Take a Test - i Give Test - Miss Eureka PDF

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Miss Eureka...

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2/11/2020

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No Timer Oct. 19 Day Pharm - hwk 02 A client taking an opioid analgesic should avoid taking alcohol because of: Increased risk for CNS depression Increased risk for bleeding Increased risk for retina degeneration Increased risk for muscle hypoplasia. The nurse has given medication instructions to the client receiving phenytoin (Dilantin). The nurse determines that the client has an adequate understanding if the client states that: “Alcohol is not contraindicated while taking this medication. “Good oral hygiene is needed, including brushing and flossing.” ‘The medication dose may be self-adjusted, de. pending on side effects.” “The morning dose of the medication should be taken before a serum drug level is drawn.” A client has been on IM fluphenazine (Prolixin) for 3 years. This client has recently complained of frequent sore throats and malaise. What potentially serious side effect might these symptoms indicate to the nurse? Agranulocytosis. Akathisia. Dystonia. Dyskinesia. The nurse is caring for a client who overdosed on codeine. The nurse knows that the effects of this overdose can be reversed by giving the client: Albuterol (Proventil). Atropine. Naloxone (Narcan). Protamine sulfate When the blood volume is significantly diminished, which type of shock would most likely result? Distributive Septic Carcinogenic Hypovolemic Adverse reactions associated with the calcium channel blockers include: Hematologic reaction such as dizziness A gastrointestinal reaction such as asthenia Cardiovascular reaction such as hypotension Cardiovascular reaction such as asthenia Which of the following drug is a nonsalicylate, nonopioid analgesic? Aspirin Disflusal (Dolobid) Salsalate (Amigesic) Acetaminophen (Tylenol) You are instructed to give cephalexin monohydrate 3 g over the next 24 hours, divided into six equally spaced doses. How much would you give for each dose? _______________mg

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A client with osteoarthritis is learning about his drug therapy. The nurse should instruct the client that which of the following drugs is considered first-line therapy for osteoarthritis? Corticosteroids Nonsteroidal anti-inflammatory drugs Acetaminophen Narcotic analgesics The nurse administers atropine via nebulizer to a client with severe asthma. The nurse would withhold the 10. drug and call the nurse in charge if the client exhibits: Tachycardia. Nervousness. Visual changes. Dizziness. You are instructed to give penicillin V potassium (Pen-Vee K suspension) 0.75 g. The drug is available as 11. 250 mg per 5 mL. How many tea spoons would you give? ___________tea spoons Write answer without units. 9.

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How do cardiotonics affect the heart? Negative inotropic effect and negative chronotropic effect Positive inotropic effect and negative chronotropic effect Positive inotropic and positive chronotropic Negative inotropic effect and positive chronotropic effect Acetylcysteine (Muomyst) is an antidote to acetaminophen toxicity. How is it administered? Orally within 24 hours after ingestion IV Nebulized within 24 hours after ingestion Subcutaneously Thrombolytic therapy would be appropriate for which of the following conditions? Continual blood pressure above 200/120. History of diabetic retinopathy. History of significant kidney disease. Myocardial infarction The patient with myasthenia gravis is being treated with an anticholinergic drug, neostigmine (Prostigmin). In administering this drug, the most important nursing measure is to: Give the medication exactly on time. Give the medication with plenty of water. Monitor the patient’s intake and output. Monitor the patient’s vital signs before and after the medication. In preparing a teaching plan for clients at a senior center, the nurse knows that which of the following is true of beta-agonist use in the elderly? There is an increased tendency toward incontinence. Higher drug levels are often needed. Use of multiple drugs in the elderly can lead to drug interactions. Dosage intervals are often shorter. The chief danger in the use of nitrous oxide as an anesthetic gas is that it causes: Muscle relaxation Increased intracranial pressure Hypoxemia Strong anesthesia

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Essential hypertension: Occurs in pregnancy only Cannot be cured Cannot be controlled All of the above Increased risk of severe rhabdomyolysis may occur when which of the following medications are used together? Erythromycin and antihistamine Lovastatin (mevacor) and niacin Gemfibrozil (Lopid) and cyclosporine None of the above An appropriate CNS adverse reaction of antirrhythmic drugs is? Hypotension Somnolence Urinary retention Bradycardia The client with myasthenia gravis has become increasingly weaker. The physician prepares to identify whether the client is reacting to an overdose the medication (cholinergic crisis) or an increasing severity of the disease (myasthenic crisis). An injection of edrophonium (Tensilon) is administer. Which of the following would indicate that the ent is in cholinergic crisis? No change in the condition Complaints of muscle spasms An improvement of the weakness A temporary worsening of the condition The amount of solution and amount of IV aminophylline received by a client each hour when there is 500 mg aminophylline in 500 ml. solution over 12 hours is: ___________mg/hr

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You are instructed to give morphine sulfate 10 mg Sc. The drug label reads “15 mg/mL.” How many milliliters would you give? _______________ml

If the client is to receive insulin at 3 units/hr with a solution of 50 units per 100 mL in normal saline (NS), the rate of infusion in milliliters would be: _________ ml

