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