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NCLEX UNIT3
NCLEX UNIT 3 PHARM
| Question | Answer |
|---|---|
| ADRENERGIC DRUGS PRODUCE EFFECTS SIMILAR TO THOSE OF THE? | SYMPATHETIC NERVOUS SYSTEM |
| WHEN A PATIENT IS TAKING AN ADRENERGIC DRUG, THE NURSE SHOULD EXPECT TO OBSERVE WHAT EFFECTS? | INCREASED HEART RATE |
| WHAT CONDITION IS AN INDICATION FOR EPINEPHRINE? | ACUTE ASTHMA ATTACK |
| A PATIENT IS EXPERIENCING A SEVERE ANAPHYLACTIC REACTION TO AN ANTIBIOTIC, WHAT DRUG WOULD YOU USE TO TREAT THE PATIENT? | EPINEPHRINE |
| A PATIENT IS GOING HOME WITH A NEW PRESCRIPTION FOR THE BETA-BLOCKER ATENOLOL. tHE NURSE SHOULD INCLUDE WHAT CONTENT WHEN TECHING THE PATIENT ABOUT THIS DRUG? | bE WATCHFUL FOR THE FIRST-DOSE HYPOTENSION |
| PATIENT TEACHING FOR THE PATIENT WHO IS TAKING PRAZOSIN (MINIPRESS)TO REDUCE URINARY OBSTRUCTION DUE TO BENIGN PROSTATIC HYPERPLASIA(BPH) SHOULD INCLUDE WHICH OF THE FOLLOWING? | LIGHTHEADEDNESS MAY OCCUR WHEN STANDING UP AND AFTER SITTING OR LYING DOWN UNTIL A TOLERANCE IS BUILT UP |
| DURING A TEACHING SESSION ABOUT SELF-MONITORING WHILE TAKING A BETA-BLOCKER AT HOME, THE NURSE HAS TAUGHT A PATIENT TO TAKE HIS APICAL PULSE DAILY FOR 1 MIN, IF THE PULSE RATE DECREASES TO LESS THAN 60 PER MINUTE, HE SHOULD BE INSTRUCTED TO: | CONTACT HIS PHYSICIAN FOR INSTRUCTIONS |
| DURING A ROUTINE CHECKUP, A PATIENT STATES THAT SHE IS UNABLE TO TAKE THE PRESCRIBED ANTIHISTAMINE BECAUSE OF ONE OF IT'S MOST COMMON ADVERSE EFFECTS. tHE NURSE SUSPECTS WHICH ADVERSE EFFECT HAS BEEN BOTHERING THE PATIENT? | DOWSINESS |
| A PATIENT TAKING GUAIFENESIN (HUMIBID) AS PART OF THE TREATMENT INFLUENZA, THE NURSE SHOULD INSTRUCT THE PATIENT TO : | FORCE FLUIDS TO HELP LOOSEN & LIQUEFY SECRECTIONS |
| THE NURSE KNOWS THAT AN ANTITUSSIVE DRUG WOULD BE MOST APPROPRIATE FOR WHAT CONDITION? | A PATIENT WHO HAS DEVELOPED BRONCHITIS 2 DAYS AFTER HERNIA REPAIR SURGERY |
| THE NURSE SHOULD MONITOR FOR ADVERSE EFFECTS ASSOCIATED WITH THE USE OF XANTHINE DERIVATIVES,INCLUDING | PALPITATIONS |
| A PATIENT HAS PRESCRIPTIONS FOR 2 INHALERS, ONE INHALER IS A BRONCHODIALATOR AND THE OTHER IS A CORTICOSTEROID. WHAT INSTRUCTIONS WOULD YOU GIVE THE PATIENT? | THE BRONCHODIALATOR NEEDS TO BE USED FIRST |
| WHEN EDUCATING THE PATIENT RECENTLY PLACED ON INHALED CORTICOSTEROIDS REGARDING COMMON ADVERSE EFFECTS, THE NURSE SHOULD DISCUSS WHAT? | ORAL CANDIDIASIS AND DRY MOUTH |
| WHEN GIVING ANTACIDS, THE NURSE KNOWS THAT THEY CONTAIN ALUMINUM SALTS AND MAY RESULT IN? | CONSTIPATION |
| WHEN TEACHING A PATIENT WHOIS TAKING SEVERAL MEDICATIONS, INCLUDING TWICE DAILY DOSAGES OF ANTACIDS, WHAT INSTRUCTIONS WOULD YOU GIVE? | ANTACIDS SHOULD BE TAKEN AT LEAST 1 HOUR BEFORE OR AFTER THE OTHER MEDICATIONS |
| WHEN ADMINISTERING A BULK FORMING LAXATIVE, THE NURSE SHOULD GIVE THE MEDICATION WITH WAHT AMOUNT OF WATER? | 8OZ |
| WHAT DOES LONG TERM USE OF LAXATIVES RESULT IN? | DECREASED BOWEL TONE & MAY LEAD TO DEPENDENCY |
