Lesson 3 Chapter Questions

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Fyrcracker
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Lesson 3 Chapter Questions
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2013-09-30 11:58:03
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Chapters 18 21 27 28
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Chapters 18-21, 27 & 28
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  1. For the client taking epinephrine, the nurse realizes there is a possible drug interaction w/which drug?
    a. Albuterol (Proventil)
    b. Metoprolol (Lopressor)
    c. Bethanechol (Urecholine)
    d. Tolterodine Tartrate (Detrol)
    Metoprolol (Lopressor)
  2. The nurse will monitor the client taking albuterol (Proventil) for which condition?
    A. Palpitations
    B. Hypoglycemia
    C. Bronchospasms
    D. Uterine contractions
    A. Palpitations
    (this multiple choice question has been scrambled)
  3. A client is prescribed Metroprolol (Lopressor) to treat HTN.  It is important for the nurse to monitor the client for which condition?
    A. Decreased respirations
    B. Ankle Edema
    C. Bradycardia
    D. Hypertension
    C. Bradycardia
    (this multiple choice question has been scrambled)
  4. Atenolol (Tenormin) is prescribed for a client.  The nurse realizes that this drug is a beta-adrenergic blocker & that this drug classification is contraindicated for clients w/which condition?
    A. Hypothyroidism
    B. Angina pectoris
    C. Cardiogenic shock
    D. Liver dysfunction
    C. Cardiogenic shock
    (this multiple choice question has been scrambled)
  5. The nurse realizes that beta1 receptor stimulation is differentiated from beta2 stimulation, in that stimulation of beta1 receptors leads to which condition?
    A. ^ myocardial contractility
    B. ^ bronchodilation
    C. < uterine contractility
    D. < blood flow to skeletal muscles
    A. ^ myocardial contractility
    (this multiple choice question has been scrambled)
  6. A client is given epinephrine (Adrenalin), an adrenergic agonist (sympathomimetic).  The nurse should monitor the client for which condition?
    A. Pupil constriction
    B. ^ BP
    C. < pulse
    D. Bronchial constriction
    B. ^ BP
    (this multiple choice question has been scrambled)
  7. The nurse is administering atenolol (Tenormin) to a client.  Which concurrent drug does the nurse expect to most likely cause an interaction?
    A. Methyldopa (Aldomet)
    B. ginseng herb
    C. An NSAID, (ie. aspirin)
    D. Haloperidol (Haldol)
    C. an NSAID (ie. aspirin)
    (this multiple choice question has been scrambled)
  8. A client is receiving bethanechol (Urecholine).  The nurse realizes that the action of this drug is to treat:
    A. Gastroesophageal reflux disease
    B. Delayed gastric emptying
    C. Glaucoma
    D. Urinary retention
    D. Urinary retention
    (this multiple choice question has been scrambled)
  9. The nurse teaches the client receiving atropine to expect which s/e?
    A. Bradycardia
    B. Diarrhea
    C. Frequent urination
    D. Blurred Vision
    D. Blurred vision
    (this multiple choice question has been scrambled)
  10. When Benztropine (Cogentin) is ordered for a client, the nurse acknowledges that this drug in an effective Tx for which condition?
    A. Parkinsonism
    B. Motion sickness
    C. Paralytic ileus
    D. Urinary retention
    A. Parkinsonism
    (this multiple choice question has been scrambled)
  11. Dicyclomine (Bentyl) is an anticholinergic, which the nurse realizes is given to Tx which condition?
    A. IBS
    B. Constipation
    C. Mydriasis
    D. Urinary retention
    A. IBS
    (this multiple choice question has been scrambled)
  12. The nurse realizes that cholinergic agonists mimic which parasympathetic neurotransmitter?
    A. Acetylcholine
    B. Dopamine
    C. Cholinesterase
    D. Monoamine Oxidase
    A. Acetylcholine
    (this multiple choice question has been scrambled)
  13. The nurse is administering a cholinergic agonist & should know that the expected cholinergic effects include which of the following?
