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A comprehensive study of drugs and their effects on living systems, including the mechanisms of action, therapeutic uses, adverse effects, and interactions.
When a drug is absorbed from the GI tract, it enters the portal circulation before entering the systemic circulation.
Bronchodilators are indicated in clients with emphysema and other restrictive airway disease.
Dexamethasone (Maxidex) should not be used for eye abrasions and wounds.
______________8. Diclofenac sodium (Solaraze) is used in conjunction with blue light photoactivation in treating actinic keratosis.
Thyroid hormones control the metabolic rate of tissues and decreases heat production and oxygen consumption of the body.
Client taking anticholinergic has drug interaction in the following except:
PENTAVALENT VACCINE 5.
______________2. Acneiform eruptions is included also in systemic adverse effects of topical glucocorticoids.
9. It is a maintained concentration of a drug in the plasma during a series of scheduled doses.
Which of the following is not a short acting insulin:
An aqueous solution of sugar often used to disguise unpleasant-tasting drugs.
Bethanechol chloride (Urecholine) is not given to a client who has a urinary stricture or obstruction.
Streptokinase
Give the rationale of the following nursing intervention for clients receiving medications for urinary system. 2 points each.
19. These routes have the highest bioavailability and not subject to first-pass metabolism or harsh GI environment.
The nurse should advise the client taking anticholinergic medication that antacid:
Tamoxifen citrate may cause impotence and gynecomastia in men.
Lithium has teratogenic effect during 3rd trimester.
For clients taking MAOI, avoid administering the medication in the evening.
II. Enumeration Give at least five rights in medication administration.
Bile acid sequestrants should use cautiously in clients with suspected bowel obstruction or severe constipation.
Children receiving the Varicella vaccine should avoid aspirin or aspirin-containing products.
Leukotriene increases bronchoconstriction caused by antigen and reduce airway edema.
Glucocorticoids is intended for acute respiratory attacks.
When using a bronchodilator inhalant in addition to the steroid inhalant, use the steroid at least 5 minutes prior to the bronchodilator.
The dosage of a benzodiazepine should be tapered gradually over:
Returns the body to health.
Positive inotropic and cardiotonic medications are used for:
Which of the following blood levels that needs to be monitored if the client is receiving Heparin sodium:
Cardiac glycoside is used in clients with cardiogenic shock.
In using sunscreens, products containing PABA need to be avoided by individuals allergic to benzocaine, sulfonamides, or thiazides.
An antineoplastic medication that affect cells in any phase of the reproductive cycle.
Antitumor antibiotic medication, pulmonary toxicity can occur with:
When administering phenytoin intravenously, infuse no faster than 25 to 50 mg/min; otherwise, hypertension and cardiac dysrhythmias could occur.
The client receiving antineoplastic medication is instructed to use a soft toothbrush and electric razor to:
Parasympatholytic medication is used in children and clients with narrow-angle glaucoma.
Sympathomimetic medication is used to treat hypertension, heart failure and cardiac arrest.
Vastus lateralis muscle is the recommended site of intramuscular injection in young adult.
1. Order: Client is receiving Erythromycin 750 mg, the stock on hand is 250 mg in 5 mL. How many ML should be given. (5 POINTS)
Silver sulfadiazine (Silvadene, Thermazene, SSD Cream) systemic effects include leukopenia and interstitial nephritis.
Administer analgesic as prescribed to client’s receiving ergot alkaloids.
Cimetidine (Tagamet) passes the blood-brain barrier.
4. It is the metabolic conversion of drug molecules to more water-soluble metabolites or less active form that are more readily excreted.
Prostaglandin is used for:
Give the rationale of the following nursing intervention for clients receiving medications for cardiovascular system. 2 points each.
Also known as one-time order is for medication to be given once at a specified time.
May be carried out indefinitely until an order is written to cancel it.
Hepatotoxic medications are avoided with the use of androgens.
Antidiuretic hormones enhances reabsorption of water in the kidneys.
