Nursing iclicker/ ati/module questions

In addition to celecoxib (Celebrex) the client takes low-dose aspirin daily for which of the following purposes? "Ibuprofen will increase your risk for developing salicylism." "Ibuprofen will reduce the cardioprotective effects of low-dose aspirin." "Low-dose aspirin will reduce the anti-inflammatory effects of ibuprofen." "Low-dose aspirin will reduce the analgesic effects of ibuprofen."

"Ibuprofen will reduce the cardioprotective effects of low-dose aspirin."

A health care professional is caring for a patient who is about to begin taking celecoxib (Celebrex) to treat rheumatoid arthritis. The health care professional should tell the patient to report which of the following adverse reactions? A) Chest pain B) Tinnitus C) Constipation D) Diaphoresis

A) Chest pain

A nurse is teaching a client about interferon beta-1a. Which of the following instructions should the nurse give to help the client avoid the adverse effects of this drug? A. "Premedicate with acetaminophen." B. "Take the drug with food." C. "Increase your fluid intake." D. "Take the drug in the morning."

A. "Premedicate with acetaminophen."

A nurse is providing teaching to a client who has a prescription for buspirone to treat anxiety. Which of the following instructions should the nurse include? A. "Take a missed dose as soon as you remember." B. "Take the drug as needed at the first sign of anxious feelings." C. "Take the drug in the morning with a glass of grapefruit juice." D. "Drink a cup of chamomile tea at night with the drug."

A. "Take a missed dose as soon as you remember."

A nurse is assessing a client who has been taking alprazolam for several days. Which of the following findings should the nurse identify as an adverse drug reaction caused by alprazolam? A. Anxiety B. Ringing in the ears C. Increased appetite D. Muscle spasms

A. Anxiety

A nurse is providing teaching to a client about instilling pilocarpine for managing open-angle glaucoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops. B. Do not touch the tip of the dropper. C. Wash hands after instilling the drops. D. Rub eyes gently after instilling the drops. E. Remove contact lenses prior to instilling the drops.

A. Apply gentle pressure to the nasolacrimal duct for 1 min after instilling the drops. B. Do not touch the tip of the dropper. E. Remove contact lenses prior to instilling the drops.

A nurse should identify that timolol is contraindicated for a client who has which of the following disorders? A. Asthma B. Seizure disorder C. Diabetes mellitus D. Rheumatoid arthritis

A. Asthma

A nurse is teaching a client who has a prescription for baclofen. Which of the following instructions should the nurse include? A. Avoid driving until the drug's effects are evident. B. Stop taking the drug immediately if headache occurs. C. Take the drug as needed for spasticity. D. Take the drug with antacids to reduce gastric effects.

A. Avoid driving until the drug's effects are evident.

A nurse is teaching a client who has a new prescription for carbamazepine. Which of the following instructions should the nurse include to help the client avoid adverse effects of this drug? A. Begin taking the drug at a low dosage. B. Discontinue the drug immediately if diarrhea occurs. C. Have serum glucose levels checked regularly. D. Take the drug on an empty stomach.

A. Begin taking the drug at a low dosage.

A nurse is teaching a client who is taking levodopa/carbidopa to treat Parkinson's disease. Which of the following instructions should the nurse include? A. Change position slowly to prevent orthostatic hypotension .B. Eat a high-protein snack to increase absorption. C. Take the drug at bedtime to avoid daytime drowsiness. D. Expect eye twitching to develop with long-term therapy.

A. Change position slowly to prevent orthostatic hypotension.

A nurse is providing teaching to a client who is about to begin amitriptyline therapy to treat major depressive disorder. Which of the following instructions should the nurse include? (Select all that apply.) A. Change positions slowly from sitting or lying to standing. B. Do not stop taking the drug abruptly. C. Avoid crushing the tablet. D. Take the drug at bedtime to prevent daytime drowsiness. E. Increase fiber and fluid intake.

A. Change positions slowly from sitting or lying to standing. B. Do not stop taking the drug abruptly. D. Take the drug at bedtime to prevent daytime drowsiness. E. Increase fiber and fluid intake.

