Pharmacology Exam 2
A. Hallucinations
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 2 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
B. Blood pressure
A nurse is caring for a client who has schizoaffective disorder and who has been prescribed chlorpromazine. Which of the following laboratory values should the nurse monitor during and immediately after IV administration of the drug? A. Cardiac output B. Blood pressure C. Urine specific gravity D. Oxygen saturation
C. Phenelzine
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
A. Asthma
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
B. Identify the client's level of orientation
A nurse working in an emergency department is caring for a client who has benzodiazepine toxicity. Which of the following actions is the nurse's priority? A. Administer fluamzenil B. Identify the client's level of orientation C. Infuse IV fluids D. Prepare the client for gastric lavage
A. Apply gentle pressure to the nasolacrimal duct after installation.
A provider prescribes pilocarpine (Isopto Carpine) for a patient. Which of the following information should you include when instructing the patient about instilling pilocarpine eye drops? A. Apply gentle pressure to the nasolacrimal duct after installation. B. Massage the eyelid after installation. C. Cover the eye with a patch after installation. D. Blink rapidly to disperse the eye drops after installation.
C. Parkinsonism
During an assessment of a client taking chlorpromazine, the provider notes a slow shuffling gait, rigid facial expression, and fine tremors. The provider recognizes this as which of the following? A. Acute dystonia B. tardive dyskinesia C. Parkinsonism D. Akathisia
Ans. - Alzheimer's disease is a neurologic disorder in which patients have decreased levels of acetylcholine. Acetylcholine is a neurotransmitter that helps with memory and cognition. Rat - Alzheimer's disease is a neurologic disorder in which patients have decreased levels of acetylcholine. Acetylcholine is a neurotransmitter that helps with memory and cognition.
Jane isn't certain what acetylcholine is and asks how this is affected by her grandmother's medication, donepezil (Aricept).
A. aged cheese
You are instructing a client about taking phenelzine (Nardil) to treat depression. Which of the following foods should you tell the client to avoid? a. aged cheese b. milk c. potato chips d. candy
b. nausea e. muscle weakness
early clinical manifestations of lithium (Lithobid) toxicity include which of the following?(Select all that apply.) a. seizures b. nausea c. hypotension d. ataxia e. muscle weakness
a. tremor
A client is taking risperidone (Risperdal) for schizophrenia. Recognizing the adverse effects of risperidone, you advise the client to monitor for and report for which of the following? a. tremor b. weight loss c. oral ulcers d. bronchospasm
a. blurred vision b. urinary hesitancy e. tachycardia
A client is to start taking amitriptyline. For which of the following should the health care provider instruct the client to monitor and report? (Select all that apply.) a. blurred vision b. urinary hesitancy c. diarrhea d. joint pain e. tachycardia
A. "Place the child on the unaffected side when you are ready to administer the medication." B. "Warm the medication by gently rolling it between your hands for a few minutes." C. "Gently shake medication that is in suspension form." D. "Keep the child on their side for 5 minutes after installation of the ear drops."
A nurse in a provider's office is instructing a guardian of a toddler how to administer ear drops. Which of the following instructions should the nurse include? (Select all that apply) A. "Place the child on the unaffected side when you are ready to administer the medication." B. "Warm the medication by gently rolling it between your hands for a few minutes." C. "Gently shake medication that is in suspension form." D. "Keep the child on their side for 5 minutes after installation of the ear drops." E. "Tightly pack the ear with cotton after installation of the ear drops."
C.
