indicates that the patient correctly understands dietary restrictions associated with MAOIs?

Wähle eine der folgenden:

  • "I should refrain from eating any ice cream."

  • I should refrain from drinking orange juice."

  • "I should refrain from eating chicken."

  • "I should refrain from eating avocados."

Erklärung

Frage 78 von 131

1

The LPN is caring for a patient who is being treated with an ergot alkaloid medication. Which statement about ergot alkaloids as prophylactic treatment of vascular headaches is correct?

Wähle eine der folgenden:

  • Ergot alkaloids are cholinergic drugs

  • Ergot alkaloids are adrenergic-blocking agents.

  • Ergot alkaloids are anticholinergic agents.

  • Ergot alkaloids are sympathomimetic drugs.

Erklärung

Frage 79 von 131

1

A patient calls the office and states that he has been taking sertraline (Zoloft) for almost a week without any symptom relief. How should the nurse advise the patient?

Wähle eine der folgenden:

  • "The drug should have an immediate effect on your symptoms."

  • "It may take a few weeks before you experience significant effects of the medication."

  • "You need to increase your dose of the sertraline."

  • "Your health care provider needs to add additional medications."

Erklärung

Frage 80 von 131

1

This drug is used intravenously to control seizures and is the drug of choice for treatment of status epilepticus.

Wähle eine der folgenden:

  • Diazepam (Valium)

  • Phenobarbital (Luminal)

  • pheytoin (Dilantin)

  • gabapentin ((Neurontin)

Erklärung

Frage 81 von 131

1

Your checking your patients labs and you notice that their Lithium level is within range at:

Wähle eine der folgenden:

  • 1-1.5

  • 10-20

  • 3.5-5

  • 0.8-2

Erklärung

Frage 82 von 131

1

What is the go to drug for antiparkinsinians?

Wähle eine der folgenden:

  • carbidopa-levodopa (Sinemet)

  • diphenhydramine (Benadryl)

  • diazepam (Valium)

  • lorazepam (Ativan)

Erklärung

Frage 83 von 131

1

MAOI may cause very dangerous reactions if taken with certain foods or beverages containing what ingredient?

Wähle eine der folgenden:

  • tyramine

  • milk

  • peanuts

  • shellfish

Erklärung

Frage 84 von 131

1

Which signs and symptoms are associated with narcotic use?

Wähle eine oder mehr der folgenden:

  • Confusion

  • Diarrhea

  • Psychologic dependence

  • Decreased urine output

  • Respiratory stimulation

Erklärung

Frage 85 von 131

1

The LPN is caring for a patient who is scheduled to receive his first dose of a pain medication. Which information is most important for the nurse to obtain?

Wähle eine der folgenden:

  • Ask the patient to rate his pain using a 1-to-10 scale.

  • Ask the patient about his history of allergies.

  • Ask the patient to describe his coping methods.

  • Ask the patient to describe unusual symptoms with this medication.

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Frage 86 von 131

1

Which analgesics are classified as Schedule II drugs?

Wähle eine oder mehr der folgenden:

  • Codeine

  • Fentanyl

  • Meperidine

  • Pentazocine

  • Methadone

  • Propoxyphene

Erklärung

Frage 87 von 131

1

Which patient on opioid therapy is most susceptible to the side effect of constipation?

Wähle eine der folgenden:

  • A 25-year-old female receiving chemotherapy for ovarian cancer

  • A 42-year-old male with depression

  • A 55-year-old female with sickle cell crisis

  • A 74-year-old male with a femur fracture

Erklärung

Frage 88 von 131

1

The LPN suspects that a patient may have overdosed on narcotics. Which medication does the nurse anticipate that the physician will order?

Wähle eine der folgenden:

  • Naloxone

  • Methadone

  • Nalbuphine

  • Butorphanol

Erklärung

Frage 89 von 131

1

The LPN is caring for a patient who is being treated with intramuscular injections of pentazocine. Which action is most important for the nurse to take?

Wähle eine der folgenden:

  • Rotate injection sites with every dose of medication.

  • Give the medication subcutaneously every three doses.

  • Ask the physician if the patient can take the medication orally.

  • Monitor the patient for development of blood clots.

Erklärung

Frage 90 von 131

1

A 2-year-old child has returned from surgical repair of a wrist fracture and is crying from pain. In addition to administering the prescribed analgesic, which nonpharmacologic treatment should the nurse implement?

Wähle eine der folgenden:

  • Guided imagery

  • Heat

  • Distraction

  • TENS

Erklärung

Frage 91 von 131

1

Name three drugs classified as opioid agonist analgesics

Wähle eine oder mehr der folgenden:

  • Codeine

  • Hydrocodone

  • Oxycodone

  • Narcan

Erklärung

Frage 92 von 131

1

This type of pain is usually related to an injury, such as recent surgery, trauma, or infection, and ends within an expected time.

