Quiz #13

which process replaces new bone cells whini bone to keep the bone dense

osteoblastic activity

why are estrogen agonist/antagonists preferred as preventive therapy for osteoporosis instead of pure estrogen agonists

pure estrogen agonists promote cell growth in the breast and uterus as well as in the bones

Which action by a skeletal muscle relaxant is the major mechanism of action

reducing motor nerve impulse transmission to the skeletal muscles

a pt prescriber to take allopurinol (Zyloprim once daily aks when is the best time to take the drug. what is your best response

right after a full meal to prevent conversion of purines into uric acid

whatslowinf of joint damages the main goal of therapy with uric acid synthesis inhibitors for gouty arthritis

slowing of joint damage

in what way do uric acid synthesis inhibitors reduce gout symptoms

suppressing the conversion of purines into uric acid crystals

why is it necessary to slow or prevent osteoproosis

to reduce the incidence of bone fractures

for which pt should you question the order for cyclobenzaprine (Flexeril)

25 year old man with severe back spasms who also has epilepsy

For which pt who has severe osteoporosis is a drug form the bisphosphonate class of drug a better choice of therapy than a drug from the estrogen agonist/antagonist class

40 year old premenopausal women who engages in aerobic exercise daily

for which pt would IV ibandronate (Boniva) be a better choice of drug therapy for osteoporosis instead of the oral form of the drug

58 year old women who has early stage Alzheimer Disease

what is the maximum daily oral dose of allopurinol (Zyloprim) for an adult

800mg

which drug reduces the production of aqueous humor to the greastest degree

Acetazolamide (Diamox)

Which assessment is most important to perform after administering the first dose of dipivefrin (propine) to a pt with glaucoma

Assess Level of consciousness

A pt who has been prescribed timolol (Timoptic) for the last month reports that his asthma is worse. What is your best response

Check the pts breath sounds and ppulse rate

How do beta adrenergic blocking agents (antagonists) lower intraocular pressure

They slow the production of aqueous humor inside the eye

which drug for glaucoma is a beta blocker

Timolol (Timoptic)

what is the most important action to perform after administering eye drops to a pt who is prescribed pilocarpine (Ocu-Carpine)

wipe the excess drug from the pts skin

which class of drug for glaucoma therapy generally is used to short term to prevent or reduce increases in intraocular pressure (IOP) after eye surgery rather than for long term IOP control

adrenergic agonists

Which precaution is most important to teach a pt who is prescribed any type of eye drug administered as eye drops

apply only the number of drops prescrigbed

A pt is prescribed an ophthalmic beta blocking agent for the treatment of of glaucoma. which precaution is most important to teach the pt to prevent orthostatic hypotension

apply pressure to the inside corner of your eye when putting the drops into the eye

which actions help prevent infection when placing ointments into a pts eye (SATA)

avoiding touching the tip of the applicator using separate drug tubes for the right and left eye squeezing out and discarding a small amount of ointment before installing the drug

What is the most important precaution to teach the parent of a 4 year old who is prescribed eye drops for glaucoma in the right eye because the facial trauma

only place the drops in the affected eye

Which drug group for glaucoma can worsen asthma

beta blockers

Which assessment is most important to perform before installing latanoprost (Xalatan) into pts eye

check the cornea for abrasions or open arease

What is the most important precaution to teach a pt prescribed brimonidine (Alphagan P) eye drops for glaucoma

do not take this drug beyond the period your doctor prescribed even if some drug remains in the bottle

which action is most important to teach a pt prescribed to take allopurinol (Zyloprim) daily for gout

drink plenty of water

what is the most common side effect of all drug therapy for skeletal muscle relaxants

drowsiness

A pt is prescribed to start cyclobenzaprine (Flexeril) before administering the drug you find he has a slow and irregular heartbeat. What is your best action

hold the dose and notify the prescriber

Where in or on the eye should eye drops be placed

in a pocket of the lower lid

what is the most important precaution to to teach an older pt who is prescribed a glaucoma drug that causes miosis

increase the light indoor because vision will be decreased in low-light environments

what is the main problem of glaucoma

increased intraocular pressure

which bone or joint is most likely to be adversely affected by bisphosphonates

jawbone

which electrolyte imbalance is most likely to trigger skeletal muscle spasms

low serum calcium level

why are women overall at a greater risk for osteoporosis than men

men generally have a larger stature than women

which term means constriction of the pupil of the eye

miosis