Drugs and Disease exam 3

अब Quizwiz के साथ अपने होमवर्क और परीक्षाओं को एस करें!

Which adverse effects would a nurse most likely assess in a client who is receiving a centrally acting skeletal muscle relaxant? (Select all that apply.)

Drowsiness Insomnia Dry mouth Constipation

A man with no significant medical history is being prepared for outpatient surgery under general anesthesia. As part of the preparation for surgery, the anesthesiologist administers atropine, a anticholinergic agent. What is the purpose of administering this medication at this time?

Dry up secretions in the respiratory tract.

What stimulates the production of testosterone by the Leydig cells located in the testes?

LH

When caring for a patient receiving estrogen replacement therapy for postmenopausal symptoms, the nurse documents a diagnosis related to impaired tissue perfusion. Which condition is the nurse referring to in the diagnosis?

Thromboembolism

When epinephrine is mixed with a local injectable anesthetic, it is done for what purpose?

To cause vasoconstriction

Which adverse effect should the nurse assess for when administering cyclobenzaprine?

drowsiness

A client has been prescribed vardenafil. Which medication in the client's history would the nurse be <b>most</b> concerned about?

nitroglycerin bc they affect smooth muscle

tyrosine is use to make what

norepinephrine

A 16-year-old is prescribed estrogen therapy for hypogonadism. During therapy, what will the nurse monitor the client closely for?

normal sexual development and growth

Medroxyprogesterone is an effective form of birth control. Long-term use can cause what serious adverse effect?

osteoprosis

Gas anesthetics such as nitrous oxide must be combined with what element before they can be administered to the client?

oxygen

The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first?

penile vasodilation

When stimulation levels off during the human sexual response, the person is said to be in which of the following phases?

plateau

estrogen

BLACK BOX WARNING: it increases risk of cancer, MI, and blood clots

When providing follow-up care for a client prescribed an oral contraceptive several months ago, the nurse must be certain to prioritize what assessment?

BP

The health care provider has prescribed testosterone for a 77-year-old client with a low testosterone level. The nurse will evaluate this client for what condition that may develop in this client in response to this medication?

BPH

A 30-year-old debilitated client is receiving anabolic steroids. Which might the client experience?

Priapism

The nurse determines that teaching about testosterone therapy via a transdermal patch is effective when the male client states that he will change the patch in which time frame?

daily

While most muscle relaxants drugs are central nervous system (CNS) depressants, which medication acts only on the muscle?

dantrolen

which adverse effect of muscle relaxants is most pronounced when a client is prescribed tizanidine therapy?

hypotension

A 63-year-old woman taking estrogen and progestin for several years has recently changed to estrogen alone. What medical event would prompt such a change in treatment?

hysterectomy

In older adult men, anabolic steroids may be prescribed for a deficiency condition. If hypertensive, what might be the cause for an increase in blood pressure?

increase fluid and sodium retention

Which would a nurse expect to occur with the administration of anabolic steroids?

increased red blood cell mass

What represents routes in which general anesthesia is most commonly achieved? (Select all that apply.)

inhalation and IV

A perioperative nurse is explaining the process of general anesthesia in anticipation of the adult client's imminent bowel resection. When describing the phase of induction, the nurse should explain that this is usually achieved by what means?

intravenous administration of anesthetics

The production of estrogen during pregnancy would be negatively affected if which structure was not functioning effectively?

placenta

A client is started on terbutaline therapy. What would indicate that the therapy has been successful?

Premature birth is avoided for at least 24 hours.

what follows fertilization and implantation

Production of human chorionic gonadotropin

What additional warnings or risks should the nurse include in the teaching plan of a client receiving estrogen?

endometrial cancer

Menopause occurs when the the female body stops producing which hormones? (Select all that apply.)

estrogen and progesterone

What is the preferred treatment for the diagnosis of atrophic vaginitis?

estrogen preparations

There are different stages of anethesia the client will go through in surgery. The circulating nurse is aware that extra caution is needed during which stage of general anesthesia, when the client may experience brief periods of delirium and excitement?

stage II

A surgical nurse is documenting the different stages of anesthesia on a patient's chart. Which stage will the nurse describe in documentation just before the surgeon makes the incision?

stage III

The nurse is discussing the human response to sexual stimulation with a client experiencing an arousal problem. In which phase of sexual response should the client begin to feel the effects of the sympathetic nervous system?

stimulation

A client is using a transdermal system for androgen administration. Which drug would the client most likely be using?

testosterone

A client requires local anesthesia to be administered. The nurse identifies that the anesthetic may be administered by which route? Select all that apply.

topical, regionalized, local inflitration

Centrally acting skeletal muscle relaxants lyse or destroy the spasm.

true

Spinal reflexes are the simplest nerve pathways that monitor movement and posture.

true

Damage to what component of the male reproductive system would result in a lack of testosterone?