Which of the following is not used to decrease extrapyramidal side effects:
Vaccines administered intramuscularly for children 36 months and older are best given in:
20. Solution injected into intravascular compartment via a vein.
Replaces body fluids or substances.
15. The pharmacologic effects when the drug produces the same type of response as the physiological or endogenous substance.
Monitor kidney and liver function studies.
4. Specialist who often guides the primary care provider in prescribing drugs.
Common complaint of clients taking an ACE inhibitor.
An antineoplastic medication that affect cells only during a certain phase of the reproductive cycle.
Instruct the client that cyclophosphamide, when prescribed orally, is:
The following drug is used for moderate and severe dementia and Alzheimer’s disease.
Administer antiemetics several hours before chemotherapy and for 12 to 48 hours after as prescribed.
Alpha adrenergic blocker should be taken with food or milk.
Parasiticidal prevents worm growth and reproduction (for pinworms).
Montelukast, oral (Singulair) should be taken 1 hour before or 2 hours after meal.
Antitussives should not be administered to the client with a head injury or a postoperative cranial surgery client.
Enoxaparin
Cures a disease or condition.
Famotidine (Pepcid) and nizatidine (Axid) can be administered with food.
Adrenergic agonist is for:
Antacids is used in clients with peptic ulcer disease and gastroesophageal reflux disease.
Client receiving Nifedipine (Procardia, Adalat, Nifedical) should avoid use or use cautiously with magnesium sulfate, to prevent which of the following?
The vaccines should be stored on a center shelf and not on the door.
8. Most drug metabolites are eliminated in the:
An example of beta adrenergic blockers.
In irrigation of the ear, the doctor may prescribe hydrogen peroxide solution.
Acetaminophen
Antigout medication should be used cautiously in clients with gastrointestinal disease.
Antihistamine is used for colds and rhinitis.
A licensed health professional who prepares, dispenses and advises on medicinal drugs.
The nurse should instruct the client not to use sodium osmotic with older adults or children.
Client taking antigout medication should be instructed to avoid foods high in purine.
Clients taking anticoagulants should not take aspirin or NSAIDS.
In client taking glucocorticoids, the nurse should use this medication with extreme caution in clients with infections.
5. The time interval required for the body’s elimination processes to reduce the concentration of the drug in the body by one-half.
Aluminum hydroxide is used to treat hypophosphatemia.
A medication mixed with alcohol, oil, or soapy emollient and applied to the skin.
6. The rate and extent to which an administered drug reaches the systemic circulation.
Client taking prednisone should monitor glucose and serum potassium levels because it can cause hyperglycemia and hypokalemia.
Bethanechol chloride (Urecholine)
Which of the following damages HIV’s DNA interfering with ability control host DNA?
Neuromuscular blockers
The nurse should advise the client taking cholinergic medication to take the medication as prescribe.
Medication used to treat psoriasis that is contraindicated during pregnancy.
Phenytoin decreases the effectiveness of some birth control pills and can have teratogenic effects if taken during pregnancy.
Nursing intervention necessary for client receiving silver sulfadiazine (Silvadene, Thermazene,
The effects urinary tract antiseptics can also be use for infections outside the urinary tract.
Magnesium sulfate is used for:
Instruct the client about the need for contraception.
Sulfonamides is contraindicated in children younger than 2 years.
22. An aerosol generator that converts liquid drug solutions or suspensions into aerosol and is powered by compressed air, oxygen, a compressor, or an electrically powered device.
Which of the following is not a positive symptom of schizophrenia:
Pilocarpine
The client with HIV or AIDS is at high risk for the development of:
An example of calcium channel blockers.
Dopamine decreases the myocardial contractility thus, improving cardiac performance.
Rectal route is considered topical application.
______________3. Organic (chemical) sunscreens absorb UV light.
MMR vaccine protects against measles, mumps, and rubella.
Circadian and sleep cycles can also affect drug therapy.
