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