A nurse is teaching a client who is about to begin sumatriptan therapy to treat migraine headaches. The nurse should instruct the client to monitor for which of the following adverse effects? A. Chest pain B. Polyuria C. Joint pain D. Insomnia

A. Chest pain

A nurse is reviewing the drug history of a client who is taking lithium carbonate for bipolar disorder. Which of the following findings should indicate to the nurse to monitor for lithium toxicity? A. Furosemide for hypertension B. Acetaminophen for headaches C. Ciprofloxacin for a urinary tract infection D. Montelukast for asthma

A. Furosemide for hypertension

A nurse is caring for a client who has a prescription for fluoxetine and who reports self-administering St. John's wort daily for the past two weeks.Which of the following findings should the nurse report to the provider as an indication of serotonin syndrome? A. Hallucinations B. Decreased temperature C. Hypersexual behavior D. Constipation

A. Hallucinations

A nurse is reviewing the medical history of a client who has a new prescription for a reduced dosage of alprazolam for anxiety. Which of the following findings should indicate to the nurse the reason for the prescription modification? A. Renal function impairment B. Cataracts C. Recent weight loss D. Smoking

A. Renal function impairment

A nurse is teaching a client who has a prescription for modafinil to treat narcolepsy. Which of the following instructions should the nurse include? A. Take the drug in the morning. B. Take the drug 30 min before bedtime. C. Anticipate daytime drowsiness. D. Expect urinary frequency.

A. Take the drug in the morning.

A nurse is caring for a client who has a new prescription for alprazolam. For which of the following adverse effects should the nurse monitor. (Select all that apply.) A. Tolerance B. Anxiety C. Sedation D. Respiratory depression E. Constipation

A. Tolerance B. Anxiety C. Sedation D. Respiratory depression

A nurse is caring for a client who is about to begin taking lithium carbonate to treat bipolar disorder. The nurse should instruct the client to monitor for which of the following findings as indications of lithium toxicity? (Select all that apply.) A. Tremors B. Confusion C. Bronchospasm D. Nausea E. Muscle weakness

A. Tremors B. Confusion D. Nausea E. Muscle weakness

A nurse is caring for a client who has been taking amphetamine/dextroamphetamine sulfate for the treatment of attention deficit hyperactivity disorder (ADHD) for 2 weeks. The nurse should report which of the following findings to the provider? A. Weight loss of 2.3 kg (5 lb) B. BP 110/70 mm Hg C. Apical pulse 80/min D. Respiratory rate 16/min

A. Weight loss of 2.3 kg (5 lb)

MATCHING 1. Thorazine 2. Seroquel 3. Zyprexa 4. Haldol A. Olanzapine B. Chlorpromazine C. Haloperidol D. Quetiapine

ANSWER Thorazine: Chlorpromazine Seroquel: Quetiapine Zyprexa: Olanzapine Haldol: Haloperidol

Which of the following is an advantage of acetaminophen compared to ibuprofen? Acetaminophen is a more potent anti-inflammatory compared to ibuprofen. Acetaminophen works better than ibuprofen for inflammatory pain. Acetaminophen works better than ibuprofen for fever. Acetaminophen has no risk of upper GI bleeding compared to ibuprofen.

Acetaminophen has no risk of upper GI bleeding compared to ibuprofen.

Which of the following is not a mechanism of action of medications for seizure? Agonizing glutamate receptors Inhibiting calcium transport into cells Inhibiting sodium transport into cells Increasing GABA activity

Agonizing glutamate receptors

Which of the following are considered severe adverse events associated with some seizure medications? Select all that apply. Gingival hyperplasia Agranulocytosis Dizziness Stevens-Johnson syndrome

Agranulocytosis Stevens- Johnson syndrome

nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify that which of the following client conditions is a contraindication for acetaminophen? Asthma Diabetes mellitus Heart failure Alcohol use disorder

Alcohol use disorder

Why is an alpha adrenergic antagonist useful in the treatment of benign prostatic hypertrophy (BPH)? Alpha adrenergic receptor agonist antagonist medications promote urinary function. Alpha adrenergic receptor partial agonists promote urinary function. Alpha adrenergic receptor agonists promote urinary function. Alpha adrenergic receptor antagonism promotes urinary function.

Alpha adrenergic receptor antagonism promotes urinary function.

Medications whose pharmacologic action agonizes acetylcholine are used to treat which of the following disorders? Alzheimer's dementia Motion sickness Chronic obstructive pulmonary disease Overactive bladder

Alzheimer's dementia

Which of the following represents the underlying pathophysiology Alzheimer/dementia? •Amyloid plaques •Dysfunction of the neuromuscular junction •Autoimmune demyelination of the CNS •Loss of dopamine in the CNS

Amyloid plaques

MATCHING 1. Aricept 2. Namenda 3. Rilutek 4. Prozac 5. Effexor XR 6. Wellbutrin A. Riluzole B. Venlafaxine C. Donepezil D. Memantine E. Fluoxetine F. Bupropion

Aricept: Donepezil Namenda: Memantine Rilutek: Riluzole Prozac: Fluoxetine Effexor XR: Venlafaxine Wellbutrin: Bupropion

Lidocaine used for local anesthesia is administered in which of the following ways? Select all that apply. As an injection into the epidural space As an intravenous injection As a cream As a local injection into an operative site or open wound As a pill for systemic absorption

As an injection into the epidural space As a cream As a local injection into an operative site or open wound

A nurse is caring for a child who has a viral infection. The nurse should identify that which if the following drugs can increase the risk of Reye Syndrome in children who have viral infections? Butorphanol Acetaminophen Tramadol Aspirin

Aspirin

Atropine is a prototype anticholinergic medication with multiple uses. Why is atropine an effective antidote for overdose of acetylcholinesterase inhibitor medications? Atropine inhibits the effects of acetylcholine. Atropine promotes the effects of acetylcholine. Atropine is a partial agonist medication. Atropine will bind with drugs in the stomach and prevent their absorption.