A nurse in an emergency department is reviewing the medical record of a client who is being evaluated for angle-closure glaucoma. Which of the following findings are indicative of this condition? A. Insidious onset of painless B. Gradual reduction in peripheral vision C. Severe pain around eyes D. Intraocular pressure 12mm Hg
A. Anxiety
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 reaction caused by alprazolam? A. Anxiety B. Ringing in the ears C. Increased appetite D. Muscle spasms
B. Neck spasms
A nurse is assessing a client who recently began taking haloperidol. Which of the following findings is the priority to report to the provider? A. Shuffling gait B. Neck spasms C. Drowsiness D. Sexual dysfunction
B. Coarse tremors
A nurse is assessing a client who takes lithium carbonate for the treatment of bipolar disorder. The nurse should identify which of the following findings is possible indication of toxicity to this medication? A. Severe hypertension B. Coarse tremors C. Constipation D. Muscle spams
D. Limit aerobic in hot weather
A nurse is caring for a client who has a new prescription for lithium carbonate. When teaching the client about ways to prevent lithium toxicity, the nurse should advise the client to do which of the following? A. Avoid the use of acetaminophen for headaches. B. Restrict intake of foods rich in sodium C. Decrease fluid intake to less than 1,500 mL daily D. Limit aerobic activity in hot weather
A. Orthostatic hypotension
A nurse is caring for a client who has a new prescription for phenelizine for a treatment of depression. Which of the following indicates that the client has developed an adverse effect of this medication? A. Orthostatic hypotension B. Hearing loss C. Gastroinstestinal bleeding D. Weight loss
A. Thrombocyte count C. Amylase D. Liver function test
A nurse is caring for a client who has a new prescription for valproic acid. The nurse should instruct the client to have which of the following blood laboratory tests completed periodically? (Select all that apply) A. Thrombocyte count B. Glucose C. Amylase D. Liver function test E. Potassium
A. Tolerance B. Anxiety C. Sedation D. Respiratory depression
A nurse is caring for a client who has a 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
D. Withdrawal symptoms
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
B. Nasal congestion
A nurse is caring for a client who has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following manifestations as an adverse effect of this medication? A. Sedation B. Nasal congestion C. Productive cough D. Constipation
B. Fever
A nurse is caring for a client who has been taking sertraline for the past 2 days. Which of the following assessment findings should alert the nurse to the possibility that the client is developing serotonin syndrome? A. Brusing B. Fever C. Tinnitus D. Rash
A. Mydriasis B. Dizziness C. Decreased libido
A nurse is caring for a client who has depression and a new prescription for venlafexine. The nurse should monitor for which of the following manifestations as an adverse effect of this medication? (Select all that apply) A. Mydriasis B. Dizziness C. Decreased libido D. Alopecia E. Hypotension
A. Tremors B. Confusion D. Nausea E. Muscle weakness
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
C. Thyroid function test
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 test D. Endoscopic retrograde cholangiopancreatography (ERCP)
D. Acute dystonia
A nurse is caring for a client who recently began taking chlorpromazine to treat schizophrenia and who was admitted to the emergency room with spasms of their face and back. Which of the following adverse reactions should the nurse suspect? A. Cholinergic crisis B. Serotonin syndrom C. Stevens-Johnson syndrome D. Acute dystonia
C. Use of a mouth guard D. Changing to a different class of antidepressant medication A. Concurrent administration of buspirone
A nurse is caring for a client who takes paroxetine to treat posttraumatic stress disorder and reports that they grind their teeth during the night. The nurse should identify which of the following interventions to manage bruxism? ( Select all that apply) A. Concurrent administration of buspirone B. Administration of a different SSRI C. Use of a mouth guard D. Changing to a different class of antidepressant medication E. Increasing the dose of paroxetine
D. Seizure activity
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
A. Disorganized speech B. Bizarre behavior D. Hallucinations
A nurse is following up with a client who takes chlorpromazine for the treatment of schizophrenia. The nurse should expect to find the greatest improvement in which of the following manifestations? (Select all that apply) A. Disorganized speech B. Bizarre behavior C. Impaired social interactions D. Hallucinations E. Decreased motivation
B. Nasolacrimal duct
A nurse is instructing a client who has a new prescription for timolol how to insert eye drops. The nurse should instruct the client to press on which of the following areas to prevent systemic absorptions of this medication? A. Bony orbit B. Nasolacrimal duct C. Conjunctival sac D. Outer canthus
B. "Eliminate grapefruit juice from your diet." C."You will need to have a complete blood count and carbmazepine levels drawn periodically." D. "Notify your provider if you develop a rash." E. "Avoid driving for the first few days after starting this mediation."
A nurse is preparing a teaching plan for a client who has bipolar disorder and a new prescription for carbmazepine. Which of the following instructions should the nurse include in the teaching? A. "This medication can safely be taken during pregnancy" B. "Eliminate grapefruit juice from your diet." C."You will need to have a complete blood count and carbmazepine levels drawn periodically." D. "Notify your provider if you develop a rash." E. "Avoid driving for the first few days after starting this mediation."
