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- 1. Open EndedSide effects of anti-cholinergic drugs (block achytelcholine)
- 2. Open EndedSide effects of cholinergic drugs
- 3. Open EndedSide effects of benzodiazepines (for sleeping disorders)
- 4. Open EndedNursing education needed when switching anti-depressants
- 5. Open EndedNursing implications for lithium's narrow therapeutic window
- 6. Open EndedNursing interventions for lithium side effects
- 7. Open EndedNursing interventions for valproic acid toxicity and therapeutic range (valproates is adjunctive therapy for seizures)
- 8. Open EndedDischarge teaching for clonazepam
- 9. Open Ended7 rights of the client
- 10. Open EndedSide effects of buspirone (anti-anxiety)
- 11. Open EndedGenerally, which type of medications cannot be crushed?
- 12. Open EndedContradictions for benzodiazepines for elderly
- 13. Open EndedAntidote for phenobarbital
- 14. Open EndedUses for narcan
- 15. Open EndedSymptoms for neuroleptic syndrome
- 16. Open EndedDescribe drug tolerance in layman terms
- 17. Open EndedMAO-I and tyramine interaction
- 18. Open EndedLyrica
- 19. Open EndedHalf-life
- 20. Open EndedSide effects of phenytoin (prevents seizures)
- 21. Open EndedWhat category of drugs might amplify tremors for a patient with Parkinson's?
- 22. Open EndedNursing interventions for acetaminophen
- 23. Open EndedSide effects of tricyclic antidepressants
- 24. Open EndedExtrapyramidal effects are a side effect of what drug category(ies)
- 25. Open EndedHow do benzodiazepines help with symptoms of epilepsy?
- 26. Open EndedWhat does a sympathomimetic medication do?
- 27. Open EndedHow do you revere opiate overdose?
- 28. Open EndedNursing education for scopolamine patches
- 29. Open EndedNursing assessment for administration of opiates
- 30. Open EndedMedication for benzodiazepine overdose
- 31. Open EndedSelf-care education for people taking anti-epileptic medications
- 32. Open EndedSide effects of valproic acid (anticonvulsant)
- 33. Open EndedValproic Acid
- 34. Open EndedManaging C2 substances
- 35. Open EndedHow can a nurse evaluate quetiapine?
- 36. Open EndedDischarge teaching for adderall
- 37. Open EndedNursing education for flexeril (muscle relaxant)
- 38. Open EndedContradictions for sympatholytic (inhibits post ganglionic nerves)
- 39. Open EndedDiazepam (benzo)
- 40. Open EndedPsychotropic washout period
- 41. Open EndedManaging opioids
- 42. Open EndedPhenytoin in women of child-bearing age
- 43. Open EndedInjections, IV Therapy, and topicals bypass this drug action phase.
- 44. Open EndedSympathetic nervous system
- 45. Open EndedParasympathetic nervous system
- 46. Open EndedWhat is recommended for a dry mouth?
- 47. Open EndedEpinephrine
- 48. Open EndedUsed for anaphylaxis, anaphylactic shock, bronchospasms, cardiogenic shock, and cardiac arrest.
- 49. Open EndedSide effects/adverse reactions include cardiac dysrhythmias, hypotension, flushing, reflex tachycardia, and decreased renal perfusion.
- 50. Open EndedEpinephrine
- 51. Open EndedEpinephrine
- 52. Open EndedAlbuterol (proventil)
- 53. Open EndedUse caution with severe cardiac disease disease, hypertension, hyperthyroidism, diabetes, and pregnancy.
- 54. Open EndedSide effects/adverse reactions include: tremors, nervousness, restlessness, dizziness, telex tachycardia, hallucinations, and cardiac dysrhythmias.
- 55. Open EndedAlbuterol
- 56. Open EndedAdrenergic blockers/adrenergic antagonists/sympatholytics
- 57. Open EndedEffects or adrenergic blockers at receptors: alpha1
- 58. Open EndedEffects of adrenergic blockers at receptors: beta1
- 59. Open EndedEffects of adrenergic blockers at receptors: beta2
- 60. Open EndedMetoprolol (lopressor)
- 61. Open EndedSide effects/adverse reactions include: bradycardia, hypotension, dysrhythmias, headaches, dizziness, fainting, fatigue, mental depression, nausea, vomiting, diarrhea, blood dyscrasias, and hypoglycemia.
