Pharm II Exam 4

There are currently 5 types of antiretroviral drugs for HIV treatment. Which of the drug classes blcoks viral entry into cells? ~fusion inhibitors and reverse transcriptase inhibitors ~protease inhibitors and fusion inhibitors ~fusion inhibitors and CCR5 antagonists ~CCR5 antagonists and protease inhibitors

fusion inhibitors and CCR5 antagonists

The nurse provides teaching for a patient with obsessive-compulsive disorder who has been prescribed Sertraline (Zoloft). Which statement by the patient indicates that more teaching is necessary? ~I may develop headaches and trouble sleeping." ~"I should watch my diet so that I don't gain weight." ~"I will feel better in 3 weeks." ~"I need to take this this medication for at least a year."

"I will feel better in 3 weeks."

A patient is prescribed venlafaxine (Effexor XR) and requests information about the medication. Which response by the nurse is most appropriate? ~"I will get you a pamphlet so that you can read about the drug." ~"Venlafaxine (Effexor XR) is used to treat anxiety and depression." ~"You will need to talk with the doctor about that." ~"Call your pharmacist., because he or she will know the most about this drug."

"Venlafaxine (Effexor XR) is used to treat anxiety and depression."

The nurse is administering efavirenz (Sustiva) to a patient with AIDS. What will the nurse do? ~administer the medication on an empty stomach at bedtime ~offer St. John's wort with the medication to decrease depression ~have the patient take the medication with ice cream or a milkshake ~give the medication without regard to meals

Administer the medication on an empty stomach at bedtime

The nurse is caring for a patient with social anxiety disorder. The patient is currently experiencing intense anxiety. The nurse should prepare to administer which medication for the immediate relief of anxiety? ~sertraline (Zoloft) ~Clonazepam (Klonopin) ~Paroxetine (Paxil) ~Fluvoxamine (Luvox)

Clonazepam (Klonopin)

Which statement will the nurse include when teaching a patient with HIV about management of the disease? ~HIV is considered a chronic disease ~HIV infection can be cured with 1 year of therapy ~drug resistance does not occur in HIV treatment ~blood cultures and RBC counts are the principle lab tests to guide HIV treatment protocols

HIV is considered a chronic disease

A patient is concerned about developing Alzheimer Disease (AD). What should the nurse include in the teaching plan? ~estrogen replacement therapy improves cognitive functioning ~no solid evidence supports the use of drugs to prevent AD ~daily doses of ginkgo biloba can prevent cognitive decline ~naproxen taken daily after the age of 50 years decreases the risk of AD

No solid evidence supports the use of drugs to prevent AD

After receiving an allograft liver transplant, a patient is prescribed cyclosporine (Sandimmune) oral solution. What is the most critical component of patient teaching that the nurse should assess? ~the medication may cause reversible increase of hair growth ~the oral solution may be mixed with orange juice ~the medication will be taken every day for life ~the medication will help prevent transplant rejection

The medication will be taken every day for life

It would be a priority for the nurse to report that a patient with panic attacks and depression has admitted to attempting suicide in the past if the patient were currently prescribed which drug? ~fluxetine ~amitriptyline ~clonazepam ~clomipramine

amitriptyline

Which class of medications listed is NOT indicated for the treatment of Alzheimer Disease or treatment of secondary symptoms from Alzheimer Disease? ~NMDA agonist ~antidepressants ~biguanide ~cholinesterase inhibitors

biguanide

A patient with HIV is prescribed lopinavir/ritonavir. It is most important for the nurse to monitor which laboratory value? ~serum potassium levels ~blood glucose levels ~platelet count ~hemoglobin levels

blood glucose levels

Immunosuppressant use results in an increased risk of ~neoplasms ~autoimmune diseases ~bradycardia ~organ rejection

neoplasms

Which result would warrant withholding administration of memantine (Namenda) and notifying the prescriber? ~BUN 18 mg/dL ~potassium 4.7 mEq/L ~eGFR 30 mL/min ~ALT 112 iu/L

eGFR 30 mL/min

The nurse is caring for a patient who is receiving rivastigmine (Exelon) for Alzheimer's disease. What is the nursing priority relating to the most common adverse effects of the drug? ~preventing unusual bruising or bleeding ~ensure adequate fluids and nutrition ~reviewing other prescribed drugs for drug interactions ~monitoring liver function tests

ensure adequate fluids and nutrition

Of the cholinesterase inhibitors, Rivastigmine has been shown to have improved benefits of treatment when compared to donepezil and galantamine. ~true ~false

false

A patient with heart failure a new prescription of oprelvekin. Which adverse effect would require this patient to immediately notify the provider? ~fluid retention ~an occasional skipped heart beat ~dehydration ~increased blood sugars

fluid retention

A patient is brought to the emergency department for the treatment of an overdose of alprozolam (Xanax). Which medication should the nurse prepare to administer to this patient? ~acetylcysteine (Acetadote) ~flumazenil (Romazicon) ~naloxone (Narcan) ~protamine sulfate

flumazenil (Romazicon)

