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Pharmacology Final Review

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Pharmacology Test sobre Pharmacology Final Review , creado por Amanda Burton el 19/10/2017.
Amanda Burton
Test por Amanda Burton, actualizado hace más de 1 año
Amanda Burton
Creado por Amanda Burton hace más de 6 años
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Resumen del Recurso

Pregunta 1

Pregunta
The nursing process consists of many steps and they are
Respuesta
  • Assessment
  • Diagnosis
  • Planning
  • Implementation
  • Evaluation
  • Right Drug
  • Right Time
  • Right dose
  • Right patient
  • Right route

Pregunta 2

Pregunta
What are the 6 rights of med administration for the patient. [blank_start]Right drug[blank_end] [blank_start]Right time[blank_end] [blank_start]Right dose[blank_end] [blank_start]Right patient[blank_end] [blank_start]Right route[blank_end] [blank_start]Right documentation[blank_end]
Respuesta
  • Right dose
  • Right patient
  • Right route
  • Right documentation
  • Right time
  • Right drug

Pregunta 3

Pregunta
This is information given by the patient or family, include the concerns or symptoms felt by the patient.
Respuesta
  • Subjective data
  • Objective data

Pregunta 4

Pregunta
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.
Respuesta
  • Assessment
  • Database
  • Diagnosis
  • Planning
  • Implementation
  • Evaluation

Pregunta 5

Pregunta
This is measurable data and are obtained when the health care provider gives the patient a physical examination.
Respuesta
  • Subjective
  • Objective

Pregunta 6

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

Pregunta 7

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

Pregunta 8

Pregunta
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?
Respuesta
  • 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.

Pregunta 9

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

Pregunta 10

Pregunta
What are some ways to identify your patient:
Respuesta
  • Name
  • Birth date
  • Wrist band
  • Room number
  • Name on outside of door
  • Name on the MAR
  • Name on Medications

Pregunta 11

Pregunta
Evaluation requires the nurse to watch for the patient's response to a drug, noting both [blank_start]expected[blank_end] and [blank_start]unexpected[blank_end] findings.
Respuesta
  • expected
  • unexpected

Pregunta 12

Pregunta
These type of drugs have a potential for high abuse, an example of some of these drugs are herion, LSD, marijuana, peyote, and methamphetamine.
Respuesta
  • Scheduled 1 narcotic
  • Scheduled 2 narcotic
  • Scheduled 3 narcotic
  • Scheduled 4 narcotic

Pregunta 13

Pregunta
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).
Respuesta
  • Scheduled 1 narcotics
  • Scheduled 2 narcotics
  • Scheduled 3 narcotics
  • Scheduled 4 narcotics

Pregunta 14

Pregunta
Which statements describe the nurse's responsibilities when working with controlled substances?
Respuesta
  • 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.

Pregunta 15

Pregunta
Whether the prescription is for hospitalized or non-hospitalized patients, the order contains the same information:
Respuesta
  • Patients full name
  • Date
  • Name of drug
  • Route
  • Dose
  • Frequency
  • Duration
  • Signature of Prescribers

Pregunta 16

Pregunta
A physician has prescribed a "now" dose of Lasix 50 mg IV push, this dose should be administered?
Respuesta
  • Immediately
  • Within 1.5 hours
  • With regular scheduled meds
  • When you finally notice the order has been put in

Pregunta 17

Pregunta
This is the tendency of the molecules of a substance to move from a region of high concentration to one of lower concentration.
Respuesta
  • Diffusion
  • Osmosis
  • Filtration

Pregunta 18

Pregunta
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.
Respuesta
  • Diffusion
  • Osmosis
  • Filtration

Pregunta 19

Pregunta
This is the passage of a substance through a filter or through a material that prevents passage of certain molecules.
Respuesta
  • Diffusion
  • Osmosis
  • Filtration