- 62. Open EndedWhen teaching a patient who has been prescribed metoprolol about side/adverse effects, which is the highest priority teaching point? A. Report any complaints of stuffy nose. B. Instruct the patient how to take a pulse. C. Check for bladder distention. D. Warn of possible impotence and decreased libido.
- 63. Open EndedStimulation of which adrenergic receptor results in dilation of vessels and decrease in blood pressure? A. Alpha1 B. Alpha2 C. Beta1 D. Beta2
- 64. Open EndedThe nurse is teaching the patient about the side effects of atenolol (tenormin). These include: A. Pupillary constriction B. Blood vessel dilation C. Bronchospasm D. Tachycardia
- 65. Open EndedA nurse is administering epinephrine to a patient during a cardiac arrest. The primary desired action of this medication is to: A. Stimulate a heart rate B. Decrease cerebral blood flow C. Initiate respirations D. Increase blood flow to the kidneys
- 66. Open EndedA patient has been prescribed atenolol. To ensure safe dosing, the nurse teaches the patient to frequently assess what parameter? A. Daily weight B. Heart rate C. Urine output D. Body temperature
- 67. Open EndedA patient is receiving dopamine (intropin) intravenously. Which drug should the nurse have available to treat extravasation and tissue necrosis? A. Norepinephrine bitartrate (levophed) B. Nadolol (corgard) C. Phentolamine mesylate (regitine) D. Clonidine (catapres)
- 68. Open EndedBethanechol chloride (urecholine)
- 69. Open EndedSide effects/adverse reactions include: blurred vision, miosis, hypotension, bradycardia, sweating, increased salivation and gastric acid, nausea, vomiting, diarrhea, bronchoconstriction, and abdominal cramping. Contraindications include: bradycardia, hypotension, COPD, peptic ulcer, Parkinsonism, and hyperthyroidism.
- 70. Open EndedNursing interventions include: teach patient to rise slowly; monitor overdosing (antidote-atropine), bowel sounds, breath sounds, BP and HR; record fluid intake/output; and give 1 hour ac or 2 hours pc.
- 71. Open EndedWill anticholinergics make a person sleepy?
- 72. Open EndedAtropine
- 73. Open EndedSide effects/adverse reactions include: dry mouth and skin, urinary retention, impotence, abdominal distention, blurred vision, photophobia, flushing, nasal congestion, palpations, and tachycardia. It is contraindicated in glaucoma.
- 74. Open EndedNursing interventions include: monitor vital signs, urine output, vowel sounds, and safety (bedside rails, driving); provide mouth care and eye drops; wear sunglasses in bright light; and avoid hot environments, alcohol, cigarettes, caffeine, and aspirin at bedtime.
- 75. Open EndedA patient has received atropine. It's most important for the nurse to assess the patient for what effect? A. Anxiety B. Constipation C. Urinary retention D. Impaired oral mucous membrane
- 76. Open EndedA nurse has just administered atropine to a patient. It's most important for the nurse to assess the patient for the development of which effect? A. Nausea B. Tachycardia C. Rales D. Hypotension
- 77. Open EndedA patient is ordered to receive bethanechol chloride for urinary retention. Which health condition would serve as a contraindication for this med? A. Asthma B. Hypertension C. Diabetes D. Chronic allergies
- 78. Open EndedA patient received atropine as a preoperative med 30 mins ago. The nurse evaluates the med as effective if the patient states, A. "I feel like I need to throw up" B. "I need to urinate" C. "My mouth feels dry" D. "I have a headache"
- 79. Open EndedMethylphenidate (Ritalin)
- 80. Open EndedCaffeine may increase effects; decreased effects of decongestants, antihypertensives, and barbiturates; and may alter insulin effects.
- 81. Open EndedSide effects/adverse reactions include: tachycardia, palpations, dizziness, hypertension, sleeplessness, restlessness, nervousness, tremors, irritability, increased hyperactivity, anorexia, dry mouth, vomiting, diarrhea, weight loss, and thrombocytopenia.
- 82. Open EndedNursing process includes: give before breakfast and lunch; report irregular heartbeat, height, weight, and growth of children; avoid alcohol and caffeine; use sugarless gum for dry mouth; do not stop abruptly; and counseling must be used.
