Promethazine (Phenergan) is an antiemetic with the risk of adverse effect: Neuroleptic malignant syndrome. The nurse would recognize this with what symptoms?
Answer
protruding tongue, tremors
extreme high fevers, rigidity
vision changes, confusion
Question 2
Question
Student nurse is being taught about giving activated charcoal to a pt who ingested toxic substance. What should be included in the teaching? Select all that apply
Answer
Do not give with milk
Can cause diarrhea
May cause dark/black stools
Best when given within 1hr of ingestion
Should induce vomiting within 15min
Question 3
Question
Nurse is administering Lorazepam (Ativan) to reduce anxiety related to anticipation of nausea & vomiting. What drug should be on hand in case of an overdose or adverse effect?
Answer
Naloxone (Narcan)
Flumazenil (Romazicon)
Acetylcysteine
Protamine Sulfate
Question 4
Question
Pt is scheduling for colonoscopy. Nurse would expect to see what Rx in the patient chart for prep?
Answer
Methylcellulose (Citrucel)
Phenolphthalein (Ex-Lax)
Polyethylene glycol (Gl-Lytely)
Glycerin suppositories
Question 5
Question
Bulk-forming laxatives are the safest with only rare side effects?
Answer
True
False
Question 6
Question
Pt receiving Rx for scopolamine patch for motion sickness on a cruise ship. The nurse should teach what potential side effects?
Answer
n/v, diarrhea, GI cramping
dry mouth, dizziness, urinary retention
QT prolongation, headache, fatigue
Question 7
Question
Nurse is administering Ondansetron (Zofran) for prophylactic post-op nausea & vomiting. Select all of possible adverse effects the nurse should monitor for.
Answer
QT prolongation
Serotonin syndrome
Respiratory depression
Tremors
Question 8
Question
Docusate sodium (colace) is often given with opioid administration to prevent constipation or post-op when pt needs to avoid straining?
Answer
True
False
Question 9
Question
Nurse working with pt who has history of eating disorder and addictive personality traits. Nurse should question which Rx given to pt for chronic constipation?
Answer
Ex-Lax Stimulant laxative
Metamucil bulk-forming laxative
Docusate sodium stool softener/emollient
Question 10
Question
Which statement by the patient would require further treatment when talking about his Sucralfate Rx?
Answer
"I should take 2hrs before or after any other med"
"I will take this as needed for nausea/vomiting"
"This medication forms a paste that will protect my stomach lining"
"This medication will help with symptoms of my ulcers"
Question 11
Question
A patient taking seizure medications for epilepsy develops peptic ulcers. Which antiulcer drug should be avoided due to interactions with seizure meds?