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The nurse is assessing a patient who has just had a myocardial infarction and who also has a history of peptic ulcer disease. While reviewing the prescription, the nurse finds that the patient is prescribed aspirin 35 mg. Which drug should be used as an alternative to aspirin to prevent the recurrence of peptic ulcers? Ibuprofen Enteric-coated aspirin Aspirin/antacid combination Aspirin/caffeine combination
Enteric-coated aspirin
Which antihistamine would the nurse expect to be included in the treatment plan for a patient who is a taxi driver who is diagnosed with allergic rhinitis? Clemastine Fexofenadine Promethazine Diphenhydramin
Fexofenadine
Which medication is an example of a colony-stimulating factor? Anakinra Infliximab Filgrastim Etanercep
Filgrastim
Which intervention is needed when physostigmine is administered to treat a cholinergic blocker overdose? Increased fluid intake Insertion of a Foley catheter Assessment of bowel sounds Frequent cardiac assessments
Frequent cardiac assessments
Which dietary supplement can be given to a patient for treatment of osteoarthritis? Ginseng Green tea Glucosamine Grape seed extrac
Glucosamine
A patient is administered aldesleukin for the treatment of non-Hodgkin's lymphoma. After 4 months, which diagnostic results confirm that the patient has recovered? Select all that apply. Healthy skin No signs of infection Low red blood cell (RBC) count Low white blood cell (WBC) count Normal nutritional status
Healthy skin No signs of infection normal nutritional status
Which characteristic feature of a drug may increase the likelihood of drug transfer through breast milk? Ionized drug Water solubility high concentration High molecular weight
High concentration
A patient taking an oral theophylline drug is due for the next dose and has a blood pressure of 100/50 mm Hg and a heart rate of 110 beats/min. The patient is irritable. Which is the nurse's best action? Administer oxygen at 2 L per minute via nasal cannula. Continue to monitor the patient and give the medication. Hold the next dose of theophylline and assess the patient. Call the health care provider to request an increased dose
Hold the next dose of theophylline and assess the patient.
Beta blockers are used to treat which conditions? Select all that apply. Hypertension Angina pectoris Heart failure (HF) Sinus bradycardia Cardiogenic shock Chronic obstructive pulmonary disease (COPD)
Hypertension Angina pectoris Heart failure (HF)
Which drug would the nurse administer to relieve severe bone pain in a patient administered methotrexate for rheumatoid arthritis? Ibuprofen Epinephrine Filgrastim Diphenhydramine
Ibuprofen
Which is an expected therapeutic outcome for a patient with Parkinson's disease and dementia who is prescribed rivastigmine? Decreased tremors Decreased salivation Improvement in memory Increased muscle strength
Improvement in memory
The nurse will advise a patient receiving opioid analgesics for chronic pain to perform which action to minimize the gastrointestinal (GI) side effects? Eat foods high in lactobacilli. Increase fluid and fiber in the diet. Take the medication on an empty stomach. take diphenoxylate/atropine with each dose
Increase fluid and fiber in the diet
Which finding indicates donepezil is having a therapeutic effect? Wakefulness Relaxed muscles Urination Increased cognition
Increased cognition
Which response is elicited by the activation of beta1 receptors located on the sinoatrial node? Vasodilation Vasoconstriction Increased heart rate Increased contractility
Increased heart rate
Which laboratory test would a nurse anticipate for a patient receiving alpha-adrenergic medication? Increased level of glucose Increased level of calcium Increased level of potassium Increased level of magnesium
Increased level of glucose
The nurse is caring for a patient who is taking aspirin to treat rheumatoid arthritis. The nurse learns that the patient uses a gingko supplement. Which adverse effect will the nurse expect in the patient? Leukopenia Increased risk of bleeding Nephrotoxicity Decreased uric acid excretion
Increased risk of bleeding
A patient is prescribed albuterol. The nurse is explaining the most common route of administration of albuterol to the patient. Which route would the nurse discuss? Inhalation Intravenous Subcutaneous Intramuscular
Inhalation
Which immunomodulating drugs are contraindicated in the treatment of multiple sclerosis in a patient with an allergy to human albumin? Interferon beta-1a Interferon alfa-n3 Interferon alfacon-1 Peginterferon alfa-2a
Interferon beta-1a
Which interferon is prescribed for a patient with multiple sclerosis? Interferon beta-1a Interferon alfa-n3 Interferon alfacon-1 Interferon gamma-1b
Interferon beta-1a
Which assessment finding indicates the patient may have symptoms of anticholinergic drug overdose? Macular rash Severe headache Irregular heart rate Muscular weakness
Irregular heart rate
Which statement does the nurse include in the lecture when explaining about the psychomotor domain? Learning the new procedure Learning the basic knowledge Expressing feelings and opinions Understanding the basic health information
Learning the new procedure
A patient is prescribed zileuton to treat asthma. Which will be closely monitored in the patient to ensure safe drug administration? Creatinine clearance Liver enzyme levels Complete blood count Uric acid baseline level
Liver enzyme levels
Which information would the nurse to teach a patient who is switching allergy medications from diphenhydramine to loratadine? Loratadine causes less gastrointestinal upset. Loratadine can potentially cause dysrhythmias. Loratadine has increased bronchodilating effects
Loratadine has fewer sedative effects.