Leydig cells

A client's health care provider has prescribed baclofen in an effort to treat neuropathic cancer pain. What education should the nurse prioritize when teaching the client about this new medication?

The importance of ensuring safety related to possible sedation

The increase in thickness of the endometrial layer during the first half of the menstrual cycle is controlled by the:

increase in level of estrogen

In describing the effects of progesterone, which would be appropriate to include?

increased body temp

A teenage client who is using testosterone to treat a hormone deficiency calls the clinic to report acne-like skin eruptions on the face. How should the nurse counsel this client?

practice frequent and through skin cleansing

The induction of a local anesthetic would decrease the permeability of the nerve cell membrane to which element?

sodium

A client with spastic hypertonia resulting from cerebral palsy has not responded appreciably to oral baclofen. During the client's care conference, the nurse should anticipate a discussion about what possible treatment?

Intrathecal baclofen infusion

A client on long term testosterone therapy is at risk for the development of hepatocellular cancer. The nurse explains to the client that a hepatic function test should be done and evaluated on what schedule during the therapy?

every 6 months

The anesthesiologist has informed the operating room nurse that opioids will be used to supplement anesthesia for a client undergoing a partial mastectomy. What opioid is most likely to be utilized?

fetanyol

An ovum is allowed to mature and is exposed to estrogen and progesterone in which endocrine gland like storage structure?

follicle

What happens with the hormones associated with pregnancy once the fetus and the placenta have been expelled from the uterus?

hormone decreases

A 32-year-old female client is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the client and her husband that the adverse effect that poses the greatest safety risk to the client is:

hypotension

A 26-year-old client who delivered a baby 24 hours prior, reports cramping pain while breast-feeding. The nurse caring for the client understands that breast-feeding causes the release of which hormone, which can cause uterine cramping?

oxytocin

hormone engages the rhythm of birth control

progesterone

The post-anesthetic recovery unit nurse is caring for a client whose balanced anesthesia included midazolam. The nurse should prioritize assessments for what health problems?

respiratory depression and CNS suppression

During fetal development, the descent of the testes into what structure helps prevent injury to the sperm-producing cells?

scrotum

A male client is prescribed sildenafil for the treatment of erectile dysfunction. What mechanism of action of sildenafil causes a sustained erection?

The drug inhibits phosphodiesterase (PDE) type 5, consequently decreasing the metabolism of cGMP.

An older adult client's current medication regimen includes tamsulosin and sildenafil. The combination of these two medications should prompt what action by the nurse?

assessing the client regularly for signs of orthostatic hypotension

A nurse administers methylergonovine (Methergine) to a client immediately after delivery of a normal, healthy baby boy. The nurse will advise her that she may experience which common adverse effect of the drug?

increase in BP

A client with multiple sclerosis asks the nurse to explain why deep tissue massages do not relieve spasticity. The nurse should explain that spasticity is caused by:

nerve damage in the brain and spinal cord, and it is a permanent condition

Pitocin is given to prevent what condition?

postpartum bleeding

What is most important to tell the client who will be taking adrenergic blocking drugs for benign prostatic hypertrophy?

take at the same time every day

When fluoxymesterone is administered to a 14-year-old male, what is the expected result?

Development of sexual organs

Which medication is classified as an antianxiety medication but is also used to treat muscle spasms?

Diazepam (Valium)

Fertilization of the ovum and implantation in the uterine wall result in the production of what hormone?

Human chorionic gonadotropin

When teaching a group of high school students about using anabolic steroids, the nurse would include information that these drugs are classified as which class of controlled substances?

III

A female client is prescribed estradiol cypionate for treatment of severe vasomotor symptoms associated with menopause. The nurse would expect to administer this drug by which route?

IM

A male client informs his physician that sildenafil therapy is not working for him. What is most likely to be the reason for this and needs to be carefully assessed for by the nurse?

Ingestion of high-fat meal along with the drug

The nurse is caring for a client whose current medication regimen includes baclofen 60 mg PO daily. What assessment should the nurse nurse prioritize when assessing for therapeutic effects?

Inspection for muscle spasticity and range of motion assessment

When caring for a patient receiving estrogen therapy, which action would be an appropriate part of the evaluation process?

