Pharm Test 1 questions
Antiemetic that can also be an appetite stimulant in AIDS and Cancer patients.
Dronabinol
After surgery, a patient has morphine prescribed for postoperative pain. It is most important for the nurse to make which assessment? A.Respiratory rate B.Heart rate C.Pain level D.Constipation
A
This med manages asthma by reducing inflammatory symptoms by blocking leukotrienes that will increase eosinophils, mucous, and inflammation.
Montelukast
A patient is experiencing chemotherapy-induced nausea. Which prescribed medication would be most effective for this patient? A.Ondansetron [Zofran] B.Prochlorperazine [Compazine] C.Dexamethasone [Decadron] D.Promethazine [Phenergan]
A
A patient is prescribed codeine as an antitussive. Which symptom will the nurse observe for as an adverse effect of this medication?
A
The nurse is caring for a patient who is receiving intravenous propofol [Diprivan]. Which action by the nurse is most appropriate? A.Discard any unused solution within 6 hours. B.Assess the patient for malignant hyperthermia. C.Make the environment quiet to prevent delirium. D.Keep a written record of the dispensing of this drug.
A
The nurse is caring for a patient who is taking phenytoin [Dilantin]. Which medication, if ordered by the physician, should the nurse question? A.Cimetidine [Tagamet] B.Captopril [Capoten] C.Pantoprazole [Protonix] D.Ondansetron [Zofran]
A
Hepatotoxic medication that has a 4 gram per day limit.
Acetaminophen
Inhalation treatment that acts as a detergent to liquefy secretions and loosen to help with expectoration.
Acetylcysteine
Decreases uric acid from within
Allopurinol
A patient is prescribed amoxicillin and tetracycline to treat peptic ulcer disease. The nurse will instruct the patient that these medications will do what? A.Prevent GI infections that cause gastric bleeding. B.Destroy the bacteria in the stomach that are causing ulceration. C.Reduce gastric acid production and alkalize the stomach fluids. D.Reduce the secretion of pepsin in the stomach.
B
IV medication that relaxes respiratory smooth muscle and aids in bronchodilation with asthmatics.
Aminophylline
"Can't see, Can't pee, Can't spit, Can't S*#t"
Anticholingeric effects
A patient is concerned about developing AD. What should the nurse include in the teaching plan? A.Estrogen replacement therapy improves cognitive functioning. B.No solid evidence supports the use of drugs to prevent AD. C.Naproxen taken daily after the age of 50 years decreases the risk of AD. D.Daily doses of ginkgo biloba can prevent cognitive decline.
B
A patient is newly prescribed carbamazepine [Tegretol] for seizure control. It is most important for the nurse to teach the patient to avoid which food? A.Tomatoes B.Grapefruit juice C.Spinach D.Kiwi fruit
B
A patient reports having taken morphine for the past 6 months. Which medication, if ordered by the physician, should the nurse question? A.Promethazine [Phenergan] B.Pentazocine [Talwin] C.Methylnaltrexone [Relistor] D.Dextromethorphan [Delsym]
B
A patient with asthma is prescribed triamcinolone acetonide [Azmacort]. What should the nurse do? A.Take the patient's pulse before administering the medication. B.Teach the patient to use a spacer to prevent a fungal infection. C.Instruct the patient to use this drug to treat an acute attack. D.Encourage the patient to avoid weight-bearing activity.
B
A patient with multiple sclerosis is prescribed baclofen [Lioresal, Gablofen]. Which assessment by the nurse indicates that the medication is exerting its desired effect? A.Decreased strength B.Suppression of spasticity C.Improved muscle tone D.Increased muscle resistance
B
The nurse administers the preoperative medication midazolam [Versed]. The nurse will monitor the patient for which intended effect of this medication? A.Decreased bronchial secretions B.Reduction in anxiety C.Respiratory depression D.Suppression of cough
B
The nurse is caring for a patient who is receiving pramipexole [Mirapex]. The nurse is most concerned if the patient makes which statement? A."I take this pill even when I feel good." B."Sometimes I just fall asleep without warning." C."The pills make me sleepy, so I take a nap in the afternoon." D."I have noticed that this medicine makes me constipated."
