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