Atypical new generation medication decreases effects of dopamine serotonin and/or norepinephrine at neural membranes.
Cardiac glycosides
3. This name describes the constituents of the drug precisely.
_____________10. Coal tar can stain the skin and hair.
Cardiac glycosides produce a negative chronotropic action, which:
Which of the following is not a typical cholinergic effect:
Leukotriene modifiers are contraindicated in breast feeding mothers.
Edrophonium (Tensilon)
Immunosuppressants used for the following except?
Offer sips of water before giving sublingual nitrates:
______________4. Keratolytics suppresses DNA synthesis, miotic activity, and cell proliferation.
Glucocorticoids are administered with caution in clients who have inflammatory respiratory conditions.
NSAIDs medication is included in antigout medication.
Neuromuscular blockers is used with anesthetics during surgery to maintain muscle relaxation.
Diazepam (Valium) acts on the CNS to suppress spasticity and affect skeletal muscle directly.
Antithyroid medication is used for hyperthyroidism or Grave’s disease.
Clients taking loop diuretics should be advised to:
RhoGAM should be administered within 72 hours before potential or actual exposure to Rh-positive blood.
When receiving positive inotropic and cardiotonic medications, the nurse should monitor for?
Spironolactone (Aldactone) is a:
Skeletal muscle relaxant is indicated for clients with cerebral palsy.
Eye lubricant add moisture to the eyes.
______________7. Client who use Aminolevulinic acid (Levulan Kerastick) should protect the area from sunlight and bright indoor lights.
Mexiletine may be administered with food or antacids.
Give the rationale of the following nursing intervention for clients receiving medications for respiratory system. 2 points each.
Instruct the client taking a corticosteroid not to stop the medication abruptly.
Anticholinergic medication is also known as cholinergic-blocking agents.
Nasal decongestant can be use in client with allergic rhinitis and acute coryza.
Typical antipsychotic medication is given in clients exhibiting alogia.
9. Which of the following is not an indication of prostaglandin?
Client taking alpha adrenergic blocker should be instructed to change positions slowly.
Clients receiving tocolytics should be positioned on her side.
3 1/2 MONTH 7.
Which of the following is not included in estrogen hormonal medications?
Severe side effect or toxicity.
Placement under the tongue allows a drug to diffuse into the capillary network and to enter the systemic circulations indirectly.
Adrenergic agonist is contraindicated in clients with:
Skeletal muscle relaxant is contraindicated in clients with multiple sclerosis and brain attack.
16. Which of the following is not included in client teaching in medication administration?
Give the rationale of the following nursing intervention for clients receiving medications for musculoskeletal system. 2 points each.
Which of the following is not a rapid acting insulin:
Metabolites is the product of biotransformation.
Sustained-released nitrates, the client should be instructed to:
Physician orders 1500 mg of liquid ibuprofen for a patient. Quantity of Ibuprofen is 500 mg in 1 cc, how much will you administer?
Monitor for neurotoxicity with vincristine sulfate manifested as:
A concentrated form of a drug made from vegetables or animals.
Monitor for petechiae, ecchymosis, bleeding of the gums, and nosebleeds.
If the client decides to discontinue the contraceptive to become pregnant, recommend that the client use an alternative form of birth control for 2 months after discontinuation.
Which of the following is a sign and symptoms of dystonia:
11. Type of metabolites that has a pharmacologic action.
Which of the following is not included in atropine toxicity.
Buspirone effect takes 3-6 weeks, which is shorter than other anxiolytics.
Psychological/physiological need to take a medication.
The onset of drug action in transdermal route is slower than oral route.
If diarrhea is a problem, avoid hot foods and high-fiber foods.
Which of the following is not a withdrawal symptom of benzodiazepine:
1 1/2 TO 3/12 MONTH 6.
For clients receiving tricyclic medications should be instructed to avoid alcohol and nonprescription medications.
Benzodiazepines are contraindicated in clients with anxiety.
