pharm test 1

Card Set Information

Author:
shaiangelz
ID:
68745
Filename:
pharm test 1
Updated:
2011-02-27 20:29:18
Tags:
pharm test
Folders:

Description:
pharm test 1
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user shaiangelz on FreezingBlue Flashcards. What would you like to do?


  1. a drug that stimulates the action of a receptor is known as an:

    A. antagonist
    B. agnostic
    C. allergen
    D. agonist
    D.
    (this multiple choice question has been scrambled)
  2. in terms of drug absorption, which circumstance will enhance or promote a drug's effect?

    A. a smaller surface area
    B. rapid dissolution in solution
    C. lipid insolubility
    D. low blood flow
    B.
    (this multiple choice question has been scrambled)
  3. the six rights that a nurse should consider before administering a drug include all of the following except:

    A. the right time
    B. the right drug
    C. the right storage area
    D. the right patient
    C.
    (this multiple choice question has been scrambled)
  4. suzie is a 22 year old that was prescribed oxycontin for pain and took this drug for 2 weeks. she presents today at prime care with shaking chills, sweating, facial flushing, severe anxiety, and hallucinations. the RN recognizes, based on suzie's medication history, that she is experiencing withdrawal symptoms secondary to:

    A. a drug tolerance
    B. drug dependence
    C. an adverse drug reaction
    D. infection
    B.
    (this multiple choice question has been scrambled)
  5. buster is receiving Digoxin to slow and strengthen his heart rate. he begins to complain of everything looking yellow. the RN knows it may be time to assess:

    A. plasma drug levels of digoxin for less then therapeutic effects
    B. cardiac enzyme levels to rule out MI
    C. plasma drug levels of digoxin for toxicity
    D. b/p and pulse
    C.
    (this multiple choice question has been scrambled)
  6. when the RN administers a drug that is classified in the drug literature as nephrotoxic, he/she should assess the patients':

    A. basal metabolic rate
    B. plasma drug levels
    C. liver function
    D. renal function
    D.
    (this multiple choice question has been scrambled)
  7. when adjusting doses of a particular drug for variations in patient size, the most accurate dose determination can be calculated based on:

    A. the patient's ideal body weight
    B. the patient's creatine clearance
    C. the patient's body surface area
    D. the drug's pharmacokinetics
    C.
    (this multiple choice question has been scrambled)
  8. John is a 45 year old patient who presents to the ER complaining of severe back pain. He has been treated for 6 months now with Morphine 10mg by mouth every 6 hours as needed for back pain. The RN determines that this dosage is no longer effective for John as his pain is not well controlled and is averaging a "5" on a scale of 0-10. this is an example of:

    A. drug dependence
    B. drug tolerance
    C. latrogenic disease
    D. a side effect
    B.
    (this multiple choice question has been scrambled)
  9. the drug allergy reaction that produces a life threatening reaction that can lead to brochospasm, laryngeal edema, respiratory distress and a drop in blood pressure is:

    A. delayed allergic reaction
    B. anaphylactic reaction
    C. cytotoxic reaction
    D. serum-sickness reaction
    B.
    (this multiple choice question has been scrambled)
  10. when determining whether an adverse drug reaction has occurred, the nurse should consider which question?

    A. has the drug produced this effect in another patient receiving the same agent at the same dose?
    B. did the patient notice that the drug caused a bad taste in the mouth?
    C. could the pathophysiogic events of the illness itself explain the event?
    D. is the patient complaining about the frequency of drug dosing?
    C.
    (this multiple choice question has been scrambled)
  11. the effects of a drug on the body

    A. pharmacodynamics
    B. pharmacopoeia
    C. pharmacoherapeutics
    D. pharmacokinetics
    A.
    (this multiple choice question has been scrambled)
  12. dilantin is a commonly used medicine for the treatment of seizure disorders. the RN is aware that the lab values for Dilantin should be between 10 and 2- mcg/ml. this narrow window is called the:

    A. therapeutic dose
    B. therapeutic goal
    C. therapeutic index
    D. therapeutic antepileptia
    C.
    (this multiple choice question has been scrambled)
  13. prescribed medications are prepared and administered during which phase of the nursing process?

