PHARM CH13&14 PREPU
A nurse is caring for a patient with arrhythmia. What nursing interventions should the nurse perform when a patient with life-threatening arrhythmia receives an adrenergic-blocking drug through IV?
Monitor blood pressure and respiratory rate
A patient is being treated with Dilantin for treatment of seizures. Which of the following should the nurse monitor to prevent toxic reactions to drugs in a patient?
Monitor patient's blood level of the drug
A patient with respiratory depression is administered an opioid antagonist by the nurse. What ongoing assessment should the nurse perform when administering the opioid antagonist to the patient?
Monitor vital signs every 5-15 mins
Which of the following must be documented on a prescription? Select all that apply.
Name/Dosage of Drug, Route of drug administration, Times of drug administration, Licensed prescriber's signature
A patient has been prescribed Modafinil for the treatment of narcolepsy. Which of the following is a possible reaction that the nurse should monitor for?
Nausea
A patient with dementia of Alzheimer's disease is prescribed rivastigmine by the primary health care provider. Which of the following is the correct method of administering rivastigmine to the patient?
Orally
A nurse is required to administer an opioid to a patient. Which of the following conditions should the nurse confirm in the patient to ensure that opioid therapy is not contraindicated in this patient?
Patient does not have acute bronchial asthma
A nurse is assigned to care for a patient with biliary colic in a health care facility. The patient has been prescribed atropine. The nurse knows that in which of the following cases is the use of atropine contraindicated?
Patient has myocardial infarction
A nurse is caring for a patient with insomnia. For which of the following types of patients should the nurse exercise caution when administering sedatives and hypnotics?
Patients who are lactating
Which of the following patients are at a greater risk for liver failure during administration of acetaminophen?
Patients who consume alcohol habitually
A nurse is assigned to care for a patient with arthritis in a health care facility. The patient has been prescribed celecoxib. In which of the following cases is the use of celecoxib contraindicated?
Patients with allergy to sulfonamides
A nurse is caring for a patient with urinary retention. The patient has been prescribed Urecholine. For which category of patients should the nurse take precautions when administrating Urecholine?
Patients with bradycardia
In which of the following children or teenagers is the use of salicylates, particularly aspirin, contraindicated because their use appears to be associated with Reye's syndrome?
Patients with chickenpox
A nurse is assigned to care for a patient who has been prescribed an ophthalmic cholinergic drug. In which of the following cases is the use of ophthalmic cholinergic drug contraindicated?
Patients with corneal abrasion
A nurse is assigned to care for a patient with anxiety in a health care facility. The patient has been prescribed buspirone. In which of the following patients is the use of buspirone contraindicated?
Patients with hypersensitivity
For which category of patients should the nurse take precautions when administering anti-adrenergic drugs?
Patients with renal function impairment
A nurse is caring for a patient with trigeminal neuralgia at a health care facility. The physician has prescribed carbamazepine. In which of the following cases is the use of carbamazepine contraindicated?
Patients with renal impairment
For which of the following patients are CNS stimulants contraindicated?
Patients with severe hypertension
Medications are derived from which of the following sources? Select all that apply.
Plants, Laboratories, Mold, Minerals, Animals
Which of the following are classified as dopaminergic drugs? Select all that apply:
A - Amantadine (Symmetrel) B - Bromocriptine (Parlodel) D - Carbidopa (Lodosyn)
Parkinsonism may result from which of the following? Select all that apply:
A - Drugs D - Encephalitis
Which of the following are true about the enzyme acetylcholinesterase?
A - makes the parasympathetic nervous system function differently. E - activity results in the prevention of nerve synapses to continue nerve impulses
A nurse is monitoring a patient with Alzheimer's disease for initiation of tacrine HCL therapy. In which of the following patients is the administration of tacrine contraindicated?
A patient with asthma.
Which of the following represents a pharmacokinetic phase? Select all that apply.
Absorption, Distribution, Metabolism, Excretion
A nurse is caring for a patient who has been administered a centrally acting anti-adrenergic drug. The nurse knows that under which of the following conditions is the use of a centrally acting anti-adrenergic drug contraindicated?
Active hepatic disease
A patient has been prescribed dopamine. Which of the following interventions should the nurse perform during the drug regimen?
Administer dopamine only via IV route
Which of the following are examples of benzodiazepine antianxiety drugs? Select all that apply:
Alprazolam (Xanax) Chlordiazepoxide (Librium) Lorazepam (Ativan)
The nurse observes that after administration of a drug the patient has developed swollen eyelids, lips, and mouth. What is this kind of drug reaction called?