Varicella vaccine administration route is:
Which of the following is a sign and symptoms of Parkinsonism:
Penicillins and cephalosporins should be given separately with aminoglycosides.
Unexpected or unique response.
10. Placement of drug under the tongue.
Monitor liver function tests when a client is taking a skeletal muscle relaxant because neurotoxicity can occur.
Take anticonvulsants with food or milk but avoid alcohol.
Clients with asthma can use mucolytic agents to increase airway resistance.
PENTAVALENT VACCINE 4.
Client who are taking medication through sublingual route should be advised to keep the medication under the tongue until it is absorbed.
If the client receiving immunosuppressants, flowers, plants, fresh fruit, and raw vegetables should be discouraged.
Transmucosal-buccal nitrates, the client should be instructed to:
Cardiac glycosides produce a positive inotropic action, which:
21. Injected in tissue just below skin.
Supports body function until other treatments or the body’s response can take over.
Immunosuppressants suppresses the immune response and alter antibody formations.
7. If magnesium sulfate is used for preeclampsia, it may be prescribed:
Bethanechol chloride is give only by:
Antineoplastic medication causes the slow destruction of cells, resulting in the release of uric acid.
In administering heparin injection, the nurse should massage the site of injection to hasten drug absorption.
Prolonged use of antibiotics can increase the client’s risk of superinfections, or secondary infections.
Clients taking bronchodilators, instruct the client to administer oral medication:
Cisplatin (Platinol-AQ) may cause:
Sodium bicarbonate may cause milk-alkali syndrome.
Anticoagulant is contraindication in clients with myocardial infarction and deep vein thrombosis.
Tocolytics produce uterine relaxation and suppress uterine activity.
Hepatitis A vaccine (HepA) administration route is:
Mydriatics are should not be given in clients with glaucoma.
Client receiving magnesium sulfate intravenously, the nurse should call the health care provider if respirations are less than 12 breaths/min.
High doses of oxytocin may cause hypotension, with:
When doing subcutaneous injection, the nurse should use z-track technique to avoid injecting the blood vessels.
Theophylline is a glucocorticoid medication.
1. Assigned by the United States Adopted Names (USAN) Council and is used throughout the drug’s lifetime.
Clients receiving antiemetic should protect from injury.
BIRTH 2.
______________1. Growth retardation is one of the systemic adverse effects of topical glucocorticoids.
Aspirin should be discontinued 3 to 7 days before surgery.
Client receiving antineoplastic medication should avoid aspirin-containing products.
Instruct the client taking amiodarone to use sunscreen and protective clothing.
Instruct the client taking anxiolytic medication to avoid alcohol and sedatives because:
1 1/2 TO 3 1/2 8.
Meperidine hydrochloride (Demerol) and hydromorphone hydrochloride (Dilaudid) should not administered in early labor.
The nurse should administer adrenergic agonist through a large vein.
Antigout medications can increase desired effect by taking aspirin.
______________6. In using sunscreens, products containing PABA need to be used by individuals allergic to benzocaine, sulfonamides, or thiazides.
When applying eye drops, the nurse should instruct the client to apply pressure over the inner canthus next to the nose for 30 to 60 seconds following administration of the medication.
In inserting rectal suppositories, the nurse should assist the client to a left lateral or left Sims’ position, with the upper leg flexed.
If gold toxicity occurs, the doctor may prescribe dimercaprol (BAL in oil) to prevent gold excretion.
Which of the following symptoms of anaphylactic reaction due to antineoplastic medications.
The main side effect of thrombolytic medication is formation of thrombus.
Metered-dose inhaler (MDI) is a handheld nebulizer that can be used by the client to release the medication through a mouthpiece.
In nasal medication, the client is advised to blow their noses after the administration of nasal sprays.
When a medication is intended for the trachea, bronchi, and/or lungs, it is inhaled through the nose.
For clients who are taking selective serotonin reuptake inhibitors (SSRI) should be administer with a snack or meal.
