Musc/Neuro/Endo/CV/Immo/Resp/GI/Repro/Urine
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| Which drug can increase the risk of Reye's syndrome in children who have viral infections? | aspirin
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| A health care provider should advise a patient to stop taking ibuprofen (Advil) to treat an occasional headache or muscle strain if they are treating or have a | peptic ulcer
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| A health care professional should understand that naloxone (Narcan) can reverse the effects of an excessive dosage of what drug? | morphine
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| Alendronate (Fosamax) is contraindicated for | laying flat or on bed rest
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| If a patient has alcohol abuse disorder you should question the use of what drug? | acetaminophen
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| What is the term for bones filled with holes? | osteoporosis
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| Gout symptoms are treated with? | NSAIDS and colchicine (Colcrys)
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| An example of a disease modifying antirhematic drug (DMAR) is | methotrexate (Rhematrex)
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| A healthcare professional is caring for a patient that is taking alprazolam (Xanex) for an extended period of time to treat anxiety. The health care professional should recognize that stopping alprazolam therapy suddlening can result in | withdrawal symptoms
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| A client should receive a dose of flumazenil (Romazicon) to treat symptoms of | benzodiazepine overdose
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| A nurse is caring for a client who has depression and has been taking paroxetine (Paxil) for two days. The client suddenly devolved a high fever, hallucenations and anxiety. What is wrong? | serotonin syndrome
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| A nurse is caring for a client who is taking lithium carbonate for almost a year, the nurse knows the lithium carbonate levels should be monitored. How often? | every 1 to 3 months
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| Because of the potential for adverse affects, which of the following should the healthcare professional reccomend for patients taking carbamazepine (Tegretol) | begin taking the drug at a low dosage
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| A healthcare professional should advise a patient who is taking phenelzine (Nardil) to avoid tyramine enriched food because of an increase risk of what adverse reaction? | hypertensive crisis
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| A healthcare professional is caring for a young adult patient who is taking fluoxetine (Protac) to treat depression. The healthcare professional should tell the paitent and the patient's family to report if the patient has what | suicidal thoughts
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| When caring for a patient who is taking risperidone (Risperdal) for schizophrenia, the healthcare professional should monitor for which adverse effect? | polyuria
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| A client has been taking cholorpromazine (Thorazine) for several years for paranoid schizophrenia, which of the following recent manifestations should leave the nurse to suspect that the client is developing tardive dyskinesia | lip- smacking
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| A nurse is caring for a school age child who recently began a prescription for atomoxetine (Strattera). For which of the folllowing should the nurse monitor the child? | upper abdominal tenderness
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| A client who has Parkinson's disease is prescribed levodopa/carbidopa (Sinemet) and pramipexole (Mirapex). For which of the following should the nurse montior this client? | orthostatic hypotension
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| Clients who take phenytoin (Dilantin ) must perform good oral hygeine. Why is oral hygiene important for these clients? | gingival hyperplasia
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| Which medication should the healthcare professional for a patient who is experiencing an insulin overdose? | glucagon (GlucaGen)
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| A healthcare professional is caring for a patient who is about to begin insulin glargine (Lantus) therapy. The health care professional should recogine the need for addtiona precations because the patient also tkaes which of the following types of drugs? | beta blockers
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| A patient who is taking propylthiouracil ( PTU) contacts the health care professional to report weight gain, drowsiness, and depression. The health care professional should suspect which of the following adverse reactions to the propylthioracil? | hypothyroidism
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| When considering replacement therapy options ofr a patient who has chronic adrenocortical insufficiency, the primary care provider should choose which of the following drugs? | hydrocortisone (Cortef)
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| A patient who is taking metformin (Glucophage) to treat type 2 diabetes mellitus plans to undergo angiography using idoine-containing contrast dye. An interaction between metformin and and IV contrast dye can increase risk of what? | acute renal failure
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| A healh care professional is caring for a patient who is about to begin levothyroxine (Synthroid) to treat hypothyrooidism. What instructions should the health care professional include when talking to the patient? | expect life long therapy with the drug
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| A nurse is caring for a client who is taking levothyroxine (Synthroid). What should be monitored to identify levothyrooxine toxicicity? | weight loss
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| A nurse is caring for a client who is prescribed isorobide mononitrate (Indur) for chronic stable angina. The nurse should plan to monitor the client for what findings? | headache
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| A nurse is caring for a client who takes a daily dose of warfarin (Comuadin). The client begins vomiting blood. What medication should the nurse prepare to give to reverse the effects of warfarin? | vitamin K
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| A nurse is reinforcing teaching for a client who is to begin taking a new prescription for niacin (Niacor). The nurse should instruct the client to expect which of the following? | facial flushing
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| A healthcare professional is caring for a patient who is about to begin taking simvastain (Zocor) to treat hypercholesterolemia. What is a serious adverse reaction? | muscle pain
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| A patient who takes carvedilol ( Coreg) for hypertension is about to begin taking an oral anti diabetes drug to manage Type 2 diabetes. Patient is at risk for what if taking both drugs? | hypoglycemia
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| The nurse would assess which laboratory value to determine the effectiveness of IV heparin? | Activated partial thromboplastin time (aPTT)
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| The nurse understands that a patient's international normalized raton (INR) value 2.5 means that: | the patient's warfarin dose is therapeutic
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| Which of the following should the nurse include when advising a patient about the use of montelukast (Singulair)? | take the drug once a day in the evening