Interviewing the patient and observing for therapeutic and adverse effects

Gonadotropin-releasing hormone (GnRH) stimulates the anterior pituitary to release which hormones?

LH, FSH

Which cells in the testes produce testosterone?

Leydig cells

A 30-year-old client is to receive tetracaine (Pontocaine) via spinal anesthesia for an abdominal procedure. What should the nurse do to prevent side effects of this type of anesthesia?

Maintain the client in a supine position following the procedure.

After teaching a group of students about anabolic steroids, the instructor determines that the teaching was successful when the students identify which agent as an example?

Oxandrolone

If an ovum is fertilized and implants into the uterine wall, which would occur next?

Production of human chorionic gonadotropin

The nurse is caring for a client in the post-anesthetic care unit (PACU). The client is disoriented and agitated, with an increased heart rate and respiratory rate. What is the nurse's best action?

Provide reassurance to the client while providing close monitoring

A 29-year-old female client in labor has just received epidural anesthesia. Before the procedure her blood pressure was 120/78 and her pulse was 60 bpm. Now her blood pressure is 100/60 and her pulse is 80 bpm. She reports a metallic taste in her mouth, hears a ringing in her ears, and appears confused. What is this client most likely experiencing?

Systemic toxicity from local anesthesia

A client diagnosed with benign prostatic hypertrophy (BPH) is prescribe tamsulosin. The client communicates with the nurse about a friend that was prescribed sildenafil for his BPH. Which is the nurse's best response regarding the difference in the use of the two drugs for BPH?

Tamsulosin relaxes muscles in the prostate and bladder and increases ability to urinate.

How will the addition of nitrous oxide or IV anesthetics affect the minimum alveolar concentration (MAC) of isoflurane?

The MAC will decrease

When reviewing the medical record of a client who is to receive dantrolene, which condition would alert the nurse to the need for close monitoring?

The client has respiratory depression from opioid analgesia

A 60 year-old female client has multiple sclerosis accompanied by muscle spasticity. The client has responded well to dantrolene 200 mg PO daily in divided doses. What assessment finding should the nurse prioritize for communication to the client's provider?

The client's most recent laboratory results show an upward trend in AST and ALT levels

A client who is experiencing lower back pain has been prescribed cyclobenzapine. The nurse should provide what health education in order to ensure safe and effective treatment?

This will likely make you drowsy, so don't take it before doing anything that would require alertness."

What should a nurse's pre-administration assessment for a client about the receive oxymetholone (Anadrol-50) include? (Select all that apply.)

Weight Fasting lipid panel Hepatic function tests

A nurse is caring for a male patient who has a spinal cord injury due to a motorcycle accident. He has been taking dantrolene (Dantrium) for 2 weeks. The nurse will monitor:

alanine aminotransferase and total bilirubin levels

Before the drugs are prescribed, a complete medical history, physical examination, pap test, urinalysis, and weight and blood pressure measurements are recommended.

all this crap before getting a prescription for contraceptives

secondary male characteristics remain due to what?

androgen

The nurse instructs a client to use benzocaine to soothe the itching and pain related to an insect bite. Benzocaine is considered to be what type of dermatologic agent?

anesthetic

Sildenafil has been prescribed to a client in his 60s, and the nurse is providing health education about the safe and effective use of the drug. The nurse should teach the client to:

avoid taking more than 1x in a 24 hour period

The circulating nurse knows that what is the most important nursing intervention during Stage II of general anesthesia?

avoid unnecessary noise in the operating room

A nurse should monitor a client receiving oxytocin for which adverse effects?

cardiac arrhythmias

After 6 months of unsuccessfully trying to conceive, a 31-year-old woman and her husband have sought a referral to a fertility specialist in order to explore their options. A nurse at the clinic should recognize that the woman may benefit from:

clomiphene

Androgens may be prescribed to women to treat conditions related to the effects of the female sex hormones. Danazol is prescribed to prevent or treat fibrocystic breast disease and:

endometriosis

A 30-year-old pregnant woman has been prescribed administration of oxytocin. When assessing the patient's drug regimen, the nurse understands that the patient is taking vasopressors. Which risk is the patient most susceptible to if oxytocin is administered along with vasopressors?

hypertension

A 30-year-old pregnant client is 5 cm dilated and has just received epidural anesthesia for pain relief. Which adverse effect is most likely?

hypotension

A male taking anabolic steroids may experience which side effects?

