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