D. "You should have white blood cell count monitored every week."
A nurse is providing discharge teaching to a client who has a new prescription for clozapine. Which of the following statements should the nurse include in the teaching? A. "You should have a high-carbohydrate snack between meals and bedtime." B. "You are likely to develop hand tremors if you take this medication for a long period of time." C. "You may experience temporary numbness of your mouth after each dose." D. "You should have white blood cell count monitored every week."
A."You can have a decreased desire for intimacy while taking this medication."
A nurse is providing discharge teaching to a client who has a new prescription for fluoxetine for posttraumatic stress disorder. Which of the following statements should the nurse include in the teaching? A."You can have a decreased desire for intimacy while taking this medication." B. "You should take this medication at bedtime to help promote sleep." C. "You will have fewer urinary adverse effects if you urinate just before taking this medication." D. "You'll need to wear sunglasses when outdoors due to the light sensitivity caused by this medication."
B. Administer the albuterol inhaler prior to using the beclomethasone if experiencing an acute episode
A nurse is providing instructions for a client who has a new prescription for albuterol and beclomethanone inhalers for the control of asthma. Which of the following instruction should the nurse include in the teaching? A. Take the albuterol at the same time each day B. Administer the albuterol inhaler prior to using the beclomethasone if experiencing an acute episode C. Use beclomethasone if experiencing acute episode D. Avoid shaking the beclomethasone before use
B. "Tremors are an adverse effect of this medication."
A nurse is providing instructions to a client who has a new prescription for albuterol, PO. Which of the following instructions should the nurse include? A. "You can take this medication to abort an acute asthma attack." B. "Tremors are an adverse effect of this medication." C. "Prolonged use of this medication can cause hyperglycemia." D. "This medication can slow skeletal growth rate."
D. Bradycardia
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
B. Hypertensive crisis
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 reactions? A. Respiratory depression B. Hypertensive crisis C. Neuroleptic malignant syndrome D. Serotonin syndrome
B. "Notify the provider if you have trouble sleeping"
A nurse is providing teaching for a client who is to begin taking risperidone. Which of the following instructions should the nurse include? A. "Add extra snacks to your diet to prevent weight loss." B. "Notify the provider if you have trouble sleeping" C. "You may begin to have mild seizures while taking this medication." D. "This medication is likely to increase your libido."
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 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 hangs after instilling the drops D. Rub eyes gently after instilling the drops E. Remove contact lenses prior to instilling the drops
C. Imipramine
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. Change positions slowly to minimize dizziness D. Chew sugarless gum to prevent dry mouth
A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of depression. Which of the following should the nurse include in the teaching? A. Expect therapeutic effects in 24 hrs to 48 hrs B. Discontinue the medication after a week of improved mood C. Change positions slowly to minimize dizziness D. Chew ssugarless gum to prevent dry mouth
D. "This medication has a low risk for dependency"
A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety. Which of the following information should the nurse include? A. "Take this medication on an empty stomach" B. "Expect optimal therapeutic effects within 24 hrs" C. "Take this medication when needed for anxiety." D. "This medication has a low risk for dependency"
D. "If i become pregnant, it is important to let my health care provider know."
A nurse is providing teaching to a client who has a new prescription for diazepam for 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."
B. "If you have persistent headaches, let the provider know."
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. "Weight 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."
A. "Take a missed dose as soon as you remember."
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.
C. Allow 2 to 4 weeks for full therapeutic effects
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
B. Wear sunscreen when exposed to sunlight
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
C. Avoid taking NSAIDs
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
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 providing teaching to a client who is about to begin amitriptyline therapy to treat the 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. Wear sunscreen and protective clothing D. Take the drug at bedtime to prevent daytime drowsiness E. Increase fiber and fluid intake
A. Furosemide for hypertension
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. Renal function impairment
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
D. Tip the head to the side to remove water from the ears after showering.
A nurse is teaching a client about preventing otitis externa. Which of the following instructions should the nurse include? A. Clean the ear with cotton-tipped swab daily B. Place earplugs in the ears when sleeping at night C. Use a cool water irrigation solution to remove earwax D. Tip the head to the side to remove water from the ears after showering.
A. "Rinse your mouth after each use of this medication."
A nurse is teaching a client who has a new prescription for beclomethasone. Which of the following instruction should the nurse include? A. "Rinse your mouth after each use of this medication." B. "Limit fluid intake while taking this medication." C. "Increase your intake of vitamin B12 while taking this medication." D. "You can take the medication as needed."
