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