- 83. Open EndedFor an overdose, treat with activated charcoal so it will attract and absorb the drug.
- 84. Open EndedBenztropine
- 85. Open EndedBenzodiazepines for anxiety
- 86. Open EndedBenzodiazepines for seizures
- 87. Open EndedBenzodiazepine reversal
- 88. Open EndedBenzodiazepines as hypnotics
- 89. Open EndedBenzodiazepines side effects in elderly clients
- 90. Open EndedNursing interventions include: be attentive to safety, avoid alcohol and other CNS depressants, monitor BP and RR, report hangover effect, take 15-45 mins before bed, and withdraw gradually.
- 91. Open EndedZolpidem (ambien)
- 92. Open EndedLorazepam (Ativan)
- 93. Open EndedFlumazenil
- 94. Open EndedAnticonvulsants/Antiepileptic drugs (AEDs) that suppress sodium influx
- 95. Open EndedAnticonvulsants/Antiepileptic drugs (AEDs) that suppress calcium influx
- 96. Open EndedAnticonvulsants/Antiepileptic drugs (AEDs) that enhance action of GABA
- 97. Open EndedPhenytoin (Dilantin)
- 98. Open EndedNursing interventions include: monitor serum drug levels; safety- protect from environmental hazards like driving; warn female patients taking oral contraceptives to use additional contraception; warn patients to avoid certain herbs, alcohol, and other CNS depressants; warn patient not to discontinue abruptly; don't try to taper off without physician approval; patient will need frequent oral hygiene and dental check-ups; shake suspension well for 5 mins; and tolerance can develop over time and lead to higher doses.
- 99. Open EndedPhenobarbital
- 100. Open EndedPrimarily prescribed for treating acute status epilepticus; and must be administered through IV right away and monitor airway due to short-term effect
- 101. Open EndedValproic acid (valproate)
- 102. Open EndedNursing interventions include: monitor urine output for early detection of urinary retention; increase fluid intake, fiber, and exercise to avoid constipation; encourage patient to relieve dry mouth with ice chips, hard candy, or sugarless gum; and monitor vital signs.
- 103. Open EndedGabapentin
- 104. Open EndedCarbidopa-levodopa (sinement)
- 105. Open EndedRivastigmine
- 106. Open EndedSide effects include: anorexia, nausea, depression, edema, dry mouth, seizures, bradycardia, orthostatic hypotension, cataracts, myocardial infarction, and heart failure.
- 107. Open EndedDonepezil (aricept)
- 108. Open EndedNursing interventions include: advise patient not to drive, have patient avoid alcohol and other depressants, take with food, monitor liver function, and to not stop abruptly.
- 109. Open EndedCyclobenzaprine (flexeril)
- 110. Open EndedHistamines
- 111. Open EndedAdrenergics
- 112. Open EndedCholinergic
- 113. Open EndedAnticholinergic
- 114. Open EndedAdrenergic blockers
- 115. Open EndedNSAIDs
- 116. Open EndedNeuroleptics (dopamine blockers)
- 117. Open EndedOpiates
- 118. Open EndedDopamine agonists
- 119. Open EndedPhenytoin (dilantin)
- 120. Open EndedTriptans
- 121. Open EndedAcetaminophen
- 122. Open EndedBenzodiazepines
- 123. Open EndedRipserdone
- 124. Open EndedDonepezil
- 125. Open EndedValproic acid
- 126. Open EndedPhenelzine
- 127. Open EndedA client asks what is meant by the term "first pass effect"? How would the term be best explained? A. It refers to the first sign that the medication is starting to work B. It refers to the bodies push-back response to unfamiliar medicines C. It means that the liver starts to break down oral medicines before they even hit their intended receptors D. It means that the body becomes sensitized to the medicine so lower doses will be needed in the future
- 128. Open EndedWhat lab value will best reflect renal function in a client taking multiple medicines? A. Creatinine clearance B. Potassium levels C. Sodium levels D. Urinalysis
- 129. Open EndedWhich teaching point is correct with respect to the concept of "tolerance"? A. Tolerance is a state where people become used to pain, and therefore need less pain medicine B. In tolerance, larger doses are needed to achieve prior effects because a body learns to push back C. Tolerance occurs in slow metabolizers; slow metabolism leads to prolonged sedation.