Atropine inhibits the effects of acetylcholine.

Bupropion is a very useful medication. Which of the following are FDA approved indications for bupropion? Select all that apply. Depression Nicotine use disorder Psychosis Attention deficit hyperactivity disorder Insomnia

Attention deficit hyperactivity disorder Depression Nicotine use disorder

Which of the following represents the underlying pathophysiology of multiple sclerosis? •Amyloid plaques •Dysfunction of the neuromuscular junction •Autoimmune demyelination of the CNS •Loss of dopamine in the CNS

Autoimmune demyelination of the CNS

A nurse is teaching a client who has a new prescription of allopurionol. Which of the following instructions should the nurse include? Avoid driving or activities that require mental alertness. Avoid crushing the tablets. Limit fluid intake during therapy. Limit potassium while taking allopurinol.

Avoid driving or activities that require mental alertness.

A nurse is teaching the family of a client who has a new diagnosis of Alzheimer's disease about donepezil. Which of the following information should the nurse include? Monitor for constipation. The dosage will be increased weekly to provide optimum therapeutic effect. Administering the drug first thing in the morning promotes effectiveness. Avoid the use of NSAIDs for pain.

Avoid the use of NSAIDs for pain.

A nurse is providing teaching to a client who has a new prescription for fluoxetine. Which of the following instructions should the nurse include? A. "Weigh yourself twice a month." B. "If you have persistent headaches, let the provider know." C. "Reduce your daily sodium intake." D. "If your symptoms don't improve in 10 days, you will need a higher dosage."

B. "If you have persistent headaches, let the provider know."

A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine IV. Which of the following client findings should the nurse monitor after administering the medication? A. BUN level B. Blood pressure C. Urine specific gravity D. Pedal pulse strength

B. Blood pressure

A nurse is caring for a client who has a new prescription for pramipexole to treat Parkinson's disease. The nurse should recognize that which of the following laboratory tests requires monitoring? A. C-reactive protein B. Creatinine clearance C. Thyroid function D. CBC

B. Creatinine clearance

A nurse is teaching a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects. (Select all that apply.) A. Hirsutism B. Drowsiness C. Headache D. Ataxia E. Rash

B. Drowsiness C. Headache E. Rash

A nurse is providing teaching for a client who has a prescription for phenelzine. The nurse should instruct the client to avoid tyramine-enriched foods because of an increased risk for which of the following adverse effects? A. Respiratory depression B. Hypertensive crisis C. Neuroleptic malignant syndrome D. Serotonin syndrome

B. Hypertensive crisis

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should identify that which of the following laboratory tests requires monitoring? A. Serum potassium B. Liver function C. Serum sodium D. Thyroid function

B. Liver function

A nurse is reviewing the medical record of a client who has a newly diagnosed seizure disorder and a new prescription for valproic acid and phenytoin. The nurse should identify that which of the following can occur as a result of an interaction between these drugs? A. Hyperammonemia B. Phenytoin toxicity C. Hypertension D. Peptic ulcer disease

B. Phenytoin toxicity

A nurse is preparing to administer sumatriptan to a client for the first time. The nurse should instruct the client that sumatriptan is indicated for which of the following conditions? A. Tonic-clonic seizures B. Presence of a migraine headache C. Exacerbation of multiple sclerosis D. Alzheimer's disease

B. Presence of a migraine headache

A nurse is caring for a client who is receiving methohexital sodium. The nurse should monitor the client for which of the following adverse effects? A. Cardiac excitability B. Respiratory depression C. Hyperthermia D. Hypertension

B. Respiratory depression

When reviewing the indications for various antidepressants, a nurse should identify that bupropion hydrochloride is an appropriate choice for clients who have which of the following? (Select all that apply.) A. Motion sickness B. Seasonal affective disorder C. Insomnia D. Nicotine addiction E. Depression

B. Seasonal affective disorder D. Nicotine addiction E. Depression

A nurse is providing teaching to a client who has a prescription for chlorpromazine. Which of the following instructions should the nurse include? A. Stop taking the drug immediately with the first sign of a sore throat. B. Wear sunscreen when exposed to sunlight. C. Take the drug with food to reduce gastrointestinal distress. D. Take the drug in the morning to prevent nocturia.