Wähle eine der folgenden:

  • Acute

  • Chronic

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Frage 93 von 131

1

This type of pain is any pain that continues beyond the usual course of an acute injury process.

Wähle eine der folgenden:

  • Acute

  • Chronic

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Frage 94 von 131

1

This opioid mechanism of action is it binds with the receptors to activate and produce the maximum response of the individual receptor.

Wähle eine der folgenden:

  • Agonist

  • Partial agonist

  • Agonist antagonist

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Frage 95 von 131

1

This opioid mechanism of action that produces a partial response.

Wähle eine der folgenden:

  • Agonist

  • Partial agonist

  • Agonist antagonist

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Frage 96 von 131

1

The opioid mechanism of action that acts as an agonist at one type of receptor and as a competitive antagonist at another type of receptor.

Wähle eine der folgenden:

  • Agonist

  • Partial agonist

  • Agonist antagonist

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Frage 97 von 131

1

Opioid overdosage may produce sedation and respiratory depression.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 98 von 131

1

What is the first line of defense drug with osteoarthritis?

Wähle eine der folgenden:

  • Acetaminophen

  • NSAIDS

  • ibuprofen

  • Tordal

Erklärung

Frage 99 von 131

1

This type of antiinflammatory and analgesic agent causes peptic ulcers or GI bleeding if over used.

Wähle eine der folgenden:

  • Aspirin

  • Acetaminophen

  • Ibuprofen

  • NSAIDS

Erklärung

Frage 100 von 131

1

This is going to be the select all that apply question on the final so remember verbatim!!!

List four adverse reactions to thrombolytic agents?

Wähle eine oder mehr der folgenden:

  • Bleeding

  • hypersensitivity

  • dysrhythmias

  • polyneuropathy

  • hypotension

  • cholesterol embolism

  • pulmonary embolism

Erklärung

Frage 101 von 131

1

A patient is admitted to the hospital inpatient treatment unit for alcohol intoxication. After 2 days without alcohol, he is medically stable enough to begin therapy. He begins individual therapy and group sessions with AA. Prior to discharge, the physician might also start him on which of the following.

Wähle eine der folgenden:

  • Simethicone

  • Disulfiram

  • Psyllium seed

  • Magnesium hydroxide

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Frage 102 von 131

1

A laxative that works to soften the stool is an

Wähle eine der folgenden:

  • lubricant laxative

  • stimulant laxative

  • bulk forming laxative

  • emollient laxative

Erklärung

Frage 103 von 131

1

AquaMEPHYTON, vitamin K1, is an example of a/an:

Wähle eine der folgenden:

  • anticoagulant

  • hematinic

  • thrombolytic

  • hemostatic

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Frage 104 von 131

1

Vitamin K is the antidote for heparin overdose

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 105 von 131

1

Coumarin or indandione derivatives are indicatedfor long term therapy.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 106 von 131

1

The coumarin and indandione derivatives destroy existing blood clots

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 107 von 131

1

Wähle von der Aufklappliste, um den Text zu vervollständigen.

All anticoagulants prevent ( formation of blood clots, block the ability of platelets to stick ), or thrombi, by interfering with this complex clotting mechanisms of blood and increasing the time it takes for blood to clot.

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Frage 108 von 131

1

Vitamin K must be present to produce and other clotting factors that are made in the:

Wähle eine der folgenden:

  • liver

  • small intestine

  • large intestine

  • gallbladder

Erklärung

Frage 109 von 131

1

Fülle die Lücke, um den Text zu vervollständigen

is the drug of choice in treating ischemic stroke.

Erklärung

Frage 110 von 131

1

The prothrombin time (PT) of a patient who is on long term Coumadin prophylaxis should be:

Wähle eine der folgenden:

  • within the range of the activated partial thromboplastin time (PTT)

  • unchanged

  • 1.5 to 2 times the normal valve

  • 3 o 4 times the normal valve

Erklärung

Frage 111 von 131

1

An OTC medication used for a suspected thrombolytic event is

Wähle eine der folgenden:

  • Coumadin

  • aspirin

  • streptokinase

  • Tylenol

Erklärung

Frage 112 von 131

1

A patient receiving long-term anticoagulant therapy (Coumadin) should:

Wähle eine der folgenden:

  • receive daily assessment of INR levels

  • consume foods high in vitamin C

  • limit foods high in vitamin K

  • use aspirin for pain relief

Erklärung

Frage 113 von 131

1

List examples of when anticoagulant therapy is used:

Wähle eine oder mehr der folgenden:

  • to prevent new clot formation

  • stop existing clots from growing

  • prophylactically during & after surgery

  • patient with heart valve disease

  • hemodialysis

  • head injury

Erklärung

Frage 114 von 131

1

List some drugs that increase the risk of bleeding and hemorrhage in a patient receiving heparin.

