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Pharmacology Exam 1

Beschreibung

Quiz on Pharmacology Exam 1, created by katie Schwaiger on 09/08/2017.
katie Schwaiger
Quiz von katie Schwaiger , aktualisiert more than 1 year ago
katie Schwaiger
Erstellt von katie Schwaiger vor etwa 7 Jahre
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Zusammenfassung der Ressource

Frage 1

Frage
The study of what the drug does to the body is called what?
Antworten
  • Pharmaceutica
  • Pharmcodynamics
  • Pharmacokinetics
  • Pharmacotherapeutocs

Frage 2

Frage
In which step of the nursing process does the nurse determine the outcome of medication administration
Antworten
  • Planning
  • Evaluation
  • Assessment
  • Implementation

Frage 3

Frage
The nurse plans care for a male patient who is 80 years old. The nursing diagnosis is non compliance with the medication regimen to living alone, as evidence by uncontrolled blood pressure. What should the nurse do next?
Antworten
  • Enlist the help of a home care nurse for pharmacotherapy
  • Examine the results of nursing help with medications
  • Collaborate with the provider on a new regimen
  • Assess the impact of home self management of medications

Frage 4

Frage
Which statement is an example of objective data
Antworten
  • The patient states that she has a headache
  • The patient has clear urine
  • The patient says that she feels like someone is touching her arm
  • The patient has had a fever for 5 days
  • The patient says that she has felt tired for almost a week

Frage 5

Frage
What things should the nurse checked her prescription with the patient
Antworten
  • The patients home address
  • The route of administration
  • The age of the patient
  • The signature of the prescriber
  • The patients emergency contact

Frage 6

Frage
What information should the nurse chart when documenting medication administration
Antworten
  • The time of administration
  • Information about an "incident report" in the patients chart
  • The patients age
  • The route of administration
  • The dosage of medication administered

Frage 7

Frage
What is the study of physiochemical properties of drugs and how they influenced the body called?
Antworten
  • Pharmacology
  • Pharmacokinetics
  • Pharmacodynamics
  • Pharmacotherapeutics

Frage 8

Frage
What statement best describes pharmacokinetics
Antworten
  • Adverse effects and toxic reactions to medications
  • Physiologic interactions between a drug in body cells
  • Converts medication into its active chemical substance
  • What the body does to a drug after it is administered

Frage 9

Frage
What is another term for biotransformation of a drug
Antworten
  • Dilution
  • Excretion
  • Absorption
  • Metabolism

Frage 10

Frage
A drug given by which route is altered by the first pass effect
Antworten
  • Oral
  • Sublingual
  • Intravenous
  • Subcutaneous

Frage 11

Frage
Drug half-life is defined as the amount of time required for 50% of a drug to
Antworten
  • Be absorbed by the body
  • Excert a response
  • Be eliminated by the body
  • Reach a therapeutic level

Frage 12

Frage
Which nursing action will increase the absorption of a medication administered intramuscularly
Antworten
  • Massage the site after injection
  • Apply ice pack to the injection site
  • Lower the extremity below the level of the heart
  • Administer the medication via the z track method

Frage 13

Frage
When administering two medications that are highly protein-bound the nurse understands to monitor the patient carefully for which effect
Antworten
  • A short duration of medication action
  • Increase in the risk of drug drug interactions
  • Immediate improvement in the patient's condition
  • Hypovolemic shock caused by a low albumin level

Frage 14

Frage
To achieve the most rapid onset of action the healthcare provider will prescribe the medication to be administered by which route
Antworten
  • Intrathecally
  • IV
  • IM
  • Subcut

Frage 15

Frage
A patient with renal failure would most likely have problems with which pharmacokinetic process
Antworten
  • Excretion
  • Absorption
  • Metabolism
  • Distribution

Frage 16

Frage
What is the ratio between a drugs therapeutic effects and toxic effects called
Antworten
  • Affinity
  • Tolerance
  • Therapeutic index
  • Cumulative effect

Frage 17

Frage
A patient asks the nurse why a lower dose of IV pain medication is being given the in the previous oral dose. What is the nurses best response to the patient?
Antworten
  • Medication given orally bypasses the portal circulatory system
  • Medications given intravenously are not affected by the first pass effect
  • Drugs in ministered intravenously enter the portal system before the systematic distribution
  • A large percentage of an intravenously administered drug is metabolized into inactive metabolites in the liver.

