Pharm 1 Final
Which of the following would be most important for the nurse to monitor when administering valproic acid? a) Liver function studies b) Complete blood count c) Serum electrolyte levels d) Renal function studies
Liver function studies
Which of the following would be most important for the nurse to monitor when administering valproic acid? a) Serum electrolyte levels b) Complete blood count c) Liver function studies d) Renal function studies
Liver function studies
A female client begins tolcapone therapy, and her physician arranges for laboratory testing to be completed on a routine basis. The nurse expects which laboratory study to be ordered by the physician? a) liver transaminase enzymes b) BUN and creatinine c) Hemoglobin and hematocrit d) CBC
Liver transaminase enzymes
A client is receiving baclofen at 8 AM. The nurse would monitor the client for evidence of maximum effect at which time? a) 11 AM b) 10 AM c) 9 AM d) 12 PM
10 AM
A client requires local anesthesia to be administered. The nurse knows which methods can be used for the administration of local anesthesia? a) General anesthesia b) Opioid treatment c) Local-infiltration anesthesia d) Regional anesthesia e) Topical anesthesia
• Topical anesthesia • Regional anesthesia • Local-infiltration anesthesia
A 56-year-old woman with a diagnosis of multiple sclerosis has begun taking dantrolene. What patient teaching should the nurse provide? a) "You'll find that your muscles will get progressively stronger over the next several weeks." b) "Take an over-the-counter laxative so that you don't get constipated." c) "You'll have to come to the hospital daily to be administered this drug." d) "Make sure to see your doctor promptly if you develop yellowish skin or eyes."
"Make sure to see your doctor promptly if you develop yellowish skin or eyes."
The nurse anesthetist correctly identifies the following to be types of local anesthesia. (Select all that apply.) a) Local infiltration b) General anesthesia c) Gases d) Regional anesthesia e) Topical application
• Topical application • Local infiltration • Regional anesthesia
A hospitalized client asks the nurse why the health care provider prescribed an anxiolytic medication. What is the nurse's best response? a) "An anxiolytic, such as alprazolam (Xanax), is usually prescribed for long-term anxiety disorders." b) "Anxiolytic drugs are different from antianxiety drugs, because they work without a tranquilizing effect." c) "Anxiolytics are prescribed to treat anxiety and can be purchased without a prescription after discharge." d) "This type of medication is typically prescribed to treat excess anxiety that interferes with daily activities."
"This type of medication is typically prescribed to treat excess anxiety that interferes with daily activities."
The nurse is administering phenobarbital intravenously to a child with status epilepticus. The nurse would expect this drug to begin working within which time frame? a) 20 minutes b) 10 minutes c) 5 minutes d) 15 minutes
5 minutes
Which of the following patients would likely have the highest risk for hepatotoxicity from dantrolene (Dantrium)? a) A 32-year-old male who is taking an antipsychotic drug b) A 45-year-old female who is taking an antihypertensive agent c) A 70-year-old male who is taking a cardiac glycoside d) A 57-year-old female who is on hormone replacement therapy
A 57-year-old female who is on hormone replacement therapy
You are the nurse caring for Mr. Toma, a 36-year-old man who is having muscle spasms in his back after falling from a ladder while working on his roof at home. The physician has prescribed cyclobenzaprine to help relieve the muscle spasms in his back. For which medical condition would you want to hold the medications because of the increased risk of adverse effects? a) A history of hypertension, for which he is currently taking a diuretic b) A history of depression, for which he is currently taking a serotonin reuptake inhibitor c) A history of supraventricular tachycardia d) A history of asthma, with the use of a bronchodilator daily
A history of supraventricular tachycardia
A 34-year-old man received a skin laceration while playing soccer that will require a few stitches. A local anesthetic will be used. Which of the following medications would the nurse question for the use in this procedure? a) An amide such as lidocaine (Dilocaine) b) A gel such as pramoxine (PrameGel) c) A volatile liquid such as halothane or isoflurane (Fluothane) d) An ester such as benzocaine (Dermoplast)
A volatile liquid such as halothane or isoflurane (Fluothane)
When describing the action of levodopa, which of the following would the nurse include? a) Acts like replacement therapy b) Stimulates dopamine receptors c) Increases the release of dopamine d) Binds directly with postsynaptic dopamine receptors
Acts like replacement therapy
The community health nurse instructs a client and his family to keep a diary of the occurrence of seizures. How will this diary assist the physician in treating this client? a) Estimate client compliance with medication b) Keep the client and the family focused on the symptoms of the disease process c) Include the client in the decision-making process d) Adjust the dosages of the AEDs
Adjust the dosage of the AEDs
Mark has been taking Dilantin for the past 6 months for epileptic seizures. His Dilantin levels routinely fall within the therapeutic range. He contacts the physician's office with the following complaints: nausea, headache, and diarrhea. What would be the most appropriate intervention based on the assessment of Mark's symptoms and laboratory results? a) Advise Mark to have his blood redrawn today to ensure that he is not at a toxic level. b) Advise Mark that these are normal reactions to the medication and he should continue the medication as ordered. c) Advise Mark to double his dose for 24 hours because he is experiencing the symptoms of drug withdrawal. d) Advise Mark to decrease his dose because he is getting too much of the medication.