    A. assessment
    B. implemenation
    C. nursing diagnosis
    D. evaluation
    B.
    (this multiple choice question has been scrambled)
  14. mrs. j presents to the ER with an apparent facture of the right ankle and severe pain. she has a medical history of diabetes mellitus; CHF; and elevated liver enzymes. dr. k is considering the therapeutic objective in treating mrs. j's pain, which is to:

    A. suggest the nurses perform non-medicale pain relieving techniques, such as elevation and ice
    B. get her out of my ER as quickly as possible
    C. give her the strongest pain reliever available
    D. provide maximal benefit with minimal harm
    D.
    (this multiple choice question has been scrambled)
  15. the nurse is caring for the patient with kidney disease. the nurse needs to make more focused assessments when administering medications to this patient bc the patient may experience problems with the process of:

    A. metabolism
    B. distribution
    C. excretion and/or metabolism
    D. absorption
    C.
    (this multiple choice question has been scrambled)
  16. lab values obtained for certain drugs to ensure dose is therapeutic
    plasma drug level
  17. the most important property a drug can have
    effectivness
  18. great leafy veggi (high in vit K) may decrease anticoagulation from Coumadin
    food-drug interaction
  19. the property of a drug that elicits only the response for which it is given
    selectivity
  20. "acetaminophen"
    generic name
  21. "N-acetyl-para-aminophenol"
    chemical drug name
  22. theophylline interfers with Coumadin levels
    drug-drug interaction
  23. "tylenol"
    trade name
  24. liver failure produced by tylenol overdose
    iatrogenic disease or effect
  25. drug fits here at the cellular level like a lock and key
    drug receptor
  26. a drug that prevents or impedes the actions of a receptor is an

    A. agonist
    B. antagonist
    C. allergen
    D. agnostic
    B.
    (this multiple choice question has been scrambled)
  27. the use of drugs to diagnose, prevent or treat disease or prevent pregnancy is

    A. pharmacotherapeutics
    B. pharmacology
    C. clinical pharmacology
    D. experimental pharmacology
    A.
    (this multiple choice question has been scrambled)
  28. prescribed medicines are prepared and administered during which phase of the nursing process?

    A. assessment
    B. evaluation
    C. implementation
    D. nursing diagnosis
    C.
    (this multiple choice question has been scrambled)
  29. mr. booger is an 88 year old man prescribed an antihistamine for a sinus infection. while taking this drug he notices that he is very sleepy all the time. this is an example of:

    A. side effect
    B. adverse reaction
    C. teratogenic effect
    D. iatrogentic disease
    A.
    (this multiple choice question has been scrambled)
  30. the RN is the:

    A. only member of the healthcare team who can prevent med errors
    B. cause of most medication errors
    C. the only member of the healthcare team who has no responsibility for med errors
    D. the patient's last line of defense against medication errors.
    D.
    (this multiple choice question has been scrambled)
  31. select the accurate statement regarding the placebo effect of medicines.

    A. it is almost always a positive response that facilitates healing
    B. it is caused by psychologic factors rather than physiologic ones
    C. when it occurs, it indicates that the patient did not have an illness
    D. it is a rare effect, seen only with psychotropic meds
    B.
    (this multiple choice question has been scrambled)
  32. select the accurate statement regarding gender differences in response to drugs

    A. gender has no effect on drug kinetics or dynamics
    B. women are inefficient metabolizers of drugs and will be more prone to side effects
    C. men and women respond differently to drugs, but little is known about how and why
    D. men metabolize drugs more efficiently and are therefore more likely to experience the intended drug effect
    C.
    (this multiple choice question has been scrambled)
  33. when one drug alters the absorption of a second drug taken at the same time, the interaction would be classified as:

    A. a direct chemical reaction
    B. pharmacodynamic
    C. combined toxicity
    D. pharmacokinetic
    D.
    (this multiple choice question has been scrambled)
  34. mr. r has liver disease. he is recieving a drug that is metabolized by the liver. the nurse needs to most carefully monitor the patient for signs of:

    A. allergic effects and toxicity
    B. idiosyncratic effects and anaphylaxis
    C. therapeutic objects and tolerance
    D. adverse effects and toxicity
    D.
    (this multiple choice question has been scrambled)
  35. how the body effect a drug:

    A. pharmacodynamics
    B. pharmacopoeia
    C. pharmacotherapeutics
    D. pharmacokinetics
    D.
    (this multiple choice question has been scrambled)
  36. The RN has just administered Atropine 0.5 mg IM along with Versed 5 mg as a pre-operative medication. 40 mins later the injection the patient states, "it feels like my heart is racing." the patient's apical pulse is 136. the RN would:

    A. recognize this is an adverse reaction of the Versed, check a B/P, and contact the MD for permission to administer more atropine to slow the heart rate
    B. recognize this could be an adverse reaction to the atropine, check a B/P and call the MD for further orders
    C. recognize this is an expected effect of the Atropine and just continue to monitor the heart rate
    D. recognize this as a potential drug interaction between Versed and Atropine, check a B/P and call the MD for further orders
    B.
    (this multiple choice question has been scrambled)
  37. a patient with an obvious allergy is stuck by a bee, shortness of breath and feeling of chocking ensues to accompany a very large local inflammatory reaction. the catecholamine of choice for treating this would be

    A. norepinephrine
    B. ritodrine
    C. midodrine
    D. epinephrine
    D.
    (this multiple choice question has been scrambled)
  38. what is the goal of pharmacologic therapy in treating Parkinson's disease?

    A. increase the amount of acetylcholine at the presynaptic neurons
    B. balance cholinergic and dopaminergic activity in the brain
    C. decrease the amount of dopamine available in the substantia nigra
    D. block epinephrine receptors in both presynaptic and postsynaptic neurons
    B.
    (this multiple choice question has been scrambled)
  39. beta2-specific adrenergic agonists are used frequently to treat:

    A. urinary retention
    B. asthma and bronchospasm
    C. hypotension
    D. allergic rhinitis
    B.

    beta2-specific adrenergic agonist stimulate bronchial dilation, which is esp. effective in treating asthma and bronchospasm when the bronchial airway is narrowed by inflammation or muscle spasm. they are not effective in treating hypotension, allergic rhinitis, or urinary retention
    (this multiple choice question has been scrambled)
  40. a patient with Parkinson's disease has been achieving good symptom control with the first line drugs for treatment of this debilitating disease, which are:

    A. levodopa and phenlphrine
    B. ethosuximide and tegretol
    C. levodopa/carbidopa
    D. carbidopa and epinephrine
    C.
    (this multiple choice question has been scrambled)
  41. patients who are administered a new drug should be asked about the use of alternative therapies, such as herbal supplements because:

    A. many drug-alternative therapy interactions can cause serious problems and should be avoided
    B. the cost of the drug and the alternative therapy may be too great for the patient to handle
    C. people who use these new drugs are usually not compliant with medical regimens
    D. natural products may be more effective and the drug may not be needed
    A.

    alternative therapies often involve the use of herbal products, which contain natural chemicals that affect the body. many drug-alternative therapy interactions have been reported that could cause serious effects. the health care provider needs to be alert to these possible interactions to adjust treatment appropriately. cost and effectiveness may be factors, but the balancing of these therapies in the drug regimen to prevent interactions is the main concern of the nurse.
    (this multiple choice question has been scrambled)
  42. a patient is being treated for shock. in treating the patient, one goal is to stimulate increase renal blood flow. the drug of choice would be:

    A. meterminol in low doses
    B. norepinephrine in high doses
    C. dopamine in low doses
    D. phenylephrine in low doses
    C.

    dopamine is the drug of choice in treating shock because it stimulates the heart, increases blood pressure, and increases blood flow to the kidneys
    (this multiple choice question has been scrambled)
  43. a patient is taking a beta-blocker for hypertension should be cautioned to report:

    A. decreased sexual function
    B. loss of energy and pep
    C. increased swelling
    D. difficulty breathing
    D.

    beta-blockers will prevent the bronchodilation that occurs with stress or injury to the bronchial lining. patients should be advised to report any difficulty breathing. it would be expected to see loss of energy, decreased sexual function, and decreased sweating with these drugs.
    (this multiple choice question has been scrambled)
  44. three major neurotransmitters of the Nervous System include.