Frage 18

Frage
The nurse understands that drugs exert their actions onto the body by what process
Antworten
  • Interacting with receptors
  • Altering metabolic chemical processes
  • Making the cell perform a new function
  • Inhibiting the action of a specific enzyme

Frage 19

Frage
The nurse knows that which factors will affect the absorption of orally administered medications
Antworten
  • Time of day
  • PH of the stomach
  • Form of drug preparation
  • Patient in high Fowlers position
  • Presence of food in the stomach

Frage 20

Frage
When calculating pediatric dosages, The nurse understands that which method is most accurate for calculating dosages
Antworten
  • Use of drug reference recommended based on milligrams/kilograms of body weight
  • Calculated doses based on body weight need to be increased by 10% because of immature Renal and hepatic function
  • Do search calculation by body surface area because it takes into account the different size for children and neonates
  • Medication dosing calculated according to body weight because it is based on maturational growth and development

Frage 21

Frage
The nurse is teaching a pregnant patient about the effects of medication on fetal development the nurse understands the greatest risk for medication effects on developing fetus is occur during which time.
Antworten
  • First trimester
  • Second trimester
  • Third trimester
  • Birthing process

Frage 22

Frage
Knowing that the albumin and neonates and infants has a lower binding capacity for medications the nurse anticipates the healthcare provider will perform which action to minimalize the risk of toxicity
Antworten
  • Decrease the amount of drug given
  • Increase the amount of drug given
  • Shorten the time interval between doses
  • Administer the medication intravenously

Frage 23

Frage
The physiologic changes that normally occur in older adult patients have which implication for drug response
Antworten
  • Drug elimination is faster
  • Drug metabolism is quicker
  • Drug half-life is Lengthened
  • Protein binding is more efficient

Frage 24

Frage
While conducting a health history for an older patient with heart failure the patient tells the nurse I have chronic constipation the nurse suspects this gastrointestinal complaint is caused by which class of drugs
Antworten
  • Anticoagulants
  • Calcium channel blocker's
  • Potassium sparing diuretics
  • Nonsteroidal anti-inflammatory drugs

Frage 25

Frage
The nurse working in a prenatal clinic recognizes that the safety or potential harm of drug therapy during pregnancy relate to what factor
Antworten
  • Fetal sex
  • Drug properties
  • Diet of the mother
  • Maternal blood type

Frage 26

Frage
The mother of a one-month-old infant calls the clinic and asks the nurse if the medication she is taking can be passed to her infant during breast-feeding what is the nurses best response to the mother
Antworten
  • You should not take any medications while breast-feeding
  • Only certain medications will pass to infants while breast-feeding
  • I will leave the healthcare provider a message to return your call
  • Drugs can cross from mother to infant in breastmilk so it will depend on the drug that you are taking

Frage 27

Frage
A nurse working with older adult patient is concerned about the number of medications prescribed for each patient which older adult assessment should be of highest priority related to polypharmacy
Antworten
  • Drug interactions
  • Cost of medications
  • Schedule of medications
  • Non-adherence to drug regimen

Frage 28

Frage
What is the nurses role in the development of new and investigational drugs
Antworten
  • Select health the older adult patient to participate in phase 1 studies
  • Identify patients to receive a placebo drug during phase 3 studies
  • Monitor and report any adverse effects observed during phase four studies
  • Inform patients of their specific drug they were received during phase 2 studies

Frage 29

Frage
What is the professional responsibility of the nurse
Antworten
  • Use beneficence The duty to do no harm to the patient
  • Withhold information from the patient as requested by the family
  • Impose his or her own values on the patient when doing so would help the patient
  • Transfer care of patient to another professional nurse if caring for the patient would violate personal ethical principles

Frage 30

Frage
Which statement best reflects the nurses understanding of cultural influences on drug therapy and other health practices
Antworten
  • Dietary habits and practices can be of little value to the care of a sick adult
  • Most cultures are fairly standard in reference to the use of medications during illness
  • Administration of some drugs may elicit varied responses in specific racial and ethnic groups
  • Regardless of ones cultural background it is crucial to adhere to recommended medical practices