| THE PATIENT WHO IS TAKING AN ABSORBENT, SUCH AS PEPTO BISMOL SHOULD BE WARNED ABOUT WHAT ADVERSE EFFECT? | DARKENED STOOLS |
| A PATIENT HASA BEEN NEWLY DIAGNOSISED WITH VERTIGO WILL BE TAKING AN ANTIHISTAMINE ANTIEMETIC DRUG, WHAT IS IMPORTANT TO EMPHASIZE ABOUT TAKING THIS DRUG? | THE PATIENT SHOULD AVOID DRIVING BECAUSE OF POSSIBLE DROWSINESS |
| A PATIENT WITH MOTION SICKNESS AND HAS A PRESCRIPTION FOR A SCOPOLAMINE TRANSDERMAL PATCH, THE NURSE SHOULD INSTRUCT THEM TO CHANGE IT WHEN? | EVERY 3 DAYS |
| AN EXAMPLE OF AN ANTIADRENERGIC THAT STIMULATES ALPHA 2 RECEPTORS AND BLOCKS ADRENERGIC REPONSES IS WHAT DRUG? | CLONIDINE |
| WHAT IS AN INDICATION OF A THERAPEUTIC EFFECT OF A DECONGESTANT? | DECRESSED SWELLING OF THE NASAL PASSAGES BY PROMOTING VASOCONSTRICTION |
| WHAT WOULD YOU TELL A PATIENT THAT WAS USING A NASAL SPRAY FOR NASAL DECONGESTANT? | IT'S NORMAL TO EXPERIENCE BURNING & STINGING THE 1ST TIME, DON'T ALLOW TIP TO TOUCH NASAL MUCOSA,IF SYMPTOMS DON'T IMPROVE IN 7 DAYS CALL MD & USE ONLY AS DIRECTED BY MD |
| WHAT CONDITION MIGHT INDICATE THAT A PATIENT MIGHT REQUIRE A DECONGESTANT? | TO ENHANCE DRAINAGE OF THE SINUSES |
| WHEN ADMINISTERING CROMOLYN TO PREVENT EXERCISE-INDUCED ASTHMA, WHAT INSTUCTIONS WOULD YOU GIVE THE PATIENT REGARDING HOW TO TAKE? | TAKE 15-20 MINS BEFORE EXERCISING |
| WHAT ANTIASTHMA DRUG IS MOST COMMONLY USED TO MANAGE AN ACUTE ASTHMA ATTACK? | IPATROPIYM (ATROVENT) |
| what is an example of a mast cell stabilizer? | CROMOLYN (INTAL) |
| WHAT ADVERSE REACTION WOULD YOU EXPECT WITH THE ADMIN OF A SYMPATHOMIMETIC BRONCHODIALATOR? | RISE IN BLOOD PRESSURE, ANXIETY, AND CARDIAC ARRHYTHMIAS |
| WHAT DESCRIBES THE ACTION OF AN ANTITUSSIVES? | DRUGS THAT DEPRESS THE COUGH CENTER OF THE MEDULLA |
| WHAT BEST DESCRIBES THE ACTION OF A MUCOLYTIC DRUG? | REDUCTION OF THE VISCOSITY OF RESPIRATION SECRETIONS |
| WHAT DANGER IS ASSOCIATED WITH DEPRESSION OF THE COUGH REFLEX? | THE ANTITUSSIVE MAY CAUSE A POOLING OF SECRETIONS IN THE LUNGS |
| WHEN GIVING ANTIHISTAMINES YOU SHOULD AVIOD THE USE OF? | ALCOHOL |
| THE CLIENT RECEIVING MUCOMYST 20% SOLUTION DILUTED IN 0.9% NS BY NEBULIZER, THE NURSE SHOULD HAVE WHAT EQUIPMENT AVAILABLE AFTER GIVING THIS MED? | SUCTION EQUIPMENT |
| THE CLIENT HAS AN ORDER TO TAKE GUAIFENESIN (HUMABID) EVERY 4 HRS AS NEEDED, THE NURSE EVALUATED THE CLIENT UNDERSTANDS THE MOST EFFECTIVE USE OF THIS MEDICINE IS WHEN THE CLIENT STATES? | TAKE WITH A FULL GLASS OF WATER |
| WHEN A PATIENT TAKING DIPHENHYDRAMINE (BENADRYL) TO EDUCATE SAFETY WHAT SHOULD YOU STRESS IN YOUR TEACHINGS? | AVOID DRIVING OR OTHER ACTIVITIES REQUIRING MENTAL ALERTNESS WHILE ON THIS MED |
| PATIENTS AT A HIGH RISK FOR DEVLOPING TB ARE | RELATIVES OF PATIENTS RECENTLY DIAGNOSED AS HAVING THE DISEASE |
| WHAT IS MOST LIKELY RATIONALE FOR ADMINISTERING AT LEAST 3 ANTITUBERCULAR DRUGS DURING THERAPY? | ADMINISTERING 3 OR MORE DRUGS SLOWS THE DEVELOPMENT OF BACTERIAL RESISTANCE |
| THE MOST COMON ADVERSE EFFECT OF A ANTITUBERCULAR DRUG IS? | HEPATIC INVOLVEMENT |
