Midterm & Final Exam: NR567/ NR 567 (Latest 2024/ 2025 Update) Advanced Pharmacology for the AGACNP Quiz Bank| Questions and Verified Answers| 100% Correct – Chamberlain
Midterm & Final Exam: NR567/ NR 567
(Latest 2024/ 2025 Update) Advanced
Pharmacology for the AGACNP Quiz Bank|
Questions and Verified Answers| 100%
Correct – Chamberlain
Q: The nurse is caring for a very anxious 33-year-old female patient scheduled for abdominal
surgery today. The patient said the anesthesiologist said she would receive succinylcholine
(anactine) during surgery and asks the nurse how long it will take before the medication starts to
work. What is the nurse’s best response?
Answer:
30 to 60 seconds
Q: The patient returns from surgery complaining about muscle pain after receiving
succinylcholine during the procedure After reviewing the postop- erative orders, which of these
ordered analgesics will the nurse administer to treat this pain?
Answer:
Aspirin
Q: A student asks the pharmacology instructor how succinylcholine differs from acetylcholine (Ach). What should the instructor respond?
Answer:
Succinyl- choline is not broken down instantly.
Q: The CRNA documents the anesthesia plan as using a depolarizing NMJ blocker as adjunct to
other anesthetics on the patient when they go to surgery. The nurse would understand from this
note that the patient will receive what drug?
Answer:
Succinylcholine (Anectine, Quelicin)
Q: The nurse administers pancuronium to the mechanically ventilated patient in the pediatric
ventilated patient in the pediatric intensive care unit. What assessment finding would the nurse
suspect is an adverse effect resulting from the drug?
Answer:
Bronchospasm
Q: The nursing student asks the mental health nurse why pancuronium was administered to the
patient before electroconvulsive therapy was performed. What is the mental health nurse’s best
response?
Answer:
To reduce the intensity of muscle contractions.
Q: When a nondepolarizing neuromuscular junction blocker is used as an adjunct to surgery,
what classification of medications could reverse the neu- romuscular blockage leading to early
arousal and return of muscle function?-
Answer:
Xanthines
Q: When causing depolarization of the muscle membranes, what neurotrans- mitter interacts
with the nicotinic cholinergic receptors leading to the release of calcium ions?
Answer:
Acetylcholine
Q: The nurse, working in the preoperative holding area, is caring for a
70-year-old patient who is scheduled to receive succinylcholine as part of general anesthesia.
When collecting the nursing history, what condition would require the nurse to notify the
anesthesiologist of the need for caution?
Answer:
Bone fracture
Malnutrition
Narrow-angle glaucoma
Q: The nurse is caring for a patient who received succinylcholine during surgery. The nurse
would expect the patient to spend more time in the post anesthesia care unit due to prolonged
paralysis and inability to breathe if the patient was from what ethnic group?
Answer:
Alaskan Eskimos
Q: A patient scheduled for surgery is to have a nondepolarizing neuromus- cular junction
(NMJ) blocker as adjunctive anesthesia. The nurse will have cause for concern about prolonged
paralysis if the patient has been taking what medication?
Answer:
An aminoglycoside
Q: A patient is having outpatient surgery that should last only 45 minutes. The patient is
planning to go home immediately after surgery is complete. What nondepolarizing
neuromuscular junction blocker will most likely be used as adjunct therapy to general anesthesia
for this patient?
Answer:
Rocuronium (Zemuron)
Q: A patient is admitted to the emergency room with severe recurrent con- vulsive seizures..
What drug would the nurse expect to be ordered for use in emergency control of status
epilepticus?
Answer:
Phenobarbital (Luminal)
Q: The pharmacology instructor is discussing drugs used for the treatment of partial seizures.
What accurately describes the physiological action of carbamazepine?
Answer:
Increases gamma-aminobutyric acid (GABA) activity and blocks sodium and calcium channels
to stop action potentials.
Q: A 7-year-old girl is brought into the clinic by her mother. The mother states that the child
will be engaged in some activity at home and then will just
stop for a few seconds and then pick up some activity again as if there had been no break in what
she was doing. The nurse suspects the child might be demonstrating what type of seizure?
Answer:
Absence seizure
Q: A patient is brought into the emergency department in status epilepticus. The nurse
administers phenobarbital 320mg IV according to protocol. Family members ask the nurse how
long it will take to stop the seizures. What is the nurse’s best response?
Answer:
The onset of action for the medication is 5 minutes.
Q: The nurse evaluates the patient’s serum phenytoin (Dilantin) level and determines the level
is therapeutic when it is within what range?
Answer:
Between 10 and 20 mcg/mL
Powered by https://learnexams.com/search/study?query=nr
A patient is taking aminophylline for their COPD. The patient is about to undergo emergency surgery and will receive a neuromuscular junction (NMJ) blocker as part of the procedure. It is important for the nurse to take what action? Monitor the patient very closely for sign of early arousal and return of muscle function.