Frage 31

Frage
When teaching a patient about the legalities regarding a prescription for methylphenidate (Ritalin) which statement is most accurate
Antworten
  • Ridellan is a C3 controlled substance for which a prescription will expire in six months
  • Ridellan is a c4 controlled substance that is only to be refilled five times per prescription
  • Ridellan is a C1 controlled substance that can only be prescribed according to an approved protocol
  • Ridellan is a C2 controlled substance that cannot be refilled and can only be refilled with a written prescription

Frage 32

Frage
The nurse is assessing a patient is culture and race on admission to the hospital which concept is important for the nurse to understand regarding drug therapy as it relates to different races and individuals
Antworten
  • Polypharmacy
  • Polymorphism
  • Pharmacokinetic
  • Pharmacodynamics

Frage 33

Frage
A emergency department nurse is documenting the medication history of a patient of Asian culture the patient states I am not taking any medications but the nurse observes a bottle of capsules in the patient's medicine bag what information should the nurse collect
Antworten
  • Healthcare provider name
  • Vital signs and pulse oximetry
  • Past use of medicine and home remedies
  • Use of herbs or over-the-counter medications

Frage 34

Frage
New drugs must go through extensive research and testing before approval for use in humans the nurse knows that the average length of time a medication has researched before being prescribed for humans is how many years
Antworten
  • 2 to 4
  • 6 to 8
  • 10 to 12
  • 14 to 16

Frage 35

Frage
A pharmaceutical company is voluntarily conducting a post marketing study to obtain further proof of therapeutic effects of a new drug what phase of drug study is this considered
Antworten
  • Phase 1
  • Phase 2
  • Phase 3
  • Phase 4

Frage 36

Frage
What legislation which was passed in 1996 ensures that the privacy of patient information is protected
Antworten
  • Durham Humphrey amendment
  • Federal food drug and cosmetic act
  • Health insurance portability and accountability act
  • Medicare prescription drug improvement and modernization act

Frage 37

Frage
There are multiple factors that affect medication response the nurse recognizes which factors have a possible effect on the medication response
Antworten
  • Genetic influences
  • Body composition
  • Diet and nutrition
  • Level of education
  • Socioeconomic factors
  • Use of alternative therapies
  • Patient compliance with therapy

Frage 38

Frage
The patient is transferred from ICU to a general medical unit which nursing action is most appropriate to prevent a medication error
Antworten
  • Contact the health provider to rewrite all drug prescriptions
  • Perform a medication reconciliation for the patient during care transition
  • Ask the patient what medications need to be taken while in the hospital
  • Communicate a verbal report face-to-face from the transferring nurse

Frage 39

Frage
When admitting and order adult patient to an acute care setting which nursing strategy is most appropriate to prevent medication errors
Antworten
  • Call the primary care physician to verify current medications
  • Ask the patient's family to verify medications the patient was taking at home
  • Ask the patient to provide you with a written list of all medications being taken at home
  • Ask the patient or family to bring in all medications the patient was taken at home

Frage 40

Frage
Why are specific medications identified as high alert medications
Antworten
  • Registered nurses must administer these medications
  • States require that these drugs be on the high alert list
  • These drugs have increased potential for significant patient harm
  • These medications are responsible for adverse drug effects

Frage 41

Frage
The nurse administers a medication to the wrong patient what is the appropriate nursing action following this error
Antworten
  • Document the medication error no further action is required
  • Record the error and document the medication on the patient chart
  • Notify the healthcare provider and document the error in the incident report
  • Assess patient for an adverse reaction and reported it is an adverse event that occurs

Frage 42

Frage
Which nursing action helps the nurse to prevent a medication error
Antworten
  • Ask the patient what condition the medication is before administering
  • Administer any medications that the patient had on a mission or transfer
  • Encourage the patient to ask questions if the medication is different than expected
  • And minister the patient's medications using his or her own supply of medications while in the hospital

Frage 43

Frage
What organization announced new regulations requiring barcodes for all prescriptions and over-the-counter medications
Antworten
  • Drug enforcement agency
  • Federal Bureau of investigation
  • US food and drug administration
  • Department of health and human sciences