Angioedema
A patient with dementia of Alzheimer's disease is prescribed tacrine HCL. Which of the following adverse effects associated with the administration of cholinesterase inhibitors should the nurse assess for when caring for the patient?
Anorexia and nausea
A nurse is caring for an elderly patient who is to be administered isoproterenol. Which of the following changes monitored in the patient should the nurse report immediately to the primary healthcare provider?
Changes in pulse rate
A patient has been prescribed Didrex. Which of the following precautions should the nurse take while administering the drug?
Avoid administering antidepressants.
A patient is admitted to a local health care facility for chronic insomnia. The physician prescribes eszopiclone. What should the nurse teach the patient when administering eszopiclone?
Avoid drinking alcohol
A nurse is caring for a patient with dementia of Alzheimer's disease. The patient's family believes that the use of ginseng will help improve the patient's condition. Which of the following dietary instructions should the nurse provide to the patient's family when using ginseng?
Avoid stimulants containing caffeine.
Which of the following are classified as sympatholytic drugs? Select all that apply
B - Alpha-adrenergic blockers C - Beta-adrenergic blockers
Which of the following are true in regards to cholinesterase inhibitors? Select all that apply:
B - inhibits the breakdown of acetylcholine C - slows neural destruction
Which of the following are examples of nonbenzodiazepine antianxiety drugs? Select all that apply:
Buspirone(Buspar) Hydroxyzine(Atarax)
A patient with cortical focal seizures has been prescribed phenobarbital. What adverse reaction should the nurse monitor for in the patient?
CNS Depression
A nurse has administered drugs to a patient as per the physician's orders. Which of the following activities should the nurse perform after administering a drug to the patient?
Check for adverse drug reactions
A nurse is caring for a patient undergoing glaucoma treatment. The nurse knows that which of the following combinations of drugs need to be administered to the patient to produce an additive effect on the treatment?
Carbachol and Pilocarpine
A patient has been administered dobutamine HCL. Which of the following adverse reactions should the nurse monitor for in the patient?
Cardiac arrhythmias
A patient has been prescribed edrophonium for myasthenia gravis. Which of the following can the nurse monitor as a general adverse reaction in the patient?
Cardiac arrhythmias
A patient is prescribed opioid analgesic. During the initial interview with the patient, the nurse understands that the patient chronically drinks alcohol. Which of the following effect of the interaction between opioid analgesic and alcohol should the nurse monitor for in the patient?
Central nervous system depression
A patient who experiences panic attacks in social situations has been prescribed an antianxiety medication. Which of the following should the nurse check before administering the drug?
Blood pressure
A nurse is caring for a 60-year-old patient with a peptic ulcer. The patient is administered belladonna alkaloids by the nurse. Which of the following conditions should the nurse monitor for when caring for this patient?
Blurred vision
A nurse is caring for a patient receiving cholinergic-blocking drug therapy. The patient complains of impaired comfort due to severe mouth dryness. What nursing intervention should the nurse perform when caring for this patient?
Check the oral cavity daily for soreness or ulcerations
A patient is prescribed memantine for the treatment of dementia of Alzheimer's disease. Which of the following adverse reactions should the nurse monitor in the patient?
Confusion
A patient with cardiac arrhythmia is treated with an anti-adrenergic drug. Which of the following generalized reactions should the nurse monitor with centrally acting anti-adrenergic drugs when administered to the patient?
Malaise
An elderly client has been prescribed phenobarbital for seizure control. What unusual effects of the drug should the nurse onitor in the elderly client?
Marked excitement
A nurse is caring for a patient with depression. Which of the following symptoms should the nurse closely monitor the patient for?
Extreme sadness
A nurse is caring for a patient with seizure disorders. The patient has been prescribed phenytoin. Which of the following ongoing assessment activities should a nurse perform during the treatment?
Measure regular serum plasma levels of the drug.
A patient who was on benzodiazepine antianxiety drug therapy intends to discontinue the treatment. What should the nurse suggest regarding continuation of the medication?
Gradually decrease dosage schedule.
A nurse is caring for a patient who is being administered alprazolam. What initial adverse reaction of alprazolam should the nurse assess for?
Headache
One of the phases of drug development is the post-marketing surveillance phase. Which one of the following activities is carried out during this phase?