The nurse is caring for a patient who is being maintained on a mechanical ventilator. Atracurium is administered to limit the resistance to mechanical ventilation. What is the nurse’s priority assessment? Bradycardia
The nurse is preparing a patient for surgery who will receive a neuromuscular junction blocker during the procedure. It is important for the nurse to review the patient’s medication history for concurrent use of what? Calcium channel blockers
An elderly patient has received a neuromuscular junction blocker during surgery, What would be an appropriate nursing diagnosis for this patient? Risk for impaired skin integrity
What are the primary uses of neuromuscular junction blockers (NMJ blockers)? To facilitate endotracheal intubationTo prevent injury during electroconvulsive therapyTo facilitate mechanical ventilation
The pharmacology instructor is discussing nondepolarizing neuromuscular junction blockers (NMJ blockers) with the nursing class. How would the instructor explain the action on nondepolarizing NMJ blockers? Acts like Ach then prevents repolarization
According to the sliding filament theory, what is the initial action in a muscle contraction? Actin and myosin molecules react with each other sliding along the filament and making it shorter.
A patient is to have surgery and it is planned that atracurium (Tracrium) is to be used as an adjunct to general anesthesia. How will the atracurium work? Acts as an antagonist to acetylcholine
The nurse is caring for a patient who is receiving pancuronium (Pavulon) to facilitate mechanical ventilation. The patient is also receiving a barbiturate. How will the nurse administer these two medications? If given together, a precipitate may form.
The nurse is caring for a patient who is scheduled for abdominal surgery in the morning and is scheduled to receive rocuronium (Zemuron). The patient asks the nurse to describe the adverse effects of rocuronium. What would the nurse describe for the patient? This drug is associated with pulmonary hypertension
The PACU nurse is caring for a patient that had succinylcholine (Anectine) as an adjunct to anesthesia. What is the nurse’s priority assessment while caring for this patient? Temperature
The nurse is caring for a patient scheduled for abdominal surgery in the morning. The patient confides that they watched a movie last week about someone who had surgery and the anesthetic did not work but no one knew because that patient could not move, What nursing diagnosis will the nurse include in this patient’s plan of care? Fear related to paralysis
The nurse is caring for a patient in the intensive care unit who has been receiving neuromuscular junction (NMJ) blockers, sedatives, and analgesics for the past 2 weeks. The NMJ blocker therapy has been discontinued and the other medications have been reduced gradually. The patient is now alert and awake, communicating with family by using paper and pencil. The family asks why the patient cannot sustain normal respirations. What is the nurse’s best response? -The patient’s muscles need to get their strength back again.-This is a common occurrence in situations like this.-He is likely to breathe better each day.-He will not be takne off the mechanical ventilator until he is ready.
The nurse is caring for a very anxious 33-year-old female patient scheduled for abdominal surgery today. The patient said the anesthesiologist said she would receive succinylcholine (anactine) during surgery and asks the nurse how long it will take before the medication starts to work. What is the nurse’s best response? 30 to 60 seconds
The patient returns from surgery complaining about muscle pain after receiving succinylcholine during the procedure After reviewing the postoperative orders, which of these ordered analgesics will the nurse administer to treat this pain? Aspirin
A student asks the pharmacology instructor how succinylcholine differs from acetylcholine (Ach). What should the instructor respond? Succinylcholine is not broken down instantly.
The CRNA documents the anesthesia plan as using a depolarizing NMJ blocker as adjunct to other anesthetics on the patient when they go to surgery. The nurse would understand from this note that the patient will receive what drug? Succinylcholine (Anectine, Quelicin)
The nurse administers pancuronium to the mechanically ventilated patient in the pediatric ventilated patient in the pediatric intensive care unit. What assessment finding would the nurse suspect is an adverse effect resulting from the drug? Bronchospasm
The nursing student asks the mental health nurse why pancuronium was administered to the patient before electroconvulsive therapy was performed. What is the mental health nurse’s best response? To reduce the intensity of muscle contractions.
