Pharm IV Exam

The nurse discussed ways to prevent lithium toxicity with a patient currently on lithium and included the following measures: (Select all that apply.) 1. "Be sure to report symptoms of persistent vomiting and/or profuse diarrhea." 2. "You need to drink 10 glasses of water (8 ounces each) daily." 3. "It is important to draw lithium blood levels monthly." 4. "Because you are taking lithium, we can prevent lithium toxicity with diuretic therapy." 5. "Be sure to report symptoms of lethargy and weakness."

1. "Be sure to report symptoms of persistent vomiting and/or profuse diarrhea." 2. "You need to drink 10 glasses of water (8 ounces each) daily." 3. "It is important to draw lithium blood levels monthly." 5."Be sure to report symptoms of lethargy and weakness."

. The nurse is teaching a patient about proper administration for probenecid. What information does the nurse include in the teaching plan? (Select all that apply.) 1. "You will need to wait 2 to 3 weeks after an acute attack before starting the medicine." 2. "The incidence of acute gout attacks will start to decrease in the first few months of therapy." 3. "Before you start taking this, we need to get a blood sample for a baseline creatinine and BUN to monitor kidney function." 4. "You will need to drink 2 to 3 quarts of fluid every day while taking this medicine." 5. "If you are taking a hypoglycemic agent, be sure to monitor your glucose levels closely, as this may increase your blood sugar."

1. "You will need to wait 2 to 3 weeks after an acute attack before starting the medicine." 3. "Before you start taking this, we need to get a blood sample for a baseline creatinine and BUN to monitor kidney function." 4."You will need to drink 2 to 3 quarts of fluid every day while taking this medicine."

Which premedication assessments does the nurse complete for patients who have been prescribed antipsychotic agents? (Select all that apply.) 1. Baseline rating scales (e.g., BPRS, CGI) 2. Height and waist circumference 3. Positional blood pressure reading 4. Sleep patterns 5. Dietary history

1. Baseline rating scales 3. Positional blood pressure reading 4. Sleep patterns 5. dietary history

The nurse will monitor these laboratory values for a patient receiving a benzodiazepine: 1. Complete blood cell count with differential and liver function 2. Complete blood cell count and renal function 3. White blood cell count and biochemical profile 4. Blood glucose

1. Complete blood count and different live function

What are the major adverse effects of antipsychotic medications? (Select all that apply.) 1. Extrapyramidal symptoms 2. Seizures 3. Weight loss 4. Hypoglycemia 5. Dyslipidemia

1. Extrapyramidal symptoms 2. Seizures 5. Dyslipidema

The nurse knows to assess for a severe reaction such as excitement, diaphoresis, rigidity, and convulsions, which can occur between SSRIs and these drugs: 1. MAOIs. 2. birth control pills. 3. beta blockers. 4. antihistamines.

1. MAOI's

These symptoms are associated with alcohol withdrawal. (Select all that apply.) 1. Nausea 2. Vomiting 3. Psychomotor agitation 4. Diaphoresis 5. Hypotension

1. Nausea 2. Vomiting 3. Psychomotor agitation 4. Diaphoresis

When monitoring for adverse effects, the nurse will recognize which of the following as reportable symptoms related to colchicine? (Select all that apply.) 1. Nausea, vomiting, diarrhea 2. Dark tarry stools 3. Nasal congestion 4. Reduction in joint swelling 5. Sore throat

1. Nausea , vomiting, diarrhea 2. Dark tarry stools 5. Sore throat

The nurse was instructing a patient taking disulfiram (Antabuse) on the following precautions while on the medication: (Select all that apply.) 1. Review all drug labels for ingredients, particularly alcohol 2. Avoid all alcoholic beverages. 3. Avoid foods high in tyramine. 4. Avoid topical products and lotions with alcohol. 5. Avoid foods high in purines.

1. Review all drug labels for ingredients, particularly alcohol 2 . Avoid all alcoholic beverages. 4. Avoid topical products and lotions with alcohol.

The nurse recognizes that the amphetamine-type stimulants can have the following effects. (Select all that apply.) 1. They are used in the treatment of attention deficit hyperactivity disorder (ADHD). 2. They have a shorter half-life compared with cocaine. 3. They produce hypotension and bradycardia 4. They may produce parkinsonism symptoms as a result of long-term use. 5. They cause prolonged withdrawal due to their affinity for lipid tissues.