    A. ^ HR
    B. < Salivation
    C. < Peristalsis
    D. ^ Pupil constriction
    D. ^ Pupil constriction
    (this multiple choice question has been scrambled)
  14. When the client has a cholinergic overdose, the nurse anticipates administration of which drug as the antidote?
    A. Metoclopramide
    B. Ambenonium
    C. Atropine
    D. Bethanechol
    C. Atropine
    (this multiple choice question has been scrambled)
  15. When a 12-yr old child is prescribed methylphenidate (Ritalin), which is most important for the nurse to monitor?
    A. child's height & weight
    B. child's respirations
    C. child's I & O
    D. child's temp
    A. Child's Height & weight
    (this multiple choice question has been scrambled)
  16. Several children are admitted for Dx w/possible ADHD.  Which is most important for the nurse to observe?
    A. a boy w/an inability to complete tasks
    B. a girl who lacks impulsivity
    C. a boy w/smooth coordination
    D. a girl who is lethargic
    A. a boy w/an inability to complete tasks
    (this multiple choice question has been scrambled)
  17. A client is taking benzphetamine (Didrex).  The nurse teaches the client which information about this drug?
    A. It is a respiratory stimulant
    B. It is safe during pregnancy
    C. It may cause drowsiness
    D. It may lead to hypotension
    D. It may lead to hypotension
    (this multiple choice question has been scrambled)
  18. The nurse monitoring a client for methylphenidate (Ritalin) withdrawal should observe the client for which condition?
    A. Weakness
    B. Tachycardia
    C. Insomnia
    D. Tremors
    A. Weakness
    (this multiple choice question has been scrambled)
  19. The nurse teaches a client about which common s/e of analeptics?
    A. Constipation
    B. Urinary Retention
    C. Bradycardia
    D. Nervousness
    D. Nervousness
    (this multiple choice question has been scrambled)
  20. the nurse who is teaching the client to self-administer meds explains to the client that which drug treats narcolepsy?
    A. Lisdexamfetamine
    B. Modafinil
    C. Methylphenidate (Riatlin)
    D. Atromoxetine
    B. Modafinil
    (this multiple choice question has been scrambled)
  21. A newborn client is in respiratory distress.  The nurse anticipates preparation for which med to be given?
    A. Theophylline
    B. Armodafinil
    C. Amphetamine
    D. Modafinil
    A. Theophylline
    (this multiple choice question has been scrambled)
  22. It is important for the nurse teaching the client regarding secobarbital (Seconal) to include which info about Seconal?
    A. It's a short-acting drug that may cause one to awaken early in the morning.
    B. It is a long-acting drug that is frequently associated w/dependence.
    C. It is an intermediate-acting drug that frequently causes a hangover effect.
    D. It is an intermediate-acting drug that frequently causes REM rebound.
    A. It's a short-acting drug that may cause one to awaken early in the morning.
    (this multiple choice question has been scrambled)
  23. A client taking lorazepam (Ativan) asks the nurse how this drug works.  The nurse should respond by stating that it is a benzodiazepine that acts by which mechanism?
    A. Creating an epidural block by placement of the local anesthetic in the outer covering of the spinal cord.
    B. ^the action of the inhibitory neurotransmitter GABA to GABA receptors.
    C. Depressing the CNS, leading to a loss of consciousness
    D. Depressing the CNS, including the motor & sensory activities.
    B. ^the action of the inhibitory neurotransmitter GABA to GABA receptors.
    (this multiple choice question has been scrambled)
  24. A client is taking zolpidem (Ambien) for insomnia.  The nurse prepares a care plan that includes monitoring of the client for s/e or a/r of this drug.  Which is a s/e of zolpidem?
    A. Laryngospasm
    B. Headache
    C. Insomnia
    D. Blood dyscrasias
    B. Headache
    (this multiple choice question has been scrambled)
  25. A client received spinal anesthesia.   Which is most important for the nurse to monitor?
    A. Hangover effects & dependence
    B. Excitement or delirium
    C. Loss of consciousness
    D. Hypotension & headaches
    D. Hypotension & Headaches
    (this multiple choice question has been scrambled)
  26. A nurse is teaching a client about zolpidem (Ambien).  Which is important for the nurse to include in the teaching of this drug?