Pregunta 20

Pregunta
Per Mrs. Stockdale what is one of the major symptoms of someone who abuses narcotics?
Respuesta
  • Constipation
  • Headache
  • Diarrhea
  • Memory loss

Pregunta 21

Pregunta
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.
Respuesta
  • Nasogastric
  • Epigastric
  • Orogastric
  • Trachostomy

Pregunta 22

Pregunta
How far in front of the patients mouth should they hold the inhaler or nebulizer for effective administration.
Respuesta
  • 1 to 2 inches
  • 2 to 4 inches
  • Inside the lips
  • 1.5 to 3 inches

Pregunta 23

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

Pregunta 24

Pregunta
The patient has an order to receive packed red blood cells. The most appropriate needle gauge for the nurse to choose is:
Respuesta
  • 25
  • 23
  • 21
  • 19

Pregunta 25

Pregunta
The nurse has just administered an intradermal injection. The nurse should inspect the injection site afterward for evidence of a
Respuesta
  • blister
  • bleb
  • bruise
  • blood droplet

Pregunta 26

Pregunta
The nurse is administering an IM injection. The most appropriate angle for administration is:
Respuesta
  • 90 degrees
  • 45 degrees
  • 30 degrees
  • 15 degrees

Pregunta 27

Pregunta
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:
Respuesta
  • clamp the tubing
  • stop the infusion
  • monitor the patient closely
  • notify the physician

Pregunta 28

Pregunta
These are used for the relief of overactive or nonproductive coughs.
Respuesta
  • Antitussives
  • Decongestant
  • Expectorant
  • Antihistamines

Pregunta 29

Pregunta
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.
Respuesta
  • theophylline (Elixophyllin)
  • albuterol (Proventil)
  • fluticasone (Flovent)
  • ipratropium bromide (Atrovent)

Pregunta 30

Pregunta
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.
Respuesta
  • Antitussives
  • Decongestants
  • Expectorant
  • Antihistamines

Pregunta 31

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

Pregunta 32

Pregunta
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.
Respuesta
  • Antitussive
  • Decongestant
  • Expectorant
  • Antihistamine

Pregunta 33

Pregunta
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
Respuesta
  • 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

Pregunta 34

Pregunta
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:
Respuesta
  • "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."

Pregunta 35

Pregunta
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.
Respuesta
  • True
  • False

Pregunta 36

Pregunta
What is the drug of choice in the prophylactic treatment of TB infections.
Respuesta
  • Isoniazid (INH)
  • Ciprofloxacin
  • norfloxacin (Noroxin)
  • levofloxacin (Levaquin)

Pregunta 37

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

Pregunta 38

Pregunta
Drugs that act on a receptor in the body to stop a reaction are referred to as
Respuesta
  • agonists
  • partial agonists
  • antagonists
  • antireceptors

Pregunta 39

Pregunta
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.
Respuesta
  • An allergic reaction
  • An anaphylactic reaction
  • An idiosyncratic response
  • A normal side effect

Pregunta 40

Pregunta
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.
Respuesta
  • A decongestant
  • An expectorant
  • An antitussive
  • An antibiotic

Pregunta 41

Pregunta
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?
Respuesta
  • An expectorant
  • An antibiotic
  • An antitussive
  • A decongestant

Pregunta 42

Pregunta
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?
Respuesta
  • 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

Pregunta 43

Pregunta
What are some most common adverse reactions to Antiinfectives?
Respuesta
  • hypersensitivity
  • organ toxicity
  • superinfection
  • C Diff
  • hemolysis
  • QT interval prolongation

Pregunta 44

Pregunta
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. [blank_start]Go Slow and Stay Low[blank_end]
Respuesta
  • Go Slow and Stay Low

Pregunta 45

Pregunta
The patient is prescribed transmucosal nitroglycerin tablets. These tablets should be:
Respuesta
  • chewed
  • swallowed
  • placed on the tongue
  • placed inside the cheek

