Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Pharm03
Chap. 17, 18, 19, 20, 28, 30, 31, 32, 33, 35, 36
| Question | Answer |
|---|---|
| The nurse is reviewing drugs on the emergency cart in relation to their therapeutic action. Which adrenergic receptor, when activated, can help initiate heart contraction during a cardiac arrest? | Beta1 |
| The nurse in the cardiac care unit is caring for a patient receiving epinephrine. Which assessment criterion will receive priority when monitoring for adverse effects from this drug? | Cardiac rhythm |
| The nurse is preparing to give epinephrine by the intravenous (IV) push route. Which action is essential before giving this drug? | Assess patency of IV line. |
| The nurse is teaching a patient with a history of anaphylaxis about his EpiPen. Which statement made by the patient indicates that he understands the proper use of this drug? | “I will jab this medication firmly into my outer thigh if needed.” |
| The nurse is preparing to give terbutaline (Brethine) to prevent preterm labor. Which concepts will be important to keep in mind when working with this drug? | Selectivity of this drug is dose dependent. The patient may experience tremor with this drug. Terbutaline is a sympathomimetic drug. |
| Which statement made by the nurse is the most important to include in the teaching plan for a patient being discharged from the hospital with a new prescription for prazosin (Minipress)? | "You should move slowly from the sitting to standing position.” |
| The nurse notices significant edema surrounding and proximal to the peripheral intravenous (IV) site in which epinephrine is being infused. Which action would the nurse anticipate first? | Prepare to administer phentolamine (Regitine). |
| The nurse is caring for a patient receiving propranolol (Inderal). Which finding below is the most indicative of an adverse effect of this drug? | Wheezing |
| The nurse is caring for each of the following patients. In which patient is propranolol (Inderal) most likely to be contraindicated? | 60-year-old female with diabetes |
| Why is metoprolol (Lopressor) preferred over propranolol (Inderal) for diabetic patients who need a beta-blocking agent | Propranolol causes both beta1 and beta2 blockade |
| Which statement made by the patient indicates the best understanding of teaching related to his new prescription for atenolol (Tenormin) | I will not stop taking this medication abruptly |
| The nurse is monitoring a hospitalized patient who is receiving reserpine. Which assessment parameter indicates that this medication is effective? | Blood pressure = 118/72 mm Hg |
| The nurse is preparing to administer a dose of clonidine (Catapres). Which is the best description for the action of this drug? | Selectively activates alpha2 receptors in the central nervous system (CNS). |
| The nurse is assessing a patient in a clinic who has been taking clonidine (Catapres) for hypertension. Which findings below are the most indicative of an adverse effect of this drug? | Drowsiness and dry mouth. |
| The nurse is caring for a patient receiving methyldopa (Aldomet). Which lab test is the most important to obtain before treatment? | Hematocrit level. |
| Which statement is the most appropriate to include in the teaching plan for a 30-year-old female beginning a new prescription of clonidine (Catapres)? | If you stop taking this drug abruptly, your blood pressure might go up very high. |
| Which situation below will improve a drug's ability to reach the central nervous system (CNS)? | Lipid solubility |
| A patient has an infection affecting a CNS component. Which structure makes the delivery of antibiotic therapy more difficult? | Blood-brain barrier |
| Which neurotransmitter below is active in both the peripheral and central nervous systems? | Norepinephrine |
| The nurse is caring for a patient w/depression who takes citalopram (Celexa),an antidepressant. she understands that the full therapeutic eff will not be seen until about 3-4 weeks after beginning this drug. What is the best description of this process? | Adaptive changes in the brain |
| The nurse is working with a group of patients receiving drugs that work in the CNS. Nursing care of these patients is based on which of the following principles? Select all that apply. | Our overall knowledge of CNS agents is limited. The CNS has many more neurotransmitters than the periphery. When CNS drugs are taken long term, their effects differ from initial use. |
| A postoperative patient has an epidural infusion of morphine sulfate (Astramorph). The patient's respiratory rate declines to 8 breaths/min. Which medication would the nurse anticipate administering? | Naloxone (Narcan) |
| The nurse is planning care for a patient receiving morphine sulfate (Duramorph) by means of a patient-controlled analgesia (PCA) pump. Which intervention may be required because of a potential adverse effect of this drug? | Insert Foley catheter. |
| A patient admitted to the hospital with a diagnosis of pneumonia asks the nurse, "Why am I receiving codeine? I don't have any pain." The nurse's response is based on the knowledge that codeine also has which effect? | Antitussive |
| A patient takes oxycodone (OxyContin), 40 mg PO twice daily, for the management of chronic pain. Which intervention should be added to the plan of care to minimize the gastrointestinal adverse effects? | Increase fluid and fiber in the diet. |
| The nurse is teaching a patient with cancer about his new prescription for a fentanyl (Sublimaze) patch, 25 mcg/hr, for chronic back pain. Which statement below is the most appropriate to include in the teaching plan? | “With the first patch, it will take about 24 hours before you feel the full effects.” |
| Which agent below is most likely to cause serious respiratory depression as a potential adverse reaction? | Morphine (Duramorph) |
| The nurse is working on a postoperative unit where pain management is part of routine care. Which statement below is the most helpful in guiding clinical practice in this setting? | The development of opioid dependence is rare when opioids are used for acute pain. |
| A nurse administers naloxone (Narcan) to a postoperative patient experiencing respiratory sedation. What undesirable effect would the nurse anticipate after giving this medication? | Increased pain |