Advise Mark to have his blood redrawn today to ensure that he is not at a toxic level.
A nurse is caring for a patient who is going to take ethosuximide (Zarontin). During the nurse's initial assessment, she finds out that the patient's history includes hepatitis. Which of the following laboratory tests should be done before therapy is started? a) Blood urea nitrogen (BUN) b) Partial thromboplastin time (PTT) c) Blood glucose level d) Alanine aminotransferase (ALT)
Alanine aminotransferase (ALT)
A patient has been diagnosed with parkinsonism related to the use of antipsychotic drugs. Which of the following drug types can be used to treat parkinsonism in this patient? a) Dopaminergic blocking drug b) Beta blockers c) Synthetic antiviral agents d) Anticholinergic agents
Anticholinergic agents
The nurse is giving discharge instructions to a client who will be using a Lido patch for treatment of pain. The nurse instructs the client to notify the physician if what symptom occurs? a) Bradycardia b) Lethargy c) Numbness at the site of patch d) Anxiety
Anxiety
When counseling a patient about the proper use of Lidoderm (a local anesthetic patch) which of the following should the nurse include? Choose the BEST answer. a) Do not remove the protective patch film before applying the patch. b) When removing the old patch, wash the area and the patch first and then keep the patch for use at a later date. c) Apply the patch to the most painful area of the skin. d) Apply the patch and then use a heating pad for maximum effectiveness.
Apply the patch to the most painful area of the skin
Which of the following is an example of a skeletal muscle relaxant? (Choose one) a) Hydroxychloroquine (Plaquenil) b) Baclofen (Lioresal) c) Allopurinol (Zyloprim) d) Alendronate (Fosamax)
Baclofen (Lioresal)
After teaching a group of students about local anesthetic agents, the instructor determines that the teaching was successful when the students identify which of the following as an example of an ester? a) Benzocaine b) Lidocaine c) Mepivacaine d) Dibucaine
Benzocaine
The local anesthetic bupivacaine (Marcaine, Sensorcaine) can be administered by all of the following ways EXCEPT which of the following? a) Caudal b) Bier block c) Spinal d) Epidural
Bier block
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? a) Methocarbamol b) Botulinum toxin type A c) Diazepam d) Orphenadrine
Botulinum toxin type A
While administering phenytoin, the nurse should observe the client for symptoms of which of the following adverse reactions? a) Nausea b) Increasing seizure activity c) Bradycardia d) Lethargy
Bradycardia
After reviewing the drugs used to treat Parkinson's disease, the students demonstrate understanding when they identify which of the following as a dopaminergic agent? a) Tolcapone b) Biperiden c) Bromocriptine d) Diphenhydramine
Bromocriptine
The nurse is aware that which medication will be used in the provision of local infiltrate anesthesia? a) Diazepam (Valium) b) Glycopyrrolate (Robinol) c) Secobarbital (Seconal) d) Bupivacaine (Marcaine)
Bupicavaine (marcaine)
The nurse is describing an anxiolytic that has no sedative, anticonvulsant, or muscle relaxant properties, but is effective in reducing the signs and symptoms of anxiety. Which agent would the nurse most likely be describing? a) Zaleplon b) Meprobamate c) Buspirone d) Diphenhydramine
Buspirone
When administering entacapone, the nurse understands that this drug affects which enzyme? a) Acetylcholinesterase b) Monoamine oxidase c) Catecholamine-O-methyl transferase d) Lactic dehydrogenase