C. "This medication can absorb into your contacts."
A nurse is teaching a client who has a new prescription for brimonidine ophthalmic drops and wears soft contact lenses. Which of the following instructions should the nurse include in the teaching? A. "This medication can stain your contacts" B. "This medication can cause your pupils to constrict." C. "This medication can absorb into your contacts." D. "This medication can slow your heart rate."
C. Sedation
A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct the client to monitor for which. of the following manifestation as adverse effect of this medication? A. Diarrhea B. Anxiety C. Sedation D. Palpitations
A. Dry mouth D. Drowsiness E. Urinary hesitation
A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor which of the following manifestations as an adverse effect of this medication? (Select all that apply) A. Dry mouth B. Nonproductive cough C. Skin rash D. Drowsiness E. Urinary hesitation
A weight gain
A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? A. Weight gain B. Nervousness C. Bradycardia D. Constipation
A. "It can take several weeks before you feel like the medication is helping."
A nurse is teaching a client who has an obessive-compulsive disorder and has a new prescription for paroxetine. Which of the following instructions should the nurse include? A. "It can take several weeks before you feel like the medication is helping." B."Take the medication just before bedtime to promote sleep." C. "You should take the medication when needed for obsessive urges." D. "Monitor for weight gain while taking this medication"
C. "I need to discontinue this medication slowly"
A nurse is teaching a client who has new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the teaching? A. "I should take the medication on an empty stomach" B. "I will follow a low-sodium diet while taking this medication." C. "I need to discontinue this medication slowly." D. "I should not crush this medication before swallowing"
B. Chew sugarless gum to moisten the mouth
A nurse is teaching a client who has schizophrenia, strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects? A. Take the medication in the morning to prevent insomina B. Chew sugarless gum to moisten the mouth C. Use cooling measure to decrease fever D. Take an antacid to relieve nausea
C. "Expect this medication to small like rotten eggs."
A nurse is teaching a family of a child who has cystic fibrosis and a new presciption for acetylcysteine. Which of the following information should the nurse include in the instructions? A. "Expect this medication to suppress your child's cough" B. "Expect this medication to cause euphoria." C. "Expect this medication to small like rotten eggs." D. "Expect this medication to turn your child's urine orange."
B. "It can take as long as 3 weeks before the medication takes a maximum effect.
A nurse is teaching about the use of fluticasone to treat perennial rhinitis. Which of the following statements by the client indicates an understanding of the teaching? A. "I should use the spray every 4 hours while I am awake." B. "It can take as long as 3 weeks before the medication takes a maximum effect." C. "This medication can also be use to treat motion sickness." D. "I can use this medication when my nasal passages are blocked."
A. Perform immediate gastric lavage
A nurse reviewing laboratory findings and notes that a client's lithium level 2.1 mEq/L. Which of the following is an appropriate action by the nurse? A. Perform immediate gastric lavage B. Prepare the client for hemodialysis C. Administer an additional oral dose of lithium D. Request a stat repeat of the laboratory test
Answer: Although their therapeutic efficacy is often limited, patient response varies (15%- 30%; see benefits). Failure to respond to maximally titrated dosage of donepezil doesn't rule out trying another drug in this same class. If this doesn't work, then memantine (Namenda) can be tried, but it is not a cholinesterase inhibitor. Rationale: The cholinesterase inhibitors may enhance a patient's mental status enough to cause a noticeable, if temporary, improvement in the quality of life for patients as well as caregivers and family members.
Jane knows Alzheimer's disease is progressive and asks how well this donepezil works and if there's anything else that can save her grandmother's memory.
Answer: The primary adverse effect of cholinergic drugs is the consequence of overstimulation of the PNS. The effects on the cardiovascular system are complex and may include syncope, hypotension with reflex tachycardia, hypertension, or bradycardia. Early symptoms to watch for include abdominal cramps, salivation, flushing of the skin, nausea, and vomiting. Rationale: The most severe consequence is a cholinergic crisis. Symptoms include circulatory collapse, hypotension, bloody diarrhea, shock, and cardiac arrest. Early signs include abdominal cramps, salivation, flushing of the skin, nausea, and vomiting. Transient syncope, transient complete heart block, dyspnea, and orthostatic hypotension may also occur. These can be reversed promptly by the administration of atropine. Severe cardiovascular reactions or bronchoconstriction may be alleviated by epinephrine. One way of remembering the effects of cholinergic poisoning is to use the acronym SLUDGE, which stands for salivation, lacrimation, urinary incontinence, diarrhea, GI cramps, and emesis.