    A. Should only be used for 21 days or less
    B. May lead to psychological dependence
    C. For older adults, dose is 15mg at HS
    D. Max dose is 20mg/day
    B. May lead to psychological dependence
    (this multiple choice question has been scrambled)
  27. A client is taking triazolam (Halcion).  Which instructions about this drug are important for the nurse to include?
    A. It may be used as a barbiturate for only 4 weeks.
    B. Use as a nonbenzodiazepine to <anxiety.
    C. This drug does not lead to vivid dreams or nightmares.
    D. Avoid alcohol & smoking to prevent rebound insomnia.
    D. Avoid alcohol & smoking to prevent rebound insomnia.
    (this multiple choice question has been scrambled)
  28. A client is to receive consious sedation for a minor surgical procedure.  Which drug administration should the nurse expect?  (select all that apply)
    a. Propofol (Diprivan) to sustain to sustain natural sleep.
    b.Lidocaine (Xylocain) to provide local anesthesia.
    c. Midazolam (Versed) to promote sedation & following of commands.
    d. Ketamine (Ketalar) for rapid induction & prolonged duration of action.
    • a. Propofol (Diprivan) to sustain natural sleep.
    • c. Midazolam (Versed) to promote sedation & following of commands.
  29. The nurse realizes that facial grimacing, involuntary upward eye movement, & muscle spasms of the tongue & face are indicative of which condition?
    A. Acute dystonia
    B. Tardive dyskinesia
    C. Akathisia
    D. Pseudoparkinsonism
    A. Acute dystonia
    (this multiple choice question has been scrambled)
  30. The nurse understands that antipsychotics act in which way?
    A. By blocking actions of dopamine
    B. By blocking actions of epinepharine
    C. By promoting prostaglandin synthesis
    D. By enhancing the action of GABA
    A. By blocking actions of dopamine
    (this multiple choice question has been scrambled)
  31. An antipsychotic agent, fluphenazine (Prolixin), is ordered for a client w/psychosis.  The nurse knows that this agent can lead to extrapyramidal symptoms (EPS) that may be treated w/which med?
    A. Aripiprazole (Abilify)
    B. Benztropine (Cogentin)
    C. Chlorpromazine (Thorazine)
    D. Quetiapine (Seroquel)
    B. Benzatropine (Cogentin)
    (this multiple choice question has been scrambled)
  32. An atypical antipsychotic is prescribed for a client w/psychosis.  The nurse understands that this category of medications includes which drug?
    A. Haloperidol (Haldol)
    B. Thiothixene (Navane)
    C. Loxapine (Loxitane)
    D. Clozapine (Clozaril)
    D. Clozapine (Clozaril)
    (this multiple choice question has been scrambled)
  33. The nurse is aware of which fact regarding lorazepam (Ativan)?
    A. It has a max adult dose of 25mg/day.
    B. It interferes w/the binding of dopamine receptors.
    C. It may cause confusion & blurred vision.
    D. When combined w/cimentidine, it causes plasma levels to be <.
    C. It may cause confusion & blurred vision.
    (this multiple choice question has been scrambled)
  34. A client is receiving haloperidol (Haldol).  Which nursing intervention(s) should the nurse perform? (select all that apply)
    a. Monitor vitals to detect bradycardia.
    b. Remain w/the client until medication is swallowed.
    c. Monitor vitals to detect orthostatic hypotension.
    d. Observe the client for acute dystonia, akathisia, & tardive dyskinesia.
    • b. Remain w/client until medication is swallowed.
    • c. Monitor vitals to detect orthostatic hypotension. 
    • d. Observe the client for acute dystonia, akathisia, & tardive dyskinesia.
  35. A client appears to have had an overdose of phenothiazines.  The nurse is aware that the potential Tx for phenothiazine OD includes which intervention(s)? (select all that apply)
    a. Gastric lavage
    b. Adequate hydration
    c. Maintaining an airway
    d. Fluphenazine (Prolixin)
    e. Risperidone (Risperdal)
    f. Activated charcoal andministration
    • a. Gastric lavage
    • b. Adequate hydration
    • c. Maintaining an airway
    • f. Activated charcoal administration
  36. A client is admitted w/bipolar affective disorder.  The nurse acknowledges that which med is used to Tx this disorder for some clients in place of lithium?
    A. Gingko biloba
    B. Fuvoxamine (Luvox)
    C. Divalproex (Depakote)
    D. Thiopental
    C. Divalproex (Depakote)
    (this multiple choice question has been scrambled)
  37. The nurse realizes that some herbs interact w/selective serotonin reuptake inhibitors (SSRI's).  Which herb interaction may cause sertotonin syndrome?