Catecholamine-O-methyl transferase
The nurse instructs a client about the possibility of his urine turning orange to purple-red if the client were receiving which of the following? a) Tizanidine b) Baclofen c) Chlorzoxazone d) Carisoprodol
Chlorzoxazone
The nurse is caring for a 15-year-old male who was involved in a motor vehicle accident and, as a result, sustained a closed head injury. The physician ordered phenytoin prophylactically to prevent seizures. The nurse understands that phenytoin works by what mechanism? a) Increases the potassium available to the cell to reduce the repolarization of the cell b) Increases the chloride available to promote depolarization of the cells c) Decreases the calcium available to the cells responsible for electrical activity in the brain d) Decreases the sodium influx into the cell, thereby preventing the cell from producing a stimulus
Decreases the sodium influx into the cell, thereby preventing the cell from producing a stimulus.
A client with a history of malignant hyperthermia is scheduled for surgery. Which agent would the nurse most likely expect to administer? a) Botulinum toxin type B b) Dantrolene c) Methocarbamol d) Baclofen
Dantrolene
A client with amyotrophic lateral sclerosis is experiencing muscle spasticity. Which of the following drugs would the nurse expect the physician to order? a) Chlorzoxazone b) Methocarbamol c) Metaxalone d) Dantrolene
Dantrolene
A patient is being treated for intractable muscle spasticity with a peripherally acting spasmolytic. The nurse should anticipate administering which of the following medications? a) Cyclobenzaprine b) Dantrolene c) Diazepam (Valium) d) Tizanidine (Zanaflex)
Dantrolene
A patient is having surgery to repair a ruptured Achilles tendon. He develops severe muscle contractions and hyperthermia. Which of the following medications will be administered? a) Cyclobenzaprine (Flexeril) b) Carisoprodol (Soma) c) Baclofen (Lioresal) d) Dantrolene sodium (Dantrium)
Dantrolene sodium (Dantrium)
A patient has been admitted to your unit for treatment of a multiple sclerosis exacerbation. The admission order indicates that the patient is taking baclofen (Lioresal). Which of the following outcomes would you expect to be associated with use of this medication? a) Reduction in the appearance of new lesions in magentic resonance imaging (MRI) studies b) Decreased severity and duration of exacerbations c) Decreased muscle spasms d) Increased muscle strength
Decreased muscle spasms
Patients receiving chlorzoxazone (Paraflex) should be cautioned that which of the following will occur with administration? a) Hypotension b) Discoloration of urine c) Liver toxicity. d) Hypertension
Discoloration of urine
Patients receiving chlorzoxazone (Paraflex) should be cautioned that which of the following will occur with administration? a) Liver toxicity. b) Hypertension c) Discoloration of urine d) Hypotension
Discoloration of urine
What is the most important teaching point to emphasize from the plan of care when a client is prescribed a skeletal muscle relaxant? a) Always take this medication with food to prevent nausea and vomiting. b) Do not drive or operate machinery until individual drug effects are known. c) Drink eight to 10 glasses of water daily to prevent constipation. d) Report increased muscle spasm to the health care provider immediately.
Do not drive or operate machinery until individual drug effects are known.