Which type of therapy has been prescribed when a patient is prescribed an oral antidiabetic drug? Acute Palliative Maintenance Supplemental
Maintenance
When assigned to a maternity unit, which technique would the nurse use to identify the mother and child for safe administration of medication? Ask the mother to state the baby's name. Ask the mother if she can identify her newborn. Ask the mother and father both to identify the baby. Make certain the identification bracelets on the mother and baby have the same numbers.
Make certain the identification bracelets on the mother and baby have the same numbers.
A patient has started treatment with an adrenergic-blocking drug. Which assessment is the nurse's highest priority? Count the radial pulse for 1 full minute. Count the patient's respiratory rate for 1 minute. Measure both supine and standing blood pressures. Take the patient's temperature by both the oral and axillary routes.
Measure both supine and standing blood pressures.
Which medication will assist a patient's recovery from a narcotic addiction? Naloxone Methadone Vitamin K1 Protamine sulfate
Methadone
Which precaution would the nurse take to increase the effectiveness of the teaching with a patient who has difficulty concentrating? Allow time for feedback. Minimize distractions. Implement the teaching aids. Document the instructions provided.
Minimize distractions.
Which is the nurse's role in the development of new and investigational drugs? Selecting patients to participate in Phase I studies Identifying patients who are receiving placebo drugs during Phase III studies Monitoring for and reporting any adverse effects noted during Phase IV studies Informing patients of the specific drug they are receiving within a blinded investigational study during Phase III
Monitoring for and reporting any adverse effects noted during Phase IV studies
A patient has taken metaproterenol. Which is the nurse's priority action? Monitoring for sedation Monitoring for heart rate (100 beats/min) Telling the patient not to drive for 2 hours Assessing for decreased blood glucose levels
Monitoring for heart rate (100 beats/min)
Which antiasthmatic, available only for oral use, is approved for use in children 2 years of age and older? Albuterol Terbutaline Montelukast Systemic corticosteroid
Montelukast
Which intervention will assist the patient in coping with orthostatic hypotension caused by cholinergic drug therapy? Take ibuprofen before rising. Call for someone before rising. Move from a sitting to standing position slowly. Increase fluid intake to increase blood volume.
Move from a sitting to standing position slowly.
A patient with cancer is receiving an opioid analgesic for pain relief. The nurse understands that opioid analgesics are preferred over nonsteroidal antiinflammatory drugs (NSAIDs) for cancer-related pain relief for which reason? NSAIDs cause respiratory depression in patients. NSAIDs are contraindicated in cancer patients due to drug interactions. NSAIDs are prescribed for geriatric patients and not for patients below 40 years of age. NSAIDs are ineffective for treating chronic severe pain because they have rapid ceiling effects
NSAIDs are ineffective for treating chronic severe pain because they have rapid ceiling effects
Which drugs are opioid agonists-antagonists? Select all that apply. Fentanyl Tapentadol Nalbuphine Butorphanol Buprenorphine
Nalbuphine Butorphanol Buprenorphine
Which medication is used to treat a patient experiencing severe adverse effects of an opioid analgesic? Naloxone Flumazenil Acetylcysteine Methylprednisolone
Naloxone
Which drug is used in the treatment of multiple sclerosis? Natalizumab Bevacizumab Trastuzumab Alemtuzumab
Natalizumab
Which assessment findings does the nurse determine are possible adverse effects associated with morphine sulfate administration? Select all that apply. Nausea Diarrhea Urinary retention Decreased peristalsis Delayed gastric emptying
Nausea Urinary retention Decreased peristalsis Delayed gastric emptying
Which action performed by the nurse is a method of data collection? Observing the patient Explaining the illness to the patient Changing the patient's wound dressing Performing relevant diagnostic procedures
Observing the patient
Which rationale does the nurse utilize by using a closed room to teach a group of older diabetic patients about self-administration of insulin? Older patients have poor short-term memory. Older patients have diminished concentration. Older patients have slowed cognitive functioning. Older patients have decreased ability to read fine details
Older patients have diminished concentration.
Which enzyme is responsible for the metabolism of drugs in the liver during first-pass metabolism? Ptyalin Gastric lipase P450 enzymes Pancreatic lipase
P450 enzymes
Which assessment finding indicates that the nonsteroidal antiinflammatory drug has been effective? PTT is 100 seconds. Patient's bleeding time is prolonged. Patient has increased circulation to his legs. Pain has decreased from a "6" to "1" on a scale of 10.
Pain has decreased from a "6" to "1" on a scale of 10.