B. Wear sunscreen when exposed to sunlight.

Which of the following drugs are used primarily as muscle relaxers? Select all that apply. Baclofen Cyclobenzaprine Tizanidine Oxycodone Diazepam

Baclofen Cyclobenzaprine Tizanidine

Which of the following drug classes FDA approved to treat anxiety or insomnia have significant problems with abuse and misuse? Select all that apply. First generation antihistamines Serotonin modulators Tricyclic antidepressants Benzodiazepines Barbiturates

Benzodiazepines Barbiturates

FDA indications for antipsychotic medications include which of the following? Select all that apply. Bipolar disorders Psychosis Insomnia Anxiety Severe nausea and vomiting

Bipolar disorders Psychosis Severe nausea and vomiting

Which of the following opioid analgesics is an opioid agonist antagonist? Buprenorphine Codeine Meperidine Morphine

Buprenorphine

Which of the following medications are used for patients with opioid use disorder? Select all that apply. Buprenorphine Clonidine Varenicline Methadone Naltrexone

Buprenorphine Clonidine Methadone Naltrexone

Which of the following medications are FDA approved for nicotine use disorder? Select all that apply. Fluoxetine Bupropion (Zyban) Varenicline (Chantix) Nicotine gum Naltrexone

Bupropion (Zyban) Varenicline (Chantix) Nicotine gum

A health care professional should question the use of celecoxib (Celebrex) for a patient who has which of the following? A) Rheumatoid arthritis B) Ankylosing spondylitis C) An allergy to sulfonamides D) Adrenocortical insufficiency

C) An allergy to sulfonamides

A nurse is providing teaching to a client who has a prescription for buspirone. Which of the following instructions should the nurse include? A. Take the drug with grapefruit juice to increase absorption. B. Use the drug as needed for anxiety. C. Allow 2 to 4 weeks for full therapeutic effects. D. Take the drug on an empty stomach.

C. Allow 2 to 4 weeks for full therapeutic effects.

A nurse is providing teaching to a client who has a prescription for lithium carbonate about reducing the risk for lithium toxicity. Which of the following instructions should the nurse include? A. Consume a low-sodium diet. B. Reduce fluid intake. C. Avoid taking NSAIDs. D. Take the drug with food.

C. Avoid taking NSAIDs.

A nurse is preparing to administer memantine to a client who has Alzheimer's disease. Which of the following findings in the client's medical history indicates a need to withhold the drug and notify the provider? A. Pancreatic cancer B. Hypotension C. Cirrhosis D. Osteoporosis

C. Cirrhosis

A nurse is caring for a client who has a new prescription for dantrolene to treat skeletal muscle spasms. The nurse should instruct the client to report which of the following adverse effects?A. Slow heart rate B. Cough C. Diarrhea D. Hearing loss

C. Diarrhea

A nurse is providing teaching to a client about the adverse effects of drug therapy. The nurse should include that orthostatic hypotension is a common adverse reaction of which of the following drugs? A. Venlafaxine B. Bupropion C. Imipramine D. Valproic acid

C. Imipramine

A nurse is caring for a client who has a new prescription for valproic acid to treat a seizure disorder. The nurse should instruct the client to monitor for which of the following adverse effects?A. Hirsutism B. Depression C. Jaundice D. Gum irritation

C. Jaundice

A nurse is administering fentanyl to a client to reduce pain. Which of the following drugs should the nurse have available to reverse the effects of fentanyl? A. Neostigmine B. Succinylcholine C. Naloxone D. Dantrolene

C. Naloxone

A nurse is caring for a client who is taking venlafaxine to treat major depressive disorder. The nurse should identify that which of the following drugs can cause serotonin syndrome when taken concurrently with venlafaxine? A. Alprazolam B. Phenytoin C. Phenelzine D. Pilocarpine

C. Phenelzine

A nurse is caring for a client who has a new prescription for amphetamine sulfate. The nurse should monitor the client for which of the following adverse effects? A. Hypotension B. Tinnitus C. Tachycardia D. Bronchospasm

C. Tachycardia

A nurse is caring for a client who is taking lithium carbonate to treat bipolar disorder. Which of the following diagnostic tests should the nurse recommend that the client undergo periodically? A. Chest x-ray B. Tonometry C. Thyroid function tests D. Endoscopic retrograde cholangiopancreatography (ERCP)

C. Thyroid function tests

Which of the following is not a neurodegenerative disorder? •Parkinson's disease •Alzheimer's dementia •Cerebrovascular accident (CVA) •Multiple sclerosis