    A. Gingko biloba
    B. Feverfew
    C. St. John's wort
    D. Ma-huang
    C. St. John's wort
    (this multiple choice question has been scrambled)
  38. A selective serotonin reuptake inhibitor (SSRI) is prescribed for a client.  The nurse knows that which drug is an SSRI?
    A. Bupropion HCL (Wellbutrin)
    B. Paroxetine (Paxil)
    C. Divalproex sodium (Depakote)
    D. Amitriptyline (Elavil)
    B. Paroxetine (Paxil)
    (this multiple choice question has been scrambled)
  39. A client is taking tranylcypromine sulfate (Parnate) for depression.  What advice should the nurse include in the teaching plan for this med?
    A. Encourage fruit such as bananas.
    B. Avoid beer & cheddar cheese.
    C. Encourage ginseng & ephedra
    D. Warn of severe hypotension
    B. Avoid beer & cheddar cheese.
    (this multiple choice question has been scrambled)
  40. Which statement is true concerning lithium?
    A. The max dose is 3.4g/day
    B. Lithium ^receptor sensitivity to GABA.
    C. Concurrent NSAIDs may ^ lithium levels
    D. The therapeutic drug range is 2.5-3.5mEq/L
    C. Concurrent NSAIDs may ^lithium levels
    (this multiple choice question has been scrambled)
  41. When a client is taking an antidepressasnt, what should the nurse do? (select all that apply)
    a. Monitor the client for suicidal tendencies.
    b. Observe the client for orthostatic hypotension
    c. Teach the client to take the drug w/food if GI distress occurs.
    d. Tell the client that the drug may not have full effectiveness for 1-2 weeks.
    e. Advise the client to maintain adequate fluid intake of 2L/day.
    • a. Monitor the client for suicidal tendencies.
    • b. Observe the client for orthostatic hypotension
    • c. Teach the client to take the drug w/food if GI distress occurs.
    • d. Tell the client that the drug may not have full effectiveness for 1-2 weeksl
  42. A client is taking lithium.  The nurse should be aware of the importance of which nursing intervention(s)? (select all that apply)
    a. Observe the client for motor tremors.
    b. Monitor the client for orthostatic hypotension
    c. Draw lithium blood levels immediately after a dose.
    d. Advise the client to drink 750mL/day of fluid in hot weather.
    e. Advise the client to avoid caffeinated foods & beverages, such as coffee, tea, colas & chocolate.
    f. Teach the client to take lithium w/meals to <GI irritation.
    • a. Observe the client for motor tremorsb.
    • b. Monitor the client for orthostatic hypotension
    • e. Advise the client to avoid caffeinated foods & beverages, such as coffee, tea, colas & chocolate.
    • f. Teach the client to take lithium w/meals to <GI irritation.
  43. The general sympathetic response to adrenergic drugs such as Epinephrine (Adrenalin) include which of the following?
    A. ^HR & constricting blood vessels
    B. Constricting bronchioles & dilating blood vessels.
    C. Dilating bronchioles & <HR
    D. <HR & dilating blood vessels.
    A. ^HR & constricting blood vessels
    (this multiple choice question has been scrambled)
  44. The nurse is developing a teaching plan for a patient who is taking an anticholinergic drug such as benstropine (Cogentin).  which of the following s/e are common w/anticholinergic meds & would be appropriate teaching for this patient?
    A. Hypertension when standing
    B. Excessive salivation
    C. Urinary retention
    D. Diarrhea
    C. Urinary retention
    (this multiple choice question has been scrambled)
  45. You are providing teaching to your patient regarding CNS stimulants such as methylphenidate (Ritalin).  Which of the following is a s/e or a/r of Ritalin?
    A. Insomnia
    B. Weight gain
    C. Bradycardia
    D. Hypotention
    A. Insomnia
    (this multiple choice question has been scrambled)
  46. A client is d/c'd on the alpha blocker Doxazosin (Cardura).  You know that this med will have the physiological effect of arterial & venous dilation.  This effect will cause which one of the following?
    A. <BP
    B. ^Temp
    C. ^BP
    D. <respirations
    A. <BP
    (this multiple choice question has been scrambled)
  47. The SNS is also referred to as which of the following?
    A. The "fight or flight" system
    B. The "rest & digest" system
    C. The "fight & relax" system
    D. The "fight & digest" system
    A. The "fight or flight" system
    (this multiple choice question has been scrambled)

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