Frage 44

Frage
In which step of the medication process can a medication error occur
Antworten
  • Prescribing
  • Verification
  • Transcribing
  • Procurement
  • Administration

Frage 45

Frage
The nurse knows that the medication reconciliation process involves which steps
Antworten
  • Reporting
  • Verification
  • Clarification
  • Reconciliation
  • Administration

Frage 46

Frage
What is the best description of the consumer safety precautions for herbal supplements
Antworten
  • Reliable data on the product efficiency is scarce
  • Herbs and tamper-resistant containers are safe
  • Medicinal herbs are under strict US food and drug administration control
  • The package labeling clearly states product safety

Frage 47

Frage
Which entity regulates medicinal herbs
Antworten
  • FDA
  • American medical Association
  • Dietary supplement health and education act of 1994
  • US department of agriculture

Frage 48

Frage
A patient with atrial fibrillation request a cup of chamomile tea. Nurse denies the patient's request because of the medication the patient is taking what is the medication
Antworten
  • Cardiac glycosides
  • Anticoagulants
  • Beta adrenergic blockers
  • Calcium channel blocker

Frage 49

Frage
Male patient who abuses alcohol tells the nurse that he is treating himself with kava which instruction should the nurse include in patient teaching
Antworten
  • Use another herb besides kava
  • Use either the kava or the alcohol
  • Avoid using the kava with alcohol
  • Stop taking the kava now

Frage 50

Frage
A patient who takes gin sing to improve memory takes many prescription drugs as well which laboratory parameter should the nurse check before administering medication as a means of assessing the pharmacokinetic effective ginseng in this patient
Antworten
  • Mental status
  • Liver enzymes
  • Urine Bilirubin
  • Serum creatine

Frage 51

Frage
Which descriptions to apply to the market for medicinal herbs in the United States
Antworten
  • Growing in numbers of users
  • Used with traditional therapies
  • Less than 1 million in sales annually
  • Used by less than 40% of the population
  • Viewed with growing skepticism
  • Heavily regulated by federal law

Frage 52

Frage
A patient needs to switch analgesic drugs secondary to an adverse reaction to the current treatment regimen the patient is concerned that the new prescription will not provide optimal pain control the nurses response is based on knowledge that doses of analgesics are determined using an equianalgesic table with which drug prototype
Antworten
  • Meperidine
  • Fentanyl
  • Codeine
  • Morphine

Frage 53

Frage
The nurse is caring for a patient with an opioid addiction the nurse anticipates that the patient will be prescribed what medication
Antworten
  • Naloxone
  • Meperidine
  • Morphine
  • Methadone

Frage 54

Frage
While in meeting a patient for treatment of acetaminophen overdose the nurse prepares to administer what medication to prevent toxicity
Antworten
  • Naloxone
  • Phytonadione
  • Acetylcysteine
  • Methylprednisolone

Frage 55

Frage
A patient prescribed massage therapy for musculoskeletal pain asks the nurse how is rubbing my muscles going to make the pain go away the nurses best response is
Antworten
  • Massaging muscles helps relax the contracted fibers and decreased painful stimuli
  • Massage in muscles decreases the inflammatory response that initiates the painful stimuli
  • Massage in muscles activates large sensory nerve fibers that sends signals to the spinal cord to close the gate the ass blocking painful stimuli from reaching the brain
  • Massaging muscles activate small sensory nerve fibers that send signals to the spinal cord to open the gate and allow endorphins to reach the muscles and relieve the pain

Frage 56

Frage
When assessing for the most serious adverse effect to an opioid analgesic what does the nurse monitor for this patient
Antworten
  • Heart rate
  • Mental status
  • Blood pressure
  • Respiratory rate

Frage 57

Frage
Which medication is best used to treat a patient with severe adverse affects of narcotic analgesic
Antworten
  • Naloxone
  • Acetylcystenie
  • Methylprednisolone
  • Flymazenil

Frage 58

Frage
A patient with a diagnosis of pneumonia asks the nurse why am I receiving coding when I have no pain the nurse is responses based on knowledge that coding also has what effect
Antworten
  • Expectorant
  • Bronchodilation
  • Cough suppressant
  • Increases sputum production