CVA

Which of the following medications for seizures does not activate GABA? Diazepam Carbamazepine Topiramate Phenobarbital

Carbamazepine

Matching: A. Dilantin B. Topamax C. Tegretol D. Neurontin 1. Carbamazepine 2. Phenytoin 3. Gabapentin 4. Topiramate

Correct Match Carbamazepine C. Tegretol Phenytoin A. Dilantin Gabapentin D. Neurontin Topiramate B. Topamax

Which of the following classes of medications are used as adjuvant analgesics? Select all that apply. Opioid analgesics Beta adrenergic agonists Corticosteroids Some seizure medications Tricyclic antidepressants

Corticosteroids Some seizure medications Tricyclic antidepressants

A nurse is teaching a client who received a prescription for interferon beta-1a for the treatment of multiple sclerosis. Which of the following information should the nurse include? A. "Have kidney function tests done every month for a year." B. "Take an extra dose if muscle aches occur." C. "Store the drug at room temperature after mixing it." D. "Administer the drug in your thigh or upper arm."

D. "Administer the drug in your thigh or upper arm."

A nurse is providing teaching to a client who has a new prescription for diazepam to treat anxiety disorders. Which of the following client statements indicates an understanding of the teaching? A. "It is not a big deal if I forget my pills for a couple of days." B. "I should limit alcohol intake to one drink daily while taking this medication." C. "I will avoid salt because this medication can increase my blood pressure." D. "If I become pregnant, it is important to let my health care provider know."

D. "If I become pregnant, it is important to let my health care provider know.

A nurse is caring for a client who recently began taking chlorpromazine to treat schizophrenia and was admitted to the emergency room with spasms of their face and back. Which of the following adverse reactions should the nurse expect? A. Cholinergic crisis B. Serotonin syndrome C. Stevens-Johnson syndrome D. acute dystonia

D. Acute dystonia

A nurse is teaching a client who has Alzheimer's disease and their caregiver about memantine. Which of the following instructions should the nurse include? A. Increase fluid intake to improve renal excretion. B. Report memory loss or confusion C. Watch for signs of liver impairment, such as jaundice and abdominal pain D. Avoid taking over-the-counter antacids.

D. Avoid taking over-the-counter antacids.

A nurse is providing teaching for a client who has a new prescription for betaxolol eye drops. Which of the following adverse effects should the nurse include in the teaching? A. Constricted pupils B. Discoloration of the iris C. Hypertension D. Bradycardia

D. Bradycardia

A nurse is caring for a client who is taking interferon beta-1a. The nurse should identify that which of the following findings indicates a potential serious adverse effect of this drug? A. Tinnitus B. Twitching eyelids C. Blue-green skin discoloration D. Fatigue

D. Fatigue

A nurse is caring for a client who has been taking selegiline to treat Parkinson's disease. The provider is considering the use of analgesics for the client but should be aware that a drug interaction between selegiline and meperidine can result in which of the following? A. Frequent urination B. Jaundice C. Cellulitis D. Muscle rigidity

D. Muscle rigidity

A nurse is caring for a client who was admitted to the emergency department with a head injury. The nurse notes that the client has an existing prescription for bupropion hydrochloride to treat depression. For which of the following adverse effects is the client at increased risk? A. Ischemic stroke B. Drowsiness C. Respiratory depression D. Seizure activity

D. Seizure activity

A nurse is caring for a client who has been taking alprazolam for an extended period of time to treat anxiety. The nurse should identify that abruptly stopping alprazolam therapy can result in which of the following adverse effects? A. Anterograde amnesia B. Respiratory depression C. Paradoxical reaction D. Withdrawal symptoms

D. Withdrawal symptoms

A nurse is teaching a client who has a new diagnosis of Parkinson's disease about how levodopa/carbidopa can help control symptoms. The nurse should identify that the drug has which of the following pharmacologic effects? A. Increases available acetylcholine in the brain B. Inhibits norepinephrine metabolism in the brain C. Inhibits serotonin metabolism in the brain D. ​Increases available dopamine in the brain

D. ​Increases available dopamine in the brain.

All antipsychotic medications have a Black Box warning for which of the following? Suicidality Neuroleptic Malignant Syndrome Tardive Dyskinesia Dementia-Related Psychosis

Dementia-Related Psychosis

Medications used for seizures that activate GABA are also useful for which of the following disorders? Parkinson's disease Tension headache Depression Diabetic peripheral neuropathy

Diabetic peripheral neuropathy

A nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity? (Select all that apply) Diaphoresis Palpitations Shortness of breath Nausea Diarrhea

Diaphoresis Nausea Diarrhea

A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include. (Select all that apply) Reduce the dose during periods of stress. Discontinue the drug gradually. Report illness or infection. Increase intake of calcium and vitamin D. Monitor for signs of gastric bleeding.

