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