    A. atropine, progesterone and testosterone
    B. acetylcholine, epinephrine and norepinephrine
    C. oxybutinin, epinephrine, and phenytoin
    B.

    adrenergic blocking drugs cause bradycardia, help block hyperglycemia, and do not usually cause difficulty breathing. one would not anticipate tachycardia bc bradycardia is the usual effect
    (this multiple choice question has been scrambled)
  45. mrs. b is a 67 year old client with a long standing history of depression, treated with tricyclic antidepressant, during a recent hospitalization the following drugs were ordered for her: atropine sulfate, morphine sulfate, ditropan (oxybutinin) and aspirin. on the 2nd day of her hospitalization, mrs. b complained of blurred vision and sensitivity to light. what would the RN suspect?

    A. CVA (stroke)
    B. that this is an adverse reaction of either ditropan or atropine
    C. a drug interaction between ditropan and aspirin
    D. that this is an adverse reaction to morphine
    B.
    (this multiple choice question has been scrambled)
  46. one of the effects of sympathetic stimulation is relaxation of the uterus. an adrenergic agonist that is used specifically to manage preterm labor by relaxing the uterus is:

    A. isoproterenol
    B. terbutaline
    C. pitocin
    D. midodrine
    B.

    ritodrine is a sympathetic stimulant that is used clinically to relax the uterus to manage preterm labor
    (this multiple choice question has been scrambled)
  47. which body systems are most affected by epinephrine therapy?

    A. respiratory and cardiovascular
    B. renal and respiratory
    C. hepatic and renal
    D. cardiovascular and integumentary
    A.
    (this multiple choice question has been scrambled)
  48. if a patient develops muscarinic antagonist toxicity from ingestion of a chemical, the nurse should be prepared to:

    A. administer an acetylcholinesterase activator
    B. monitor the patent's toxicities but not administer an antidote
    C. administer physostigmine
    D. administer atropine IV
    C.
    (this multiple choice question has been scrambled)
  49. 85 year old, mrs. c is admitted to the ER with the inability to void. she is very uncomfortable, and something must be done soon since she has not urinated in 14 hours. a stat IVP and flat plate of the abdomen reveal no evidence of urinary obstruction. the nurse would expect the following actions to be performed:

    A. placement of an indwelling foley catheter
    B. administration of Urecholine 50 mg IM stat, followed by 25 mg po every 4 hours
    C. a straight cath, followed by urecholine 50 po and further evaluation
    D. a straight cath to relieve the current bladder distention immediately
    C.
    (this multiple choice question has been scrambled)
  50. a patient has an infection in the CNS. which structure may make delivery of antibiotic therapy more difficult?

    A. thalamus
    B. blood-brain barrier
    C. neuropeptides
    D. chemotherapeutic trigger zone
    B.
    (this multiple choice question has been scrambled)
  51. which statement is correct regarding the impact of prolonged CNS drug exposure on the CNS.

    A. certain drugs used in Psychiatry may take some time to exert the changes that produce the desired effect
    B. side and adverse effects generally increase over time
    C. when tolerance develops, drug dosage should be decreased and eventually tapered off
    D. these drugs usually act immediately to produce structural changes in the nervous system
    A.
    (this multiple choice question has been scrambled)
  52. the drug allergy reaction that produces a life threatening reaction that can lead to brochospasm, laryngeal edema, respiratory distress and drop in blood pressure is:

    A. anaphylactic reaction that is treated with epinephrine
    B. cytotoxic reaction
    C. anaphylactic reaction treated with dobutamine
    D. delayed allergic reaction
    A.
    (this multiple choice question has been scrambled)
  53. a patient who is stabilized on a beta blocker is prescribed prazosin (minipress) to increase blood pressure control. the nurse teaching this patent should stress that:

    A. the patient should change position slowly because of postural hypotension
    B. the patient may feel very anxious and nervous
    C. erections lasting longer than 4 hours can be exhausting!
    D. glucose levels will be high and dietary changes should be made
    A.