1. They are used in the treatment of attention deficit hyperactivity disorder (ADHD). 4. They may produce parkinsonism symptoms as a result of long-term use. 5. They cause prolonged withdrawal due to their affinity for lipid tissues.

These signs and symptoms raise the suspicion of substance use disorder by a healthcare professional. (Select all that apply.) 1. Wearing long-sleeved garments all the time 2. Diminished alertness 3. Requests for frequent schedule changes 4. Rarely being absent from work 5. Infrequent breaks

1. Wearing long-sleeved garments all the time 2. Diminished alertness 3. Requests for frequent schedule changes

This assessment finding that the nurse discovered during a gastrostomy feeding requires the prescriber to be notified: 1. a gastric residual of 120 mL after the tube feeding was held for 1 hour. 2. the tube-feeding formula was kept at room temperature in a cabinet. 3. the patient's abdomen was soft and nausea was absent. 4. the feeding tube was kinked and only half of the formula was administered during that hour.

1. a gastric residual of 120 mL after the tube feeding was held for 1 hour.

A nurse performing a baseline mental status assessment on a patient includes the following details: (Select all that apply) 1. general appearance and appropriateness of attire 2. clarity of thought 3. mood and affect 4. obsessions or compulsions 5. job history

1. general appearance and appropriateness of attire 2. clarity of thought 3. mood and affect 4. obsessions or compulsions

Patients taking doxepin should be aware of the following adverse effects common to TCAs: (Select all that apply.) 1. orthostatic hypotension. 2. parkinsonism symptoms. 3. dry mouth and throat. 4. seizure activity. 5. blurred vision.

1. orthostatic hypotension. 3. dry mouth and throat 5. blurred vision

The nurse realizes that the patient who is being treated for cocaine dependence has insight about cocaine use after stating the following: 1. "When getting clean, I sometimes have thoughts of ending it all." 2. "Cocaine withdrawal is relatively easy. 3. "The only form of cocaine that is dangerous is free-base." 4. "There are several approved treatment medications for cocaine dependence."

1.When getting clean, I sometimes have thoughts of ending it all."

After discussing sources of dietary fats that have health benefits with the patient, the nurse expects that the patient will identify these sources. (Select all that apply.) 1. Whole milk 2. Olive oil 3. Coconut oil 4. Ice cream 5. Avocados

2 . olive oil 5. avocados

The nurse reviewing an order for PPN notifies the healthcare provider after checking the formula and finding the dextrose amount to be: 1. 10%. 2. 15%. 3. 7%. 4. 5%.

2. 15%

Because of the risk for hepatotoxicity, initial measurement and periodic monitoring of these liver function tests is appropriate for patients taking xanthine oxidase inhibitors. (Select all that apply.) 1. BUN 2. AST 3. WBC 4. ALT 5. Platelets

2. AST 4. ALT

The patient is exhibiting the symptoms of restlessness, worsening of anxiety, and insomnia, along with tremors. He recently stopped taking Ativan. The nurse suspects the patient is experiencing 1. generalized anxiety disorder. 2. benzodiazepine dependence. 3. obsessive-compulsive disorder. 4. panic attacks.

2. Benzodiazepine dependence

The nurse was assessing the patient's nutritional status and became concerned about these findings that point to possible malnutrition. (Select all that apply.) 1. Reports of increased physical activity 2. Dry, dull hair that falls out 3. Generalized weakness and lethargy 4. Recent intended weight loss 5. Laboratory tests that indicate hypoalbuminemia

2. Dry, dull hair that falls out 3. Generalized weakness and lethargy 4. Recent intended weight loss

A patient who has been taking an antipsychotic agent develops tongue protrusion, jaw spasms, and neck torsions. What are these extrapyramidal symptoms referred to as? 1. Akathisia 2. Dystonias 3. Neuroleptic malignant syndrome 4. Pseudoparkinsonian symptoms

2. Dystonias

A nurse is determining the type of anxiety that a patient is experiencing. The patient states that he always counts the number of steps that it takes to walk to his car. This is an example of: 1. generalized anxiety disorder. 2. obsessive-compulsive disorder. 3. phobia related to walking. 4. a panic attack.

