Pharmacology Unit 1 Quizzes

A client is prescribed diphenhydramine 25 mg every 8 hours via a PEG tube. The medication is available as a 12.5 mg/5 mL syrup. How many milliliters (mL) should the nurse administer with each dose? Include only the number in your answer.

10

The nurse is preparing to administer an antihistamine to a client. Which condition should the nurse assess for when considering the adverse effects of the medication? A. Urinary retention B. Motion sickness C. Nightly insomnia D. Chronic urticaria

A. Urinary retention

The nurse is assessing a client with nausea and vomiting. Which additional autonomic symptoms may the nurse observe that often accompany vomiting? A. Urinary urgency, chills, and dizziness B. Bradycardia, diarrhea, and flushing C. Pallor, sweating, and tachycardia D. Fever, hyperventilation, and bradycardia

C. Pallor, sweating, and tachycardia

The nurse is preparing to administer metoprolol 50 mg orally to a client with hypertension. The medication is available in 25 mg tablets. How many tablets should the nurse administer? A. 2 tablets B. 1 tablet C. 4 tablets D. 0.5 tablet

A. 2 tablets

The autonomic nervous system can be subdivided into which types of adrenergic receptors? A. Alpha and beta B. Nicotinic and muscarinic C. Agonists and antagonists D. Afferent and efferent

A. Alpha and beta

Which body function(s) is/are controlled by the autonomic nervous system? Select all that apply A. Blood Pressure B. Urination C. Body Temperature D. GI Secretion E. Skeletal muscle contraction

A. Blood Pressure B. Urination C. Body Temperature D. GI Secretion

The nurse is caring for a client with a tracheostomy who has developed pneumonia. The client is having difficulty coughing up the thick, dry secretions associated with the infection. Which medication should the nurse administer to this client? A. Guaifenesin B. Dextromethorphan C. Pseudoephedrine D. Codeine

A. Guaifenesin

A client is prescribed loratadine for seasonal allergies. The nurse knows this medication has what advantage over diphenhydramine in treating seasonal allergies? A. It is less sedating than diphenhydramine B. It can be used for multiple health problems C. It is shorter acting than diphenhydramine D. No adverse effects are experienced

A. It is less sedating than diphenhydramine

A client is prescribed intranasal fluticasone. What information should the nurse include when teaching the client? A. Long-term use may result in breakdown of the nasal mucosa B. Blow your nose immediately after administration to clear any mucus C. This drug has an immediate effect on allergy symptoms D. Systemic adverse effects are common and may be serious

A. Long-term use may result in breakdown of the nasal mucosa

A client is experiencing symptoms of the "fight-or-flight" response. Which autonomic process stimulates this response? A. Sympathetic system B. Parasympathetic system C. Predominant tone of the organs D. Baroreceptor reflex

A. Sympathetic system

Which action by a student nurse who is giving a subcutaneous insulin injection requires the supervising nurse to intervene? A. The syringe is aspirated before injecting B. The client's skin is cleansed with an alcohol wipe C. The insulin is allowed to return to room temperature D. A different injection site is used than for the last dose

A. The syringe is aspirated before injecting

The nurse is preparing to administer eyedrops to a client. Where should the nurse place the drop? A. On the sclera B. On the pupil C. In the conjunctival sac D. In the inner canthus

C. In the conjunctival sac

The nurse knows that which route will result in 100 percent bioavailability? A. Subcutaneous B. Oral C. Intravenous D. Intramuscular

C. Intravenous

The nurse answers a client's call light and the client requests pain medication. What should the nurse do first? A. Check the orders and give the patient the requested pain medication B. Assess the patient's pan and pain level C. Evaluate the effectiveness of previous pain medications D. Provide non-pharmacologic comfort measures to the patient

B. Assess the patient's pan and pain level

A client is prescribed ibuprofen 200 mg orally every 4 hours as needed for pain. The nurse is preparing to administer the medication, which is in the enteric-coated tablet form. The client refuses the tablets due to difficulty swallowing. What action should the nurse take? A. Call the pharmacy and ask for the IV form of the medication B. Call the pharmacy and ask for the liquid form of the medication C. Encourage the patient to try to swallow the tablets D. Crush the tablets and mix them with applesauce or pudding

B. Call the pharmacy and ask for the liquid form of the medication

A client is prescribed guaifenesin. What instructions should the nurse provide to the client? A. Take at night due to drowsiness B. Drink at least 2-3 liters of fluid daily C. Take a stool softener D. Monitor blood pressure daily

B. Drink at least 2-3 liters of fluid daily

The nurse is preparing to administer pseudoephedrine to a client. The nurse should monitor the client for which adverse effect? A. Diarrhea B. Hypertension C. Hypothyroidism D. Bradycardia

B. Hypertension

A client has been advised to use oxymetazoline to treat symptoms of a common cold. Which instructions should the nurse include when educating the client? A. It will take at least 1 week to be effective B. Limit the use of this medication to 3-5 days C. Avoid use of this medication if a fever develops D. Continue the spray until nasal congestion resolves

B. Limit the use of this medication to 3-5 days

The nurse is preparing to administer a transdermal patch to a client. Upon assessment, the nurse finds the client currently has a medication patch on the right upper chest. What should the nurse do? A. Remove the old medication patch and notify the health care provider B. Remove the old patch and apple the new patch to a different, clean area C. Apply the new patch without removing the old one D. Remove the old patch and apply the new patch in the same spot

B. Remove the old patch and apple the new patch to a different, clean area

A client is prescribed two different types of inhaled medications for treatment of chronic obstructive pulmonary disease. After administering the first medication, how long should the nurse wait to administer the second medication? A. 10 minutes B. 15 minutes C. 5 minutes D. 1 minute

C. 5 minutes

The nurse is preparing to administer the first dose of a medication to a client. Which potential effect is most important for the nurse to monitor the client for? A. Diarrhea B. Oliguria C. Anaphylaxis D. Jaundice

C. Anaphylaxis

A client is prescribed diphenhydramine. The nurse should monitor for what adverse effects? A. Rash and diarrhea B. Hyperglycemia and bradycardia C. Drowsiness and constipation D. Hypokalemia and hypotension

C. Drowsiness and constipation

What is the major anatomical site for integration of autonomic information? A. Sensory cortex B. Cerebellum C. Hypothalamus D. Spinal cord-dorsal horn

C. Hypothalamus

How does grapefruit juice affect the hepatic enzyme system? A. Metabolizes the enzyme system B. Induces the enzyme system C. Destroys the enzyme system D. Inhibits the enzyme system

D. Inhibits the enzyme system

The nurse is preparing to administer multiple medications to a client and is concerned about several drug-drug interactions that may impact absorption. The medications are prescribed for what route? A. Subcutaneous B. Intramuscular C. Intravenous D. Oral

D. Oral