Frage 59

Frage
In monitoring a patient for adverse affects related to morphine sulfate the nurse assesses for simulation of which area in the CNS
Antworten
  • The cough reflex center
  • Sympathetic baroreceptors
  • The chemoreceptor trigger zone
  • Autonomic control over circulation

Frage 60

Frage
The nurse is preparing to administer an IV injection of morphine to a patient the nurse assesses a respiratory rate of 10 breaths per minute what action should the nurse perform
Antworten
  • And minister the next prescribed dose intramuscularly
  • And minister is smaller dose in document in the patient records
  • Withhold the medication and notify the healthcare provider
  • Check the pulse oximeter reading and reevaluate respiratory rate in one hour

Frage 61

Frage
A patient receiving narcotic analgesics for chronic pain can minimize the G.I. side effects by
Antworten
  • Taking lomotil with each dose
  • Eating foods high in Lactobacilli
  • Taking the medication on an empty stomach
  • Increasing fluid in fiber in the diet

Frage 62

Frage
A nurse Teaches a patient prescribed fentanyl transdermal delivery system to change the patch at what interval
Antworten
  • Once a week
  • Every 24 hours
  • Every 72 hours
  • When pain occurs

Frage 63

Frage
The nurse plans pharmacologic management for a patient with pain the nurse should administer the pain medication based on what dosage schedule
Antworten
  • Pain relief is best obtained by administering analgesics around the clock
  • And minister the analgesic when the pain level reaches a six on a scale of 1 to 10
  • Opioid analgesics should not be used for more than 24 hours to prevent drug addiction
  • Analgesic should be administered as needed PRN to minimize adverse effects

Frage 64

Frage
In developing a plan of care for a patient receiving morphine sulfate which nursing diagnosis has highest priority
Antworten
  • Acute pain related to a metastatic tumor cancer
  • Impaired gas exchange related to respiratory depression
  • Constipation related to decrease G.I. motility
  • Risk for injury related to CNS adverse effects

Frage 65

Frage
When assessing a patient for adverse affects related to morphine sulfate which clinical findings is the nurse most likely to fine
Antworten
  • Diarrhea
  • Weight gain
  • Constipation
  • Inability to void
  • Excessive bruising

Frage 66

Frage
While completing preoperative patient teaching which information should the nurse include for a surgery with a general anesthetic
Antworten
  • It produces muscle relaxation and loss of consciousness
  • It provides moderate sedation that allows you to relax
  • It affects a specific region of the body to block pain sensation
  • It uses only one type of medication to produce sedation

Frage 67

Frage
A patient verbalizes concern to the nurse regarding post op nausea and vomiting from the anesthesia. Which is the nurses best response?
Antworten
  • Don't worry because you'll be heavily or completely sedated if that occurs
  • I understand your concern but intermittent vomiting often occurs after surgery
  • You will need to notify the charger nurse and health care provider if feel nauseated after surgery
  • Nausea and vomiting occur less frequently than in the past because of the use of a balanced approach to anesthesia

Frage 68

Frage
An intubated mechanically ventilated patient in the ICU is becoming increasingly restless and anxious. The nurse expects to administer which IV anesthetic drug
Antworten
  • Propofol
  • Isoflurane
  • Halothane
  • Nitrous oxide

Frage 69

Frage
Which post op nursing action will help the patient avoid serious complications from general anesthesia
Antworten
  • Monitor input an output closely
  • Provide a quiet calm environment
  • Place in a semi fowlers position
  • Teach to turn cough and deep breathe

Frage 70

Frage
Immediate post op assessment of a patient reveals a body temp 102. Which action will the nurse perform?
Antworten
  • Notify the health care provider
  • Apply a cooling blanket per protocol
  • Assess for signs and symptoms of infection related to the surgical wound

Frage 71

Frage
A patient questions to use of epinephrine for repair of a laceration stating I thought that was the drug used in the emergency department for someone who is coding which is the nurses best response
Antworten
  • Epinephrine is used with lidocaine to prevent adverse effects
  • The systematic absorption of lidocaine is maximized by the epinephrine the anesthetic effect is reached more quickly
  • Vasoconstriction caused by epinephrine and Hanses the duration of action for lidocaine and minimizes the bleeding at the laceration site
  • Epinephrine is meta-bloodiest more quickly than lidocaine so that the Anesthetic effect wears off more quickly after the laceration is sutured