2. OCD

A patient reported to the clinic in a state of intoxication. The nurse questioned the patient about alcohol use and determined that the patient may be considered under the classification of moderate alcohol use disorder with the finding of: 1. two symptoms. 2. four symptoms. 3. six symptoms. 4. eight symptoms.

2. four symptoms

The nurse was assessing the patient who came in with depression. These components are part of the baseline assessment: (Select all that apply.) 1. oral hygiene and number of dental cavities. 2. history of previous depression episodes and treatments. 3. sleep pattern. 4. suicidal ideation. 5. tattoos present.

2. history of previous depression episodes and treatments. 3. sleep pattern. 4. suicidal ideation.

The screening instrument used commonly in acute settings to determine alcohol abuse is referred to by the acronym: 1. DAST. 2. HEADSS 3. CAGE. 4. MMPI-2.

3. CAGE

The nurse asked the patient to pick out good food sources of dietary fiber from the menu. Which selection indicates adequate patient understanding? 1. Lettuce salad with dressing 2. Potatoes, pasta, and white bread 3. Cereal brans, sweet potatoes, vegetables, and fruits 4. Beef, chicken, fish, and tofu

3. Cereal brans, sweet potatoes, vegetables, and fruits

Patients who are being treated for depression should continually be monitored for thoughts of suicide. Which behavior may indicate suicidal ideation? 1. Excessive appetite 2. Poor hygiene 3. Comments from the patient such as, "Things will get better after I'm gone." 4. Sleeping throughout the day

3. Comments from the patient such as, "Things will get better after I'm gone."

A nurse is assessing a patient who has been admitted to the psychiatric unit and who has been hearing voices that told her to lock all her doors and not answer any phone calls. The nurse should administer which scale specific for schizophrenia? 1. AIMS 2. TWSTRS 3. PANSS 4. DISCUS

3. PANSS

A patient who has a diet high in fruits and vegetables is getting plenty of: 1. vitamin E. 2. vitamin A. 3. vitamin C. 4. vitamin B.

3. Vitamin C

The nurse is explaining to the patient taking an MAOI of the need to be aware of this condition developing 1. blood dyscrasias. 2. hyperglycemia. 3. hypertension. 4. hyperactivity.

3. hypertension

The nurse is preparing to administer the medication allopurinol (Zyloprim) to an elderly patient and understands that this is used to treat: 1. Alzheimer's disease. 2. alcohol abuse. 3. gout secondary to antineoplastic therapy. 4. acute attacks of gouty arthritis.

3.gout secondary to antineoplastic therapy.

A patient who had been instructed by the physician to increase the amount of calcium in her diet asked the nurse what would be recommended. The nurse responded with: 1. "Cook with ginger and cloves, and eat more whole grains. " 2. "Be sure to eat more chicken, beans, and green leafy vegetables." 3. "I think that you can have more oysters and liver, as well as oatmeal." 4. "Milk, cheese, and vegetables should be part of your diet."

4. "Milk, cheese, and vegetables should be part of your diet."

A psychotic patient began antipsychotic medications 1 week ago. What does the nurse expect the patient to experience? (Select all that apply.) 1. Reduced auditory hallucinations 2. Reduced delusions 3. Rapid weight gain 4. Reduced agitation 5. Reduced insomnia

4. Reduced agitation 5. Reduced insomnia

The nurse was caring for a patient with an anxiety disorder and knew that this drug was the one used most often for treatment an anxiety disorders: 1. fluvoxamine (Luvox). 2. meprobamate. 3. propranolol (Inderal). 4. lorazepam (Ativan)

4. lorazepam (Ativan)

The nurse is educating the family of an elderly patient on the mechanism of action for donepezil (Aricept). Which statement by the family indicated further teaching is needed? 1. "As I understand it, this drug will improve the cognitive skills of my dad." 2. "So you are saying that this drug is used in patients with mild-to-moderate dementia caused by Alzheimer's." 3. "Are you saying that the enzyme that normally breaks down acetylcholine is inhibited by this medication?" 4. "As I understand it, this medication will slow the progress of the neurodegeneration caused by Alzheimer's."