B
The nurse prepares to administer a cholinesterase inhibitor to a patient with AD. Which medication, if ordered by the healthcare provider, should the nurse question? A.Famotidine (2nd generation anti-histamine) B.Amitriptyline (Tricyclic Antidepressant) C.Memantine (NMDA antagonist) D.Levothyroxine (Thyroid Hormone)
B
The patient has received isoflurane [Forane] as a general anesthetic. What should the nurse closely observe the patient for during the immediate postoperative period? A.Elevated blood pressure B.Decreased respiratory rate C.Malignant hyperthermia D.Decreased pulse rate
B
When caring for a patient with moderate to severe cancer pain, what is the nurse's priority? A.Prevention of addiction and physical dependence B.Adequate pain relief with opioid medications C.Avoiding constipation by increasing dietary fiber D.Using transcutaneous electrical nerve stimulation or massage to treat cancer pain
B
Local Anesthetic that should not be used in children under 2 yoa
Benzocaine
Agonist Antagonist opiod that is prescribed to laboring women.
Butorphonol
A patient asks what medication would be most effective in the treatment of seasonal hay fever. The nurse will teach the patient about the use of which drug? A.Azelastine [Astelin] B.Chlorpheniramine [Chlor-Trimeton] C.Fluticasone [Flonase] D.Pseudoephedrine [Sudafed]
C
A patient has an allergy to Chloroprocaine [Nesacaine]. What local anesthetic would be safe to administer to this patient? A.Cocaine B.Benzocaine [Americaine] C.Lidocaine [Xylocaine] D.Tetracaine
C
A patient with MS is prescribed interferon beta [Betaseron]. What is a priority for teaching at this time? A.Provide information about myelosuppression. B.Teach symptoms of hepatotoxicity. C.Educate about self-injection technique. D.Forewarn about blue tint to urine and skin.
C
A patient with asthma is prescribed albuterol [Proventil], 2 puffs 3 times a day. The nurse should teach the patient to do what? A.Rinse the mouth after taking the prescribed dose. B.Take an extra dose if breathing is compromised. C.Wait 1 minute between puffs from the inhaler. D.Take adequate amounts of calcium and vitamin D.
C
A patient with irritable bowel syndrome is prescribed alosetron [Lotronex]. Before this drug is administered, it is most important for the nurse to do what? A.Assess for abdominal bruits. B.Check serum potassium and sodium levels. C.Ask the patient about any problems with constipation. D.Mix the powder in 8 ounces of fruit juice.
C
An older patient with skin cancer and hypertension is prescribed levodopa/carbidopa [Sinemet] to treat Parkinson disease. Which action by the nurse is best? A.Give the medication if the patient's blood pressure is normal. B.Administer the medication as prescribed. C.Ask the patient about the type of skin cancer. D.Hold the medication if the patient is more than 65 years old.
C
The nurse cares for a patient who received nitric oxide along with a primary anesthetic. The nurse should assess the patient for which adverse effect of nitric oxide? A.Urinary retention B.Elevated temperature C.Nausea and vomiting D.Depressed respiratory rate
C
The nurse is caring for a patient with migraine headaches. Which assessment best indicates that sumatriptan [Imitrex] is exerting the desired therapeutic effect? A.The patient experiences decreased frequency of migraine headaches. B.The patient does not experience any more migraine headaches. C.The patient reports the termination of the migraine headache after the drug is administered. D.The patient experiences decreased nausea associated with the migraine headache.
C
The nurse receives a phone call from a patient who has been taking a CNS drug for 3 days. The patient tells the nurse that the medication causes nausea. Which response by the nurse is best? A."Nausea is not a common side effect of this drug." B."You should stop taking the medication immediately." C."The nausea will most likely decrease over time." D."Try taking the medication on an empty stomach."
C
Which patient would be at highest risk for systemic toxicity from the topical administration of a local anesthetic? A.A 42-year-old patient who receives epinephrine with a local anesthetic B.A 72-year-old patient who receives a local anesthetic that is topically applied to intact skin C.A 58-year-old patient who receives a local anesthetic to a 10-cm×20-cm abrasion D.A 34-year-old patient given an injection of bupivacaine as a nerve block
C
Antihistamine with less sedative effects in the treatment of allergies.
Certirizine
This class of medication should never be stopped abruptly and should be tapered.
Corticosteroids
A patient has been taking a medication for 2 months. Which statement, if made by the patient, would indicate to the nurse that drug tolerance is occurring? A."The medication seems to be working better than it did at first." B."I feel really sick if I do not take the medication every day." C."The side effects are not bothering me anymore." D."The medication does not seem to be working as well."