    when beta blockers and prazosin are taken concurrently, the patient is at increased risk for orthostatic hypotension. special safety precautions should be taken to avoid injury, including changing positions slowly .with the sympathetic system blocked, the patient should not feel nervous or have high glucose levels. swelling of the legs would not be expected if the therapeutic doses are used.
    (this multiple choice question has been scrambled)
  54. which drug

    pre-op med to dry gastic and respiratory secretions; also used to increase heart rate in heart blocks and cardiac arrest
    atropine
  55. which drug

    asthma; delay of pre-term labor
    terbutaline
  56. which drug

    in low doses to increase urine output, in high doses for shock
    dopamine
  57. which drug

    anti-anxiety; muscle spasms; status epilepticus
    diazepam (valium)
  58. which drug

    allergic reactions; anaphylactic shock, cardiac arrest
    epinephrine
  59. which drug

    unobstructed urinary retention
    bethanecol (urecholine)
  60. which drug

    seizures
    phenytoin (dilantin)
  61. which drug

    overactive bladder
    oxybutinin (ditropan)
  62. which drug

    muscle spasms
    baclofen
  63. which drug

    less potent catecholamine to treat hypotension
    dobutamine
  64. which drug class

    ditropan
    non-catecholamine adrenergic agonist
  65. which drug class

    atropine
    anticholinergic for over active bladder
  66. which drug class

    epinephrine (adrenaline)
    catecholamine
  67. which drug class

    ephedrine
    anti-cholinergic emergency drug
  68. which drug class

    metoprolol
    beta blocker
  69. which drug class

    urecholine (bethanecol)
    cholinergic
  70. which drug class

    levodopa/carbidopa (sinemet)
    anti-parkinson's drug
  71. which drug class

    dilantin
    anti-epileptic
  72. the following are functions of the Parasympathetic NS: (select all that apply)

    a. emptying of the bowel and bladder
    b. redistributing blood flow during exercise
    c. focusing the eye for near vision
    d. maintaining blow flow to the skin
    e. slowing the heart rate
    f. increasing gastric secretions
    • all except redistributing blood flow during exercise
    • and maintaining blood flow to the skin
  73. an adult patient arrives at the ER after an overdose of cholinergic drugs. the nurse anticipates administering what drug IV?

    A. atropine
    B. epinephrine
    C. benadryl
    D. the "date rape" drug
    A.
    (this multiple choice question has been scrambled)
  74. a diabetic patient who is treated wich a nonspecific beta-blocker would have to learn:

    A. to weigh himself each day at 11:15 pm
    B. to avoid smoke-filled rooms and sleezy bars
    C. how to take his own popliteal pulse
    D. new signs and symptoms of a hypo- or hyperglycemic reaction
    D.
    (this multiple choice question has been scrambled)
  75. 12 year old johnny has muscular dystrophy. his condition leaves him with very tense muscles that could easily become contractures. the RN knows that johnny could be given which drug to treat the spasticity in his muscles:

    A. dantrolene
    B. delsym
    C. ditropan
    D. desyrel
    A.
    (this multiple choice question has been scrambled)
  76. severe hypertension, headache, and hyperpyrexia can occur if alpha agonists, such as epinephrine or phenylephrine are combined with:

    A. neuromuscular junction blockers
    B. antidiabetic agents
    C. clonidine
    D. monoamine oxidase inhibitors (MAOIs)
    D.
    (this multiple choice question has been scrambled)
  77. mrs. g, a 44 year old housewife is grocery shopping at wal-mart. suddenly, lucy falls to the floor and begins to jerk uncontrollably. she does not seem alert, and her entire body is convulsing. after about 30 seconds of this, she loses control of her bladder. as an RN, you know that

    A. she is experiencing a tonic-clonic seizure which can be treated with ativan, dilantin, and/or phenobarbital
    B. she is experiencing a petit mal seizure which can be treated with ativan, dilantin, and/or phenobarbital
    C. she may be having a diabetic seizure from too much insulin which can be treated withativan, dilantin, and/or phenobarbital
    D. she is experiencing status epilepticus which can be treated with ativan, dilantin, and/or phenobarbital
    A.
    (this multiple choice question has been scrambled)
  78. a patient with Parkinson's disease who has been positively responding to drug treatment suddenly develops a relapse of symptoms after eating a very high protein meal. which explanation by the nurse is appropriate?