4."As I understand it, this medication will slow the progress of the neurodegeneration caused by Alzheimer's."

A patient came into the clinic after being started on duloxetine (Cymbalta) complaining of drowsiness and nausea. The nurse knows this about SNRIs: 1. these symptoms are serious adverse effects. 2. these symptoms may represent a drug interaction with haloperidol. 3. these symptoms indicate the dose needs to be adjusted. 4. these symptoms are common adverse effects.

4.these symptoms are common adverse effects.

Which pseudoparkinsonian symptoms may occur 2 to 3 weeks after antipsychotic therapy is started? (Select all that apply.) A. Bladder spasm B. Tremor C. Rigidity D. Abdominal pain E. Drooling

B. Tremor C. Rigidity E. Drooling

The nurse is teaching a patient about NMS. Which statements by the patient indicate the need for further teaching about this condition? (Select all that apply.) A. "It occurs in many patients like me taking antipsychotic pills." B. "It occurs most often when the drug is given using an IV needle." C. "It usually occurs in patients younger than age 40." D. "I will notify my healthcare provider if my pulse goes below 60." E. "I will routinely check my temperature."

A. "It occurs in many patients like me taking antipsychotic pills." B. "It occurs most often when the drug is given using an IV needle." D. "I will notify my healthcare provider if my pulse goes below 60."

When the prescriber selects an antipsychotic drug therapy for a patient, what are the criteria for the selection? (Select all that apply.) A. Avoidance of certain adverse effects B. Medication history C. to pay for medication D. Willingness to attend a support group E. Gender of the patient

A. Avoidance of certain adverse effects B. Medication history C. to pay for medication

Which drugs may be prescribed to patients with gout? (Select all that apply.) A. Colchicine B. Probenecid C. Donepezil (Aricept) D. Allopurinol (Zyloprim) E. Memantine (Namenda)

A. Colchicine B. Prohenecid D. Allopurinol

A psychiatric patient is transferred to the medical surgical unit to be treated for pneumonia. While questioning the patient for assessment, the nurse notes that the patient's answers are completely unrelated, with garbled and unrecognizable words. Which condition does the nurse document the patient as experiencing? A. Disorganized thinking B. Delusions C. Hallucinations D. Disorganized behavior

A. Disorganized thinking

Which type of extrapyramidal symptom is most likely to occur in a 68 year old patient 2 to 3 weeks after starting antipsychotic drug therapy? A. Tardive dyskinesia B. Dystonia C. Akathisia D. Pseudoparkinsonism

D. Pseudoparkinsonism

Which information noted in a health history of a patient with atypical depression prevents the nurse from giving the prescribed monoamine oxidase inhibitors (MAOIs) and requires consultation with the prescriber? A. Recurrent congestive heart failure B. Chronic seizures C. Intolerance of dairy products D. Allergy to eggs

A. Recurrent congestive heart failure

What is the major advantage of using selective serotonin reuptake inhibitors (SSRIs) over tricyclic antidepressants in the treatment of depression? A. SSRIs do not have anticholinergic or cardiovascular effects. B. SSRIs do not have sedative or other central nervous system effects. C. SSRIs do not have interactive effects with other drugs. D. SSRIs do not have a lag period before the full therapeutic effect occurs.

A. SSRIs do not have anticholinergic or cardiovascular effects.

A patient is prescribed probenecid for treatment of hyperuricemia. Which instruction does the nurse include in the teaching plan? A.Take this drug with milk B. Limit fluid intake while taking this drug C.Take this drug 30 minutes before meals D. Start taking this drug during an acute gout attack

A. take this drug with milk

The nurse is teaching a patient about antipsychotic medication. Which statement made by the patient indicates a need for further teaching? A. "I need periodic blood tests while I take this medication." B. "I must have at least 30 minutes in the sun each day." C. "I should sit or lie down if I feel faint." D. "It is important for me to eat a high fiber diet."

B. "I must have at least 30 minutes in the sun each day."

A nurse is caring for a patient with gout who has been prescribed colchicine. Which information given by the nurse about colchicine's therapeutic outcome needs correction? A. "You will obtain relief from acute attacks of gout." B. "You will obtain relief from primary hyperuricemia associated with gout." C. "Your joint pain and swelling will be gone 48 to 72 hours after initiating the therapy." D. "Your joint pain and swelling will begin to subside 12 hours after initiating the therapy."

