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