    A. you have apparently developed resistance to your current medication and will have to change to another drug
    B. this is a atypical response. unfortunately, there are no other options for drug therapy to treat your disease
    C. you should keep taking your meds at the current dose. these effects will go away with time
    D. it has been suggested that a high protein meal can tripper an "off" episode. we need to look at your diet and explore spreading your protein consumption evenly throughout the day
    D.
    (this multiple choice question has been scrambled)
  79. a patient has been receiving dopamine by IV injection to try to maintain blood pressure. the nurse who is checking the infusing notices that it has infiltrated and the medication has leaked into the tissues. the nurse should:

    A. restart the IV in another site and inject phentolamine (Rigitine) directly into the area of extravasation as this is the antidote for catecholamine infiltration
    B. put hot packs on the site but keep the IV running
    C. start phentolamine running in the IV line to prevent local cell death and start another IV
    D. put ice packs on the site and try to keep the IV running as long as possible
    A.

    a patient receiving IV dopamine would be in a critical state. if the IV infiltrates, it should be pulled and a new line should be restarted immediately in another site and the infiltrated site should be injected with phentolamine to prevent severe vasoconstriction and cell death
    (this multiple choice question has been scrambled)
  80. a patient brought into the ER is experiencing hypotension. blood pressure reads 86/48. what class/classes of drug is indicated for treatment?

    A. alpha and beta adrenergic blockers
    B. beta selective adrenergic blockers
    C. alpha and beta adrenergic agonists
    D. alpha selective adrenergic blockers
    C.

    remember that blockers block the receptors so lowering of blood pressure occurs. dopamine and epinephrine are used to increase blood pressure
    (this multiple choice question has been scrambled)
  81. GCCC grad, nancy nurse, is dressing to go and take her NCLEX exam. only one problem, her irritable bowel syndrome (IBS) has flared. she has horrible abdominal cramps, and she cant stay out of the bathroom. of the drugs we studied so far, which class might give ms. nurse the most immediate relief?

    A. a cholinergic
    B. centrally acting muscle relaxant
    C. an anticholinergic
    D. a muscarinic agonist
    E. a fiber supplement
    C.
    (this multiple choice question has been scrambled)
  82. nursing care of a patient who is receiving an adrenergic blocker would include:

    A. emptying the bladder before each dose of drug
    B. bowel training program to alleviate complications of constipation
    C. breathing exercises
    D. headache medication to alleviate discomfort
    D.

    adrenergic blockers can cause intense headache that could be alleviated by analgesic medication. boweling and bladder effects occur with anticholinergic drugs. breathing exercises would not be an effective intervention for a patient with a beta-blocker
    (this multiple choice question has been scrambled)
  83. a patient is receiving an adrenergic agonist in the catecholamine family. the nurse caring for this patient would not:

    A. be given this drug orally
    B. be given this drug IV push
    C. be given this drug with food
    D. be able to take this drug on an empty stomach
    A.
    (this multiple choice question has been scrambled)
  84. an adrenergic drug that is used most frequently to treat shock and very low blood pressure is:

    A. midodrine
    B. phenylephrine
    C. dopamine
    D. isoproterenol
    C.

    chonidine is an adrenergic drug that is used to treat essential hypertension in adults. you would not use isoproterenol, which elevates blood pressure; midodrine, which is used for treating orthostatic hypotension; or phenylephrine, which is to relieve the symptoms of seasonal rhinitis
    (this multiple choice question has been scrambled)
  85. a patient with Parkinson's disease says, I always take my other meds with my bacon and eggs each morning. can i take the levodopa at this time too?
    select the nurse's best response

    A. you should never take this med with food, esp if you dont have any food to share with your RN
    B. you should take all of your meds together to enhance efficacy
    C. you can take the levodopa at breakfast if it helps you to remember to take it
    D. you should take the levodopa at lease an hour before you eat your breakfast
    D.
    (this multiple choice question has been scrambled)
  86. a 71 year old patient has taken levodopa for Parkinson's disease for 2 weeks but reports no improvement in the symptoms. select the nurse's best response