jaundice

The students are studying for an exam in pharmacology. They know several local anesthetics have been covered along with other forms. Which medication can they anticipate as being local anethetics on the exam? Select all that apply.

marcaine xylocaine novocain

A nurse is caring for a 28-year-old patient who is taking exogenous testosterone for treatment of cryptorchidism. What statement by this patient would lead the nurse to believe that patient teaching has been ineffective?

my sperm count will increase

Clotting of the uterine lining during the menstrual cycle is prevented by high levels of

plasminogen

The release of gonadotropin releasing hormone by the hypothalamus signals the onset of:

puberty

A male client routinely takes baclofen as a skeletal muscle relaxant for a neuromuscular disorder. His last lab results indicate that he is experiencing renal insufficiency. Based on these data, what would the nurse expect the health care provider to do?

reduce the dose

The nurse monitors a patient receiving oxytocin for water intoxication based on the understanding that this condition is the result of:

release of antidiuretic hormones

Which would the nurse expect to administer as a depot injection?

testosterone

A nurse is providing care for a patient who suffered extensive burns to the extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all the burns in order to achieve adequate pain control. When considering this order, the nurse should be aware that:

there is a risk of systemic absorption of the lidocaine through the patient's traumatized skin.

Anabolic steroids are analogs of testosterone with increased protein-building effects.

true

A nurse teaching a 57-year-old client about the factors that must be considered around the use of hormone replacement therapy (HRT) should discuss what increased risk associated with the therapy?

venous thromboembolism

An older adult is prescribed a skeletal muscle relaxant for reports of neck pain. What is the top priority of care for the nurse to teach the family?

watching when ambulating

A young man has received a diagnosis of androgen deficiency and has been prescribed testosterone. At clinic follow-up appointments, the nurse should prioritize which assessment?

weight and BP

Which medication will inhibit the release of calcium in skeletal muscle cells to minimize the development of muscle contractions?

dantrolene sodium

magnesium causes what?

depressed reflexes

Patients receiving chlorzoxazone (Paraflex) should be cautioned that what will occur with administration?

discoloration of urine

excessive eating

does not decease reproductivity

A client is receiving botulinum toxin type A as treatment for frown lines. The nurse would instruct the client about:

drooping eyelids

A nurse administers carisoprodol to a client for the treatment of an acute musculoskeletal condition. The nurse would be alert for which adverse effect after administering the drug?

drowsiness

When developing a teaching plan for a client who is to receive carisoprodol, which sign or symptom would the nurse include as the most common adverse reaction?

drowsiness

The nurse at an urgent care clinical is reviewing local anesthetics. What drug should the nurse recognize as an amide?

lidocaine

Andropause

like menopause, but for men

A client has received a prescription for baclofen. The home care nurse would schedule which laboratory tests to monitor this client?

liver function tests

A nurse is teaching a class at the local high school on the abuse of anabolic steroids. Which potential adverse reaction should the nurse cite regarding the long-term use of these hormones?

liver tumors

The nurse is educating an adult male client diagnosed with erectile dysfunction about the prescribed sildenafil. Which statement made by the client establishes the need for further clarification?

"If I eat a fatty meal I will need to take two pills instead of one, so the drug will take effect faster."

A male clent has been diagnosed with impotence and is started on a regimen of androgens. Which statement by the client indicates that he has understood the teaching?

"If my skin appears yellow or my urine turns dark, I will contact my health care provider."

A 50-year-old woman has begun taking baclofen to treat her recently diagnosed multiple sclerosis (MS). What teaching point should the nurse provide to the patient about her new drug regimen?

"Make sure that you don't stop taking baclofen suddenly because it might cause your symptoms to rebound quite sharply."

A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium). In light of this new addition to her drug regimen, what teaching point should the woman's nurse provide?

"You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity."

What client is most likely to benefit from Botox (incobotulinumtoxin A) injections?

A 54 year-old client who suffers debilitating migraines two to three days per week

he client is to have a spinal anethesisa for surgery. While educating the client, which statement by the nurse is correct regarding the insertion of the needle?

A small gauge needle will be inserted into the subarachnoid space and medication will be administered into the cerebrospinal fluid.

34-year-old man received a skin laceration while playing soccer that will require a few stitches. A local anesthetic will be used. Which medication would the nurse question for the use in this procedure?

A volatile liquid such as halothane or isoflurane (Fluothane)

After teaching a group of students about abortifacients, the instructor determines that the teaching was successful when students identify which condition as a contraindication to their use?

