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