Discontinue the drug gradually Report illness or infection Increase intake of calcium and vitamin D Monitor for signs of gastric bleeding

Which of the following medications is FDA approved to treat alcohol use disorder only? Buprenorphone Disulfiram Naltrexone Diazepam

Disulfiram

Which of the following drug is an SNRI

Duloxetine

Which of the following represents the underlying pathophysiology of ALS? •Amyloid plaques •Dysfunction of the neuromuscular junction •Autoimmune demyelination of the CNS •Loss of dopamine in the CNS

Dysfunction of the neuromuscular junction

A nurse is teaching a client who is talking allopurinol about minimizing adverse effects. Which of the flowing instructions should the nurse include? Eat a small meal before taking the drug. Suck on hard candy or chew gum. Take a stool softener daily. Avoid the use of NSAIDs.

Eat a small meal before taking the drug.

A medication that is classified pharmacologically as a beta adrenergic agonist will have effects like which of the following substances? Dopamine Serotonin Acetylcholine Epinephrine

Epinephrine

A nurse is caring for a client who is taking allopurinol to treat gout. The nurse should monitor the client for which of the following manifestations of hypersensitivity syndrome Muscle pain Fever Anxiety Tremors

Fever

A nurse is caring for for client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism? (Select all that apply) Fever Tinnitus Diaphoresis Thrombophlebitis Dizziness

Fever Tinnitus Diaphoresis Dizziness

Adrenergic receptor antagonism will effectively treat which of the following disorders? Nasal congestion Cardiac arrest Asthma Hypertension

Hypertension

Which of the following is a dose dependent adverse effect of Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)? Risk of suicide GI upset Sedation Hypertension

Hypertension

Which of the following is not a cause of seizure? encephalitis hyperthyroidism cerebrovascular accident (CVA) brain tumor

Hyperthyroidism

A nurse is caring for a client who currently takes furosemide and has new prescription for prednisone. The nurse should monitor the client for which of the following manifestations during concurrent use of the two drugs Hypercalcemia Hypoglycemia Hypothermia Hypokalemia

Hypokalemia

A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include? (Select all that apply.) Increase fiber and fluid intake. Take the drug with food. Avoid driving after taking the drug. Change positions gradually. Reduce exercise level temporarily.

Increase fiber and fluid intake. Take the drug with food. Avoid driving after taking the drug. Change positions gradually.

A nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. The nurse should monitor the client for which of the following adverse drug reactions? (Select all that apply) Increased respiratory rate Increased pain Thrombophlebitis Ventricular arrhythmias Hypertension

Increased respiratory rate Increased pain Ventricular arrhythmias Hypertension

Which of the following are serotonin modulators frequently prescribed for? Anxiety Depression Insomnia Schizophrenia

Insomnia

Anticholinergic medications are useful in which of the following disorders? Select all that apply. Urinary retention Irritable bowel syndrome Allergic rhinitis Myasthenia gravis Glaucoma

Irritable bowel syndrome Allergic rhinitis

A patient with right sided sciatica would most likely have degenerative changes causing mass effect at which level of the spine T12-L1 C8-T1 L1-L2 L4-L5

L4-L5

MATCHING 1. Levodopa- Carbidopa 2. Memantine 3. Methotrexate 4. Bivigam A. Myasthenia gravis B. Alzheimer's disease C. Parkinson's disease D. Multiple sclerosis

Levodopa-carbidopa: Parkinson's disease Memantine B. Alzheimer's disease Methotrexate D. Multiple sclerosis Bivigam A. Myasthenia gravis

Which of the following medications should the nurse expect a patient to receive prior to surgery? Select all that apply. Fentanyl Valproic acid Lorazepam Succinylcholine Amitriptyline

Lorazepam Succinylcholine

Which of the following is a potential risk if an SSRI is prescribed for a patient with bipolar disorder? Hypertensive crisis Mania Psychosis Worsening depression

Mania

A nurse is planning for a client who has started taking prednisone. Which of the following interventions should the nurse include? Monitor the client's blood glucose. Administer an antacid 30 min prior to prednisone. Administer aspirin rather than NSAIDs if the client has pain. Monitor the client for hyperkalemia.

Monitor the client's blood glucose.

A medication which is pharmacologically classified as a beta adrenergic blocker antagonizes the effects of norepinephrine. This is useful in the treatment of which of the following disorders? Asthma Myocardial infarction Asthma Urinary frequency

Myocardial infarction

A nurse is caring for a client who has a new prescription for butorphanol. The nurse should monitor the client for which of the following adverse drug reactions? Infection Nausea Tachycardia Dizziness Headache

Nausea Dizziness Headache

Which of the following is an advantage of opioid analgesics compared to nonopioid analgesics? Opioid analgesics are less likely to cause anaphylactic reactions compared to nonopioid analgesics. Opioid analgesics are less likely to causing itching as a side effect compared to nonopioid analgesics. Opioid analgesics are superior to nonopioid analgesics for moderate to severe pain. Opioid analgesics have less GI side effects than nonopioid analgesics.