The community health nurse also assists the physician in the decision-making process for AED drug titration by performing which function? a) Administering the AED medication to the client b) Monitoring the client for signs and symptoms of seizure activity during the monthly visit c) Counting the number of pills in the AED drug bottle to ensure compliance d) Ensuring that the client makes the appointments for serum drug levels
Ensuring that the client makes the appointments for serum drug levels
A child suffers from absence seizures. What is the drug of choice for absence seizures? a) Phenytoin (Dilantin) b) Carbamazepine (Tegretol) c) Ethosuximide (Zarontin) d) Fosphenytoin (Cerebyx)
Ethosuximide (Zarontin)
Barbiturates are considered the sedative and hypnotic drugs of choice. a) True b) False
False
Muscle spasticity is the result of damage to peripheral structures rather than to injured neurons. a) True b) False
False
A patient has been started on dantrolene (Dantrium). What is the most serious adverse effect on which the patient should be instructed? a) Renal calculi b) Metabolic acidosis c) Fatal hepatitis d) Hypercarbia
Fatal hepatitis
A patient has undergone a diagnostic procedure with benzodiazepine sedation. The nurse would expect the patient to receive which agent most likely to reverse the sedative effects? a) Flumazenil b) Triazolam c) Promethazine d) Temazepam
Flumazenil
Which benzodiazepine would a nurse expect to administer as a hypnotic? a) Lorazepam b) Flurazepam c) Diazepam d) Alprazolam
Flurazepam
After teaching a group of students about anti-seizure agents, the instructor determines that the teaching was successful when the students identify which agent as being administered intravenously? a) Felbamate b) Gabapentin c) Carbamazepine d) Fosphenytoin
Fosphenytoin
During recovery from general anesthesia, which of the following would be a priority? a) Providing comfort measures b) Providing pain relief as ordered c) Have emergency equipment readily available d) Monitoring temperature and reflexes
Have emergency equipment available
A nurse is caring for a patient who is being administered alprazolam. What initial adverse reaction of alprazolam should the nurse assess for? a) Anorexia b) Headache c) Allergy d) Heartbur
Headache
A patient is taking tizanidine (Zanaflex) to treat spasticity from multiple sclerosis. Which of the following adverse effects of muscle relaxants is most pronounced with this medication? a) Dark black urine b) Eczema c) Hypotension d) Excessive salivation
Hypotension
A patient is taking tizanidine (Zanaflex) to treat spasticity from multiple sclerosis. Which of the following adverse effects of muscle relaxants is most pronounced with this medication? a) Excessive salivation b) Dark black urine c) Eczema d) Hypotension
Hypotension
A patient is taking tizanidine (Zanaflex) to treat spasticity from multiple sclerosis. Which of the following adverse effects of muscle relaxants is most pronounced with this medication? a) Hypotension b) Excessive salivation c) Eczema d) Dark black urine
Hypotension
A nursing student indicates the need for further instruction on barbiturates when stating which of the following? a) "Barbiturates, like other medications, have some adverse effects." b) "I can give the patient something for pain and this will help him sleep." c) "Barbiturates are not always a good choice to help patients sleep." d) "I can give the patient in pain a barbiturate and this will help him sleep."
I can give the patient a barbiturate and this will help them sleep
Richard, a 15-year-old receiving phenytoin for treatment of epilepsy, is being discharged from the hospital. What statement by Richard's mother leads you to believe she has understood your teaching related to his care and drug administration? a) "I will make sure he gets enough sleep." b) "I will make sure he has routine visits to the dentist." c) "I will weigh him daily." d) "I will make sure he takes the medication on an empty stomach."
I will make sure he takes the medication on an empty stomach
Which anesthetic would have the fastest onset of action? a) Propofol b) Etomidate c) Ketamine d) Droperidol
Ketamine
A physician recently ordered a change in medication for a patient with a seizure disorder. Which of the following actions would the nurse take in evaluating the new drug's control of the seizure disorder? a) Interview and observe for adverse effects b) Check laboratory reports for evidence of hypernatremia c) Interview and observe for evidence of underdosing or overdosing d) Evaluate vital signs
Interview and observe for adverse effects
Spinal anesthesia will be used to perform a patient's scheduled bunionectomy. What should the nurse teach the patient about the administration of this form of anesthesia? a) It will cause a significant, but temporary, decrease in level of consciousness. b) It will be injected into the cerebrospinal fluid. c) It will be injected between T8 and T9. d) It will be injected at the level of C7 to T2.
