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