Pregunta 46

Pregunta
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?
Respuesta
  • Propranolol (Inderal)
  • Verapamil (Calan)
  • Adenosine (Adenocard)
  • Disopyramide (Norpace)

Pregunta 47

Pregunta
A patient has been prescribed Pyridium as part of treatment for a UTI. Which manifestation warrants the nurse's immediate intervention?
Respuesta
  • Reddish-orange urine
  • Vertigo
  • N & V
  • Yellow Sclera

Pregunta 48

Pregunta
Which patient statement indicates an accurate understanding of the correct way to store nitroglycerin?
Respuesta
  • "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."

Pregunta 49

Pregunta
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?
Respuesta
  • Tachypnea
  • Bradycardia
  • Hypotension
  • Hypothermia

Pregunta 50

Pregunta
The nurse is caring for a patient who is receiving nitroglycerin. Which symptom would prompt the nurse to intervene immediately?
Respuesta
  • Blurred vision
  • Flushed face
  • Headache
  • Dizziness

Pregunta 51

Pregunta
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?
Respuesta
  • Verify the patients BUN and creatinine levels
  • Obtain the patients temperature
  • Auscultate the apical pulse rate for 60 seconds
  • Auscultate the lungs for wheezing

Pregunta 52

Pregunta
Which symptoms are indicative of digitalis toxicity?
Respuesta
  • Tachycardia
  • Mania
  • Headache
  • Nausea
  • Reddish-orange urine
  • Anorexia

Pregunta 53

Pregunta
The patient has been prescribed niacon. The nurse anticipates tthat the patient will have the most difficulty adjusting to the side effect of:
Respuesta
  • hyperuricemia
  • glucose tolerance
  • flushing
  • constipation

Pregunta 54

Pregunta
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?
Respuesta
  • < 60 or >100
  • > 60 or <100
  • > 50 or < 90
  • anywhere it doesn't matter about heart rate

Pregunta 55

Pregunta
What is a appropriate Digoxin level
Respuesta
  • 0.5-2
  • 1-1.5
  • 10-20
  • 12-20

Pregunta 56

Pregunta
Lidocaine (Xylocaine) may be used for treating which of the following dysrhythmias?
Respuesta
  • A fib
  • A flutter
  • Life-threatening ventricular dysrhythmias
  • Premature Atrial Contractions

Pregunta 57

Pregunta
Which of the following is a nitrate compound that is used therapeutically to abort acute attacks of angina pectoris?
Respuesta
  • Quinidine sulfate
  • Nirtoglycerin
  • Digoxin
  • Minoxidil

Pregunta 58

Pregunta
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?
Respuesta
  • 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.

Pregunta 59

Pregunta
The negative chronotropic side effect in patients receiving Digoxin is evidenced by:
Respuesta
  • increased heart rate
  • decreased heart rate
  • decreased contraction
  • increased ectopic beats

Pregunta 60

Pregunta
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.
Respuesta
  • Nitrates
  • Calcium channel blocker
  • Peripheral Vasodilators
  • Angioedema

Pregunta 61

Pregunta
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.
Respuesta
  • propranolol
  • digoxin
  • lidocaine
  • verapamil

Pregunta 62

Pregunta
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:
Respuesta
  • propranolol
  • digoxin
  • lidocaine
  • verapamil

Pregunta 63

Pregunta
They prescribed your patient propranolol daily for high blood pressure, you know that this know as what type of drug
Respuesta
  • Beta blocker
  • Ace inhibitor
  • Statin
  • Loop diuretics

Pregunta 64

Pregunta
They prescribed your patient lisinopril daily for blood pressure, you know that this know as what type of drug
Respuesta
  • Beta blocker
  • ACE inhibitor
  • Statins
  • Loop Diuretics

Pregunta 65

Pregunta
A severe side effect of ACE inhibitors is
Respuesta
  • Angioedema
  • Hypotension
  • Flushing
  • Alopecia

