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