The primary health care provider prescribes oxymetazoline to a patient with sinusitis who complains of nasal congestion and difficulty in breathing. Which possible adverse effect would the nurse teach to the patient? Dry mouth Palpitations Constipation Gastrointestinal irritation
Palpitations
Which patients are candidates to receive antitussive cough medication? Patients with pharyngitis and rhinitis Patients with chronic paranasal sinusitis Patients who have undergone hernia surgery Patients with bronchitis with productive cough
Patients who have undergone hernia surgery
A patient is prescribed ipratropium for the treatment of chronic obstructive pulmonary disease. Which would the nurse assess to ensure safe administration of ipratropium? Joint pain Peanut allergy Banana allergy Migraine headaches
Peanut allergy
Which characteristic aligns with chronic pain? Sharp Persistent Sudden onset Sympathetic nervous system response
Persistent
Which term is used to describe the study of the physiochemical properties of drugs and how they influence the body? Pharmacognosy Pharmacokinetics Pharmacodynamics Pharmacotherapeutics
Pharmacodynamics
Which drug may be administered to a patient who has a tricyclic antidepressant overdose? Tacrine Carbachol Memantine Physostigmine
Physostigmine
Which medications are direct-acting cholinergic drugs? Select all that apply. Pilocarpine Galantamine Neostigmine Edrophonium Succinylcholine
Pilocarpine Succinylcholine
he nurse is assessing a patient's culture and race on admission to the hospital. Which concept is important for the nurse to understand regarding drug therapy as it relates to different races of individuals? Polypharmacy Polymorphism Pharmacokinetics Pharmacodynamics
Polymorphism
Which medication is used in the treatment of angina? Propofol Pravastatin Propranolol Propoxyphene
Propranolol
The nurse supports which learning domain when the newly diagnosed patient with diabetes performs a return demonstration of insulin injections that will be self-administered? Affective Cognitive Compliance Psychomotor
Psychomotor
When the nurse has the patient demonstrate how to perform self-injections of insulin, which domain of learning is the nurse assessing? Physical domain Affective domain Cognitive domain Psychomotor domain
Psychomotor domain
The nurse is assessing a patient who has gout and is prescribed indomethacin 650 mg and febuxostat 40 mg. The nurse reports to the primary health care provider that the patient has symptoms of mild nonsalicylate intoxication. Which prescription does the primary health care provider give to the patient? Reduce the dose of febuxostat Reduce the dose of indomethacin Administer 40 mg of theophylline Administer 10 mg of mercaptopurine
Reduce the dose of indomethacin
How is the drug action changed in an older adult when the laboratory reports reveal a decreased liver function? Increased excretion Reduced absorption Reduced metabolism Increased first-pass metabolism
Reduced metabolism
A patient diagnosed with cholecystitis reports pain in the back and scapular areas. The nurse infers the patient has which type of pain? Referred pain Vascular pain Phantom pain Neuropathic pain
Referred pain
The dosage of a certain drug is reduced when administered to a pregnant woman with liver impairment. What is the other clinical situation that requires reduction in the dose of the drug during pregnancy? Epilepsy Diabetes Hypertension Renal impairment
Renal impairment
The use of fexofenadine is contraindicated in patients with which conditions? Skin rashes Renal impairment Vitamin C deficiency Vitamin A deficiency
Renal impairment
An elderly patient has refused to take his prescribed antihypertensive tablet. Which action would the nurse perform? Continue to encourage the patient to take the medication. Offer the medication to the patient again after a few hours. Respect the patient's right to refuse and notify the health care provider. Return the unwrapped medication to the medication drawer for future use
Respect the patient's right to refuse and notify the health care provider.
Which assessment is essential for the nurse to monitor in a patient who is receiving an opioid analgesic? Heart rate Mental status Blood pressure Respiratory rate
Respiratory rate
The nurse is caring for a patient who has oral ulcers. Which type of pain, originating from the skin and mucous membranes, does the patient have? Deep pain Visceral pain Somatic pain Superficial pain
Superficial pain
Which cells are activated by aldesleukin (interleukin-2)? T cells Neutrophils Red blood cells Undifferentiated cells
T cells
Which cells direct the action of lymphocytes? Plasma cells T helper cells Memory cells T suppressor cells
T helper cells
In discharge teaching, the nurse will emphasize to a patient receiving a beta-agonist bronchodilator the importance of reporting which side effect? Hypoglycemia Tachycardia Bradycardia Nonproductive cough
Tachycardia
Which instruction is appropriate for a patient who is on nonsteroidal antiinflammatory drug (NSAID) therapy? Increase fluid intake to 1 to 2 L per day. Take the NSAID with food, milk, or an antacid. Stop the medication if you have any gastrointestinal disturbance. Slowly increase the dosage of medication based on pain intensity.
Take the NSAID with food, milk, or an antacid.
Which behavior will result in severe hypotension in a 68-year-old patient who is taking tamsulosin? Begins a daily exercise routine Takes medication for erectile dysfunction Sits at the bedside for 1 minute before standing Consumes two alcoholic beverages a day
Takes medication for erectile dysfunction
Which medication causes permanent tooth discoloration in a young person? term-29 Tetracyclines Anticoagulants Corticosteroids Quinolone antibiotics
Tetracyclines
Which information would a nurse gather while performing an assessment of a patient's family support system for effective patient teaching? Select all that apply. The family's eating habits The family's financial status The diseases that run in the family The roles of the various family members The family's communication patterns
The family's financial status The roles of the various family members The family's communication patterns
Which strategy used by the nurse suggests that the nurse is using the psychomotor domain to facilitate better learning in the patient when teaching about safe administration of drugs? The nurse asks the patient to repeat the steps of medication administration. The nurse asks the patient about the type of drugs the patient has been taking. The nurse develops a good rapport with the patient before the teaching session. The nurse assesses the understanding of safe drug administration before the teaching session.
