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