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