The nurse asks the patient to repeat the steps of medication administration.
A patient reports nausea, shortness of breath, joint pain, weakness, and fatigue. On review of the patient's history, the nurse finds that the patient is prescribed prednisone to treat asthma. The nurse also learns that the patent has abruptly discontinued the medicine shortly after getting some relief from asthma. Which would the nurse interpret from the assessment? The patient experiences Addisonian crisis. The patient has coronary ischemia. The patient has rheumatoid arthritis. The patient has Cushing's syndrome
The patient experiences Addisonian crisis.
The nurse observes that a patient has moon face, acne, an increase in fat pads, and swelling. After checking the patient history, the nurse finds that the patient is taking methylprednisolone for bronchospastic disorder. Which condition will the nurse infer from the assessment? The patient has thyrotoxicosis. The patient has hypothyroidism. The patient is in Addisonian crisis. The patient has Cushing's syndrome.
The patient has Cushing's syndrome.
A patient who reports nasal congestion is prescribed naphazoline, 2 drops in each nostril, every 6 hours, for 5 days. The patient reports increased nasal congestion after 10 days. On assessment the nurse learns that the patient had increased the drug frequency to every 3 hours for 10 days. Which statement describes what the nurse would interpret from this information? The patient has developed an allergic reaction. The patient has developed rebound congestion. The patient has developed paradoxical reaction. The patient has experienced a side effect of the drug.
The patient has developed rebound congestion.
A patient who has allergic rhinitis comes to the clinic for a scheduled allergy test. After performing a health history, the nurse informs the patient that the allergy test will have to be rescheduled. Which statement explains the reason for this? The patient is afraid of injections. The patient has severe symptoms of rhinitis. The patient is being treated with antihistamine drugs. The patient is being treated with oral antibiotic drugs
The patient is being treated with antihistamine drugs.
Which term describes the ratio between a drug's therapeutic effects and toxic effects? Affinity Tolerance Cumulative effect Therapeutic index
Therapeutic index
Drugs in which class may interact with adrenergic drugs? Opioids Thyroid preparations Nonsteroidal antiinflammatory drugs Selective serotonin reuptake inhibitors
Thyroid preparations
Which phrase describes the use of the Done nomogram tool? To estimate the efficacy of salicylate drugs To estimate the severity of acute salicylate intoxication To estimate the severity of chronic salicylate intoxication To estimate the dose of salicylate with respect to body weight
To estimate the severity of acute salicylate intoxication
What is the chief purpose of the MedWatch program, which is an initiative of the US Food and Drug Administration (FDA)? To find the new adverse effects of newly approved drugs To find the pharmacokinetic properties of a newly approved drug To find the dosages of drug required to treat different illnesses To find the differences in drug response across various culture
To find the new adverse effects of newly approved drugs
Which phrase describes the primary indication for the administration of morphine? To treat ischemic pain To diminish feelings of anxiety To relieve acute and chronic pain To induce a state of unconsciousness
To relieve acute and chronic pain
Which information is important to teach a patient taking a traditional antihistamine? "Do not drive after taking this medication." "Take this medication on an empty stomach." "Do not take this medication for more than 2 days." "Make sure you drink a lot of liquids while on this medication.
"Do not drive after taking this medication."
Which statement indicates that the patient who is taking an adrenergic-blocking drug understands the importance of avoiding other substances that may interact with the medication? "I should limit my fluid intake while taking this medication." "I should avoid drinking my morning coffee while taking this drug." "There's no need to stop smoking while I'm on this medication." "One glass of red wine with meals will not interfere with the medication.
"I should avoid drinking my morning coffee while taking this drug."
Which statement by the patient indicates understanding of the nurse's teaching of adrenergic-blocking medication side effects? "I'll tell my health care provider if I feel tired in the evenings." "I will notify the health care provider if I gain 5 pounds in a week." "I should report to urgent care if I feel dizzy when I stand up too fast." "I'll call my health care provider if I lose more than 1 pound in a month.
"I will notify the health care provider if I gain 5 pounds in a week."
Which patient statement indicates understanding of how to appropriately self-administer a corticosteroid inhalant and a bronchodilator for asthma symptoms? "I will use the bronchodilator drug in the morning and the corticosteroid at bedtime." "I will use both of the drugs in the morning and both again at bedtime to get the full effect." "I will use the bronchodilator first, and then immediately follow with the corticosteroid inhalant." "I will use the bronchodilator first, wait 5 minutes, and then use the corticosteroid inhalant."
"I will use the bronchodilator first, wait 5 minutes, and then use the corticosteroid inhalant."
A patient is prescribed guaifenesin for treatment of productive cough. Which instruction would the nurse give to the patient for maximum therapeutic effect? "Increase your fluid intake." "Increase your fiber intake." "Increase your protein intake." "Increase your carbohydrate intake."