Pregunta 66

Pregunta
Your patient has presented with hyperlipidemia, they doctor has prescribed a HMG-CoA you understand this is what type of drug:
Respuesta
  • Beta blocker
  • ACE Inhibitor
  • Statins
  • Loop Diuretics

Pregunta 67

Pregunta
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.
Respuesta
  • Thiazides
  • Loop diuretics
  • Potassium-sparing diuretics
  • Thiazide-like sulfonamides

Pregunta 68

Pregunta
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.
Respuesta
  • Thiazide
  • Thiazide-like sulfonamides
  • Loop diuretics
  • Potassium-sparing diuretics

Pregunta 69

Pregunta
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.
Respuesta
  • Thiazide
  • Thiazide-like sulfonamides
  • Loop diuretic
  • Potassium-sparing diuretic

Pregunta 70

Pregunta
When giving elderly patients antihypertensive medications this must be done with precaution because they are most at risk for what type of side effect?
Respuesta
  • hypertensive crisis
  • postural hypotension
  • angioedema
  • hypokalemia

Pregunta 71

Pregunta
Nerves send or transmit information from the brain through chemical messengers known as:
Respuesta
  • basal ganglia
  • peripheral nervous system
  • neurotransmitters
  • central nervous system

Pregunta 72

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

Pregunta 73

Pregunta
Antivertigo-antiemtic drugs act by:
Respuesta
  • 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

Pregunta 74

Pregunta
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.
Respuesta
  • Antimigraine
  • Anticholinergic
  • Antiepileptic
  • Anticonvulsants

Pregunta 75

Pregunta
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.
Respuesta
  • hypoglycemia
  • hyperglycemia

Pregunta 76

Pregunta
Your diabetic patient is having symptoms: Increased thirst, dry mouth, frequent urination, fatigue, headache, blurred vision.
Respuesta
  • hypoglycemia
  • hyperglycemia

Pregunta 77

Pregunta
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?
Respuesta
  • "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."

Pregunta 78

Pregunta
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?
Respuesta
  • Ergot alkaloids are cholinergic drugs
  • Ergot alkaloids are adrenergic-blocking agents.
  • Ergot alkaloids are anticholinergic agents.
  • Ergot alkaloids are sympathomimetic drugs.

Pregunta 79

Pregunta
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?
Respuesta
  • "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."

Pregunta 80

Pregunta
This drug is used intravenously to control seizures and is the drug of choice for treatment of status epilepticus.
Respuesta
  • Diazepam (Valium)
  • Phenobarbital (Luminal)
  • pheytoin (Dilantin)
  • gabapentin ((Neurontin)

Pregunta 81

Pregunta
Your checking your patients labs and you notice that their Lithium level is within range at:
Respuesta
  • 1-1.5
  • 10-20
  • 3.5-5
  • 0.8-2

Pregunta 82

Pregunta
What is the go to drug for antiparkinsinians?
Respuesta
  • carbidopa-levodopa (Sinemet)
  • diphenhydramine (Benadryl)
  • diazepam (Valium)
  • lorazepam (Ativan)

Pregunta 83

Pregunta
MAOI may cause very dangerous reactions if taken with certain foods or beverages containing what ingredient?
Respuesta
  • tyramine
  • milk
  • peanuts
  • shellfish

Pregunta 84

Pregunta
Which signs and symptoms are associated with narcotic use?
Respuesta
  • Confusion
  • Diarrhea
  • Psychologic dependence
  • Decreased urine output
  • Respiratory stimulation

Pregunta 85

Pregunta
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?
Respuesta
  • 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.

Pregunta 86

Pregunta
Which analgesics are classified as Schedule II drugs?
Respuesta
  • Codeine
  • Fentanyl
  • Meperidine
  • Pentazocine
  • Methadone
  • Propoxyphene

Pregunta 87

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

Pregunta 88

Pregunta
The LPN suspects that a patient may have overdosed on narcotics. Which medication does the nurse anticipate that the physician will order?
Respuesta
  • Naloxone
  • Methadone
  • Nalbuphine
  • Butorphanol

Pregunta 89

Pregunta
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?
Respuesta
  • 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.