It will be injected into the cerebrospinal fluid.
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? a) Uncontrolled hypertension b) Cerebrovascular accident c) Myocardial ischemia d) Malignant hyperthermia
Malignant hyperthermia
The dopamine agonists, which are monoamine oxidase inhibitors, selegiline (Elderpryl) and rasagiline (Azilect) should not be administered with which of the following drug as the combination increases the risk of serotonin syndrome? (Choose one) a) Naproxen (Naprosyn) b) Meperidine (Demerol) c) Acetaminophen (Tylenol) d) Aspirin (Ecotrin)
Meperidine (Demerol)
An older adult is prescribed a skeletal muscle relaxant for complaints of neck pain. What is the top priority of care for the nurse to teach the family? a) Administer the medication with meals. b) Monitor the client before ambulating. c) Give the medication at the same time each day. d) Instruct on how to assess client's pain level.
Monitor the client before ambulating.
A nurse is reviewing a client's history for conditions that would contraindicate the use of anticholinergics for Parkinson's disease. Which of the following would cause the nurse to be concerned? a) Hepatic dysfunction b) Myasthenia gravis c) Hypertension d) Cardiac arrhythmia
Myasthenia gravis
Which anticonvulsant elicits its effects by stabilizing the hyperexcitability postsynaptically in the motor cortex of the brain? (Choose one) a) Phenytoin (Dilantin) b) Valproic acid (Depakote) c) Zonisamide (Zonegran) d) Ethosuximide (Zarontin)
Phenytoin (Dilantin)
The nurse is preparing a client who will receive intravenous anesthetic during a short surgical procedure. The nurse understands that this client is most likely to receive which medication? a) Propofol b) Diazepam c) Isoflurane d) Nitrous oxide
Propofol
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 physician to do? a) Maintain the current dose b) Increase the dose c) Titer the dose d) Reduce the dose
Reduce the dose
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 physician to do? a) Titer the dose b) Maintain the current dose c) Increase the dose d) Reduce the dose
Reduce the dose
Resetting of a patient's fracture will take place under local anesthetic. These anesthetics reduce movement and sensation by decreasing the permeability of the nerve cell membrane to ions. What is the most important ion that participates in this process? a) Calcium b) Potassium c) Magnesium d) Sodium
Sodium
Simple reflex arcs comprise which of the following? a) Extrapyramidal tract b) Basal ganglia c) Pyramidal tract d) Spindle gamma loop system
Spindle gamma loop system
During which stage of anesthesia does relaxation of skeletal muscles occur? a) Stage 2 b) Stage 3 c) Stage 4 d) Stage 1
Stage 3
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? a) Stage III b) Stage I c) Stage IV d) Stage II
Stage III
When reviewing a client's history, which of the following would the nurse identify as a contraindication to the use of levodopa? a) Peptic ulcer disease b) Myocardial infarction c) Bronchial asthma d) Suspicious skin lesions
Suspicious skin lesions
If a pregnant patient has taken a benzodiazepine during pregnancy, what should be the biggest concern? a) The baby will have birth defects. b) The mother will have withdrawal symptoms during labor. c) There is no cause for concern. d) The infant may experience withdrawal symptoms during the postnatal period.
The infant may experience withdrawal symptoms during the postnatal period
For which patient would cyclobenzaprine not be prescribed for muscle spasms? a) The patient who is having muscle spasms in the left leg after a fracture b) The patient who underwent a lumbar laminectomy and is having back spasms c) The patient who is having muscle spasms because of cerebral palsy d) The patient who strained a quadriceps muscle playing baseball
The patient who is having muscle spasms because of cerebral palsy
A 30-year-old woman is in labor and has been provided with nitrous oxide. Before administering this gas, the nurse should provide what teaching point? a) "This will relax you and relieve your anxiety so you can labor effectively." b) "This will help with your pain without making you very drowsy." c) "This will help you to keep laboring but will block out some of the memories after the fact." d) "This will help you to focus more on your labor."