"Increase your fluid intake."
A patient has been taking aspirin for chronic pain. The patient states that the pain is not relieved with 650 mg of aspirin every 4 hours. Which instruction would the nurse give the patient? "Increase your dose to 1000 mg every 4 hours." "Take aspirin and a cyclooxygenase-1 (COX-1) inhibitor at the same time." "Alternate aspirin and a narcotic analgesic every 4 hours." "Notify your health care provider that the medication is not effective."
"Notify your health care provider that the medication is not effective."
Which response is appropriate when a patient complains of worsening nasal congestion despite the use of oxymetazoline nasal spray every 2 hours? "Oxymetazoline is not an effective nasal decongestant." "Overuse of nasal decongestants results in rebound congestion." "You are probably displaying an unexpected reaction to oxymetazoline." "Oxymetazoline should be administered every hour for severe congestion."
"Overuse of nasal decongestants results in rebound congestion."
A patient is prescribed disulfiram for alcohol abuse. During the assessment, the nurse finds that the patient is also taking echinacea for wound healing. Which instruction would the nurse provide to the patient? "Stop using echinacea." "Increase carbohydrate intake." "Increase the dose of disulfiram." "Take both drugs simultaneously.
"Stop using echinacea."
A patient will begin taking diphenhydramine to treat motion sickness. Which instruction would the nurse give the patient to prevent gastrointestinal (GI) upset? "Take the medication with food." "Use a humidifier while sleeping." "Increase fluid intake to up to 3000 mL." "Sleep with your head in an elevated position."
"Take the medication with food."
A patient is prescribed oral albuterol to treat bronchitis. Which instruction would the nurse give to the patient to prevent gastrointestinal (GI) upset? "Take the prescribed medication with food." "Increase fluid intake up to 2500 mL a day." "Avoid sleeping with the head in an elevated position." "Take the prescribed medication on an empty stomach.
"Take the prescribed medication with food."
Which question is a priority for the nurse to ask the patient with a recent diagnosis of hypertension who reports dizziness when standing? "How much have you had to drink today?" "What medications are you currently taking?" "Do you have air conditioning in your home?" "Have you been to the sauna in the past 24 hours?"
"What medications are you currently taking?"
Which information would the nurse give a patient who mentions being afraid to take antihistamines because of being a truck driver? "Take the medication only when you are not driving." "You are correct; you should not take antihistamines." "Take a lower dose than normal when you have to drive." "You may be able to safely take a nonsedating antihistamine."
"You may be able to safely take a nonsedating antihistamine."
Which information should be in the teaching plan for a patient starting donepezil? Select all that apply. "Your drug dose will be increased gradually." "Do not take the medication if you feel tired." "Take the medication on an empty stomach." "Get up slowly from a sitting or lying position." "Tell your health care provider if you have gastric pain that does not subside."
"Your drug dose will be increased gradually." "Get up slowly from a sitting or lying position." "Tell your health care provider if you have gastric pain that does not subside."
The nurse is to administer a medication at 0730 that is prescribed three times a day. Which times are acceptable for administration of the drug? Select all that apply. 0600 0700 0715 0800 090
0700 0715 0800
Which diagnostic result is a contraindication for filgrastim administration in the treatment of chemotherapy-induced leukopenia? Latent tuberculosis Ventricular dysfunction 20% myeloid tumor blasts in bone marrow Human immunodeficiency virus (HIV)-positive status
20% myeloid tumor blasts in bone marrow
Which medication given for asthma can suppress bone growth in children? A beta agonist A corticosteroid An anticholinergic A xanthine derivative
A corticosteroid
What are the nursing implications of the Health Insurance Portability and Accountability Act (HIPAA) legislation? A nurse should share patient information with family members. A nurse should ask the parents to make the patient's health care decisions. A nurse should not inform the primary health care provider about confidential patient information. A nurse should share confidential information only with the direct care staff and those that the patient consents to inform
A nurse should share confidential information only with the direct care staff and those that the patient consents to inform
While admitting a patient for treatment of an acetaminophen overdose, the nurse would prepare to administer which medication to prevent toxicity? Naloxone Vitamin K Acetylcysteine Methylprednisolone
Acetylcysteine
A patient is in the emergency department to treat a xanthine overdose. Which will the care provider prescribe to treat this patient? Formoterol Arformoterol Theophylline Activated charcoal
Activated charcoal
The nurse is caring for a patient who has symptoms of acute toxicity due to an overdose of immediate-release ibuprofen, which was administered 1 hour earlier. Which is the appropriate action in this situation? Administer aspirin to the patient. Conduct hemodialysis on the patient. Administer mercaptopurine to the patient. Administer activated charcoal to the patient.
Administer activated charcoal to the patient.
A patient with respiratory depression secondary to opioid toxicity is being treated in the emergency department. Which action is the nurse's priority? Administer naloxone. Prepare for intubation. Assess arterial blood gases. Call the respiratory team stat
Administer naloxone.