B. "You will obtain relief from primary hyperuricemia associated with gout.

A patient taking an MAOI reports a severe occipital headache, stiff neck, sweating, nausea, and vomiting. Which is the nurse's priority assessment? A. White blood cell count B. Blood pressure C. Deep tendon reflexes D. MAOI serum level

B. Blood pressure

When evaluating a patient's response to memantine (Namenda), what does the nurse assess? A. Weight gain B. Cognitive skills C. Blood presssure D. Increased exercise tolerance

B. Cognitive skills

When planning care for a patient receiving tricyclic antidepressants, which potential problem does the nurse consider? A. Gastrointestinal (GI) bleeding B. Constipation C. Renal calculi D. Hypernatremia

B. Constipation

Which condition is characterized by a false or irrational belief that is firmly held despite evidence to the contrary? A. Psychosis B. Delusion C. Hallucination D. Disorganized behavior

B. Delusion

A patient diagnosed with schizophrenia has been receiving an antipsychotic agent intramuscularly for the past 4 days. The patient develops a fever, tachycardia, diaphoresis, and trismus. Which extrapyramidal adverse effect does the nurse suspect this patient has? A. Akathisia B. Neuroleptic malignant syndrome (NMS) C. Pseudoparkinsonian symptoms D. Tardive dyskinesia

B. Neuroleptic malignant syndrome (NMS)

Which laboratory values does the nurse monitor in patients taking allopurinol (Aloprim, Zyloprim)? (Select all that apply.) A. Creatinine B. Prothrombin time (PT) C. Alanine aminotransferase (ALT) D. Aspartate aminotransferase (AST) E. Gamma-glutamyl transferase (GGT) F. Complete blood count (CBC) with differential

B. Prothrombin time (PT) C. Alanine aminotransferase (ALT) D. Aspartate aminotransferase (AST) E. Gamma-glutamyl transferase (GGT) F. Complete blood count (CBC) with differential

When planning care for a patient taking antipsychotic drug therapy, what is the nurse's priority goal? A. To prevent side effects of the medication B. To promote adherence to the medication regimen C. To monitor for hallucinations D. To establish a consistent sleep wake cycle

B. To promote adherence to the medication regimen

What information does the nurse give a patient about taking colchicine for gout? A. "Colchicine may cause liver failure." B."When you take this drug for gouty arthritis, it works quickly." C. "Colchicine is new and experimental in the treatment of gout." D. "You will need to take 1.2 mg of colchicine continually or the gout will immediately return."

B. When you take this drug for gouty arthritis, it works quickly."

When evaluating the effects of donepezil (Aricept) in a patient, what does the nurse assess? A. Appetite B. Word recall C. Urinary output D. Motor coordination

B. word recall

A patient who has a history of alcoholism has been admitted for treatment of alcohol withdrawal and is dehydrated. Which vitamin does the nurse administer to this patient before administering IV glucose for re hydration?

B1 thiamine

The nurse is speaking with a patient recovering from alcoholism. The nurse recognizes which statements by the patient that come from the 12 steps of Alcoholics Anonymous (AA)? (Select all that apply.) A. "Take control of our lives." B. "Admit that we have power over alcohol." C. "Humbly ask Him to remove our shortcomings." D. "Make a searching and fearless moral inventory of ourselves." E. "Rely on ourselves to obtain power over the abuse of alcohol." F. "Make amends to others wherever possible, except when to do so would injure them or others."

C. "Humbly ask Him to remove our shortcomings." D. Make a searching and fearless moral inventory of ourselves." F. Make amends to others wherever possible, except when to do so would injure them or others."

