Pharmacology unit 2 test review

example of benzodiazepines

"pam, lam" alprazolam, diazepam, temazepam

therapeutic range for lithium

0.6-1.2 mEq/L

which medication increases the risk of Reye syndrome in children?

Aspirin - should not take before the age of 12

A depressed client is given 50 mg of sertraline at bedtime. For which medication side effects will the nurse monitor for?

Dry mouth, Constipation

How does the body get rid of a drug

Excretion

What is the antidote for benzodiazepine?

Flumazenil (Romazicon)

A life-threatening complication may occur when taking high-dose or long term ibuprofen

Gastrointestinal (GI) bleeding

Which client statement indicates that teaching about Acetaminophen is effective

I have to be careful about which over the counter drugs cold preparations I take.

Pt has renal disease. The nurse knows that drug excretion may be affected and this may occur: a) Increased risk for toxicity b) Decreased risk for toxicity c) Increased onset of action d) Decrease duration of drug

Increased risk for toxicity

Which should the nurse include when teaching a client with Parkinson's disease

Medication should be taken with meals

A common medicine for ADHD

Methylphenidate

What should we do when a pt. is on lithium?

Monitor blood levels Assess for slurred speech Evaluating intake and output limit caffeine Another form of birth control/reliable birth control

A clients therapeutic lithium level is at 0.2 mEq- what does this mean?

Pt. is at subtherapeutic level

which adverse effect of morphine indicates the need for naloxone administration

Respiratory depression

levodopa therapy does what?

Restores the dopamine levels in the brain

When a pt. states she is taking Venlafaxine who also takes herbal medications, which herbal drug should the nurse tell the pt. not to take?

St. John's Wort

Amitriptyline belongs to which class

TRICYCLICS

Extrapyramidal Effects are caused by what classification of medications? a) Antipsychotics b) Antidepressants c) Animanias d) Antianxiety

a) Antipsychotics

The nurse understands that which potential side effect can occur with a tricyclic antidepressant a) Dry mouth b) Significant weight gain c) Hypertension d) Insomnia

a) Dry mouth

Benzodiazepines affect which neurotransmitter a) GABA b) Norepinephrine c) Dopamine d) Serotonin

a) GABA -(Anxiety)

What medication will be affected by the first pass liver effect? a) PO Acetaminophen b) IV Acetaminophen c) IM Ketorolac d) Albuterol Nebulize

a) PO Acetaminophen

A medication that competes for receptors in the body is called a/an a) Agonist b) Antagonist c) Synergistic d) Additive

b) Antagonist

The nurse knows that lorazepam (Ativan) and phenobarbital (Luminol) belong to which class of drugs? a) Antidepressants b) CNS depressants c) CNS stimulants d) Antipsychotics

b) CNS depressants

Patient has cirrhosis of the liver. Drug metabolism may be affected, because of this the nurse knows what may occur? a) Decreased risk for toxicity b) Increased risk for toxicity c) Quicker breakdown of drug d) Decreased duration of drug

b) Increased risk for toxicity

The nurse knows that the indication for acetylsalicylic acid (aspirin) is which of the following: a) Moderate to severe pain b) Platelet aggregation c) Anti Inflammatory d) General anesthesia

b) Platelet aggregation

The serum lithium blood level of a patient, with a mood disorder, manic episode, is 2.3mEq. Which assessment findings would the nurse expect. a. elevation in mood b. Decreased coordination c. decreased mania d. vomiting e. diarrhea

b. Decreased coordination d. vomiting e. diarrhea

Your pt. tells you the pain pill you gave her 10 minutes ago isn't working and requests another. Your best response is: a) "Let me see what else you can have for pain" b) "Sorry but there isn't anything else I can do" c) "It takes some time for medication to work, let's reassess in 20 minutes" d) I'll call the doctor

c) "It takes some time for medication to work, let's reassess in 20 minutes"

The nurse knows that Carbidopa/Levodopa (Sinemet) and benztropine (Cogentin) belong to which class of drugs? a) Animaniacs b) Antipsychotics c) Antiparkinsonians d) Antidepressants

c) Antiparkinsonians

The nurse recognizes important patient teaching for MAOIs should include (select all that apply) a) May take several weeks to take effect b) Do not stop abruptly c) Avoid foods containing tyramine d) Increased bleeding risk

c) Avoid foods containing tyramine

Which patient statement indicates understanding of education about prescribed CNS depressant? a) I can take medication with alcohol b) Medication won't make me drowsy c) I should avoid driving and operating machinery d) I can stop medication whenever

c) I should avoid driving and operating machinery

What electrolyte needs to be monitored while a patient is on lithium? a) Potassium b) Calcium c) Sodium d) Chlorid

c) Sodium

Definition of Pharmacokinetics is a) The study of poisons b) How the drug is metabolized c) Treatment using drugs d) How the drug gets into the body

d) How the drug gets into the body

The nurse knows that NSAIDs include which one of the following prototypes a) Morphine b) Oxycodone c) Acetaminophen d) Ketorolac

d) Ketorolac

Pt is started on fluoxetine (Prozac). The nurse knows to include which of the following teaching. Select all that apply a) May take 4-12 weeks until effects are felt b) May cause hypotension c) Avoid foods containing tyramine d) Monitor for s/s of serotonin syndrome

d) Monitor for s/s of serotonin syndrome b) May cause hypotension a) May take 4-12 weeks until effects are felt

Serotonin syndrome can be caused by which class of medications a) Benzodiazepines b) Narcotics c) Stimulants d) SSRIs

d) SSRIs

The primary assessment of a patient receiving an opioid medication is a) Heart rate b) Respiratory rate c) Temperature d) Urine output

d) Urine output

Methylphenidate (Ritalin)

depresses the appetite- take with food or right before eating

Benzodiazepines

drugs that lower anxiety and reduce stress

Therapeutic outcomes are expected after administering ibuprofen?

fever reducing, pain relief, reduced inflammation

If a child is on long term phenytoin therapy, what should the parents do?

have child massage gums and floss her teeth frequently.

when teaching dietary guidelines to a client who will be receiving tranylcypromine sulfate, a monoamine oxidase inhibitor (MAOI), which foods should you avoid?

pepperoni pizza, bologna sandwich, salami, cheese, beer/wine/ nuts

Adverse effects of risperidone?

question if there is any dizziness?

A nurse taking care of a client taking a selective serotonin reuptake inhibitor for depression should know ?

take medicine at the same time daily, keep taking even if I feel better, I need to exercise to control weight gain, report any sign of agitation I experience to the health care provider

When taking aspirin it can cause stomach irritation, what should the nurse suggest

take with food or a glass of water