Opioid analgesics are superior to nonopioid analgesics for moderate to severe pain.

Which of the following is the innermost structure surrounding the CNS Pia Mater Dura Mater Arachnoid Subdural Space

Pia Mater

Which of the following is a significant advantage of a second generation antipsychotic medication versus a first generation antipsychotic medication? Second generation antipsychotic medications are more cost effective than first generation antipsychotic medications. Second generation antipsychotic medications do not promote weight gain, first generation antipsychotic medications do. Second generation antipsychotic medications have fewer side effects than first generation antipsychotic medications. Second generation antipsychotic medications treat both the negative and positive symptoms of schizophrenia.

Second generation antipsychotic medications treat both the negative and positive symptoms of schizophrenia

A nurse is reviewing the medical record of a client who has a new prescription for tramadol. The nurse should identify that which of the following conditions is a contraindication for tramadol? Hyperthyroidism Seizure disorder Rheumatoid arthritis Urinary incontinence

Seizure disorder

Which of the following classes of drugs are the safest for the treatment of anxiety and depression? Benzodiazepines Serotonin norepinephrine reuptake inhibitors (SNRIs) Tricyclic antidepressants (TCAs) Selective serotonin reuptake inhibitors (SSRIs)

Selective serotonin reuptake inhibitors (SSRIs)

Which of the following drug classes would be the best choice for an elderly patient with insomnia? Tricyclic antidepressants Selective serotonin reuptake inhibitors First generation antihistamines Serotonin modulators

Serotonin modulators

A nurse is teaching a client who has a new prescription for allopurinol. The nurse should instruct the client to report which of the following adverse effects? (Select all that apply) Palpitations Sore throat Vertigo Bruising Vision changes

Sore throat Vertigo Bruising Vision change

Which of the following is a Black Box warning for all selective serotonin reuptake inhibitors? Dementia-related psychosis Serotonin syndrome Suicidality Stevens-Johnson syndrome

Suicidality

Which of the following limit the use of tricyclic antidepressant medications (TCAs) in elderly patients? Select all that apply. TCAs are associated with dose dependent hypertension. TCAs are highly anticholinergic TCAs increase bleeding risk TCAs have the potential to cause cardiotoxicity. TCAs are associated with GI bleeding.

TCAs are highly anticholinergic TCAs have the potential to cause cardiotoxicity.

Which of the following is not a phenothiazine class antipsychotic medication? Thioridazine Thiothixene Perphenazine Fluphenazine

Thiothixene

A nurse is caring for a client who asks about taking acetaminophen. The nurse should identify that acetaminophen is indicated for which of the following conditions? (Select all that apply.) To reduce fever To decrease inflammation To relieve mild pain To promote sedation To alleviate anxiety

To reduce fever To relieve mild pain

Which of the following medications are used for migraine prophylaxis? Select all that apply. Topiramate Sumatriptan Propanolol Valproic acid Prednisone

Topiramate Valproic acid

Which of the following is a serotonin modulator? Bupropion Duloxetine Trazodone Sertraline

Trazodone

True or false, there are medications FDA approved to treat amyotrophic lateral sclerosis. True False

True

A nurse is caring for a client who is receiving morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions? (Select al that apply.) Diarrhea Urinary retention Respiratory depression Sedation Orthostatic hypotension

Urinary retention Respiratory depression Sedation Orthostatic hypotension

A nurse is caring for a client who is a opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations. (Select all that apply.) Bronchospasm Vomiting Peripheral edema Abdominal cramps Hypertension

Vomiting Abdominal cramps Hypertension

A nurse is reviewing the drug list form a client who has a new prescription for allopurinol. The nurse should identify that which of the following drugs interact with allopurinol? Warfarin Ibuprofen Insulin Furosemide

Warfarin

A nurse is caring for a patient who has a prescription for aspirin to treat an ankle sprain. The nurse should instruct the client to report which of the following adverse drug reactions? Polyuria Bone pain Weight gain Infection