| TERBUTALINE SULFATE, A SYMPATHOMIMETIC, IS PRESCRIBED FOR THE CLIENT WITH BRONCHITIS, THIS SHOULD BE USED IN CAUTION WITH PATIENTS THAT ARE? | DIABETICS |
| A LEUKOTREINE RECEPTOR ANTAGONIST IS PRESCRIBED TO A CLIENT WITH BRONCHIAL ASTHMA, WHAT LAB TESTS MUST BE DONE PRIOR TO MEDS? | LFT LIVER FUNCTION TEST |
| YOUR PATIENT IS HOSPITALIZED WITH A DVT, SHE WAS DIAGNOSED 5 YRS AGO WITH ASTHMA, THE DR ORDERS A CORTICOSTEROID FOR RESP THERAPY, WHAT DO YOU NEED TO INSTRUCT TO THE PT? | PERFORM STRICT ORAL HYGIENE, MONITOR YOUR TONGUE,CHEEKS 7 GUMS FOR WHITE PATCHES & THIS MED COULD CAUSE THROAT IRRITATION & A SCRATCHY THROAT |
| WHAT WOULD BE USED FOR NASAL STUFFINESS, LOW GRADE FEVER AND PRODUCTIVE COUGH , BUT HAVING A HARD TIME COUGHING UP MUCUS, WHAT WOULD YOU USE? | COUGH SYRUP W/ GUAIFENESIN (ROBITUSSIN) |
| YOU ARE ASSESSING THE SERUM THEOPHYLLINE LEVEL IN A PT WITH ASTHMA, WHAT SERUM LEVEL REPRESENTS THE THERAPETIC RANGE FOR TREATING ASTHMA? | 10-20MCG/ML |
| A PRESCRIBER ORDERS THEOPHYLLINE(THEO-DUR) FOR HIS PT, THIS DRUG IS NOT INDICATED FOR WHAT? | SEASONAL ALLERGIES |
| WHAT SHOULD BE TAUGHT WHEN USING A METER DOSE INHALER? | HOLD BREATH FOR 5 SECS AFTER INHALING THE MED BEFORE EXHAILING |
| WHEN TAKING A XANTHINE DERIVATIVE WHAT SHOULD BE INCLUDED IN THE TEACHING? | LIMIT INTAKE OF CAFFEINE |
| LEUKOTRIENE RECEPTOR ANTAGONISTS BLOCK OR ANTAGONIZE RECEPTORS FOR THE PRODUCTION OF LEUKOTRIENE, YOU UNDERSTAND THAT BLOCKING LEUKOTRIENE DOES WHAT? | PREVENTS THE RESPIRATORY TRACT FROM RELEASING SUBSTANCES THAT BRONSHOCONSTRICT & CAUSE INFLAMMATION. |
| THIS MEDICATION WILL TREAT BRONSHOCONSTRICTION & HYPOTENSION TOGETHER | EPINEPHRINE |
| THIS IS THE MAIN SIDE EFFECT OF ANTIHISTAMINES | DROWSINESS |
| THIS IS THE BACTERIA THAT CAUSES ULCERS | H.PYLORI |
| CHRONIC INTAKE OF THIS WILL DECREASE THE ACTION OF CIMETIDINE | TOBACCO |
| METOCLOPRAMIDE DOES THIS TO PERISTALSIS | INCREASED |
| TAKING BISACODYL WITH THIS WILL DECREASE ABSORPTION | MILK |
| WHICH MEDICATION CAN CAUSE ORANGE SECRETIONS | RIFAMPIN |
| BETA 1 RECEPTORS ARE IN WHAT | THE HEART |
| THE BIGGEST SIDE EFFECT OF MAGNESIA BASED ANTACIDS | DIARRHEA |
| DECONGESTANTS CAUSE LOCALIZED OR SYSTEMIC WHAT? | VASOCONSTRICTION |
| THIS PROVIDES A LOCALIZED PROTECTION ON THE STOMACH | SULCRAFATE |
| SYMPATHOMIMETIC BRONCHODILATORS MIMIC WHAT | SNS |
| WHEN A RECEPTOR IS NONSELECTIVE IN NATURE IT CAN CAUSE THIS | MORE |
| BETA 2 RECEPTORS ARE IN WHAT | THE LUNGS |
| WE GIVE THIS DRUG FOR NSAIDS INDUCED ULCERS | MISOPROSTOL |
| THIS ANTITUSSIVE MEDICATION HAS THE LEAST RISK FOR DROWSINESS | DEXTROMETHORPAN |
| ADMINISTERING IV ADRENERGIC DRUGS CAN CAUSE THE HEART TO BE WHAT? | OVERWORKED |
| PPI'S CAN CAUSE THIS WITH DIAXEPAM AND PHENYTOIN | TOXICITY |
| BETA BLOCKERS ARE USED FOR MANY REASONS INCLUDING | HEART FAILURE |
| THSES DRUGS NEUTRALIZE THE STOMACH | ANTACIDS |
Created by:
jmbosworth1972
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