Pharm Adaptive Quiz

What antidepressant drug is a MAOI?

Selegiline

An RN teaches a nursing student about effects of aspirin in pregnant women. Which statement made by the nursing student indicates a need for further statement?

"aspirin may cause Reye syndrome"

Which drug can cause chemical burns?

Anthralin

Which condition contraindicated the use of ginseng herbal therapy?

pregnancy

An Rh neg mom is told RoGAM will be given to her, when is the best time for this?

within 72 hours of birth if the infant is Rh positive

Trimethoprim/sulfamethoxazole is prescribed for a child with a UTI. What statement by the parent indicates understanding?

"ill be sure to give each pill with 6-8 oz of fluid"

What statement by a parent of a 12 year old child recieving a PCA pump indicates understanding?

"she needs to push the PCA button whenever she needs pain meds"

What hypothalamic hormone helps to treat postpartum uterine atony and hemorrhage?

oxytocin

Which drug is used to induce spontaneous abortions?

oxytocin

A healthcare provider prescribes furosemide for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in what part of the renal system?

Loop of Henle

Which effect is seen when the fetus is exposed to a teratogen during the embryonic period?

gross malformations

A client making her first visit to a prenatal clinic asks which immunization can be administered safely to a pregnant women?

inactive influenza

Which mechanism of action does norepinephrine promote to manage anaphylaxis?

increases blood pressure and CO

Which drug may cause malformations of the male external genitalia?

Dutasteride

A client who is receiving phenytoin to control seizure disorder questions the nurse regarding medication after discharge. What is an appropriate response?

"Antiseizure drugs will probably be continued for life."

A client is taking fertility drugs for the first time. What adverse effect of the drug should the nurse inform the client about?

Constipation

Which vaccine is given to young kids to provide protection from tetanus and diphtheria but not pertussis?

DT

Which drug may cause sudden infant death syndrome?

Phenothiazines

What is an indication of oxytocin infusion?

induction of full-term labor

Nitroglycerin sublingal tablets are prescribed for a client with diagnosis of angina. The client asks the nurse how long it will take for pain to subside?

1-3 minutes

What drug can be prescribed to a 30 week pregnant woman to promote maturity of the lungs in the fetus>

Betamethasone

What drug is contraindicated in clients with eating and seizure disorders?

Bupropion

A nurse is caring for a primigravida during labor. At 7cm dilation and prescribed pain meds. What medication requires monitoring of the newborn for respiratory depression?

Butorphanol

Which drug is a teratogen that may cause masculinization of a female fetus?

Danazol

What condition is contraindicated with St. John`s wort therapy?

Dementia

What hormone may cause vaginal carcinoma in female child after birth?

Diethylstilbestrol

Which drug may cause gynecological malignancies in females?

Diethylstilbestrol

What drug is used to manage nonmetastatic gestational trophoblastic disease?

Dinoprostone

Which anesthetic drug is commonly used for short procedures on pediatric clients?

Fentanyl

What drug is a high-potency medication used to treat schizophrenia?

Fluphenazine

Which drug may cause fetal facial malformations when taken by a pregnant client?

HMG-CoA reductase inhibitors

Which drug most commonly causes extrapyramidal side effects?

Haloperidol

Which infection is caused due to fungus?

Herpes Zoster or Dermatophytosis

A client is receiving haloperidol for agitation, and the nurse is monitoring the client for side effects. Which response identified by the nurse is unrelated to an extrapyramidal tract effect?

Hypertensive Crisis

What birth control agent requires administration once every three months?

IM progestin

Which drug is newer treatment option for treating metastatic melanoma?

Ipilimumab

What is the first choice drug for treatment of ADHD?

Methylphenidate

What drug is used to induce abortion?

Mifepristone

Which drug is used to prevent preterm labor?

Nifedipine

What drug may cause abnormally small eyes in newborn if used during pregnancy?