A patient with respiratory depression secondary to opioid toxicity is being treated in the emergency department. Which action is the nurse's priority? Administer naloxone. Prepare for intubation. Assess arterial blood gases. Call the respiratory team stat.
Administer naloxone.
Which beta2 agonist medication is used as a bronchodilator? Albuterol Dopamine Epinephrine Phenylephrine
Albuterol
A patient is prescribed diphenhydramine for the treatment of an allergic disorder. After reviewing the patient's history, the nurse finds that the patient drinks alcohol. Why would the nurse instruct the patient to stop alcohol consumption? Alcohol diminishes the action of diphenhydramine. Alcohol increases central nervous system depression. Alcohol increases diphenhydramine levels in the body. The interaction of alcohol and diphenhydramine produces skin rashes.
Alcohol increases central nervous system depression.
A patient taking alpha-adrenergic medication who complains of a dry mouth is experiencing which phenomena? An overdose of the medication An adverse reaction to the medication An expected side effect of the medication An anaphylactic reaction to the medication
An expected side effect of the medication
The patient starting alpha-blocker therapy reports fainting after getting up from an afternoon nap. Which response to medication is the patient most likely experiencing? An overdosage of the medication An allergic reaction to the medication An unexpected adverse reaction to the medication An expected side effect of this group of medications
An expected side effect of this group of medications
Which class of drugs should be used cautiously in patients with clotting disorders? Antipsychotics Antihistamines Anticholinergics Antiplatelet drugs
Antiplatelet drugs
The nurse observes a mild cough in a patient after hernia repair. Which medication would the nurse expect the provider to prescribe for this patient? Expectorant Decongestant Antihistamine
Antitussive
Which conditions are the most common indications for celecoxib? Select all that apply. Arthritis Tendonitis Acute pain Dysmenorrhea Thromboprevention
Arthritis Acute pain Dysmenorrhea
Which blood tests would the nurse anticipate reviewing for a patient taking a hepatotoxic drug? Blood urea nitrogen (BUN) and creatinine Hematocrit and hemoglobin Red blood cells and platelets Aspartate aminotransferase (term-35AST) and alanine aminotransferase (ALT)
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT)
A patient is admitted to the emergency department with a diagnosis of "acetaminophen overdose." Which lab value is essential for the nurse to assess? Platelet count Neutrophil count Blood urea nitrogen (BUN) and creatinine levels Aspartate transaminase (AST) and alanine transaminase (ALT) levels
Aspartate transaminase (AST) and alanine transaminase (ALT) levels
Which nonsteroidal antiinflammatory drug (NSAID) is prescribed for the patient with myocardial infarction? Aspirin Celecoxib Prednisone Dexamethasone
Aspirin
Which nonsteroidal antiinflammatory drug (NSAID) may cause Reye's syndrome in children with viral illnesses or fever? Aspirin Piroxicam Meloxicam Nabumetone
Aspirin
A patient who is taking a cholinergic-blocking medication is having difficulty urinating. Which is the priority action by the nurse? Insert a Foley catheter. Increase the patient's fluid intake. Assess the patient's medication therapy. Encourage the patient to ambulate frequently
Assess the patient's medication therapy.
A patient is having blood drawn for a blood urea nitrogen (BUN) test because a new medication is excreted through the kidneys. This type of testing is performed during which phase of the nursing process? Planning Diagnostic Evaluaton Assessment
Assessment
Which phase of the nursing process would be performed initially by the nurse when providing education on a new medication to a patient and family? Evaluation Assessment Outcome planning Goal identification
Assessment
Which condition in a patient's history is a contraindication to the administration of opioid analgesics? Gout Asthma Diabetes Skin disease
Asthma
Which condition listed in the patients' medical history could be a contraindication to administration of morphine sulfate? Cancer Asthma Anorexia Diarrhea
Asthma
Which conditions are contraindications for therapy with pyridostigmine? Select all that apply. Asthma Emphysema Hypothyroidism Psoriatic arthritis Coronary artery disease
Asthma Coronary artery disease
Which medication should be administered to a patient who has a cholinergic crisis? Atropine Donepezil Echothiophate Pyridostigmine
Atropine
Which teaching-and-learning aid does the nurse use when educating a visually impaired adolescent about oral contraceptive administration? Pictures Videotapes Audiotapes Readability tools
Audiotapes
Which assessment finding in a patient who is on nonsteroidal antiinflammatory drug (NSAID) therapy does the nurse report to the primary health care provider? Fever Swelling Black stools Loss of function
Black stools
Which conditions are major adverse effects that limit the long-term administration of aspirin? Select all that apply. Bleeding Dim vision Hyperglycemia Renal impairment Gastrointestinal intolerance
Bleeding Renal impairment Gastrointestinal intolerance
Which assessment would be completed prior to administering an adrenergic agonist? Skin integrity Temperature Blood pressure Respiratory rate
Blood pressure
Which assessment finding in a patient receiving memantine indicates a significant side effect? Patient is unable to sleep Raised, erythematous rash Blood pressure 70/40 mm Hg Respiratory rate 30 breaths/min
Blood pressure 70/40 mm Hg
Which assessment finding is the result of parasympathetic nervous system stimulation? Bradycardia Pupil dilation Urine retention Bronchial dilation
Bradycardia
Which category of drugs is contraindicated in pregnancy according to the five-category system that will be phased out? Category A Category C Category D Category X
Category X
Which action would be most important for the nurse to take while administering dopamine intravenously? Check the patient's intravenous site hourly for infiltration. Verify that the medication is mixed with the proper diluent. Determine that the medication is infusing at the proper rate. Verify that the patient understands why the medication is being given
Check the patient's intravenous site hourly for infiltration.