Which of the following blood levels that needs to be monitored if the client is receiving Warfarin sodium (Coumadin):
Digoxin (Lanoxicaps, Lanoxin) is contraindicated in clients with:
Client taking isoniazid should be instructed to monitor for tingling, numbness, or burning of the extremities because these are signs of hepatotoxicity.
The antidote for hypertensive crisis in client taking MAOIs, is:
The client receiving a laxative need to increase fluid intake.
Nitrofurantoin is contraindicated in clients with renal impairment.
Obtain a drug history before the administration of an opioid analgesic.
Inappropriate intake of a medication.
Pneumococcal conjugate vaccine (PCV) administration route is:
Tricyclic antidepressant clomipramine (Anafranil) may be used to treat obsessive- compulsive disorder.
18. Best route in administering drugs that are poorly absorbed from the GI tract and for agents that are unstable in GI tract.
During the administration of positive inotropic and cardiotonic medications, the nurse should:
Benzodiazepines should administer at no more than 5 mg/min intravenously to prevent bradycardia.
Mannitol (Osmitrol) is a:
BIRTH 1.
A preparation like an ointment, but thicker and stiff, that penetrates the skin less than an ointment.
Magnesium sulfate is contraindicated in clients with myocardial damage.
A gelatinous container to hold a drug in powder, liquid, or oil form.
When administering levodopa, instruct the client to avoid excessive vitamin B12 intake.
Thiazide and thiazide-like diuretics should be used with caution in client:
Magnesium sulfate
In client taking oral contraceptives, advise the client to use an alternate method of birth control when taking antibiotics.
3. Tocolytics is used for:
5. A scientist that researches new drugs.
One of the fetal contraindications of tocolytics is the gestational age greater than 37 weeks.
Which immunomodulator slows tumor cell division?
Early signs of digoxin toxicity present as:
Ergot alkaloids is contraindicated in clients with the following except:
Glucocorticoids should be used with caution in clients with diabetes mellitus.
14. The drug specific target usually a protein located on the surface of a cell membrane or within
The physician orders 500 mg of ibuprofen for a patient and you have 250 mg on hand. How many tablets should be given? ( 5PTS)
A flat, round, or oval preparation that dissolves and releases a drug when held in the mouth.
Which of the following is benzodiazepine antagonist:
Which of the following is a sign and symptoms of Akathisia:
Thrombolytic medication is contraindicated in clients with active internal bleeding.
9 MONTHS TO 1 YEAR 9.
The side effects of antineoplastic medication results from its effects in cancer cells.
An acne product where it decreases androgen activity resulting in decrease production of sebum.
Toxicity of alpha-adrenergic blockers is treated with:
19. Which of the following is an indication of anticholinergic medication.
Instruct the client taking fluoxetine (Prozac) or bupropion (Wellbutrin) to take the medication early in the day.
An example of alpha adrenergic blockers.
17. Tablet held between cheek and gum until dissolved.
Which immunomodulator agents induce more rapid bone marrow recovery after suppression by chemotherapy?
Magnesium sulfate is used with caution in clients with:
Furosemide (Lasix) is a:
Instruct clients with diabetes mellitus using β-adrenergic blockers as an eye medication to monitor blood glucose levels frequently.
2. The name under which a drug is listed in one of the official publications.
Instruct the client taking lithium (Lithobid) to maintain a fluid intake of six to eight glasses of water a day and an adequate salt intake.
Fluorouracil (Adrucil) may cause alopecia, stomatitis, diarrhea, phototoxicity reactions, and cerebellar dysfunction.
Topical glucocorticoids cannot be absorbed into the systemic circulation.
Opioid analgesic
Due to immaturity of liver and kidney function in older client, it may lead to accumulation of the drug in the body.
Phenytoin (Dilantin) is used to treat partial and generalized tonic-clonic seizures.
Mydriatics are contraindicated in clients with glaucoma because of the risk of decreased intraocular pressure.