Pregunta 90

Pregunta
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?
Respuesta
  • Guided imagery
  • Heat
  • Distraction
  • TENS

Pregunta 91

Pregunta
Name three drugs classified as opioid agonist analgesics
Respuesta
  • Codeine
  • Hydrocodone
  • Oxycodone
  • Narcan

Pregunta 92

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

Pregunta 93

Pregunta
This type of pain is any pain that continues beyond the usual course of an acute injury process.
Respuesta
  • Acute
  • Chronic

Pregunta 94

Pregunta
This opioid mechanism of action is it binds with the receptors to activate and produce the maximum response of the individual receptor.
Respuesta
  • Agonist
  • Partial agonist
  • Agonist antagonist

Pregunta 95

Pregunta
This opioid mechanism of action that produces a partial response.
Respuesta
  • Agonist
  • Partial agonist
  • Agonist antagonist

Pregunta 96

Pregunta
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.
Respuesta
  • Agonist
  • Partial agonist
  • Agonist antagonist

Pregunta 97

Pregunta
Opioid overdosage may produce sedation and respiratory depression.
Respuesta
  • True
  • False

Pregunta 98

Pregunta
What is the first line of defense drug with osteoarthritis?
Respuesta
  • Acetaminophen
  • NSAIDS
  • ibuprofen
  • Tordal

Pregunta 99

Pregunta
This type of antiinflammatory and analgesic agent causes peptic ulcers or GI bleeding if over used.
Respuesta
  • Aspirin
  • Acetaminophen
  • Ibuprofen
  • NSAIDS

Pregunta 100

Pregunta
This is going to be the select all that apply question on the final so remember verbatim!!! List four adverse reactions to thrombolytic agents?
Respuesta
  • Bleeding
  • hypersensitivity
  • dysrhythmias
  • polyneuropathy
  • hypotension
  • cholesterol embolism
  • pulmonary embolism

Pregunta 101

Pregunta
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.
Respuesta
  • Simethicone
  • Disulfiram
  • Psyllium seed
  • Magnesium hydroxide

Pregunta 102

Pregunta
A laxative that works to soften the stool is an
Respuesta
  • lubricant laxative
  • stimulant laxative
  • bulk forming laxative
  • emollient laxative

Pregunta 103

Pregunta
AquaMEPHYTON, vitamin K1, is an example of a/an:
Respuesta
  • anticoagulant
  • hematinic
  • thrombolytic
  • hemostatic

Pregunta 104

Pregunta
Vitamin K is the antidote for heparin overdose
Respuesta
  • True
  • False

Pregunta 105

Pregunta
Coumarin or indandione derivatives are indicatedfor long term therapy.
Respuesta
  • True
  • False

Pregunta 106

Pregunta
The coumarin and indandione derivatives destroy existing blood clots
Respuesta
  • True
  • False

Pregunta 107

Pregunta
All anticoagulants prevent [blank_start]formation of blood clots[blank_end], or thrombi, by interfering with this complex clotting mechanisms of blood and increasing the time it takes for blood to clot.
Respuesta
  • formation of blood clots
  • block the ability of platelets to stick

Pregunta 108

Pregunta
Vitamin K must be present to produce and other clotting factors that are made in the:
Respuesta
  • liver
  • small intestine
  • large intestine
  • gallbladder

Pregunta 109

Pregunta
[blank_start]ASA[blank_end] is the drug of choice in treating ischemic stroke.
Respuesta
  • ASA

Pregunta 110

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

Pregunta 111

Pregunta
An OTC medication used for a suspected thrombolytic event is
Respuesta
  • Coumadin
  • aspirin
  • streptokinase
  • Tylenol