- 130. Open EndedWhich statement regarding the blood-brain barrier demonstrates a need for further teaching? A. It can protect the brain from potentially toxic substance injuries B. It can be a significant obstacle to entry of therapeutic agents C. It is not fully developed at birth D. It lets in therapeutic agents in but filters out everything else
- 131. Open EndedA client who has been taking an antiepileptic medication with a narrow therapeutic window for 2 weeks seems confused and forgetful. What should be the priority action of the nurse? A. Call the prescriber and have them change the seizure medication B. Give an antihistamine under house protocol to stop the allergic response C. Seek plasma drug level order from the client's prescriber D. Set up oxygen and obtain an order for activated charcoal
- 132. Open EndedThe nurse is assessing a client who has requested an adrenergic drug for dyspnea. Which sign would make the nurse hesitate to give the medication? A. Pulse oximetry saturation of 88% B. BP of 130/86 C. RR of 28 D. Irregular HR of 122
- 133. Open EndedA nurse is caring for a client being treated with Minipress (prazosin), an alpha blocker. What counseling should the client receive? A. Raise slowly from lying to standing to avoid dizziness and a possible fall B. Void before taking the medication to avoid urine retention C. Take a daily laxative to avoid constipation D. Avoid drinking more than 600 mls of fluid per day while taking this medication
- 134. Open EndedFor which client would a beta adrenergic blocker like Atenolol be prescribed? A. A client with urinary retention B. A client who suffers from diarrhea C. A hypertensive client with a HR of 104 D. A client who suffers from asthma
- 135. Open EndedHow would a nurse explain the way pilocarpine (Salagen), a cholinergic, would resolve related dry mouth. A. It stimulates salivation by blocking nicotinic receptors B. It stimulates salivation by stimulating muscarinic receptors C. It stimulates salivation by stimulating alpha receptors in the brain D. It stimulates salivation by redirecting fluid from the optic nerve
- 136. Open EndedA client with Alzheimer's disease has been taking Exelon (rivastigmine), a cholinesterase inhibitor for a week. What anticipated side effects of this cholinergic medication would the nurse anticipate? A. Numbness and tingling in the extremities B. Hypertension C. Diarrhea, urgency and possible bradycardia D. Tinnitus and hearing loss
- 137. Open EndedA nurse in the ED is caring for a client whose family reports that she had taken an overdose of diazepam. Which of the following medication should the nurse have available to reverse the CNS depression caused by this drug? A. Ondasteron (Zofran) B. Magnesium sulfate C. Flumazanil (Romazicon) D. Protamine sulfate
- 138. Open EndedThe client diagnosed with a general anxiety disorder is prescribed alprazolam (Xanax), a benzodiazepine. Which information should the clinic nurse discuss with the client? A. Explain to the client that this medication is intended for short-term use only B. Tell the client to expect rigidity as a side effect C. Tell the client to avoid foods that are high in vitamin K D. Instruct the client to take the medication before driving to avoid transit anxiety
- 139. Open EndedA nurse is caring for a patient who has been taking phenytoin (Dilantin) for 6 weeks. Upon review of the lab results, the nurse notes that the patient's phenytoin level is 18mcg/mL. What's the nurse's best action? A. Contact the prescriber to suggest a dose increase B. This drug is in the therapeutic range, so the nurse can give the medicine as ordered. C. Suspect that another drug is preventing Phenytoin metabolism, and hold the causative medicaiton D. This drug level is too high; the nurse should contact the prescriber about reducing the dose
- 140. Open EndedThe provider is considering starting a diabetic client on valproic acid (Depakote) for nerve pain this week. During the health history, the patient tells the nurse, "I drink a six pack of beer daily and two to three six packs on weekends." The priority nursing action would be to: A. Obtain a lab order to assess his current level of valproic acid B. Tell the client his alcoholism is causing his nerve pain, so medicine won't help C. Seek an order for liver function labs to see if Depakote would be safe for him D. Reassure the client that beer and Depakote are compatible
- 141. Open EndedA nurse is reviewing a client's list of medication and notices that he is taking two anticholinergics. Which of his recent symptoms could be caused by his anticholinergic meds? (Select all that apply) A. Epigastric distress B. Tachycardia C. Dry mouth D. Frequent loose stools E. Blurred vision
- 142. Open EndedA client is using a PRN scopolamine patch for motion sickness. Knowing that the medication has anticholinergic side effects, the client should be taught to anticipate which side effects? (Select all that apply) A. Urine retention B. Blurred vision C. Dry mouth D. Diarrhea E. Wheezes
- 143. Open EndedA nurse is taking a history on a client admitted for medication related syncope. Which of these comment from the client needs to be reported to the physician? (Select all that apply) A. I just gave you my medication list the last time I was here. Nothing's changed! Look it up! B. I'm taking an herbal supplement to help me sleep, but nothings changed. C. I'm taking over-the-counter substitutes for the medicines I can't afford. D. I get my medicines over the internet, so I never run out. It's cheaper. E. I wish I didn't have to bother the doctor every time I need a medication refilled. F. My cardiologist never orders anything. He just tells my regular doctor what to order.