This will help with your pain without making you very drowsy.
When the physician or dentist mixes epinephrine with a local injectable anesthetic, it is done for what purpose? a) No effect b) To cause vasoconstriction c) To cause vasodilation d) To make the drug wear off more quickly
To cause vasoconstriction
Spinal reflexes are the simplest nerve pathways that monitor movement and posture. a) False b) True
True
Which anticonvulsant elicits its effects by increasing levels of gamma-aminobutyric acid (GABA), which stabilizes cell membranes? (Choose one) a) Primidone (Mysoline) b) Pregabalin (Lyrica) c) Tiagabine (Gabitril) d) Valproic acid (Depakote)
Valproic acid (Depakote)
Which anticonvulsant elicits its effects by increasing levels of gamma-aminobutyric acid (GABA), which stabilizes cell membranes? (Choose one) a) Primidone (Mysoline) b) Valproic acid (Depakote) c) Tiagabine (Gabitril) d) Pregabalin (Lyrica)
Valproic acid (Depakote)
A patient is taking levodopa. The nurse would caution the patient to avoid which of the following? a) Analgesics b) Vitamin B6 c) St. John's wort d) Aged cheese
Vitamin B6
Which of the following would a nurse expect to assess in a client who has had general anesthesia using methohexital? a) Increased gastric activity b) Tachypnea c) Hypertension d) Vomiting
Vomiting
Lidocaine can be administered into all of the following EXCEPT? a) Trachea b) Blood vessels c) Skin d) Mouth
blood vessels
A 76-year-old woman has a complex medical history that includes emphysema, osteoporosis, malnutrition, and hypothyroidism. Recently, the woman fell outside her home as a result of weakness and suffered a fracture to her femoral head. The woman's subsequent hip-replacement surgery has been scheduled and the care team recognizes that the use of isoflurane will be most significantly influenced by a) her compromised nutritional status. b) her impaired thyroid function. c) her advanced age. d) her history of emphysema.
her history of emphysema
A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the patient and her husband that the adverse effect that poses the greatest safety risk to the patient is a) hypotension. b) constipation. c) fatigue. d) dry mouth.
hypotension.
What are the most important physical assessments for a nurse to perform when admitting a client diagnosed with elevated blood pressure due to anxiety? Select all that apply. a) Hair texture b) Bowel sounds c) Blood pressure d) Respiratory rate e) Skin temperature and color
• Blood pressure • Respiratory rate • Skin temperature and color
A patient who is experiencing acute alcohol withdrawal is being treated with intravenous lorazepam (Ativan). This drug achieves a therapeutic effect by a) increasing the amount of serotonin available in the synapses. b) increasing the effects of the neurotransmitter GABA. c) affecting the regulation of serotonin and norepinephrine in the brain. d) inhibiting the action of monoamine oxidase.