The nurse administers filgrastim (Neupogen) daily to a patient after completion of chemotherapy. After 4 weeks, the patient s neutrophil count is 11,500/mm3. The nurse should take which action? ~check the patient for signs of an infection ~administer the scheduled dose of filgrastim ~assess the patient's temperature ~hold the filgrastim and notify the provider

hold the medication and notify the provider

The nurse instructs a patient who is undergoing therapy with monoamine oxidase inhibitors (MAOIs) to avoid tyramine-containing foods. What medical emergency may occur if the patient eats thses foods while taking MAOIs? ~cardiac arrest ~toxic shock ~hypertensive crisis ~gastric hemorrhage

hypertensive crisis

The priority outcome when teaching a patient about phenelzine prescribed for panic disorder with depressio is that the patient will state the ~importance of avoiding aged cheese, meats, and fist ~importance of exercise ~possible adverse sexual effects ~actions needed to prevent constipation

importance of avoiding aged cheese, meats, and fish

Which medication has a potential interaction with a cholinesterase inhibitor? ~medications which block beta receptors ~medications which block alpha receptors ~medications which block cholinergic receptors ~medications which block unmeylinated receptors

medications which block cholinergic receptors

Which medication listed below mechanism of action is an N-methyl-D-aspartate agonists? ~rivastigmine (Exelon) ~galantamine (Razadyne) ~donepezil (Aricept) ~memantine (Namenda)

memantine (Namenda)

Antipsychotic medications may cause an idiosyncratic reaction which is life threatening. Sign and symptoms include fever, altered mental status, autonomic dysfunction, and kidney failure. This reaction is known as ~hypertensive crisis ~neuroleptic malignant syndrome ~tardive dyskinesia ~serotonin syndrome

neuroleptic malignant syndrome

When the nurse administers fluxetine (Prozac) to a patient for social anxiety disorder, which outcome would indicate that therapy has achieved the desired effect? ~patient touches people without fear of contamination ~patient goes on errands alone without experiencing palpitations, chest pain, dizziness, or fear of losing control ~patient presents teaching to nursing students ~patient rides in elevators without experiencing an anxiety attack

patient presents teaching to nursing students

Safe treatment of Alzheimer Disease and Lewy Body Dementia should include ~depression is not common in these patients so prescriptions of antidepressants are not given ~a night time routine is not necessary for these paients ~relieve symptoms of depression with antidepressant medications ~sleep disorders are not common in these patients so use of a night time sleep aid is never prescribed

relieve symptoms of depression with antidepressant medications

A patient is prescribed sirolimus (Rapamune) and cyclosporine (Sandimmune) after renal transplantation. It is most important for the nurse to closely monitor which value? ~serum creatinine ~partial tromboplastin ~aspartate aminotransferase ~serum potassium

serum creatinine

The nurse is preparing to administer buspirone to a patient who has been taking the drug for 2 months. What do nursing considerations include? ~safety precautions because sedation is common ~teaching to avoid drinking grapefruit juice ~teaching to not discontinue this drug suddenly ~importance of administering on an empty stomach

teaching to avoid drinking grapefruit juice

A patient with mild symptoms of Alzheimer Disease is prescribed donepezil. Which statement is NOT correct regarding donepezil? ~the drug will improve transmission by neurons in the brain ~adverse effects include upset stomach ~the drug will stop damage to the neurons in the brain ~the drug should be taken at bedtime

the drug will stop damage to the neurons in the brain

Primary side effects of the SSRIs include which of the following symptoms? ~gastritis and diarrhea ~weight gain and sexual dysfunction ~photosensitivity and discoloration of the skin ~rash and alopecia

weight gain and sexual dysfunction

Which of the following medications is the drug of choice to prevent mother to child HIV transmission during labor and delivery? ~delavirdine ~efavirenz ~zidovudine ~nevirapine

zidovudine