D
A patient is prescribed bisacodyl. Which of the following should the nurse include in patient teaching? A.Your urine will turn yellow-brown when taking this medication. B.Crush the bisacodyl tablet and sprinkle it on your food. C.Chew the bisacodyl tablet. D.Do not take the bisacodyl with an antacid.
D
A patient is prescribed phenytoin [Dilantin] for epileptic seizures. Which of the following is the priority for patient teaching? A.Teach the patient to adjust the dose according to the presence of symptoms. B.Tell the patient to take the medication with meals. C.Inform the patient about the prevention of gingival hyperplasia. D.Teach the patient to avoid the abrupt cessation of treatment.
D
A postoperative patient who received an intravenous infusion of morphine has a respiratory rate of 8 breaths per minute and is lethargic. Which as-needed medication should the nurse administer to the patient? A.Methadone [Dolophine] B.Nalbuphine [Nubain] C.Tramadol [Ultram] D.Naloxone [Narcan]
D
Softens the stool
Docusate sodium
The nurse prepares to administer dantrolene [Dantrium] to a patient. Before the administration of the drug, it is most important for the nurse to assess which laboratory value?
D
The physician prescribes propranolol [Inderal] for a patient with migraine headaches. It is most important for the nurse to do what? A.Determine whether the patient has an allergy to rizatriptan [Maxalt]. B.Inform the patient that the medication is immediately effective. C.Teach the patient that the medication may cause dependence. D.Instruct the patient that the medication will prevent migraines.
D
Which medication is used to promote gastric ulcer healing by providing a protective barrier? A.Cimetidine B.Misoprostol C.Omeprazole D.Sucralfate
D
Which statement about metoclopramide [Reglan] does the nurse identify as true? A.High-dose therapy causes nervous excitability. B.High-dose therapy causes constipation. C.Long-term high-dose therapy causes reversible tardive dyskinesia. D.The drug is contraindicated in patients with GI obstruction, perforation, or hemorrhage.
D
This antihistamine should be used cautiously in children due to the common side effect of night terrors.
Diphenhydramine
Useful as a decongestant that can cause hypertension as an adverse effect
Ephedrine
Medication of choice for anaphylactic shock or Acute Asthma
Epinephrine
Medication patch for chronic pain such as cancers.
Fentanyl
Inhaler that can increase yeast production in the mouth. Educate patient to rinse mouth out after inhaler use.
Fluticansone, mometasone
Medication that loosens bronchial secretions so they can be expectorated. It comes in liquid or pill form.
Guaifenisin
Narcotic anti-tussive.
Hydrocodone bitartrate
General Inhaled anesthetic of high potency to monitor for AE of Hypotension, Decreased Urinary Output, N/V
Isoflurane
Anesthetic IV drug of choice for patients with bronchospasms because less profound effects on Respirations
Ketamine
Injectable NSAID that is dose dependant on age and kidney function and should not be given greater than 5 days.
Ketorlac
Aids in the relief of bronchospasms
Levalbuterol
Local anesthetic that can also be used for cardiac dysrhythmias
Lidocaine
Opiate antidiarrheal
Loperamide
Gastric protectant given with patient difficulties with Aspirin.
Misoprostol
General anesthetic with high MAC%
Nitrous oxide
PPI that is used to treat active ulcers or erosive esophagitis
Omeprazole
Antiemetic Serotonin receptor antagonist
Ondasetron
Type of drugs that can cause miosis, respiratory depression, and hypotension.
Opioids
Used to treat nasal congestion by producing vasoconstriction of capillaries within the nasal mucosa.
Oxymetazoline
Neuromuscular blocking agent
Pancuronium
Anticholinergic inhaler or nebulizer that has a bitter taste. Educate patient to rinse mouth after receiving this medication.
Tiotropium
IV Anesthetic fast acting and short duration that is highly lipophilic-"White Sleeping Aid for Michael Jackson"
Propofol
Systemic decongestant used to treat congestion, sinusitis, rhinitis.
Pseudoephedrine
Laxative that stimulates bowel evacuation quickly.
Senna
Migraine therapy that is contraindicated in clients with CAD, angina, or uncontrolled HTN
Sumitriptan