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