- 144. Open EndedThe most common adverse effect associated with antiepileptic meds is CNS depression. Knowing this, what signs and symptoms would the nurse watch for during assessments? (Select all that apply) A. Drooling B. Insomnia C. Confusion D. Hyperventilation E. Unsteady gate
- 145. Open EndedA nurse recognizes that the actions of benzodiazepines include which of the following benefits? (Select all that apply) A. Sleep facilitation B. Relief of general anxiety C. Suppression of seizures and/or seizure activity D. Reversal of Parkinsonism E. Improvement of muscle coordination
- 146. Open EndedWhat advice should parents of a child taking Ritalin (methylphenidate) receive? (Select all that apply) A. Insomnia is a risk, give the medication in the morning B. It should always be given before the meal C. It's cheaper (wisest), to order the medication via the internet D. It's a C2 substance, automatic refills are not allowed E. It's a gateway drug to other stimulants. Teens seek it to lose weight, keep control of it. F. There's no need to worry about addiction in these medications in well-adjusted children
- 147. Open EndedA 68 year old make has a history of seizures and has been taking phenytoin (Dilantin) for years. His last seizure occurred 2 years ago, so he has decided that he no longer needs the medication. What would be the best action of the nurse? (Select all that apply) A. Recommended that he start cutting his pills in half, and see how it goes B. Affirm his plan to stop taking it, but tell him to restart it if tremors occur C. Recommend that he develop a withdrawal plan with his prescriber D. Educate the client that suddenly stopping the drug could precipitate seizures E. Tell the client that once a medication for seizures is started it can never be stopped
- 148. Open EndedAspirin (acetylsalicylic)
- 149. Open EndedSide effects/adverse reactions include: bronchospasms, hearing loss, dizziness, confusion, GI distress, peptic ulcer, and hepatotoxicity
- 150. Open EndedIbuprofen
- 151. Open EndedCelecoxib
- 152. Open EndedColchicine
- 153. Open EndedProbenecid
- 154. Open EndedLyrica (Pregabalin)
- 155. Open EndedA patient is prescribed colchicine. It is most important for the nurse to give which instruction to the patient? A. Increase vitamin C intake B. Avoid alcohol and caffeine C. Increase foods high in purines D. Take it 2 hours before meals
- 156. Open EndedA patient has been advised to take ibuprofen. When teaching the patient about it, which instruction should the nurse include? (Select all that apply) A. Avoid taking aspirin with ibuprofen B. Take with food to reduce GI upset C. Monitor for bleeding gums, nosebleeds, and black tarry stools D. Take herbs, such as ginko and garlic, with this E. Take NSAIDs 2 days before menstruation to decrease discomfort
- 157. Open EndedA patient is ordered to receive low-dose aspirin to prevent a heart attack. Which assessment, if found in the patient, is the highest priority for the nurse? A. Otitis externa B. Multiple bruises C. Dry mouth D. Aches in the joints
- 158. Open EndedWhich herb is associated with the development of bleeding if taken with nonsteroidal antiinflammatory drugs? A. Garlic B. Echinacea C. St. John's wort D. Cinnamon
- 159. Open EndedOpioid analgesics
- 160. Open EndedSide effects include: constipation, decrease in BP; in high doses can cause respiratory depression (low RR and O2 stats), urinary retention, and antitussive effects
- 161. Open EndedOpioid agonist-antagonists
- 162. Open EndedOpioid antagonists
- 163. Open EndedNaloxone (Narcan)
- 164. Open EndedMorphine sulfate has been ordered for pain control. Before administering, it's most important for the nurse to assess the patient for A. Severe renal disease B. Hypothermia C. Allergy to penicillin D. Hypertension
- 165. Open EndedThe nurse assesses a patient receiving morphine via a PCA pump. The patient has a RR of 6 breaths/min. The nurse anticipates administration of which of the following drugs? A. Naloxone (Narcan) B. Sumatriptan (Imitrex) C. Nalbuphine HCl (Nubain) D. Hydromorphone (Dilaudid)
- 166. Open EndedThe nurse identifies which of the following as a common side effect/adverse effect of morphine therapy? A. Diarrhea B. Hypertension C. Urinary retention D. Tachypnea