Health care providers report adverse effects to FDA
The autonomic nervous system controls which of the following body functions?
Heart Rate, Blood Pressure, Glandular Secretions, GI Activity
A patient has been administered dobutamine. The patient is also being administered β-adrenergic blocking drugs. Which of the following adverse reactions should the nurse monitor for in the patient as a result of combining the two drugs?
Hypertension
A nurse is caring for a patient who has been administered a barbiturate. Which of the following are symptoms of barbiturate toxicity that the nurse must monitor the patient for?
Hypotension
A patient with glaucoma has been prescribed carbachol. The patient informs the nurse that he recently had a bacterial infection and has been taking an aminoglycoside antibiotic. Why should the nurse caution the patient against the use of aminoglycoside antibiotics along with carbachol?
Increased neuromuscular blocking effect
A patient admitted to the health care facility for alcohol withdrawal has been prescribed an antianxiety medication. Why should the nurse suggest the patient to stop consuming alcohol while therapy is going on?
Increased risk for CNS depression
A nurse is caring for a patient on buspirone (antianxiety) therapy. The patient is also to be administered digoxin under close supervision. Which of the following risks will this maximize?
Increased risk for digitalis toxicity
A 60-year-old patient with rheumatoid arthritis visits the health care facility for a regular checkup. The patient informs the nurse that he has been using an over-the-counter NSAID for the last few days. Why should the nurse caution the patient against the use of NSAIDs on a long-term basis?
Increased risk of GI bleeding
A patient has been administered donepezil HCL for dementia. The patient has informed the nurse that she has also been taking nonsteroidal anti-inflammatory drugs. Which of the following interactions should the nurse monitor for in this patient?
Increased risk of GI bleeding
A nurse is caring for a patient on metaraminol therapy. The patient is also to be administered bretylium under close supervision. Which of the following risks will this maximize?
Increased risk of arrhythmias
A patient has been prescribed a monoamine oxidase inhibitor (MAOI) for depression. During the initial interview with the patient, the nurse understands that the patient is also receiving an adrenergic agent. Which of the following should the nurse identify as the effect of interaction between MAOIs and adrenergic agents?
Increased risk of cardiac arrhythmias
A patient with an overactive bladder has been prescribed solifenacin by the physician. The patient is also taking digoxin for the treatment of a cardiac dysrhythmia. The nurse should monitor for which of the following effects occurring due to the interaction of these two drugs?
Increased serum levels of digoxin
A nurse is caring for a patient who is prescribed flurazepam. Which of the following is an effect of flurazepam?
Induces sleep
A nurse is caring for a patient who has been prescribed an opiate. What nursing intervention should the nurse perform as a part of the ongoing assessment?
Inquire about the pain experienced by patient
A patient with muscle ache would like to use an over-the-counter NSAID. The patient informs a nurse that he is taking antihypertensive drugs for blood pressure control. Why should the nurse caution the patient against the use of an NSAID while on antihypertensive drug therapy?
It causes decreased effectiveness of the antihypertensive drug.
A nurse is caring for a patient with depression. The patient has been prescribed amitriptyline, a tricyclic antidepressant. Which of the following should the nurse identify as the effect of this antidepressant on the patient's body?
Decreased reuptake of norepinephrine
A patient dependent on sleeping pills is administered drugs by the nurse to help him sleep. However, the patient continues to be restless and is wide-awake. Which of the following terms describes the patient's condition?
Drug Tolerance
For which of the following adverse reactions should the nurse monitor the patient who has been administered antipsychotic drugs?
Dry Mouth
A patient undergoing antianxiety drug therapy complains of constipation. What reason should the nurse provide to the patient for this condition?
Dryness of mucous membranes
A nurse is caring for a 55-year-old patient with Parkinson's disease. The nurse is required to administer entacapone to the patient. What adverse reaction of the drug administration should the nurse monitor for in the patient?
Dyskinesias
A patient is being administered nonsteroidal anti-inflammatory drugs and beta-adrenergic blocker drugs. What effect should the nurse monitor for when a patient is given both of these medications?
Decreased effect of the beta blocker
A patient is undergoing lithium therapy at a health care facility. The patient informs the nurse that he is taking antacids for heartburn. Which of the following is a possible effect of the interaction of lithium with antacids?
Decreased effectiveness of lithium
Which of the following interventions should the nurse perform regarding the diet of a patient who is being administered lithium?