A patient taking amitriptyline is experiencing blurred vision and constipation. How are these adverse reactions classified? A. Symptoms of cholinergic effects B. Akathisia symptoms C. Anticholinergic effects D. Tardive dyskinesia symptom

C. Anticholinergic effects

Which tricyclic antidepressant is approved for treating enuresis in children 6 years of age and older? A.Clomipramine (Anafranil) B. Trimipramine (Surmontil) C. Doxepin (Sinequan) D. Amitriptyline (Elavil)

C. Doxepin (Sinequan)

The nurse discovers that a patient taking sertraline (Zoloft) has also started taking St. John's wort. What action does the nurse take? A. Documents it in the patient's medication record B. Assesses the patient for signs of renal failure C. Explains the risk of serotonin syndrome and encourages the patient to stop taking St. John's wort D. Has the patient take the St. John's wort between doses of sertraline

C. Explains the risk of serotonin syndrome and encourages the patient to stop taking St. John's wort

A patient admitted to the psychiatric ward is seeing snakes on the ceiling and hearing cows "mooing" in the room. What does the nurse document this patient as experiencing? A. Psychosis B. Delusions C. Hallucinations D. Change in affect

C. Hallucinations

The nurse expects fluvoxamine (Luvox) to be prescribed for a patient with which condition? A. Pruritus related to an allergic reaction B. Postoperative nausea and vomiting (PONV) C. Obsessive compulsive disorder (OCD) D. Short term anxiety

C. OCD

The registered nurse is educating nursing students about the benefits of donepezil (Aricept) on Alzheimer's patients. Which statement made by a student nurse indicates effective understanding? A. "Donepezil (Aricept) acts by blocking N-methyl-D-aspartate (NMDA) receptors." B. "Donepezil (Aricept) prevents neurodegeneration caused by Alzheimer's disease." C. "Donepezil (Aricept) enhances cholinergic function in patients with chronic dementia." D. "The function of donepezil (Aricept) diminishes with ongoing loss of cholinergic neurons."

D. "The function of donepezil (Aricept) diminishes with ongoing loss of cholinergic neurons."

A patient has been started on an SSRI and wishes to know when to expect an initial response from the medication. What is the nurse's best response? A. 1 to 2 days B. 1 to 2 weeks C. 4 to 6 weeks D. 4 to 6 months

D. 4 to 6 months

A patient has been prescribed trazodone hydrochloride and is being taken off an MAOI. How soon can the patient start taking the trazodone? A. Immediately; there is no interaction between these two medications B. Within 5 days of discontinuing the MAOI C. Within 10 days of discontinuing the MAOI D. At least 14 days after discontinuing the MAOI

D. At least 14 days after discontinuing the MAOI

The spouse of a patient for whom an antipsychotic medication has been prescribed asks the nurse on what basis the prescribed drug was selected. Which information forms the basis for the nurse's response? A. High potency drugs are used for acute problems; low potency drugs are used for chronic problems. B. The drug selected depends on the expected duration of pharmacologic therapy. C. Typical antipsychotic drugs are used when the cause of the problem relates to dopamine; atypical antipsychotics are used when it relates to serotonin. D. Drug selection is based primarily on adverse effects to be avoided.

D. Drug selection is based primarily on adverse effects to be avoided.

A patient is prescribed doxepin (Sinequan). At what time does the nurse instruct the patient to take the medication? A. With the morning meal B. At breakfast and lunch to decrease insomnia C. One hour before or 2 hours after a meal to increase absorption D. During the evening hours

D. During the evening hours

The nurse instructs a patient taking an MAOI to avoid which food? A. Orange juice B. Egg salad sandwiches C. Ice cream D. Grilled cheese sandwiches

D. Grilled cheese sandwiches

A patient taking antipsychotic therapy develops akathisia. Which medication does the nurse anticipate will be ordered by the healthcare provider? A. Lithium (Eskalith) B. Magnesium sulfate C. Naloxone (Narcan) D. Propranolol (Inderal)

D. Propranolol (Inderal)

What is the advantage of taking allopurinol (Aloprim, Zyloprim) over uricosuric agents? A. Allopurinol works in acute gouty arthritis. Incorrect B. Allopurinol acts more quickly than uricosuric agents. C. There are no major side effects associated with allopurinol. D. The formation of urate stones is less likely to occur with allopurinol.