- 167. Open EndedNeuroleptic agents
- 168. Open EndedAliphatic: chlorpromazine (thorazine)
- 169. Open EndedHaloperidol (Haldol)
- 170. Open EndedSide effects include: sedation, EPS, dry mouth, blurred vision, orthostatic hypotension, and urinary retention; has an increased toxicity with anticholinergics (Parkinson's drugs)
- 171. Open EndedExtrapyramidal symptoms (EPS)
- 172. Open EndedAcute dystonia: muscle spasms of face, tongue, neck, and back, facial grimacing, and laryngeal spasms Akathisia: constant motion (pacing) Tardive dyskinesia (TD): protrusion and rolling of tongue, chewing action
- 173. Open EndedNeuroleptic Malignant Syndrome
- 174. Open EndedOlamzapine (Zyprexa)
- 175. Open EndedNursing interventions include: give oral meds with food or milk; monitor for EPS, NMS, and WBCs; may turn urine pink to red brown; warn the patient that drug may take 3-6 weeks to achieve effectiveness; warn patient not to combine with alcohol, narcotics, or other CNS depressants; warn against sudden discontinuation to avoid sudden recurrence of psychotic symptoms
- 176. Open EndedLorazepam (ativan)
- 177. Open EndedSide effects include: drowsiness, confusion, blurred vision, weakness, sleep disturbance, GI distress, and in elders memory loss, confusion, and unsteady gait
- 178. Open EndedAntidote is Flumazenil
- 179. Open EndedBuspirone hydrochloride (BuSpar)
- 180. Open EndedThe nurse realizes more medication teaching is necessary when the 30yr old patient taking lorazepam states: A. I must stop drinking coffee and colas. B. I can stop this after 3 weeks if I feel better. C. I must stop drinking alcoholic beverages. D. I should not become pregnant while taking this drug.
- 181. Open EndedAssessment findings for a patient with neuroleptic malignant syndrome (NMS) include A. Bradycardia B. Hypothermia C. Muscle weakness D. Rhabdomyolysis
- 182. Open EndedA patient has been diagnosed with neuroleptic malignant syndrome. The nurse anticipates administration of which medication to treat this patient? A. Dantrolene (dantrium) B. Tetrabenazine C. Propranolol D. Lorazepam
- 183. Open EndedMonoamine Oxidase Inhibitors
- 184. Open EndedSide effects: hypertensive crisis from tyramine interaction, orthostatic hypotension, agitation, and insomnia
- 185. Open EndedAntidepressant agents
- 186. Open EndedA patient with major depression has been prescribed fluoxetine (Prozac). What appropriate dosing regimen would the nurse expect? A. 20mg every morning B. 40mg 3 times per day C. 50mg at bedtime D. 100mg 4 times per day
- 187. Open EndedBefore administering an MAO inhibitor, it is most important for the nurse to assess the patient's A. Sexual history B. Socioeconomic status C. Dietary intake D. Hydration status
- 188. Open EndedWhich lab test is most important for the nurse to monitor when a patient is receiving lithium? A. Urinalysis B. Serum glucose C. Serum electrolytes D. Complete blood count
- 189. Open EndedWhen providing dietary teaching for a patient taking monamine oxidase inhibitors (MAOIs), the nurse should teach the patient to avoid which food? A. Yogurt B. Avocado C. Grapefruit D. Potato chips
- 190. Open EndedWhich adjustment in pain medication may be needed for an elderly person with elevated liver enzymes due to anticonvulsant therapy? A. A higher dose should be used with the same time schedule due to excessive enzyme counts B. The time between doses should be expanded to allow for metabolism in hepatic dysfunction C. The medication should be crushed to facilitate more rapid metabolism D. The time between doses should be shortened. Elevated enzyme counts will speed metabolism
- 191. Open EndedThe nurse reads that the half-life for morphine is roughly 3 hours. How would the nurse use this information to decide if it is safe to give morphine every 3 hours as needed for pain? A. The half-life shouldn't be an issue here; pain alone should determine the interval. B. The half-life shortens in states of dependence; it will be needed more often. C. The half-life shortens over time as the liver becomes familiar with the drug. D. The half-life would be longer in hepatic insufficiency; the drug would accumulate.