Wähle eine oder mehr der folgenden:

  • Coumarin

  • methimazole

  • propylthiouracil

  • ASA

  • NSAIDS

  • Antihistamines

  • digitalis

  • nicotine

  • tetracycline

Erklärung

Frage 115 von 131

1

Wähle von der Aufklappliste, um den Text zu vervollständigen.

The nurse should carefully monitor the vital signs of a patient receiving thrombolytic therapy and carefully observe for ( bleeding, loss of consciousness, confusion, need for urination ).

Erklärung

Frage 116 von 131

1

List two uses for thrombolytic agents.

Wähle eine oder mehr der folgenden:

  • to dissolve clots from pulmonary emboli or a coronary artery thrombosis

  • clear IV catheters obstructed by clotted blood or fibrin

  • to form clot to keep patient from bleeding

  • an agent you place in the IV to keep the blood from back up into it

Erklärung

Frage 117 von 131

1

What is the typical INR goal for a patient

Wähle eine der folgenden:

  • 2-3

  • 1-1.5

  • 10-20

  • 0.8-2

Erklärung

Frage 118 von 131

1

How do they determine the dose for heparin therapy?

Wähle eine der folgenden:

  • WT

  • HT

  • BMI

  • AGE

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Frage 119 von 131

1

You can give heparin two ways:

Wähle eine oder mehr der folgenden:

  • IV

  • SUBQ

  • IM

  • TABLET

Erklärung

Frage 120 von 131

1

What is the lab for Heparin check

Wähle eine der folgenden:

  • aPTT

  • PT/INR

  • PT

  • INR

Erklärung

Frage 121 von 131

1

What is the Lab check for warfarin/coumadin?

Wähle eine der folgenden:

  • PCTA

  • aPTT

  • DVT

  • PT/INR

Erklärung

Frage 122 von 131

1

This type of insulin normal ends in Log is always clear has an onset of 5-15 mins. Examples: Lispro (Humalog), aspart (Novolog)

Wähle eine der folgenden:

  • Rapid-acting

  • Short-acting

  • Intermediate-acting

  • Long-acting

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Frage 123 von 131

1

This type of insulin normal begins with an R is clear is the only one that can be given IV has an onset of 30-60 mins.

Wähle eine der folgenden:

  • Rapid-acting

  • Short-acting

  • Intermediate-acting

  • Long-acting

Erklärung

Frage 124 von 131

1

This type of insulin always begins with an N, never used on a sliding scale, cloudy in color has an onset of 2-4 hours

Wähle eine der folgenden:

  • Rapid-acting

  • Short-acting

  • Intermediate-acting

  • Long-acting

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Frage 125 von 131

1

This type of insulin always begins with an L is never used on sliding scale is clear in color, used in high doses, never mixed with anything requires NO CBG or accucheck with this one and has no peak time.

Wähle eine der folgenden:

  • Rapid-acting

  • Short-acting

  • Intermediate-acting

  • Long-acting

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Frage 126 von 131

1

This is a proton pump inhibitor that decreases the amount of acid produced in the stomach

Wähle eine der folgenden:

  • Protonix

  • Levothyroxine

  • Simethicone

  • Acetaminophen

Erklärung

Frage 127 von 131

1

A patient is found to have hyperthyroidism. The doctor wants to start her on medication therapy before performing surgery. He is most likely to prescribe which of the following?

Wähle eine der folgenden:

  • Levothyroxine (Levothrid, Synthroid, others)

  • Liotrix (Thyrolar)

  • Liothyronine (Cytomel, Triostat)

  • Propylthiouracil (PTU)

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Frage 128 von 131

1

Wähle von der Aufklappliste, um den Text zu vervollständigen.

( Hyperthyroidism, Hypothyroidism ) is where your fingers are clubbed, you have tremors, elevated diarrhea, intolerance to heat, fine straight hair, bulging eyes, facial flushing, enlarged thyroid, tachycardia, elevated BP, breast enlargement, WT loss, muscle wasting and localized edema.

Erklärung

Frage 129 von 131

1

Wähle von der Aufklappliste, um den Text zu vervollständigen.

( Hypothyroidism, Hyperthyroidism ) is where you have hair loss, apathy, lethargy, dry skin, muscle aches, constipation, intolerance to cold, receding hairline, facial and eyelid edemas, dull-blank expression, extreme fatigue, thick tongue, slow speech, anorexia, brittle nails and hair, and menstrual disturbances.

Erklärung

Frage 130 von 131

1

Your checking your patient's PT/INR what is the normal ranges that your looking for?

Wähle eine der folgenden:

  • 1.5-3.5

  • 2-3

  • 0.5-2

  • 10-20

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Frage 131 von 131

1

Your patient's specific gravity should be within 1.010-1.030

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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