pharm test 1

  1. a drug that stimulates the action of a receptor is known as an:




    C.
  2. in terms of drug absorption, which circumstance will enhance or promote a drug's effect?




    B.
  3. the six rights that a nurse should consider before administering a drug include all of the following except:




    D.
  4. suzie is a 22 year old that was prescribed oxycontin for pain and took this drug for 2 weeks. she presents today at prime care with shaking chills, sweating, facial flushing, severe anxiety, and hallucinations. the RN recognizes, based on suzie's medication history, that she is experiencing withdrawal symptoms secondary to:




    D.
  5. buster is receiving Digoxin to slow and strengthen his heart rate. he begins to complain of everything looking yellow. the RN knows it may be time to assess:




    A.
  6. when the RN administers a drug that is classified in the drug literature as nephrotoxic, he/she should assess the patients':




    B.
  7. when adjusting doses of a particular drug for variations in patient size, the most accurate dose determination can be calculated based on:




    D.
  8. John is a 45 year old patient who presents to the ER complaining of severe back pain. He has been treated for 6 months now with Morphine 10mg by mouth every 6 hours as needed for back pain. The RN determines that this dosage is no longer effective for John as his pain is not well controlled and is averaging a "5" on a scale of 0-10. this is an example of:




    A.
  9. the drug allergy reaction that produces a life threatening reaction that can lead to brochospasm, laryngeal edema, respiratory distress and a drop in blood pressure is:




    C.
  10. when determining whether an adverse drug reaction has occurred, the nurse should consider which question?




    D.
  11. the effects of a drug on the body




    C.
  12. dilantin is a commonly used medicine for the treatment of seizure disorders. the RN is aware that the lab values for Dilantin should be between 10 and 2- mcg/ml. this narrow window is called the:




    B.
  13. prescribed medications are prepared and administered during which phase of the nursing process?




    C.
  14. mrs. j presents to the ER with an apparent facture of the right ankle and severe pain. she has a medical history of diabetes mellitus; CHF; and elevated liver enzymes. dr. k is considering the therapeutic objective in treating mrs. j's pain, which is to:




    C.
  15. the nurse is caring for the patient with kidney disease. the nurse needs to make more focused assessments when administering medications to this patient bc the patient may experience problems with the process of:




    C.
  16. lab values obtained for certain drugs to ensure dose is therapeutic
    plasma drug level
  17. the most important property a drug can have
    effectivness
  18. great leafy veggi (high in vit K) may decrease anticoagulation from Coumadin
    food-drug interaction
  19. the property of a drug that elicits only the response for which it is given
    selectivity
  20. "acetaminophen"
    generic name
  21. "N-acetyl-para-aminophenol"
    chemical drug name
  22. theophylline interfers with Coumadin levels
    drug-drug interaction
  23. "tylenol"
    trade name
  24. liver failure produced by tylenol overdose
    iatrogenic disease or effect
  25. drug fits here at the cellular level like a lock and key
    drug receptor
  26. a drug that prevents or impedes the actions of a receptor is an




    A.
  27. the use of drugs to diagnose, prevent or treat disease or prevent pregnancy is




    D.
  28. prescribed medicines are prepared and administered during which phase of the nursing process?




    D.
  29. mr. booger is an 88 year old man prescribed an antihistamine for a sinus infection. while taking this drug he notices that he is very sleepy all the time. this is an example of:




    C.
  30. the RN is the:




    D.
  31. select the accurate statement regarding the placebo effect of medicines.




    A.
  32. select the accurate statement regarding gender differences in response to drugs




    A.
  33. when one drug alters the absorption of a second drug taken at the same time, the interaction would be classified as:




    A.
  34. mr. r has liver disease. he is recieving a drug that is metabolized by the liver. the nurse needs to most carefully monitor the patient for signs of:




    A.
  35. how the body effect a drug:




    C.
  36. The RN has just administered Atropine 0.5 mg IM along with Versed 5 mg as a pre-operative medication. 40 mins later the injection the patient states, "it feels like my heart is racing." the patient's apical pulse is 136. the RN would:




    B.
  37. a patient with an obvious allergy is stuck by a bee, shortness of breath and feeling of chocking ensues to accompany a very large local inflammatory reaction. the catecholamine of choice for treating this would be




    C.
  38. what is the goal of pharmacologic therapy in treating Parkinson's disease?




    D.
  39. beta2-specific adrenergic agonists are used frequently to treat:




    B.

    beta2-specific adrenergic agonist stimulate bronchial dilation, which is esp. effective in treating asthma and bronchospasm when the bronchial airway is narrowed by inflammation or muscle spasm. they are not effective in treating hypotension, allergic rhinitis, or urinary retention
  40. a patient with Parkinson's disease has been achieving good symptom control with the first line drugs for treatment of this debilitating disease, which are:




    D.
  41. patients who are administered a new drug should be asked about the use of alternative therapies, such as herbal supplements because:




    D.

    alternative therapies often involve the use of herbal products, which contain natural chemicals that affect the body. many drug-alternative therapy interactions have been reported that could cause serious effects. the health care provider needs to be alert to these possible interactions to adjust treatment appropriately. cost and effectiveness may be factors, but the balancing of these therapies in the drug regimen to prevent interactions is the main concern of the nurse.
  42. a patient is being treated for shock. in treating the patient, one goal is to stimulate increase renal blood flow. the drug of choice would be:




    D.

    dopamine is the drug of choice in treating shock because it stimulates the heart, increases blood pressure, and increases blood flow to the kidneys
  43. a patient is taking a beta-blocker for hypertension should be cautioned to report:




    B.

    beta-blockers will prevent the bronchodilation that occurs with stress or injury to the bronchial lining. patients should be advised to report any difficulty breathing. it would be expected to see loss of energy, decreased sexual function, and decreased sweating with these drugs.
  44. three major neurotransmitters of the Nervous System include.



    A.

    adrenergic blocking drugs cause bradycardia, help block hyperglycemia, and do not usually cause difficulty breathing. one would not anticipate tachycardia bc bradycardia is the usual effect
  45. mrs. b is a 67 year old client with a long standing history of depression, treated with tricyclic antidepressant, during a recent hospitalization the following drugs were ordered for her: atropine sulfate, morphine sulfate, ditropan (oxybutinin) and aspirin. on the 2nd day of her hospitalization, mrs. b complained of blurred vision and sensitivity to light. what would the RN suspect?




    A.
  46. one of the effects of sympathetic stimulation is relaxation of the uterus. an adrenergic agonist that is used specifically to manage preterm labor by relaxing the uterus is:




    D.

    ritodrine is a sympathetic stimulant that is used clinically to relax the uterus to manage preterm labor
  47. which body systems are most affected by epinephrine therapy?




    A.
  48. if a patient develops muscarinic antagonist toxicity from ingestion of a chemical, the nurse should be prepared to:




    D.
  49. 85 year old, mrs. c is admitted to the ER with the inability to void. she is very uncomfortable, and something must be done soon since she has not urinated in 14 hours. a stat IVP and flat plate of the abdomen reveal no evidence of urinary obstruction. the nurse would expect the following actions to be performed:




    A.
  50. a patient has an infection in the CNS. which structure may make delivery of antibiotic therapy more difficult?




    C.
  51. which statement is correct regarding the impact of prolonged CNS drug exposure on the CNS.




    D.
  52. the drug allergy reaction that produces a life threatening reaction that can lead to brochospasm, laryngeal edema, respiratory distress and drop in blood pressure is:




    C.
  53. a patient who is stabilized on a beta blocker is prescribed prazosin (minipress) to increase blood pressure control. the nurse teaching this patent should stress that:




    C.

    when beta blockers and prazosin are taken concurrently, the patient is at increased risk for orthostatic hypotension. special safety precautions should be taken to avoid injury, including changing positions slowly .with the sympathetic system blocked, the patient should not feel nervous or have high glucose levels. swelling of the legs would not be expected if the therapeutic doses are used.
  54. which drug

    pre-op med to dry gastic and respiratory secretions; also used to increase heart rate in heart blocks and cardiac arrest
    atropine
  55. which drug

    asthma; delay of pre-term labor
    terbutaline
  56. which drug

    in low doses to increase urine output, in high doses for shock
    dopamine
  57. which drug

    anti-anxiety; muscle spasms; status epilepticus
    diazepam (valium)
  58. which drug

    allergic reactions; anaphylactic shock, cardiac arrest
    epinephrine
  59. which drug

    unobstructed urinary retention
    bethanecol (urecholine)
  60. which drug

    seizures
    phenytoin (dilantin)
  61. which drug

    overactive bladder
    oxybutinin (ditropan)
  62. which drug

    muscle spasms
    baclofen
  63. which drug

    less potent catecholamine to treat hypotension
    dobutamine
  64. which drug class

    ditropan
    non-catecholamine adrenergic agonist
  65. which drug class

    atropine
    anticholinergic for over active bladder
  66. which drug class

    epinephrine (adrenaline)
    catecholamine
  67. which drug class

    ephedrine
    anti-cholinergic emergency drug
  68. which drug class

    metoprolol
    beta blocker
  69. which drug class

    urecholine (bethanecol)
    cholinergic
  70. which drug class

    levodopa/carbidopa (sinemet)
    anti-parkinson's drug
  71. which drug class

    dilantin
    anti-epileptic
  72. the following are functions of the Parasympathetic NS: (select all that apply)

    a. emptying of the bowel and bladder
    b. redistributing blood flow during exercise
    c. focusing the eye for near vision
    d. maintaining blow flow to the skin
    e. slowing the heart rate
    f. increasing gastric secretions
    • all except redistributing blood flow during exercise
    • and maintaining blood flow to the skin
  73. an adult patient arrives at the ER after an overdose of cholinergic drugs. the nurse anticipates administering what drug IV?