Active pelvic inflammatory disease

Administration of which class of medications can decrease secretions of the upper respiratory tract?

Cholinergic antagonists

what day does ovulation occur?

DAY 14

After describing the process of spermatogenesis to a group of students, the instructor determines that the teaching was successful when the students identify what as being responsible?

FSH- follicle stimulating hormone

An operating room nurse is assisting the anesthesiologist in the preparation of an intravenous dose of dantrolene. What emergent issue most likely prompted the need to give the patient dantrolene?

Malignant hyperthermia

A woman who has been prescribed high doses of anabolic steroids should be instructed on which effects?

Masculinization

Which is the drug of choice in children who need to be treated with tetanus?

Methocarbamol (Robaxin)

A 22-year-old woman is in the clinic to end an early pregnancy. She takes three tablets of mifepristone (Mifeprex). Two days after she takes the medication, she returns to the clinic to see if she is still pregnant or if the medical abortion is complete. It is determined that she is still pregnant. The nurse will administer which drug?

Misoprostol

A client received fentanyl during a surgical procedure. The nurse will have what drug available to treat any possible respiratory depression associated with the use of fentanyl?

Naloxone: on hand to reverse the effects of the opioid that is causing respiratory depression.

The human sexual response involves the activation of which system?

Sympathetic nervous system -follows the phase of stimulation, plateau, climax, resolution

A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which instruction?

Wear appropriate clothing and sunscreen whenever he is in direct sunlight.

A client who was prescribed vardenafil has a sustained erection and is being seen in the emergency department. What is the priority nursing diagnosis?

acute pain

A female client began an infusion of oxytocin 2 hours ago and the nurse has been conducting regular assessments on her as well as monitoring the fetal heart rate closely. The nurse should prioritize which potential nursing diagnosis in the organization of the client's immediate care?

excess fluid volume...also water toxicity

Dinoprostone can be used to terminate a pregnancy after 20 weeks.

false

Testosterone is injected directly into the corpus spongiosum.

false

Which is an example of an androgen that can be used to treat hypogonadism?

fluoxymesterone

The nurse sprays the area with a medication to desensitize it. The nurse is administering which type of anesthesia?

spray is topical

hallucination/delrium

stage II

Baclofen should be tapered slowly to prevent

hallucinations

A client sustained a severe laceration to the right thumb and index finger that will require local anesthetic to facilitate suturing. Which statement should prompt the nurse to provide further client health education?

"I'm feeling pretty queasy about getting stitches, so I'm glad they'll be knocking me out."

A 56-year-old woman with a diagnosis of multiple sclerosis has begun taking dantrolene. What client teaching should the nurse provide?

"Make sure to see your health care provider promptly if you develop yellowish skin or eyes."

A patient has been prescribed methocarbamol (Robaxin) for fibromyalgia. The nurse has spent an hour educating the patient on the use of methocarbamol for muscle pain. Which statement by the patient indicates that the patient has an understanding of at least one of the significant side effects of methocarbamol?

"My urine could be discolored while I take this drug."

The nurse is educating a young adult client diagnosed with androgen deficiency about the prescribed testosterone transdermal system, apply two systems (dose of 5 mg) nightly. Which statement made by the client establishes the need for further clarification?

"One transdermal patch is applied to my back, upper arm, or abdomen to dry, clean skin, and the other to my groin."

What occurs during andropause?

Atrophy of the seminiferous tubules

A client with a history of malignant hyperthermia is scheduled for surgery. Which agent would the nurse most likely expect to administer?

Dantrolene

A patient is having surgery to repair a ruptured Achilles tendon. The patient develops severe muscle contractions and hyperthermia. Which medications will be administered?

Dantrolene sodium (Dantrium)

What is the most important teaching from the plan of care, to emphasize, when a client is prescribed a skeletal muscle relaxant?

Do not drive or operate machinery until individual drug effects are known.

A client presents to the emergency department with severe pain and receives methocarbamol by injection. As part of the nurse's safety care plan, the nurse should instruct the client that she may experience which common adverse reaction?

Fainting, incoordination, and hypotension

A 28-year-old patient has a history of malignant hyperthermia following anesthesia. Today, this patient is on the operating room schedule for a D&C;. Which method of anesthesia would not be acceptable for this patient?

General anesthesia with an inhalation agent

Which hormone would be initially responsible for hormone secretion from the ovaries and testes?

Gonadotropin-releasing hormone

The nurse prepares to receive a client after a cesarian section who received isoflurane during general anesthesia. Based upon the drug's adverse effects, which measures would the nurse provide postoperatively? Select all that apply.