| The nurse is preparing to give ergotamine (Ergomar). This agent is effective against headaches of which origin? | No identifiable cause |
| The nurse is teaching a patient with a new prescription for ergotamine (Ergomar). Which statement is most appropriate to include in the teaching plan? | “You should not use this drug more than 1 or 2 days per week.” |
| The nurse is assessing a patient receiving dihydroergotamine (Migranal) for potential side effects. Which symptom, if found, would indicate a side effect of this drug? | Diarrhea |
| The nurse is caring for a female patient receiving sumatriptan (Imitrex). Which concept guides the nursing care of this patient? | Many patients experience symptoms of chest pressure or heavy arms. |
| Which agent is preferred for migraine prevention? | Propranolol (Inderal) |
| An adult patient presents to the emergency department, and a diagnosis of severe migraine headache is made. Which agents would the nurse expect may be indicated for this patient? | Opioid analgesic, Migraine-specific agent,Antiemetic |
| A nurse assesses a patient receiving haloperidol (Haldol). The nurse notices that the patient is shifting in the chair, rocking back and forth, and tapping both feet constantly. Select the most accurate term to document these findings | Akathisia |
| The nurse has just given the first dose of haloperidol (Haldol) to a patient with schizophrenia. Which finding, if present, is the most important for the nurse to report to the healthcare provider before administering the next dose of medication? | Temperature = 101°F |
| The nurse is caring for a patient receiving clozapine (Clozaril). Which assessment finding below is the most indicative of an adverse effect of this drug? | White blood cell count = 2000/mm3 |
| A nurse is caring for each of the following patients. In which patient is it appropriate to use the drug chlorpromazine (Thorazine)? | A 78-year-old male with intractable hiccups, A 48-year-old female with schizoaffective disorder |
| The nurse is working with the multidisciplinary healthcare team to optimize the care of a patient with schizophrenia. Which of the following concepts will guide the nursing care of this patient? Select all that apply. | Most antipsychotic agents increase the risk of mortality in elderly patients with dementia, should monitor the lipid levels of patients receiving 2-generation antipsychotics, Schizophrenia is characterized by disordered thinkin & loss of touch w/ reality. |
| The nurse is teaching a patient about a new prescription for citalopram (Celexa). Which statement is appropriate to include in the teaching plan? | may cause sexual side effects. Let your healthcare provider know about this if it occurs, you should not withdraw it abruptly, Let your family or your healthcare provider know if you experience a worsening mood, agitation, or increased anxiety. |
| The nurse is carin96g for a patient with bipolar disorder (BPD) who is taking lithium (Lithobid). Which abnormal lab value below is the most essential for the nurse to communicate to the healthcare provider because this patient is receiving lithium? | Sodium = 128 mEq/L |
| The nurse is seeing each of the patients below in the outpatient clinic today. Which patient requires the most immediate attention by the nurse? | A male with bipolar disorder receiving lithium, with a lithium level of 1.6 mEq/L |
| The nurse is caring for a patient receiving lithium (Lithobid). The nurse understands that there are many drug interactions with lithium. Which agent is safe to give with lithium? | Aspirin (ASA) for mild headache |
| A nurse assesses a patient who takes a maintenance dose of lithium carbonate (Lithobid) 4 bipolar disorder. The client complains of hand tremor, nausea, vomiting, & diarrhea. The patient's gait is unsteady. What might the nurse suspect in this situation? | may have developed lithium toxicity. |
| What is the rationale for administering antipsychotics during manic episodes? | They help control symptoms during severe manic episodes |
| The nurse is caring for a patient with severe generalized anxiety disorder. Which agent will be the most effective for immediate stabilization? | Alprazolam (Xanax) |
| The nurse is caring for a patient receiving buspirone (BuSpar) for the treatment of anxiety. Which symptom below is most likely explained as an adverse effect of this drug? | Dizziness |
| A distraught patient is admitted to the emergency department with symptoms of palpitations, tachycardia, chest pain, and shortness of breath. Once the physical exam reveals no physiologic basis for the symptoms, which diagnosis is the most likely? | Panic Disorder |
| The nurse is caring for a patient taking buspirone (BuSpar). Which statement made by the patient indicates a need for further teaching about this drug? | I will drink grapefruit juice instead of coffee |
| The selective serotonin reuptake inhibitors (SSRIs) are recommended therapy for a number of psychologic disorders. The SSRIs have been proven effective for which of the following conditions? | Depession, panic disorder, social anxiety disorder, ocd |
| The nurse is caring for a patient taking dextroamphetamine (DextroStat). Which symptom, if present, is most likely an adverse effect of this drug? | Restlessness |
| The nurse is teaching a patient with attention-deficit/hyperactivity disorder (ADHD) about his prescription for methylphenidate (Ritalin LA). Which statement made by the patient indicates the teaching was effective? | I will take my meds once per day in the morning |
| A patient is started on a trial of extroamphetamine/amphetamine (Adderall) for ADHD. Select the most likely nursing diagnosis for inclusion in the plan of care. | sleep pattern disturbance |
| The nurse is working with a group of patients who take CNS stimulants, such as methylphenidate (Ritalin), for ADHD. Which is the best description of how these drugs work to help this condition? | Stimulants improve attention and focus |
| A nurse counsels a patient who drinks four cola soft drinks per day. Which condition may be exacerbated by this intake? | Cardiac dysrhythmias |
Created by:
fcfsocgirl