Frage 72

Frage
Hey mechanically ventilated patient receiving in neuromuscular blocking drug has tearing in the eyes and increased heart rate and blood pressure how does the nurse interpret this clinical findings
Antworten
  • The patient's level of sedation is in adequate
  • The patient response to the drug is appropriate
  • Patient is having an adverse reaction to the medication
  • The patient's dose of the neuromuscular Bocking drug is insufficient

Frage 73

Frage
Well taking a patient's history before surgery for cardiac problem the patient tells the nurse I am addicted to cocaine a nurse notifies the anesthesiologist of this finding because the use of cocaine can cause which affect when a patient is under anesthesia
Antworten
  • Blood clotting problems
  • Complications during recovery
  • Immediate withdrawal symptoms
  • Anesthetic induced complications

Frage 74

Frage
A patient is in a minute to the hospital with a diagnosis of benzodiazepine overdose the nurse anticipates the healthcare provider will prescribe which antidote for benzodiazepine overdose
Antworten
  • Naloxone
  • Naltrexone
  • Nalmefene
  • Flumazenil

Frage 75

Frage
The nurse should monitor an older adult patient prescribed a benzodiazepine for treatment of insomnia for which potential adverse effect
Antworten
  • Red rash
  • UnSteady gait
  • Muscle spasms
  • Shortness of breath

Frage 76

Frage
Which nursing diagnosis is appropriate for a patient US just been in ministered a sedative Hypnotic drug
Antworten
  • Risk for infection
  • Deficient knowledge
  • Imbalanced nutrition
  • Risk for injury and falls

Frage 77

Frage
The patient is admitted to the emergency department after taking an overdose of barbiturates 15 minutes before arrival the nurse can anticipate that which drug will be prescribed
Antworten
  • Ipecac syrup
  • naloxone
  • Flumazenil
  • Activated charcoal

Frage 78

Frage
During patient teaching the nurse explains the difference between a sedative in Hypnotic with which statement
Antworten
  • There's really no difference the terms are used interchangeably
  • Where a sedative drugs and do you sleep hypnotic drugs and do use a state of hypnosis
  • Most drugs produce Sedation at low-dose and sleep the Hypnotic effect at higher doeses
  • Sedatives are much stronger than Hypnotic drugs and should only be used for short periods of time

Frage 79

Frage
In IV dose of Versed has been prescribed for a patient before colonoscopy the nurse informs the patient that one of the most common adverse effects of this medication is what
Antworten
  • Amnesia
  • Dry mouth
  • Chest pain
  • Constipation

Frage 80

Frage
The healthcare provider prescribes dantrolene to a patient immediately after surgery what condition does the nurse expect the patient has experienced
Antworten
  • Delirium tremens
  • Respiratory arrest
  • Tonic clonic seizures
  • Malignant hypothermia

Frage 81

Frage
A child is prescribed methylphenidate to treat ADHD that. Expresses concern about using a controlled substance to treat ADHD and asks the nurse about using a non-controlled substance the nurse knows that 80 HD can be treated with which non-controlled substance
Antworten
  • Atomoxetine
  • Methylphenidate
  • Amphetamine aspartate
  • Dextroamphetamine

Frage 82

Frage
Patient diagnosed with narcolepsy is prescribed a CNS stimulant which statement best describes the action of a CNS stimulant
Antworten
  • CNS stimulates block or reduce the activity of inhibitory neurons
  • CNS stimulates activate cyclic adenosine mono phosphate
  • CNS stimulant decrease the production of excitatory neurotransmitter's
  • CNS stimulants increase release of an blocks reuptake of neurotransmitters

Frage 83

Frage
Nurse explained to patient that using caffeine my extra meat which health condition
Antworten
  • Heart block
  • Constipation
  • Myelin degeneration
  • Cardiac dysrhythmias

Frage 84

Frage
Which instructions should the nurse discuss to reduce the G.I. Adverse effects of orlistat
Antworten
  • Limit dietary intake of fat
  • Increase fluid and fiber in the diet
  • Advise to take the vitamin c supplement
  • Take the medication with an antacid

Frage 85

Frage
Ergot alkaloid excert their therapeutic effect by which action
Antworten
  • Vasodilation
  • Vasoconstriction
  • Blockade of the beta 2 receptors
  • Simulation of alpha receptors