Pregunta 112

Pregunta
A patient receiving long-term anticoagulant therapy (Coumadin) should:
Respuesta
  • receive daily assessment of INR levels
  • consume foods high in vitamin C
  • limit foods high in vitamin K
  • use aspirin for pain relief

Pregunta 113

Pregunta
List examples of when anticoagulant therapy is used:
Respuesta
  • to prevent new clot formation
  • stop existing clots from growing
  • prophylactically during & after surgery
  • patient with heart valve disease
  • hemodialysis
  • head injury

Pregunta 114

Pregunta
List some drugs that increase the risk of bleeding and hemorrhage in a patient receiving heparin.
Respuesta
  • Coumarin
  • methimazole
  • propylthiouracil
  • ASA
  • NSAIDS
  • Antihistamines
  • digitalis
  • nicotine
  • tetracycline

Pregunta 115

Pregunta
The nurse should carefully monitor the vital signs of a patient receiving thrombolytic therapy and carefully observe for [blank_start]bleeding[blank_end].
Respuesta
  • bleeding
  • loss of consciousness
  • confusion
  • need for urination

Pregunta 116

Pregunta
List two uses for thrombolytic agents.
Respuesta
  • 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

Pregunta 117

Pregunta
What is the typical INR goal for a patient
Respuesta
  • 2-3
  • 1-1.5
  • 10-20
  • 0.8-2

Pregunta 118

Pregunta
How do they determine the dose for heparin therapy?
Respuesta
  • WT
  • HT
  • BMI
  • AGE

Pregunta 119

Pregunta
You can give heparin two ways:
Respuesta
  • IV
  • SUBQ
  • IM
  • TABLET

Pregunta 120

Pregunta
What is the lab for Heparin check
Respuesta
  • aPTT
  • PT/INR
  • PT
  • INR

Pregunta 121

Pregunta
What is the Lab check for warfarin/coumadin?
Respuesta
  • PCTA
  • aPTT
  • DVT
  • PT/INR

Pregunta 122

Pregunta
This type of insulin normal ends in Log is always clear has an onset of 5-15 mins. Examples: Lispro (Humalog), aspart (Novolog)
Respuesta
  • Rapid-acting
  • Short-acting
  • Intermediate-acting
  • Long-acting

Pregunta 123

Pregunta
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.
Respuesta
  • Rapid-acting
  • Short-acting
  • Intermediate-acting
  • Long-acting

Pregunta 124

Pregunta
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
Respuesta
  • Rapid-acting
  • Short-acting
  • Intermediate-acting
  • Long-acting

Pregunta 125

Pregunta
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.
Respuesta
  • Rapid-acting
  • Short-acting
  • Intermediate-acting
  • Long-acting

Pregunta 126

Pregunta
This is a proton pump inhibitor that decreases the amount of acid produced in the stomach
Respuesta
  • Protonix
  • Levothyroxine
  • Simethicone
  • Acetaminophen

Pregunta 127

Pregunta
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?
Respuesta
  • Levothyroxine (Levothrid, Synthroid, others)
  • Liotrix (Thyrolar)
  • Liothyronine (Cytomel, Triostat)
  • Propylthiouracil (PTU)

Pregunta 128

Pregunta
[blank_start]Hyperthyroidism[blank_end] 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.
Respuesta
  • Hyperthyroidism
  • Hypothyroidism

Pregunta 129

Pregunta
[blank_start]Hypothyroidism[blank_end] 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.
Respuesta
  • Hypothyroidism
  • Hyperthyroidism

Pregunta 130

Pregunta
Your checking your patient's PT/INR what is the normal ranges that your looking for?
Respuesta
  • 1.5-3.5
  • 2-3
  • 0.5-2
  • 10-20

Pregunta 131

Pregunta
Your patient's specific gravity should be within 1.010-1.030
Respuesta
  • True
  • False
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