Which action would the nurse perform to help prevent infiltration of a dopamine infusion site? Assess blood pressures in the patient's other arm. Check the site every hour for evidence of swelling. Encourage the patient to call if the site becomes painful. Encourage the patient to lie with her arm held completely straight.
Check the site every hour for evidence of swelling.
The nurse ensures that the patient's medical files are not accessed by other nurses in the hospital. Which ethical principle is demonstrated here? Autonomy Beneficence Confidentiality Nonmaleficence
Confidentiality
A patient is prescribed levorphanol to treat chronic pain. The nurse instructs the patient to increase fluid to reduce the risk of which adverse effect of levorphanol? Diarrhea Constipation Dizziness Miosis
Constipation
An older adult receiving anticholinergic therapy should be assessed for which potential side effects of therapy? Select all that apply. Coma Diarrhea Constipation Restlessness Blurred vision Pupil constriction
Constipation Restlessness Blurred vision
A patient's weight increased 2.5 pounds in 24 hours after the patient started an adrenergic-blocker drug. Which action will the nurse take first? Contact the prescribing health care provider. Take no action; this is an expected side effect. Monitor the patient closely for any additional symptoms. Document this information and notify the nursing supervisor.
Contact the prescribing health care provider.
Which term is used when some medications may not be safe for a patient because she is breastfeeding? Allergy Drug interaction Contraindication Idiosyncratic reaction
Contraindication
A patient reports decreased sensation in the left arm and a persistent headache that prevents sleep. The nurse observes that the patient's right eyelid is drooping. The patient's blood pressure is 140/80 mm Hg. The report from the computed tomography (CT) scan of the brain reveals a right middle cerebral artery hemorrhage. Which assessment information is classified as subjective data? Increased blood pressure Drooping of the right eyelid Decreased sensation in the left arm Results of CT scan showing hemorrhage
Decreased sensation in the left arm
The nurse prepares to administer 5 mg of intravenous (IV) morphine sulfate to a patient who underwent surgery 30 minutes earlier. Which morphine effect is the most important reason for the nurse to record baseline vital signs before administering this drug? Dilates vascular smooth muscle Depresses the respiratory center Causes the release of histamines Reduces the level of consciousness
Depresses the respiratory center
The nurse prepares to administer 5 mg of intravenous (IV) morphine sulfate to a patient who underwent surgery 30 minutes earlier. Which morphine effect is the most important reason for the nurse to record baseline vital signs before administering this drug? Dilates vascular smooth muscle Depresses the respiratory center Causes the release of histamines Reduces the level of consciousness
Depresses the respiratory center
Pharmacokinetics involves the study of which factor? Physiologic interactions of drugs Interactions among various drugs Adverse reactions to medications Distribution rates among various body compartments
Distribution rates among various body compartments
Which conditions are the adverse effects of echinacea? Select all that apply. Dizziness Headache Dermatitis Mucosal ulceration Emotional instability
Dizziness Headache Dermatitis
To produce a sympathomimetic response, the nurse may administer which medication that is only available as a synthetic substance? Dopamine Epinephrine Dobutamine Norepinephrine
Dobutamine
Which are examples of endogenous catecholamines? Select all that apply. Dopamine Epinephrine Dobutamine Phenylephrine Norepinephrin
Dopamine Epinephrine Norepinephrin
Which would the nurse include in the teaching about the safe administration of drugs? Reinforcement Self-care ability Emotional status Drug-food interaction
Drug-food interaction
The caption "Caution—federal law prohibits dispensing without a prescription" on all prescription medications was mandated by which legislative act? Federal Food and Drugs Act Kefauver-Harris Amendments Durham-Humphrey Amendment term-37Federal Food, Drug, and Cosmetic Ac
Durham-Humphrey Amendment
A patient received the first dose of an alpha-blocking medication 15 minutes ago. The charge nurse must intervene when observing a nursing student perform which action? Listening for the patient's apical pulse Encouraging the patient to ambulate in the hallway Taking the patient's blood pressure while the patient is lying down Telling the patient to eat the chicken on the lunch tray before the pudding
Encouraging the patient to ambulate in the hallway
The nurse is assessing a geriatric patient who has high blood pressure and prediabetes and was prescribed propranolol 10 mg. Which treatment can be given to the patient to reduce the risk of coronary artery disease? 81 mg of aspirin 10 units of insulin 50 mg of ketorolac 20 mg of propranolol
81 mg of aspirin
The nurse is caring for multiple patients on the pulmonary unit. The nurse would question the administration of prescribed epinephrine to which patient? A patient who is 16 years old A patient with a history of emphysema A patient with a history of type 2 diabetes A patient with atrial fibrillation with a rate of 100 beats/min