Tincture of opium can be diluted with 15 to 30 mL of water for administration.
Client’s positive and negative expectations can increase or decrease response of the drug.
Sodium nitroprusside should protect from light.
Medication used to treat psoriasis that is contraindicated in clients with human immunodeficiency virus infection.
MMR vaccine administration route is:
Which of the following is a sign and symptoms of tardive dyskinesia:
Acetaminophen (Tylenol) is used to decrease pain and fever.
12. Type of metabolites that does not have pharmacologic action.
Opioids analgesics is used for:
Give the antidote of the following medications. 2 points each.
PENTAVALENT VACCINE 3.
13. The time after administration when the body initially responds to the drug.
Benzodiazepines interact with other CNS medications, producing an additive effect. TRUE
Before administering a bolus, the nurse should look up the maximum concentration recommended for the particular drug.
______________9. High-dose of anthralin (Dritho-Scalp, Psoriatec) may cause hypercalcemia.
Osmotic medication is used for emergency treatment of glaucoma.
Toxicities and overdose by the oral route may be overcome with antidotes, such as activated charcoal.
This site should be avoided when injecting vaccine in intramuscular route:
Prostaglandin is administered orally to induce labor.
Pneumococcal conjugate vaccine (PCV) is given orally.
Busulfan (Myleran, Busulfex) may cause:
Hypersensitive, life-threatening reaction.
Oder people who are taking sedatives require higher dosage due to decrease absorption of the drugs.
Clients receiving translingual nitrates (spray), the client should be instructed to:
In administering eye medication, instruct the client to read the medication labels carefully.
Nursing intervention necessary for client receiving mafenide acetate (Sulfamylon) include:
Abrupt withdrawal of adrenergic blockers may lead to:
Transdermal patch is applied to a hairless, clean area of skin that is subject to excessive movement or wrinkling.
Vaccines administered intramuscularly in infants are best given in:
Opioid antagonist used to treat respiratory depression from opioid overdose.
Antitumor antibiotic medication, dysrhythmias can occur with:
Dilates the pupils of the eye.
Requiring increase dose to achieve therapeutic effect.
______________5. Sunscreen should be reapplied every 30 minutes for increase protection.
Promote a fluid intake of at least 2000 mL/ day.
Varicella vaccine protects against:
Topical applications includes dermatologic preparations, installations and irrigations.
Mineralocorticoids are used for primary and secondary adrenal sufficiency in Addison’s disease.
Cholinergic drug include Bethanechol chloride (Urecholine).
Nitrates are contraindicated in clients with:
The therapeutic drug serum level of lithium is:
Enteric coated medication can be crush and mix with food if the client has difficulty swallowing.
CNS depressants have a calming effect on children with attention-deficit hyperactivity disorder and increase alertness and sensitivity to stimuli.
The best route in allergy testing and tuberculosis screening is intradermal route.
Methenamine is recommended for acute urinary tract infection.
The nurse should administer which medication in clients who developed anaphylactic reaction due to antineoplastic medications?
Client receiving antineoplastic medication should initiate bleeding precautions if:
Inform the client using eye gel to store the gel at room temperature or in the refrigerator.
The process by which metabolites and drugs are eliminated from the body.
Which of the following is not correct in magnesium sulfate?
Topical eye anesthetics are used for anesthesia for eye examinations and surgery or to keep foreign bodies from the eye.
TRUE OR FALSE
Immunomodulators stimulates the immune system to recognize cancer cells and take action to eliminate or destroy them.
7. Which of the following factors influencing absorption is not included?
Leukotriene modifiers should be used with caution in clients with impaired hepatic function.
25. Which of the following is nonbenzodiazepine anxiolytic:
Dr. B. orders a liter of D5W to run this 8-hour shift. The drop factor is 15. What is the drip rate per minute?
Which of the following prevents conversion of HIV RNA into HIV DNA?
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Related SubjectPneumatics and Hydraulics Technology, Design and Control
Physiological Psychology
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