increasing the effects of the neurotransmitter GABA
Sedatives and hypnotics are used to primarily to treat which of the following? (Choose one) a) Anxiety b) Hypertension c) Insomnia d) Depression
insomnia
Which type of anesthesia is commonly used for the suturing of small wounds? a) Local infiltration anesthesia b) General anesthesia c) Conduction block anesthesia d) Topical anesthesia
local infilitration anesthesia
The patient is scheduled for a colonoscopy. Which of the following drugs would the nurse expect to be given to the patient prior to the procedure to promote conscious sedation? a) ativan b) midazolam c) citanest d) robinul
midazolam
The patient is scheduled for a colonoscopy. Which of the following drugs would the nurse expect to be given to the patient prior to the procedure to promote conscious sedation? a) robinul b) citanest c) ativan d) midazolam
midazolam
A nurse monitoring a client taking carbidopa/levodopa (Sinemet) may notice which of the following common adverse reactions? Select all that apply: a) Choreiform movements b) Dry mouth c) Hyperglycemia d) Hypotension e) Anorexia
• Choreiform movements • Dry mouth • Anorexia
Which of the following adverse effects would a nurse most likely assess in a patient who is receiving a centrally acting skeletal muscle relaxant? Select all that apply. a) Dry mouth b) Hypertension c) Drowsiness d) Constipation e) Insomnia f) Urinary retention
• Drowsiness • Insomnia • Dry mouth • Constipation
A nurse has been taught to observe for adverse reactions whenever administering a medication. One non-nervous system reaction after giving a sedative is which of the following? a) drowsiness b) nausea c) headache d) dizziness
nausea
A nurse is preparing a teaching plan for a client who is receiving baclofen therapy. Which of the following would the nurse include as possible adverse effects? (Select all that apply). a) Agitation b) Urinary frequency c) Drooling d) Hypertension e) Drowsiness f) Constipation
• Drowsiness • Urinary frequency • Constipation
Which of the following are classified as catechol-O-methyltransferase (COMT) inhibitor drugs? Select all that apply a) Bromocriptine (Parlodel) b) Biperiden (Akineton) c) Tolcapone (Tasmar) d) Amantadine (Symmetrel) e) Entacapone (Comtan)
• Entacapone (Comtan) • Tolcapone (Tasmar)
A nurse is preparing a teaching plan for a patient who is to receive botulinum toxin type A for frown lines. Which of the following adverse effects would the nurse include? Select all that apply. a) Drooping eyelids b) Acne c) Abnormal hair growth d) Respiratory infection e) Gastrointestinal upset f) Headache
• Headache • Respiratory infection • Drooping eyelids
A nurse should review a client's medical conditions prior to administering a dantrolene (Dantrium) as its use is contraindicated in clients with which of the following? Select all that apply: a) Atrial fibrillation b) Lactation c) Diabetes d) Hypertension e) Hepatic disease
• Hepatic disease • Lactation
A nurse is making a care plan for a client with Parkinson's disease and has started on an antiparkinson medication. Which of the following nursing diagnoses would be appropriate for this client's care plan? Select all that apply. a)Imbalanced Nutrition: Less than Body Requirements b) Altered Bowel Movements: Diarrhea c) Altered Bowel Movements: Constipation d) Imbalanced Nutrition: More than Body Requirements e) Risk for Injury
• Imbalanced Nutrition: Less than Body Requirements • Altered Bowel Movements: Constipation • Risk for Injury
Which of the following represents routes in which general anesthesia is most commonly achieved? Select all that apply: a) Inhalation b) IM c) IV d) Topical e) Oral
• Inhalation • IV
The nursing instructor is teaching the students about anesthesia and informs them that the two types can be identified as which of the following? (Select both that apply.) a) Spinal anesthesia b) Local anesthesia c) Regional anesthesia d) Topical anesthesia e) General anesthesia
• Local anesthesia • General anesthesia
A nurse is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the nurse should be aware that a) there is a risk of systemic absorption of the lidocaine through the patient's traumatized skin. b) lidocaine must be potentiated with another anesthetic in order to achieve pain control. c) intravenous lidocaine may be preferable to topical application. d) pain relief is unlikely to be achieved due to the destruction of nerve endings in the burn site.
there is a risk of systemic absorption of the lidocaine through the patient's traumatized skin.
The nurse is caring for a client in the postanesthesia care unit (PACU) and is aware that the client may experience what effects while emerging from inhalation anesthesia? (Select all that apply.) a) Sweating b) Respiratory depression c) Hypotension d) Vomiting e) Nausea
• Nausea • Vomiting • Hypotension • Respiratory depression
A nurse should review a client's medical conditions prior to administering a phenytoin (Dilantin) as its use is contraindicated in clients with which of the following? Select all that apply: a) Hepatic disease b) Sinus bradycardia c) Pregnancy d) Diabetes e) Atrial fibrillation
• Pregnancy • Sinus bradycardia
Baclofen (Lioresal) is used in the treatment of muscle spasticity associated with which of the following disease processes? Select all that apply. a) Quinidine-induced leg cramps b) Tetanus c) Muscle rigidity d) Multiple sclerosis e) Spinal cord injury
• Spinal cord injury • Muscle rigidity • Multiple sclerosis