Nitrofurantoin

A client with depression is to be given fluoxetine. What precaution will the nurse consider when initiating treatment?

The blood level may not be sufficient to cause noticeable improvement for 2-4 weeks

A client hospitalized for uncontrollable hypertension and chest pain was started on daily diuretic 2 days ago upon admission, with prescriptions for daily basic metabolic panel. The client`s potassium level this morning is 2.7. Which action should the nurse take next?

notify the healthcare provider that the potassium level is below normal

An 8-year old child is being given insulin glargine before breakfast. What is the most appropriate info for the nurse to give the parents concerning a bedtime snack?

off a snack to prevent hypoglycemia during the night

What is the first line of treatment for Paget Disease?

oral alendronate

A client is 38 weeks gestation and admitted for induction of labor. Her membranes ruptured 12 hours ago, no signs of labor. What medication is anticipated?

oxytocin

A school-aged child with newly diagnosed acute lymphocytic leukemia (ALL) is to undergo induction therapy with prednisone, vincristine and asparaginase. After several days the child becomes constipated. What is the cause?

Vincristine, decreases peristalsis

After 3 months of supplemental oral iron therapy, there is no significant increase in adolescents hemoglobin level. Iron dextran is prescribed. What is the BEST way to administer this med?

Z track method

What is the definition of a tocolytic?

a drug that inhibits labor and maintains a pregnancy

A nurse is counseling a client who abuses cocaine. The nurse recognizes that this drug is representative of which drug category?

a stimulant

The clinic nurse is planning care for a client found to have chlamydia. Which treatment should the nurse plan to implement?

administration of 1g azithromycin orally in a single dose

A client with rheumatoid arthritis has been given a prescription for acetylsalicylic acid. the client asks "what kind of drug is this?"

analgesic

What medication is beneficial for a client with pertussis?

antibiotics

a nurse is planning to administer albuterol to a 4 year old child. How will the nurse evaluate the effectiveness of this medication?

auscultate breath sounds

What would be a reason to withhold digoxin?

blurry vision

Which drug helps to achieve sufficient maturation of the ovarian follicles?

choriogonadotropin alfa

What clinical finding is unique to infiltration rather than inflamed IV?

coolness

A nurse teaches a client about side effects that will necessitate discontinuation of oral contraceptive. What statement indicates understanding?

"I`ll stop taking the pills if I have chest pain"

Which type of laser is used in the treatment of vascular and other pigmented lesions?

Argon

Which drug is derived from a natural source and may be prescribed for treatment of osteoporosis?

Calcitonin

Which estrogen antagonist is specifically used to prevent and treat osteoporosis in postmenopausal women?

Raloxifene

What step should the nurse take when preparing to adminster ROGAM to postpartum client?

ensure client is Rh neg and neonate is Rh pos

What influenza vaccine is given intranasal route?

fluMist

Which ovulation stimulant is derived from the urine of postmenopausal women?

menotropins

What is a clinical manifestation of hypernatremia in burns?

seizures

What teratogenic effect is seen due to lithium?

Epstein anomaly

What is the therapeutic effect of mannitol when given IV to a client with cerebral edema?

decrease intracranial pressure

Ranitidine has been prescribed to help treat a clients gastric ulcer. The nurse expects this drug to act specifically by which mechanism?

inhibiting the histamine at H2 receptors

What drug can be prescribed for the elective termination of a pregnancy?

mifeprex

Which drug is known as an abortion pill?

mifepristone

What are side effects of oral psoralen in phototherapy?

sunburn, persistent pruritus

A 2-year old toddler is to have IV antibiotics. What will the nurse plan to do to prevent the child from pulling out the IV?

cover the IV with protective device

What hormone causes skin discoloration?

estrogen

A teenage client has a prescription for oral solution levofloxacin to treat a sinus infection, and the nurse explains when the medication should be taken. The nurse concludes that the teaching has been effective when the client makes which statement?