D. The formation of urate stones is less likely to occur with allopurinol.

A patient diagnosed with schizophrenia is to start clozapine (Clozaril) therapy. Which test does the nurse anticipate will be ordered by the healthcare provider? A. Antinuclear antibody (ANA) B. -Hydroxyindoleacetic acid (5-HIAA) C. C reactive protein (CRP) D. White blood cell (WBC) count

D. WBC

Which is an N-methyl-D-aspartate (NMDA) receptor inhibitor? A. Colchicine B. Donepezil (Aricept) C. Allopurinol (Zyloprim) D. Memantine (Namenda)

D.Memantine (Namenda)

When planning care for a patient receiving intermittent eternal feeding, which factor must the nurse consider? a. The feeding must be gradually warmed to body temperature before administering b. The patient must be in high fowlers position for at least 30 minutes before the feeding c. The patient will need assisted to the bathroom immediately following the feeding d. The tube must be flushed with a small among of water between each medication given

D.The tube must be flushed with a small among of water between each medication given

Which statement is true regarding Antabuse? a. Helps reduce the desire for alcohol b. helps maintian abstinence for alcohol c. enhances gamma aminobutyric acid d. blocks pharmacoligical effects associated with alcohol

a. Helps reduce the desire for alcohol

Which type of drug preparation is contraindicated for a patient taking disulfriam (antabuse)? a. cough elixir b. laxative emulsion c. antacid suspension d. extended release antihistamine

a. cough elixir

The neurotransmitters responsible for Parkinson's symptoms are: a. excess acetycholine and deficient amounts of dopamine b. excess dopamine and deficient amounts of acetychlone c. excess serotonin and deficient amounts of dopamine d. excess epinephrine and deficit amounts of acetylchlione

a. excess acetylcholine and deficient amounts of dopamine

A patient is suspected of having early Parkinson disease because he is developing the following symptoms: (select all that apply) a. weakness and tremors b. drooling c. gait alterations d. slowing of normal body movement e. depression

a. weakness and tremors b. drooling d. slowing of normal body movements e. depression

Drugs classified as anti cholinergic agents are used to treat symptoms of Parkinson's disease because they: a. decrease the amount of dopamine available b. increase the amount of acetylcholine available c. decrease the amount of acetylcholine available d. increase the amount of dopamine available

c. decrease the amount of acetychloine available

In addition to psycho-social treatment , which therapy does the nurse anticipate will be ordered for a patient admitted for morphine abuse? a. Verapamil (Calan) b. Naltrexone (Revia) c. Propranolol(Inderal) d. Flumazenil (Romazicon)

b. Naltrexone (Revia)

How is carbidopa used for the treatment of Parkinson's disease: a. as a successful monotheapy b. in conjunction with levodopa to reduce the dose of levodopa c. to slow disease progression d. in conjunction with levodopa to increase plasma levels of levodopa e. as parental supplement

b. in conjunction with levodopa to reduce the dose of levodopa c. to slow disease progression d. in conjunction with levodopa to increase plasma levels of levodopa

A patient with a history of alcohol abuse is undergoing long term treatment . Which agent does the nurse anticipate will be ordered for this patient? a. caffeine b. Verapamil (calan) c. Disulfiram (Antanuse) d. Buprenophine only

c. Disulfiram (Antanuse)

Possible adverse effects of carbidopa-levodopa therapy for a patient with Parkinson's disease include: a. urinary retention b. sudden sleep events c. orthostatic hypotension d. involunary movements such as chewing and bobbing e. depression

c. orthostatic hypotension d. involunary movements such as chewing and bobbing e. depression

What is the primary purpose of selegiline (Eldepryl) therapy during the early treatment of Parkinson's disease: a. reducing excessive acetylcholine stimulation b. increasing dopamine in the basal ganglia c. slowing symptoms progression and delaying the initation of levodopa therapy d. reducing the metabolism of levopopa

c. slowing symptoms progression and delaying the initation of levodopa therapy

The nurse is instructing a patient who has been presrcibed ropinirole (Requip) for treatmet of early symptoms of Parkinsons disease. How does the nurse instruct the patient to take this med? a. one hour before meals b. on an empty stomach c. with food d. between meals

c. with food

The patient that has a NJ tube which is used for enteral feedings. The nurse anticipates administering which method of enteral feeding? a. bolus b. intermittent c. alternate hour d. continuous drip

d. continuous drip

What is the best definition of substance abuse? a. use of illegal drugs and/or alcohol b. regular ingestion of mind altering chemicals c. dependence on drugs caused by repeated use d. impairment caused by periodic, purposeful use of chemicals substances

d. impairment caused by periodic, purposeful use of chemical substances