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Codeine is available in 1-gr tablet. The physician orders codeine 30 mg. The amount of drug to be administered is: ___________tablet

Prochlorperazine (Compazine) is prescribed postoperatively. The nurse would evaluate the drug’s therapeutic effect when the client expresses relief from which of the following? Nausea Dizziness Abdominal spasms Abdominal distention The nurse is caring for a client receiving morphine sulfate 10 mg subcutaneously every 4 hours for pain. Because this medication has been prescribed for this client, which nursing action would be included in the plan of care? Encourage fluids. Monitor the client’s temperature. Maintain the client in a supine position. Encourage the client to cough and deep-breathe. The nurse notes that a placebo has been ordered when a client requests pain medication. Which of the following statements is most accurate about the use of placebos in the client’s plan of care? It is appropriate to substitute placebos when the client requests frequent doses of pain medication Placebos should be used when it is suspected that the client is addicted to the pain medication The use of placebos violates the client’s right to ethical care Placebos may be used whenever the nurse believes the client is not really experiencing pain. The analgesic action of the salicylates is due to: The inhibition of platelets aggregation The inhibition of prostaglandins Dilation of peripheral blood vessels None of the above When administering atropine, the nurse observes the client for side effects. Which side effect would cause the most concern? Bradycardia. Urinary retention. Muscle tremors. Ventricular fibrillation Which of the following drugs is a nonbenzodiazepine that is used as an antianxiety? Lorazepam (Atiran) Diazepam (Valium) Chlordiazepoxide (Librium) Doxepin (sinequin) The nurse caring for clients receiving antipsychotic medications knows that a medication often prescribed for treating the extrapyramidal side effects associated with antipsychotics is: Pheneizine (Nardil). Bupropion (Welibutrin). Arnantadine (Symmetrel). Hydroxyzine (Atarax). A fibric acid derived antihyperlipidemic drug is which of the following? Rosuvastatin (crestor) Colestipol (colestid) Gemfibrozil (lopid) Warfarin

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You are instructed to give cyclophosphamide (Cytoxan) 4 mg/kg per day PO. The client weighs 154 lb. How much Cytoxan would you give each day? ___________mg

A patient in hepatic coma has orders for phenobarbital. The nurse knows that this drug is preferred to a depressant drug because it is: Excreted by the kidney. Not as strong as a depressant drug. Relaxing for an agitated patient. Safe when the blood ammonia level is up. The delirium occurs in which stage of the general surgical anesthesia? Stage 1 Stage ll Stage lll Stage lV The provision of a sensation free state in a specific area or region is referred to as: Anesthesia Local anesthesia General anesthesia None of the above A client with left heart failure may have which of the following symptoms? Pitting edema Difficulty breathing while lying flat Nocturia Nausea Calcium channel blockers are primarily used to treat: Prinzmental’s angina Prophylaxis of angina attacks Glaucoma Postural hypertension The nurse understands that the purpose of treating a client in labor with naloxone (Narcan) is to: Increase the effects of narcotics. Depress the activity of the central nervous system (CNS) in the woman who received narcotics. Block the effects of narcotics on the CNS. Withdraw narcotics from the body. Hydroxyzine (Vistaril) is available in 25 mg/mL. The physician orders 100 mg q4-6h PRN. How many milliliters would you give per as-needed dose? ___________ml

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The amount of solution and amount of IV aminophylline received by the client each minute when there is 250 mg aminophylline in 250 ml. solution given over 16 hours is: ___________ml/min

Hydroxyzine 25 mg IM has been ordered. Vial reads “100 mg in 2 mL.” How many milliliters would you give? ___________ml

The amount of solution and amount of IV dopamine received by a client each hour when there is 400 mg dopamine in 500 mL solution over 24 hours is: ____________ml/hr

An example of a sensory adverse reaction of a nonsteroidal anti-inflammatory drug (NSAIDS) is: Anorexia Tinnitus Pancytopenia Polyuria. The client arrives at the emergency department complaining of back spasms. The client states, “1 have been taking two to three aspirin every 4 hours for the last week, and it hasn’t helped my back.”Aspirin intoxication is suspected, and the nurse assesses the client for which of the following? Tinnitus Diarrhea Constipation Photosensitivity Some clients who are on phenothiazines are also given benztropine mesylate (Cogentin). The nurse administers this medication in order to: Prevent skin reactions. Increase the effectiveness of the phenothiazines. Decrease motor restlessness. Reduce extrapyramidal side effects. An example of a preanesthetic cholinergic blocking drug is which of the following? Secobarbital Glycopyrrolate Midazolam Fentanyl A patient is started on ASA therapy. She tells the nurse that she is having a great deal of gastrointestinal distress. The therapeutic response would be to: Inform the charge nurse so the physician can change to another drug. Explain that this happens frequently and there is nothing to be concerned about. Ask the patient when she takes the drug during the day. Tell the patient to take an antacid with the drug.

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A patient has a 1000 mL bag of D5/0.45 NS hung at 10 AM. His 24 hour IV orders are for 3 bags of 1000 mL. What time should the second bag be hung? __________ PM. (Hint: Write the digit(s) you think is the correct on using the12 hours system: example 5)

Answer

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