ANS Pharm Questions

A client is admitted to the acute medical unit for severe amphetamine intoxication. Which medications are indicated to counteract the effects of stimulant intoxication? Select all that apply. One, some, or all responses may be correct. A. Diazepam B. Propranolol C. Benztropine D. Bupropion E. Amitriptyline

A. Diazepam B. Propranolol

The nurse is teaching a client about tricyclic antidepressants. Which potential side effects would the nurse include? Select all that apply. One, some, or all responses may be correct. A. Dry mouth B. Drowsiness C. Constipation D. Severe hypertension E. Orthostatic hypotension

A. Dry mouth B. Drowsiness C. Constipation E. Orthostatic hypotension

The nurse is teaching a nursing student about tricyclic antidepressant medications. Which statement made by the student indicates the need for further teaching? Select all that apply. One, some, or all responses may be correct. A. Nortriptyline is contraindicated in older adult clients. B. Desipramine is preferred for use in older adult clients. C. Imipramine is used as an adjunct in the treatment of childhood enuresis. D. Tricyclic antidepressant medications are prescribed for clients with seizure disorders. E. Tricyclic antidepressant medications are contraindicated in clients with a history of seizures.

A. Nortriptyline is contraindicated in older adult clients. D. Tricyclic antidepressant medications are prescribed for clients with seizure disorders.

1) Which statement accurately describes nortriptyline? Select all that apply. One, some, or all responses may be correct. A. Overdosage is often lethal. B. Constipation and urinary retention may occur. C. It is a selective serotonin reuptake inhibitor (SSRI). D. Weight gain is a common side effect.

A. Overdosage is often lethal. B. Constipation and urinary retention may occur. D. Weight gain is a common side effect.

The nurse is assessing an adolescent after the administration of epinephrine. Which side effect is most important for the nurse to identify? A. Tachycardia B. Hypoglycemia C. Constricted pupils D. Decreased blood pressure

A. Tachycardia

Which medication class includes amitriptyline? A. Tricyclics B. Monoamine oxidase inhibitors (MAOIs) C. Selective serotonin reuptake inhibitors (SSRIs) D. Serotonin-norepinephrine reuptake inhibitors (SNRIs)

A. Tricyclics

Which medication is indicated for emergency treatment of bleeding esophageal varices? A. Vasopressin B. Neostigmine C. Lansoprazole D. Phytonadione

A. Vasopressin

) The health care provider prescribes neostigmine for a client with myasthenia gravis. Which client statement indicates understanding regarding medication management plans? A. 'I must keep the medication in a container in the refrigerator.' B. 'I should take the medication at the exact time that is listed on the prescription.' C. 'I will plan to take the medication between meals.' D. 'I expect that the onset of the medication's action will occur several hours after I take it.'

B. 'I should take the medication at the exact time that is listed on the prescription.'

The anticholinesterase medication pyridostigmine is prescribed for the client with myasthenia gravis. When providing medication teaching, the nurse explains that the client should expect a decrease in which function? A. Bowel function B. Heart rate C. Skeletal muscle contraction D. Urinary frequency

B. Heart rate

A client presents to the clinic for a follow-up appointment after starting pyridostigmine for management of myasthenia gravis. Which new client problems are adverse effects of pyridostigmine? Select all that apply. One, some, or all responses may be correct. A. Respiratory depression B. Increased urinary frequency C. Diplopia D. Muscle twitching E. Diarrhea

B. Increased urinary frequency D. Muscle twitching E. Diarrhea

Which drug category applies to cocaine? A. Opioids B. Stimulants C. Barbiturates D. Hallucinogens

B. Stimulants

Which conclusion would the nurse make about the development of loose stools and increased salivation two days after a client with myasthenia gravis begins taking pyridostigmine? A. The client is experiencing a myasthenic crisis. B. The medication is causing cholinergic side effects. C. The medication is triggering a paradoxical reaction. D. The client is exhibiting toxic effects of the medication.

B. The medication is causing cholinergic side effects.

The nurse is discharging a client with a new prescription for tiotropium to help manage the symptoms of chronic obstructive pulmonary disease. What information should the nurse include in the discharge teaching? A. It may be a few days before you feel the full effects of tiotropium. B. This medication cannot be used to relieve sudden breathing problems. C. Be sure to swallow the capsules with a full glass of water. D. A common side effect is nausea and loose stools.

B. This medication cannot be used to relieve sudden breathing problems.

Which action is likely to reduce the pancreatic and gastric secretions of a client with pancreatitis? A. Encourage clear liquids. B. Obtain a prescription for morphine. C. Assist the client into a semi-Fowler position. D. Administer prescribed anticholinergic medication.

D. Administer prescribed anticholinergic medication.

A health care provider prescribes tolterodine for a client with an overactive bladder. Which action is important to include in client teaching? A. Maintain a strict record of fluid intake and urinary output. B. Chew the extended-release capsule thoroughly before swallowing. C. Report episodes of diarrhea or any increase in respiratory secretions. D. Avoid activities requiring alertness until the response to medication is known.

D. Avoid activities requiring alertness until the response to medication is known.

Which nursing action is appropriate when administering imipramine? A. Telling the client steroids will not be prescribed B. Warning the client not to eat cheese C. Monitoring the client for increased tolerance D. Having the client checked for increased intraocular pressure

D. Having the client checked for increased intraocular pressure

Which side effect would the nurse assess for after epinephrine is administered to an infant with severe bronchospasms? A. Tachycardia B. Hypotension C. Respiratory arrest D. Central nervous system depression

Tachycardia