Ensure that extra salt is added to foods
A nurse is caring for a patient with chronic pain who has been prescribed epidural analgesia. The nurse should monitor the patient for which of the following conditions after insertion of the epidural catheter and throughout the therapy?
Respiratory Depression
A patient has been administered an antipsychotic. Which of the following reactions should be reported immediately?
Rigidity
Which of the following reactions can occur in a patient who has been administered caffeine?
Skeletal muscle stimulation
A nurse is caring for a patient administered ethotoin. Which of the following are signs of toxicity that the nurse should monitor the patient for?
Slurred speech
A patient is prescribed daily doses of phenytoin for seizures. The nurse knows that a single dose should not be missed during the course of treatment. Which of the following conditions could result if a dose is missed?
Status epilepticus
A nurse is caring for a patient with hypertension. What is the role of the nurse when educating a patient with hypertension?
Stress the importance of controlling modifiable risk factors.
A patient with muscular pain has been prescribed an NSAIDs. What advice should the nurse give the patient to promote an optimal response to NSAID therapy?
Suggest the patient take the NSAID with food and milk
Which of the following conditions should the nurse monitor for in the patient receiving an opioid antagonist?
Sweating
A nurse is caring for a patient undergoing phenytoin therapy for prophylactic seizure prevention. Which of the following hematological changes in the patient should the nurse report to the primary health care provider?
Swollen glands
A patient wants to know the interaction of various drugs that he has been prescribed for an illness. The nurse explains that the drugs interact with each other and produce an effect that is greater than the sum of their separate actions. Which of the following reactions is the nurse informing about?
Synergistic drug reaction
Which of the following instructions should a nurse give to a patient who is being administered lithium?
Take frequent sips of water
A patient with partial seizures has been prescribed succinimides at a health care facility. The patient experiences GI upset after succinimides administration. What should the nurse instruct the patient to do?
Take the drug with food or milk.
A nurse observes rhythmic, involuntary facial movements in a patient who has been administered antipsychotic drugs. The patient also makes chewing movements and, at times, his tongue protrudes. Which of the following is the most likely reason for the patient's behavior?
Tardive Dyskinesia
A patient is administered enteric coated tablets by the nurse as per the physician's order. The patient is curious to know when the tablets would disintegrate in the body. Which response by the nurse is most accurate?
The drug dissolves into fragments after reaching the small intestine.
A nurse is assigned to care for a patient who is to be administered a cholinergic-blocking drug. Which of the following pieces of patient-related information should the nurse obtain to understand that the drug has to be used cautiously in this patient?
The patient has a decreased liver function.
Which of the following are true of nonprescription drugs? Select all that apply.
They are referred to as over-the-counter drugs. Certain label requirements. Only taken as directed on label.
Which of the following reactions should a nurse monitor for in a patient who has been administered doxapram?
Urinary pattern
A patient with a cardiac problem is treated with beta-adrenergic blocking drugs. Which of the following should the nurse identify as a cardiac reaction that impacts the body when a beta-adrenergic blocking drug is given to the patient?
Vertigo
A nurse is caring for a 70-year-old patient undergoing antiparkinsonism drug therapy. The patient is prescribed pramipexole by the physician.The nurse should monitor the patient's condition for the development of which of the following adverse reactions associated with the use of this drug?
Visual hallucinations
Which of the following tests should be scheduled every week for a patient taking clozapine?
WBC Count
A patient undergoing treatment for insomnia is instructed by the assigned nurse not to drink beverages containing caffeine. What effect will caffeine likely have on the patient?
Wakefulness
A nurse is required to administer propranolol to a patient for the treatment of cardiac arrhythmias. The nurse checks the patient's apical pulse rate and blood pressure before administration of the drug and observes that the pulse rate is below 60 bpm. What nursing intervention should the nurse perform in this case?
Withhold the drug administration and contact PHCP
A nurse is caring for a patient who has been prescribed monoamine oxidase inhibitor (MAOI). Which of the following should the nurse ask the patient to avoid?
yogurt
A nurse is caring for a patient who has been administered a salicylate for pain relief. Which of the following is a symptom of salicylism that a nurse should monitor for?
flushing
A patient has taken a 15-gram (15,000 mg) dose of acetaminophen and is brought by her parents to the ER. As the dosage is relatively high, there is a chance of acute acetaminophen poisoning or toxicity occurring. Which of the following symptoms should the nurse monitor for in the patient to determine if the patient has acute acetaminophen toxicity?
hypotension