Weight gain

Which neurotransmitter is associated with ALS? Acetylcholine Dopamine Norepinephrine Serotonin

acetylcholine

Which neurotransmitter is associated with the parasympathetic nervous system? Acetylcholine Serotonin Norepinephrine Dopamine

acetylcholine

which of the following symptoms represents a dystonic reaction? shuffling gate constant lip smacking "pill rolling" tremor an isolated severe muscle spasm

an isolated severe muscle spasm

which of the following is an example of visceral pain? shingles appendicitis deep laceration broken leg chest pain during a heart attack

appendicitis chest pain during a heart attack

Which of the following muscle relaxers work by depressing spinal nerves? cyclobenzaprine baclofen methocarbamol diazepam

baclofen

A nurse is caring for a client who is taking donepezil to treat Alzheimer's disease. For which of the following adverse effects should the nurse monitor? A. Confusion B. Dry mouth C. Nausea D. Double vision

c. nausea

Which of the following seizure medications inhibit sodium and or calcium from entering neurons? Phenytoin Valproic Acid Topiramate Carbamazepine

carbamazepine

which of the following symptoms represents tardive dyskinesia? shuffling gate constant lip smacking "pill rolling" tremor an isolated severe muscle spasm

constant lip smacking

Which of the following muscle relaxers work by affecting norepinephrine and serotonin? cyclobenzaprine baclofen methocarbamol diazepam

cyclobenzaprine

which of the following is an example of somatic pain? shingles appendicitis deep laceration broken leg chest pain during a heart attack

deep laceration broken leg

Which of the following muscle relaxers work by depressing the CNS? cyclobenzaprine baclofen methocarbamol diazepam

diazepam

Which neurotransmitter is associated with Parkinson's disease? Acetylcholine Dopamine Norepinephrine Serotonin

dopamine

Which of the following disorders represents mechanical dysphasia? Strep pharyngitis esophageal stricture parkinson's disease paraplegia

esophageal stricture

Which anesthetic agent works by acting as a CNS depressant? lorazepam fentanyl lidocaine succinycholine

fentanyl

Which of the following is not an FDA approved mood stabilizer? valproic acid carbamazepine lithium fluoxetine

fluoxetine

which of the following is a positive symptom of schizophrenia? Hallucinations Hearing Voices lack of social interaction severe withdrawal from relationships/social situations lack of attention to grooming/hygiene

hallucinations hearing voices

which of the following is a negative symptom of schizophrenia? Hallucinations Hearing Voices lack of social interaction severe withdrawal from relationships/social situations lack of attention to grooming/hygiene

lack of social interaction severe withdrawal from relationships/social situations lack of attention to grooming/hygiene

Which anesthetic agent works by blocking sodium entry into nerve cells? lorazepam fentanyl lidocaine succinycholine

lidocaine

Which anesthetic agent works by being given intraveneously? lorazepam fentanyl lidocaine succinycholine

lorazepam

which of the following disorders are associated with psychosis? major depression myasthenia gravis amyotrophic lateral sclerosis schizophrenia traumatic brain injury SATA

major depression schizophrenia traumatic brain injury

Which of the following medications is classified as an opioid? prednisone morphine sumatriptan diclofenac acetaminophen

morphine

which of the following describes muscle spasm due to injury? muscle spasticity muscle spasm tremor dystonia

muscle spasm

which of the following describes muscle spasm due to cerebral palsy? muscle spasticity muscle spasm tremor dystonia

muscle spasticity

which of the following is an atypical antipsychotic? olanzapine haloperidol prochlorperazine duloxetine

olanzapine

Which of the following disorders represents functional dysphasia? Strep pharyngitis esophageal stricture parkinson's disease paraplegia

parkinsons disease

Which of the following seizure medications inhibit glutamate? Phenytoin Valproic Acid Topiramate Carbamazepine

phenytoin

Which of the following medications is classified as an NSAID? prednisone morphine sumatriptan diclofenac acetaminophen

prednisone

which of the following is a phenothiazine class antipsychotic? olanzapine haloperidol prochlorperazine duloxetine

prochlorperazine

Which of the following is not an FDA approved medication for dementia? •memantine •donepezil •rivastigmine •risperidone

risperidone

Which neurotransmitter is associated with the peripheral nervous system? Acetylcholine Serotonin Norepinephrine Dopamine

serotonin

which of the following is an example of neuropathic pain? shingles appendicitis deep laceration broken leg chest pain during a heart attack

shingles

which of the following symptoms represents a parkinsonian side effect? shuffling gate constant lip smacking "pill rolling" tremor an isolated severe muscle spasm

shuffling gate pill rolling tremor

Which of the following disorders represents odynophagia? Strep pharyngitis esophageal stricture parkinson's disease paraplegia

strep pharyngitis

Which of the following medications is classified as a medication for migraine headache ? prednisone morphine sumatriptan diclofenac acetaminophen

sumatriptan

Which of the following seizure medications activate GABA? Phenytoin Valproic Acid Topiramate Carbamazepine

topiramate

Which of the following is not an SSRI? fluoxetine sertraline venlafaxine paroxetine citalopram

venlafaxine