A patient with atrial fibrillation with a rate of 100 beats/min
Which medication should be administered to a patient who has an acute asthmatic attack? Albuterol Fluticasone Ipratropium Montelukas
Albuterol
Which drug is a selective costimulation modulator? Tretinoin Abatacept Thalidomide Leflunomide
Abatacept
A patient has been prescribed oxybutynin. Which data will the nurse assess before administering the patient's next dose? Blood pressure Ability to urinate History of alcohol abuse Presence of light sensitivity
Ability to urinate
After administering a beta blocker to an adult patient, the nurse expects which vital sign results? BP 150/85, P 90, RR 20 BP 170/90, P 85, RR 18 BP 90/50, P 110, RR 18 BP 120/70, P 60, RR 16
BP 120/70, P 60, RR 16
Drug half-life is defined as the amount of time required for 50% of a drug to do what? Exert a response Be absorbed by the body Reach a therapeutic level Be eliminated by the body
Be eliminated by the body
Which is the monoclonal antibody approved for the treatment of systemic lupus erythematosus? Rituximab Belimumab Natalizumab Bevacizumab
Belimumab
Which cholinergic medication is prescribed to a patient who is unable to void after surgery? Donepezil Cevimeline Bethanechol Succinylcholine
Bethanechol
Which is the preferred drug for the treatment of hypertension in African-American patients? Diuretics Beta blockers Calcium channel blockers Angiotensin converting enzyme (ACE) inhibitors
Calcium channel blockers
The nurse recognizes that which condition is an indication for the use of norepinephrine? Asthma Anaphylaxis Hypertension Cardiogenic shock
Cardiogenic shock
What category of drugs in the five-category system is reported to have fetal risks but can be used in a pregnant woman if the potential benefit outweighs the risk? Category B Category C Category D Category X
Category D
Which opioid is used to relieve coughing? Fentanyl Meperidine Codeine sulfate Hydromorphone
Codeine sulfate
A patient is administered aldesleukin for the treatment of metastatic melanoma. The nurse finds that the patient's blood pressure dropped rapidly to a critical level. Which reason explains the hypotension in the patient? Dehydration due to nausea and vomiting Recent organ transplantation Concurrent corticosteroid therapy Concurrent antihypertensive medication
Concurrent antihypertensive medication
The interaction of a beta blocker and antacids may have which result? Increased activity of the antacid Decreased activity of the antacid Increased activity of the beta blocker Decreased activity of the beta blocker
Decreased activity of the beta blocker
What is the impact of drug excretion in an older adult with reduced renal blood flow? Decreased excretion Decreased metabolism Increased protein binding Increased first-pass metabolism
Decreased excretion
Which information would the nurse know about drug absorption when caring for neonates? Select all that apply. Decreased gastric pH Delayed gastric emptying Increased microsomal enzymes Increased first-pass metabolism Faster intramuscular absorption
Decreased gastric pH Delayed gastric emptying Faster intramuscular absorption
Which form of a drug requires slow absorption in the body in a high-(alkaline) pH environment? Syrup Aerosol Suppository Enteric-coated tablet
Enteric-coated tablet
Which medication is an example of a direct-acting sympathomimetic? Ephedrine Epinephrine Amphetamine Phenylephrine
Epinephrine
Which drug is used in the treatment of juvenile rheumatoid arthritis? Tretinoin Etanercept Mitoxantrone Natalizumab
Etanercept
The nurse wishes to research how a specific prescription drug affects people from various cultures. Which study is this concept named? Pharmacokinetics Pharmacogenetics Ethnopharmacology Pharmacodynamics
Ethnopharmacology
Which pharmacokinetic phase is affected by a compromised renal system? Excretion Absorption Distribution Metabolism
Excretion
Subjects are being recruited for the trial of a drug that has benefits as well as potential side effects. Which action would the nurse researcher perform when receiving informed consent from the subjects? Explain about the benefits of the drug Explain about the potential side effects Explain about the metabolism of the drug Explain about the benefits and side effects
Explain about the benefits and side effects
A patient with ulcers in the mouth is complaining of pain. Which type of pain is the patient experiencing? Deep pain Somatic pain Visceral pain Superficial pain
Superficial pain
Bethanechol is used to treat which condition in a postoperative patient? Urinary atony Respiratory atelectasis Postoperative hypotension Postoperative ischemic colitis
Urinary atony
The nurse is assessing a patient with asthma. Which symptoms would the nurse expect to find in the patient? Select all that apply. Wheezing Rhinorrhea Chest tightness Shortness of breath Conjunctival swelling
Wheezing Chest tightness Shortness of breath
The nurse is caring for a patient with cancer who is receiving bevacizumab. Which monitoring tests would the nurse perform for this patient? Respiratory rate Echocardiogram Liver function tests White blood cell count
White blood cell count
Which anticholinergic effect is seen in a patient who takes brompheniramine? Frequent urination Dry mouth Blue-green vision Excessive watering of eyes
dry mouth