Frage 86

Frage
A nurse working with patient who are diagnosed with ADHD is aware that such patients often take take CNS stimulant drugs. These medications are potent with a high potential for abuse and dependence. Based on this potential how are these medications classified
Antworten
  • Schedule 1
  • Schedule ll
  • Schedule lll
  • Schedule lV

Frage 87

Frage
A patient with narcolepsy is prescribed methylphenidate. Which adverse effects should the nurse include in the teaching of this drug.
Antworten
  • Insomnia
  • Headache
  • Weight loss
  • Increased appetite
  • Decreased blood pressure

Frage 88

Frage
What is the moa of non steroidal anti inflammatory drugs. (NSAIDs)
Antworten
  • Enhancing pain perception
  • Inhibiting prostaglandins production
  • Increasing blood flow to painful areas
  • Increasing the supply of natural endorphins

Frage 89

Frage
When teaching a client about potential adverse effects of NSAID therapy the nurse will teach the client to immediately notify the healthcare provider of which effect
Antworten
  • Diarrhea
  • Mild indigestion
  • Black tarry stool's
  • Nonproductive cough

Frage 90

Frage
The nurse is administering probenecid to a client with Recurrent strep throat the nurse teaches the client that the most likely reason for taking this medication is for what drug effect
Antworten
  • Increased ureic acid excretion
  • Prevent the occurrence of gout
  • Inhibit bacterial growth and replication
  • Prolong the effectiveness of penicillin therapy

Frage 91

Frage
What is the advantage of cox 2 inhibitors over the other NSAIDS
Antworten
  • Maintain GI mucosa
  • Have a longer duration of action
  • Have a more rapid onset of action
  • Or less likely to cause he Hepatic toxicity

Frage 92

Frage
The client asks the nurse about the use of herbal in dietary supplements to treat arthritis pain what is the nurses best response
Antworten
  • High doses of vitamins and minerals have been used for many years to help maintain joint health
  • There really are no safe herbal treatments for pain your best action would be to take your prescription medications
  • Ginkgo biloba has shown tremendous benefit as an anti-inflammatory drug that is used to treat the symptoms of pain
  • There is evidence that glucosamine Sulfate with chondroitin does decreased joint stiffness and pain discuss this with your healthcare provider

Frage 93

Frage
The nurse knows colchicine exerts its therapeutic effect by what action
Antworten
  • Increase Uric acid metabolism
  • Decrease mobility of leukocytes
  • Increase the process of phagocytosis
  • Increase production of lactic acid

Frage 94

Frage
Which nursing diagnosis is appropriate for a client prescribed colchicine
Antworten
  • Constipation related to adverse effects of medication
  • Risk for infection related to medication induced leukocytosis
  • Risk for injury related to adverse effect of life-threatening seizures
  • Risk for fluid volume deficient related to nausea vomiting and diarrhea

Frage 95

Frage
A nurse is teaching a client receiving allopurinol should include which information
Antworten
  • Increase your fluid intake to 3 L per day
  • This medication may cause your urine to turn orange
  • Include Sam in an organ meats in your diet on a weekly basis
  • Take the medication with an ant acid to minimize G.I. distress

Frage 96

Frage
The nurse would question a prescription to administer misoprostol to a client with what condition
Antworten
  • Pregnancy
  • Peptic ulcer
  • Gastroesophageal reflux disease
  • Chronic obstructive pulmonary disease

Frage 97

Frage
The nurse should question a prescription to administer acetylsalicylic acid to which client
Antworten
  • A 62-year-old patient with a history of stroke
  • A 45-year-old patient with a history of heart attack
  • A 28-year-old patient with a history of sports injury
  • A 14-year-old patient with a history of flu like symptoms

Frage 98

Frage
Which NSAID would the nurse anticipate administering parenterally for the treatment of acute postop pain
Antworten
  • Ketorolac
  • Diclofenac
  • Allopurinol
  • Indomethacin

Frage 99

Frage
The acetic acid derivative idomethacin has which properties
Antworten
  • Antinausea
  • Antipyretic
  • Anti-convulsant
  • Anti rheumatic
  • Anti-inflammatory
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