"I should take the medication 1 hour before a meal"

A school nurse teaches a 13-year-old child with hay fever that the prescribed phenylephrine nasal spray must be used exactly as directed. What complication may occur if nasal spray is used for frequently or longer than recommended?

rebound congestion

A client is scheduled for an adrenalectomy. What does the nurse expect the plan of care will include?

parental corticosteroids

A child recovering from severe asthma attack is given oral prednisone 15 mg twice daily. What is the priority nursing intervention?

preventing exposure of the child to infection

A nurse is teaching parents of toddlers about why children receiving specific medications should not receive varicella vaccines. Which medication will be included?

steriods

A client begins therapy with a new medication. One month later the client notices blood in the urine. What drug does the nurse anticipate as the cause?

warfarin

A client who has 6 living children has just given birth. After expulsion of the placenta, an infusion of LR with 10 units of oxytocin is prescribed. What should the nurse explain to the client when she asks why this infusion is needed?

"The medication helps your uterus contract"

What vaccine is used to prevent HPV infection?

gardasil

A client is prescribed dinoprostone for termination of a pregnancy. What is the route of adminstration?

intravaginal route

A Schizophrenia who is receiving an antipsychotic medication begins to exhibit a suffling gait and tremors. The HCP prescribes anticholergic medication benztropine 2mg daily. What will the nurse assess the client for when giving together?

constipation

A nurse is teaching the parents of an 8 year old child who is taking a high dose of oral prednisone for asthma. What critical information about prednisone will be included?

it should be stopped gradually

Which relationship does the nurse consider reflective of the relationship of naloxone to morphine sulfate?

protamine sulfate to heparin

A client is receiving oxycodone postop for pain. The healthcare provider`s prescription indicates that the dose should be given every 3 hrs for 8 doses. What does the nurse assess before each dose?

RR and LOC

A nurse is evaluating results of treatment with erythropoietin. What assessment finding shows improvement?

decreased pallor

A client was treated with methotrexate for cancer during the 6th month of her pregnancy. Which teratogenic effect may be seen in a child?

mental retardation

A school-aged child is receiving 45 units of intermediate-acting insulin at 7am and 7pm. What will the nurse tell the parents regarding a bedtime snack?

provide a bedtime snack to prevent hypoglycemia during the night

A 12 year old child has just received a dose of epinephrine. What is the priority assessment after giving this med?

tachycardia

What antihypertensive drug is contraindicated in lactating women?

Atenolol

A pregnant client with severe preeclampsia is receiving IV magnesium sulfate. What needs to be at bedside for possible toxicicity?

Calcium gluconate

What drug is contraindicated during pregnancy but can be safely used by lactating mothers?

Carbamazepine

A client is receiving doxorubicin as part of chemotherapy protocol. The nurse should assess the client for which major life-threatening side effect of doxorubicin?

Cardiotoxicity

While awaiting surgery, a client with a long history of Crohn disease is receiving total IV nutrition (TPN) on an outpatient basis. The nurse teaches the client that TPN helps to prepare for surgery by which process?

decreasing fecal bulk

A client with Hodgkin disease is placed on ABVD combination chemotherapy regimen. Because doxorubicin is part of this therapy what education is provided?

expect urine to turn red for a few days after taking this medication

Which sexually transmitted disease is treated with antiviral drugs?

genital herpes

A 3 year old child is to receive a liquid iron preparation. What will the nurse teach the mother regarding this medication?

give to child diluted through a straw

A client with diagnosis of schizophrenia, paranoid type, has been receiving phenothiazine drug. When psychiatric daycare center plans a fishing trip, it will be important for the nurse to take what action?

provide sunscreen

A client with rheumatoid arthritis asks the nurse why it is necessary to inject hydrocortisone into the knee joint. What reason should the nurse include in a response to this question?

reduce inflammation

Immediately after the 3rd stage of labor a nurse administers prescribed oxytocin infusion. Why is this med given?

to help the uterus contract