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