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| When advising a patient who is beginning fluticasone propionate/salmeterol (Advair) therapy, which of the following instructions should the nurse include? | increase weight -bearing activity
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| A nurse should tell a patient who is talking albuterol (Proventil) to report which of the following possible indications of a serious adverse effect? | palpitations
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| A healthcare professional is caring for a patient who is taking codeine. What is the most important assesment following administrations of the drug? | respirations
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| When explaining how a patient should use inpratropium (Atrovent), a nurse should include which of the following instructions? | wait 5 minutes between using the drug and another inhaled drug
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| A nurse is advising a patient about the use of cromolyn sodium (Intal). What instructions should the nurse include? | expect a bitter after taste
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| A nurse is talking to a patient who is prescribed albuterol (Proventil) via inhaler and fluticasone (Advair) via inhaler for asthma management. The nurse should tell the patient to use the albuterol inhaler fitrst because? | albuterol will increase the absorption of fluticasone
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| phenylephrine is a | decongestant
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| diphenhydramine is a | antihistamine
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| guaifensin is a | expectorant
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| dextromethorphan is a | antitussive
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| A primary care provider should prescribe a lower dose of vancomycin (Vancocin ) for a patient who has a respiratory tract infection and also has what? | renal failure
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| What drug should be prescribed for a patient who has streptococcal pharyngitis and is allergic to penicillin? | erthromycin (E-Mycin)
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| A primary care provider is prescribing drug therapy for a patient who sputum culture results indicate methicillin-resistant Staphylococcus aureas (MRSA), What drug should be administered? | vancomycin (Vancocin)
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| When administering erthromycin (E-Mycin) to a patient who has pneumoccocal pneumonia, the nurse should monitor for what adverse effects of the drug? | cardiac dysrhythmias
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| While administering IV ceftriaxone (Rocephin) to a patientto treat bacterial meningitis, the nurse finds the IV site to be warm and reddened. What action should the nurse take? | stop the ceftriaxone infusion
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| A nurse is caring for a patient who is taking ciprofloxacin (Cipro) to treat a systemic infection. The healthcare provider should question the use of the drug in a patient who is also taking? | furosemide (Lasix)
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| NPH insulin (Humulin N) onset | 1 to 2 hour
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| Insulin glargine (Lantus) | 1 hour
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| Regular insulin (Humulin R ) | 30 min to 1 hour
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| Lispro insulin (Humalog) | less than 15 minutes
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| A patient taking oral contraceptives calls her health care professional because she forgot to take one of her pills. Which ofthe following instructions should the healthcare professional provide? | take the missed dose along with the next dose
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| A healthcare professional is caring for a patient who is about to begin taking Premarin. The health care professional should tell the patient to report which of the following adverse reactions? | vaginal bleeding
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| The gonadotropic hormones are secreted by which gland? | pituitary
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| The vital electrolyte that is lost with a loop diuretic is? | potassium
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| A nonmalignant growth of the prostate gland that constricts the urethra is ? | BPH
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| DDAVP is used to treat | bed-wetting
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| Upon prescribing sildenafil (Viagra), the health care professional should educate the patient to do all of the following expect? | take nitroglycerin immediately at onset of chest pain while taking med
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| What type of diuretics do the following:blood sodium reabsorption and increase water excretion are used to treat moderate hypertension | thiazide diuretics
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| What type of diuretic block the reabsorption of water and sodium back into the blood stream and allow potassium to be reabsorbed | potassium-sparing diuretics
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| What type of diuretic is used for patients who have increase intracranial pressure due to a head trauma, a brain tumor, or other illness that affects the brain? | osmotic diuretics
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| What diuretic is most effective of all of the diuretics and is mainly used to treat CHF by decreasing the volume of blood that the heart has to circulate? | loop diuretics
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| A healthcare professional should question the use of misoprostol (Cytotec) for a patient that has what diagnosis? | a positive pregnancy test
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| A nurse is caring for a patient who has recently had a myocaridal infarction and is about to begin taking docusate sodium (Colace). The nurse should explain that docusate sodium will have the following therapeutic effects? | prevents straining
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| The nurse is caring a patient who is about to begin taking ranitidine (Zantac) to treat GERD. The nurse shold tell the patient to take certain precautions when taking which of the following OTC drugs? | antacids
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| A nurse is teaching a client who has peptic ulcer disease on how to properly take ranitidine. Which of the following states by the patient indicates effective teaching by the nurse? | "I should call my doctor if my stools look black and sticky"
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| The nurse is preparing to administer promethazine to an adult client who is experiencing nausea and vomiting. What medication taken by the client earlier in the day may interact with the promethazine and cause intensification of an adverse effect? | metoprolol
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| Before an emergency surgery, the nurse would anticipate administering which medication to a patient receiving heparin? | protamine sulfate
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| tPA is used to decrease blood pressure..True or False | true
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| A nurse is caring for a client on a medical until who takes regular doses of propranolo (Inderal) for hypertension. Before administering the client's morning dose of propranolo, what should the nurse monitor? | pulse rate and blood pressure
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