- 192. Open EndedA client with persistent pain due to cancer is brought to the ER by his spouse. Upon assessment, the nurse notes pinpoint pupils and a RR of 6 breath/min. The nurse should immediately prepare for administration of which medication? A. Naloxone (Narcan) B. Flumazenil C. Methamphetamine D. Acetylcysteine
- 193. Open EndedA nurse is providing client education about the use of a fentanyl transdermal delivery system. Which of these statements would indicate accurate understanding of self-care expectations? A. Massage the patch whenever pain occurs B. Always apply the patch to the same spot on your skin C. Change the patch every 72 hours D. Driving is safe when using this form of narcotic
- 194. Open EndedWhat should the nurse do after giving a young man Dilaudid for migraine? A. Awaken him to assess his pain level B. Explain the risks after giving it C. Offer him something to eat D. Provide a restful, dimly lit environment
- 195. Open EndedA client is returning to the clinic for follow-up related to elevated liver enzymes. Which of the following meds on the client's med list would concern the nurse the most? A. Vitamin C prn for cold symptoms B. Daily antihistamines C. Acetaminophen prn for pain D. Ibuprofen 3 times a day
- 196. Open EndedA client taking amitriptyline complains of having blurred vision and dry mouth, and states he hasn't has a bowel movement in 3 days, when he used to daily. his temp is 97.6F, pulse 90/min, BP 130/79, and RR 20/min. Based on this assessment, the nurse should suspect which of the following causes? A. Medication incompatibilities B. Sympathetic effects C. Dehydration D. Anticholinergic effects
- 197. Open EndedA depressed client is being started on phenelzine, a monoamine oxidase (MAO) inhibitor. Which statement shows he knows the needed self-care precautions? A. Nardil causes memory problems, but I can take Ginseng to help with that. B. I can't drink alcohol, but caffeinated drinks and hot chocolate are fine. C. I can have pizza as long as there is no sausage on it. D. When I go to cookouts this summer I should eat chicken instead of hotdogs.
- 198. Open EndedThe client has been prescribed clozapine, an atypical antipsychotic. Which lab finding should the nurse pay close attention to since it may be altered by this med? A. Thyroid level B. WBC count C. Albmin level D. Arterial blood gases
- 199. Open EndedA client who has been taking haloperidol, a traditional antipsychotic, is now complaining of severe muscle spasms of the neck and back. Based on these manifestations, which of these prn prescriptions could the nurse offer to help stop the symptoms? A. Benadryl B. Motrin (ibuprofen) C. Ativan (lorazepam) D. APAP (acetaminophen)
- 200. Open EndedAn elderly person is being assessed for repeated falls, which of the meds increases that risk? (Select all that apply) A. Halcion, a benzodiazepine for sleep B. Acetaminophen, a peripheral analgesic for back pain C. OxyContin, an opiate for back pain D. Lyrica, a GABA sustainer for nerve pain E. Capsaicin cream for local control of back pain
- 201. Open EndedThe nurse is preparing to administer lithium to a client with bipolar disorder. What symptoms might the nurse expect to see? (Select all that apply) A. Irregular HR B. Hunger C. Slurred speech D. Unsteady gate E. Pacing F. Drooling
- 202. Open EndedWhich of these effects of opiate analgesics should be considered when formulating a client care plan? (Select all that apply) A. Constipation B. Cough suppression C. Inflammation reduction D. Fall risk E. Fever reduction
- 203. Open EndedAllopurinol
- 204. Open EndedSumatriptan
- 205. Open EndedAripiprazole
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