Provide warm blankets. Administer prescribed antiemetic. Assess for increased bleeding. Monitor oxygenation and vitals frequently.

A nurse is caring for a patient who is receiving cyclobenzaprine. Which of is the action of the drug on the patient?

Reduction of muscle spasm

A nurse is preparing a class on the various drugs used to treat erectile dysfunction. Which would the nurse include?

Tadalafil

What would a nurse attribute to the effect of testosterone? (Select all that apply.)

Vocal cord thickening Increased hematocrit Facial hair growth

A client has received lidocaine (Xylocaine) 2% for a skin laceration repair. Before the repair begins, how would the nurse assess this client for adequate pain relief?

Wait 2 to 5 minutes and assess the area for pain and sensitivity to touch or pressure.

A 66-year-old man has made an appointment with his primary care provider to discuss his recent erectile dysfunction (ED) and has requested a prescription for tadalafil (Cialis) based on television commercials he has seen. What characteristic of this client would contraindicate the use of tadalafil for his ED?

has unstable angina and uses a nitroglycerin patch

Which would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a client taking estrogen?

headaches

Signs and symptoms of what would necessitate discontinuation of dantrolene therapy?

hepatic dysfunction

When prescribed dantrolene, what is the most serious adverse effect the client should be instructed about?

hepatitis

A group of students are reviewing the drugs available for treating penile erectile dysfunction. The students demonstrate understanding when they identify which drug as a PDE5 inhibitor?

slidenafil

The 35-year-old client has presented to the OB ward for her third delivery by cesarean section. The nurse who is caring for this client prepares for which type of anesthesia?

spinal

A client is receiving general anesthesia and the client's skeletal muscles have begun to relax after being tense In what stage of anesthesia is this client?

stage 1

The nurse knows there are certain effects with the use of epidural anethesia. When a client is receiving epidural anesthesia, which will help to reduce the potential for a headache caused by the epidural? Select all that apply.

IV hydration Lying supine

The client is about to undergo surgery. The circulating nurse knows that methohexital (Brevital) is used for which purposes? Select all that apply.

Induction of anesthesia Supplement to other anesthetics Depress the central nervous system to produce hypnosis

A client who is experiencing lower back pain has been prescribed cyclobenzapine. The nurse should provide what health education in order to ensure safe and effective treatment?

"This will likely make you drowsy, so don't take it before doing anything that would require alertness."

The nurse is aware that a client receiving which category of medication will not be prescribed vardenafil?

Antidysrhythmics

What is one of the registered nurse's primary roles in the administration of general anesthetic?

Assessing the client's status during recovery from anesthetic

Which agent would a client most likely be prescribed for penile erectile dysfunction if the client is very sexually active and the timing of sexual stimulation is not known?

Avanafil

A patient with multiple sclerosis is admitted to the medical division for treatment of severe spasticity. What medication is used to treat spasticity and is administered intrathecally?

Baclofen

Which medication would the nurse expect to administer if prescribed to achieve skeletal muscle relaxation?

Baclofen

A client with a foreign body embedded in her hand requires local anesthesia for removal. What drug would be most appropriate?

Benzocaine (it is local)

A client has begun treatment for penile erectile dysfunction. What explanation should the nurse provide regarding the primary effect a prescribed phosphodiesterase type 5 inhibitor will have on this condition?

Blood flow to the penis will be improved

After reviewing information about skeletal muscle relaxants, a group of students demonstrate understanding of the material when they identify which drug as a direct-acting muscle relaxant?

Botulinum toxin type A

The nurse is aware that which medication will be used in the provision of local infiltrate anesthesia?

Bupivacaine (Marcaine)

A patient admitted to a health care facility for appendicitis surgery is administered methohexital as a general anesthesia. Which condition should the nurse observe in the patient as the effect of the administration of methohexital?

CNS depression

The nurse is obtaining a history from a 23-year-old man. The nurse suspects that the client may be using DHEA if he displays which symptom?

Hirsutism

If pregnancy does not occur during the menstrual cycle, the corpus luteum involutes and becomes the:

corpus albicans

A 40-year-old client with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize for the nursing care plan for this client?

Risk for Injury related to CNS depressant effects

The nursing students are learning about synergistic effects of combined medications. Which is a desired effect of combining epinephrine with a local anesthetic? Select all that apply.

There is a lower risk of systemic toxicity. The local anesthetic stays in the desired tissues longer

where are the nicotinic receptors found

adrenal medulla


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