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