Jane wants to know if the cholinergic drugs have significant side effects and asks you what she should watch for.
d. reduces intraocular pressure
Match the drug classification in the left column with its therapeutic use. BETAXOLOL (BETOPTIC) a. controls manic episodes b. treats schizophrenia c. reduces depression d. reduces intraocular pressure
a. controls manic episodes
Match the drug classification in the left column with its therapeutic use. LITHIUM CARBONATE (LITHOBID) a. controls manic episodes b. treats schizophrenia c. reduces depression d. reduces intraocular pressure
b. treats schizophrenia
Match the drug classification in the left column with its therapeutic use. RISPERIDONE (RISPERIDAL) a. controls manic episodes b. treats schizophrenia c. reduces depression d. reduces intraocular pressure
C. reduces depression
Match the drug classification in the left column with its therapeutic use. VENLAFAXINE a. controls manic episodes b. treats schizophrenia c. reduces depression d. reduces intraocular pressure
ANSWER c. glaucoma
Match the drug classification with its therapeutic use in the right column by typing the appropriate letter in the center column. CHOLINERGIC AGONISTS a. depression b. anxiety disorders c. glaucoma d. schizophrenia
ANSWER a. depression
Match the drug classification with its therapeutic use in the right column by typing the appropriate letter in the center column. MONOAMINE OXIDASE INHIBITORS a. depression b. anxiety disorders c. glaucoma d. schizophrenia
ANSWER d. schizophrenia
Match the drug classification with its therapeutic use in the right column by typing the appropriate letter in the center column.ANTIPSYCHOTICS a. depression b. anxiety disorders c. glaucoma d. schizophrenia
ANSWER b. anxiety disorders
Match the drug classification with its therapeutic use in the right column by typing the appropriate letter in the center column.BENZODIAZEPINES a. depression b. anxiety disorders c. glaucoma d. schizophrenia
D. Atropine sulfate
The patient returns to the provider's office after 1 week. The patient is sweating and reports urinary urgency. The provider suspects systemic effects from the pilocarpine. Which of the following drugs can reverse systemic toxicity from pilocarpine? A.Flumazenil B. Protamine sulfate C. Naloxone D. Atropine sulfate
B. Insomina
When instructing a client about taking buspirone, you tell the client to watch for and report a paradoxical reaction to buspirone. Which of the following is a paradoxical effect of buspirone? A. Chest pain B. Insomina C. Diaphoresis D. Fever
B. Seasonal affective disorder D. Nicotine addition E. 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 addition E. Depression
B. Beta blockers
Which of the following drug classifications is the first line of therapy for treating open-angle glaucoma? A. Glucocorticords B. Beta blockers C. Anticholinger agents D. Mast cell stabilizers
A. Betaxolol
Which of the following drugs, used to treat open-angle glaucoma, should primary care providers use with caution for a client who is taking propranolol? A. Betaxolol B. Latanoprost C. Pilocarpine D. Echothiophate
b. insomnia
You are instructing a client about taking buspirone. You inform the client to monitor and report a paradoxical reaction to buspirone. Which of the following is a paradoxical effect of buspirone? a. chest pain b. insomnia c. diaphoresis d. fever
A. Blurred vision B. Headache C. Visual floaters
You continue to instruct the patient about using pilocarpine (Isopto Carpine). You tell the patient to watch for and report which of the following adverse effects of this drug? (Select all that apply.) A. Blurred vision B. Headache C. Visual floaters D. Dilated pupils E. Tachycardia
b. take it with food to reduce gastric disturbances c. monitor and report insomnia d. have blood pressure checked regularly e. check with the provider before taking any herbal substances
a client is taking venlafaxine to treat major depression. Which of the following information should you include when instructing the client and family about the use of venlafaxine? (Select all that apply.) a. discontinue it immediately for increased depression. b. take it with food to reduce gastric disturbances c. monitor and report insomnia d. have blood pressure checked regularly e. check with the provider before taking any herbal substances.
A. Betaxolol
which of the following drugs used to treat glaucoma by lowering intraocular pressure is a beta-adrenergic receptor blocker? a. Betaxolol (Betoptic) b. Pilocarpine c. Latanoprost (Xalatan) d. Acetazolamide (Diamox)