    A. stop the drug. if it has not been effective in 2 weeks, it is not likely to be beneficial
    B. it may take several months for a response to occur. continue the meds as prescribed
    C. double the dose to see if an effect will occur. if one pill is good, 2 is always better
    D. another agent, such as an alpha adrenergic will need to be added to the regimen now in order to manage your symptoms
    B.
    (this multiple choice question has been scrambled)
  87. dobutamine is useful in the treatment of

    A. severe hypothyroidism
    B. severe hyperthyroidism
    C. severe hypertension
    D. severe hypotension
    D.
    (this multiple choice question has been scrambled)
  88. beta1 receptors affect the ____, and beta2 the _____.

    A. heart; lungs
    B. lungs; kidneys
    C. kidneys; liver
    D. lungs; heart
    A.
    (this multiple choice question has been scrambled)
  89. a patient with Parkinson's disease who is taking levodopa experiences dizziness when getting out of bed. the nurse should instruct the patient to:

    A. try to sleep sitting up
    B. try increasing salt and water in the diet as levodopa may cause postural hypotension
    C. use a potassium supplement
    D. never get out of bed
    B.
    (this multiple choice question has been scrambled)
  90. a patient on levodopa for Parkinson's disease tells the nurse, I just began taking a medication for severe depression. the nurse should ask the patient which antidepressant was prescribed because:

    A. carbohydrates should be avoided when taking levodopa and an antidepressant concurrently
    B. the levodopa will increase the effects of the antidepressant
    C. some antidepressants can make the levodopa levels higher and produce toxicity
    D. a hypertensive crisis can occur when a nonselective MAOI is taken concurrent with levodopa
    D.
    (this multiple choice question has been scrambled)
  91. a patient being evaluated in the emergency department with a diagnosis of anticholinergic poisoning (with an overdose of Atropine) verses psychosis. which sign or symptom would the nurse expect to find if the patient is experiencing poisoning?

    A. hypothermia
    B. cold, pale skin
    C. dry mouth
    D. salivation
    C.
    (this multiple choice question has been scrambled)
  92. many over-the counter cold and allergy preps contain phenylephrine, an alpha agonist. because this drug stimulates the effects of the alpha receptors, patients who should be advised to avoid these drugs include patients with.

    A. hypertension
    B. hypotension
    C. urinary retention
    D. a cough
    A.

    phenylephrine is a stimulant that will raise blood pressure and increase heart rate. patients with hypertension should avoid these drugs bc serious elevations in blood pressure could occur. hypotension and urinary retention are not cautions for using the drug. cough may be an indication for the drug
    (this multiple choice question has been scrambled)
  93. the body's mechanism for protecting the CNS from toxic substances is called the:

    A. blood-brain barrier
    B. baroreceptor reflex
    C. placental barrier
    D. first-pass effect
    A.
    (this multiple choice question has been scrambled)
  94. the nurse plans to administer atropine to a patient on multiple meds. which agent would be safe to administer with atropine?

    A. antihistamines
    B. tricyclic antidepressants
    C. narcotic analgesics
    D. phenothiazines
    C.
    (this multiple choice question has been scrambled)
  95. an order states that a drug should be administered on an empty stomach. this generally means that the nurse should give the drug wheN?

    A. one hour before or 2 hours after a meal
    B. only after the patient has missed a meal
    C. with liquids but not solids within 12 hours
    D. only after an 8 hour fast
    A.
    (this multiple choice question has been scrambled)
  96. the nurse should expect cholinergic drugs, such as benthanecol (urecholine) to:

    A. mimic the actions of the parasympathetic nervous system
    B. be used as a prep for coloscopy
    C. mimic the actions of the sympathetic nervous system
    D. mimic the actions of alpha-1 drugs
    A.

    the nurse is responsible for administering drugs, evaluating the patient's response to the drug, and teaching the patient about the drug. pharmacists are responsible for dispensing the drug.
    (this multiple choice question has been scrambled)

What would you like to do?

Home > Flashcards > Print Preview