    C.
  74. a diabetic patient who is treated wich a nonspecific beta-blocker would have to learn:




    B.
  75. 12 year old johnny has muscular dystrophy. his condition leaves him with very tense muscles that could easily become contractures. the RN knows that johnny could be given which drug to treat the spasticity in his muscles:




    B.
  76. severe hypertension, headache, and hyperpyrexia can occur if alpha agonists, such as epinephrine or phenylephrine are combined with:




    A.
  77. mrs. g, a 44 year old housewife is grocery shopping at wal-mart. suddenly, lucy falls to the floor and begins to jerk uncontrollably. she does not seem alert, and her entire body is convulsing. after about 30 seconds of this, she loses control of her bladder. as an RN, you know that




    A.
  78. a patient with Parkinson's disease who has been positively responding to drug treatment suddenly develops a relapse of symptoms after eating a very high protein meal. which explanation by the nurse is appropriate?




    B.
  79. a patient has been receiving dopamine by IV injection to try to maintain blood pressure. the nurse who is checking the infusing notices that it has infiltrated and the medication has leaked into the tissues. the nurse should:




    D.

    a patient receiving IV dopamine would be in a critical state. if the IV infiltrates, it should be pulled and a new line should be restarted immediately in another site and the infiltrated site should be injected with phentolamine to prevent severe vasoconstriction and cell death
  80. a patient brought into the ER is experiencing hypotension. blood pressure reads 86/48. what class/classes of drug is indicated for treatment?




    B.

    remember that blockers block the receptors so lowering of blood pressure occurs. dopamine and epinephrine are used to increase blood pressure
  81. GCCC grad, nancy nurse, is dressing to go and take her NCLEX exam. only one problem, her irritable bowel syndrome (IBS) has flared. she has horrible abdominal cramps, and she cant stay out of the bathroom. of the drugs we studied so far, which class might give ms. nurse the most immediate relief?





    C.
  82. nursing care of a patient who is receiving an adrenergic blocker would include:




    C.

    adrenergic blockers can cause intense headache that could be alleviated by analgesic medication. boweling and bladder effects occur with anticholinergic drugs. breathing exercises would not be an effective intervention for a patient with a beta-blocker
  83. a patient is receiving an adrenergic agonist in the catecholamine family. the nurse caring for this patient would not:




    D.
  84. an adrenergic drug that is used most frequently to treat shock and very low blood pressure is:




    B.

    chonidine is an adrenergic drug that is used to treat essential hypertension in adults. you would not use isoproterenol, which elevates blood pressure; midodrine, which is used for treating orthostatic hypotension; or phenylephrine, which is to relieve the symptoms of seasonal rhinitis
  85. a patient with Parkinson's disease says, I always take my other meds with my bacon and eggs each morning. can i take the levodopa at this time too?
    select the nurse's best response




    D.
  86. a 71 year old patient has taken levodopa for Parkinson's disease for 2 weeks but reports no improvement in the symptoms. select the nurse's best response




    C.
  87. dobutamine is useful in the treatment of




    D.
  88. beta1 receptors affect the ____, and beta2 the _____.




    A.
  89. a patient with Parkinson's disease who is taking levodopa experiences dizziness when getting out of bed. the nurse should instruct the patient to:




    D.
  90. a patient on levodopa for Parkinson's disease tells the nurse, I just began taking a medication for severe depression. the nurse should ask the patient which antidepressant was prescribed because:




    A.
  91. a patient being evaluated in the emergency department with a diagnosis of anticholinergic poisoning (with an overdose of Atropine) verses psychosis. which sign or symptom would the nurse expect to find if the patient is experiencing poisoning?




    C.
  92. many over-the counter cold and allergy preps contain phenylephrine, an alpha agonist. because this drug stimulates the effects of the alpha receptors, patients who should be advised to avoid these drugs include patients with.




    C.

    phenylephrine is a stimulant that will raise blood pressure and increase heart rate. patients with hypertension should avoid these drugs bc serious elevations in blood pressure could occur. hypotension and urinary retention are not cautions for using the drug. cough may be an indication for the drug
  93. the body's mechanism for protecting the CNS from toxic substances is called the:




    D.
  94. the nurse plans to administer atropine to a patient on multiple meds. which agent would be safe to administer with atropine?




    A.
  95. an order states that a drug should be administered on an empty stomach. this generally means that the nurse should give the drug wheN?




    B.
  96. the nurse should expect cholinergic drugs, such as benthanecol (urecholine) to:




    A.

    the nurse is responsible for administering drugs, evaluating the patient's response to the drug, and teaching the patient about the drug. pharmacists are responsible for dispensing the drug.
Author
shaiangelz
ID
68745
Card Set
pharm test 1
Description
pharm test 1
Updated