When a nondepolarizing neuromuscular junction blocker is used as an adjunct to surgery, what classification of medications could reverse the neuromuscular blockage leading to early arousal and return of muscle function? Xanthines
When causing depolarization of the muscle membranes, what neurotransmitter interacts with the nicotinic cholinergic receptors leading to the release of calcium ions? Acetylcholine
The nurse, working in the preoperative holding area, is caring for a 70-year-old patient who is scheduled to receive succinylcholine as part of general anesthesia. When collecting the nursing history, what condition would require the nurse to notify the anesthesiologist of the need for caution? Bone fractureMalnutritionNarrow-angle glaucoma
The nurse is caring for a patient who received succinylcholine during surgery. The nurse would expect the patient to spend more time in the post anesthesia care unit due to prolonged paralysis and inability to breathe if the patient was from what ethnic group? Alaskan Eskimos
A patient scheduled for surgery is to have a nondepolarizing neuromuscular junction (NMJ) blocker as adjunctive anesthesia. The nurse will have cause for concern about prolonged paralysis if the patient has been taking what medication? An aminoglycoside
A patient is having outpatient surgery that should last only 45 minutes. The patient is planning to go home immediately after surgery is complete. What nondepolarizing neuromuscular junction blocker will most likely be used as adjunct therapy to general anesthesia for this patient? Rocuronium (Zemuron)
A patient is admitted to the emergency room with severe recurrent convulsive seizures.. What drug would the nurse expect to be ordered for use in emergency control of status epilepticus? Phenobarbital (Luminal)
The pharmacology instructor is discussing drugs used for the treatment of partial seizures. What accurately describes the physiological action of carbamazepine? Increases gamma-aminobutyric acid (GABA) activity and blocks sodium and calcium channels to stop action potentials.
A 7-year-old girl is brought into the clinic by her mother. The mother states that the child will be engaged in some activity at home and then will just stop for a few seconds and then pick up some activity again as if there had been no break in what she was doing. The nurse suspects the child might be demonstrating what type of seizure? Absence seizure
A patient is brought into the emergency department in status epilepticus. The nurse administers phenobarbital 320mg IV according to protocol. Family members ask the nurse how long it will take to stop the seizures. What is the nurse’s best response? The onset of action for the medication is 5 minutes.
The nurse evaluates the patient’s serum phenytoin (Dilantin) level and determines the level is therapeutic when it is within what range? Between 10 and 20 mcg/mL
A nurse is teaching a patient about his or her newly prescribed drug, phenytoin (Dilantin) for a seizure disorder. What will the nurse alert the patient to as a serious adverse effect of this drug? Rash
An 8-year-old child has been diagnosed with a seizure disorder and phenytoin (Dilantin) has been prescribed for him. What nursing diagnosis would be appropriate if the child demonstrated adverse effects to the drug? Impaired skin integrity related to dermatological effects
A patient is taking ethosuximide (Zarontin) for absence seizures. He complains of gastrointestinal upset associated with the drug. The nurse will encourage the patient to do what? Take the drug with food
The drug of choice for the treatment of partial seizures is what? Carbamazepine (Tegretol)
A patient who has been taking lamotrigine (Lamictal) for the past 2 weeks calls the clinic and reports to the nurse that they have developed a rash. What should the nurse tell them to do? Discontinue the drug and return to the clinic immediately.
The school nurse sees a child on the playground having an absence seizure identified by the occurrence of what characteristics? Alterations in consciousness that last seconds
The nurse is providing patient education for a patient newly prescribed a hydantoin antiseizure medication. What would the nurse be sure to teach the patient regarding the dangers of abrupt withdrawal? Status epilepticus
A patient is brought to the emergency department in the midst of an active clonictonic seizure. What is the most appropriate antiseizure drug for the nurse to administer intravenously to terminate acute convulsive seizures? Diazepam (Valium)
The nurse is caring for a patient receiving ethotoin to control seizure activity. When reviewing the patient’s laboratory results, the nurse would assess the patient is in a therapeutic level when the lab result is in what range? 15 to 50 mcg/mL
The nurse, working in the emergency room, admits a 13-month-old child reported by the parents to have had a clonictonic seizure at home with no history of a seizure disorder. What is the nurses priority intervention? Take the child’s temperature
Richard, 15 years old, has been diagnosed with epilepsy. He is to be sent home on oral phenytoin 100 mg b.i.d. What statement by Richard’s mother leads the nurse to believe she has understood drug teaching? I will make sure he has routine visits to the dentist
The mother of a child newly diagnosed with drug-resistant epilepsy asks the nurse why two antiepileptic drugs have been prescribed for her daughter. What is the nurse’s best answer? To minimize seizures in resistant epilepsy.
The patient’s serum drug level is elevated and indicates a toxic level. What will the nurse assess for in this patient? Liver toxicityBone marrow suppressionSerious dermatological reactions
A patient has a new order for carbamazepine (Tegretol). What does the nurse know is a contraindication to administration of carbamazepine? Bone Marrow Depression
A patient with liver impairment needs an antiepileptic drug. What drug would be safest for patients with liver impairment? Levetiracetam (Keppra)
The nurse is caring for a patient diagnosed with generalized seizures and will appropriately administer what classifications of medications to this patient? HydantoinBenzodiazepines
A nurse is caring for a 4-year-old child diagnosed with a seizure disorder requiring an antiseizure agent. Using mg/kg as the comparison how will the child’s dose compare with the adult dose. Children require a larger mg/kg dose than an adult
What factors contribute to determining the drug of choice for a patient with epilepsy? AgeType of epilepsyPatient characteristics
The nurse anticipates a reduced dosage due to cultural differences when caring for patients from what cultural groups? Arab AmericansAsian Americans
A patient with a seizure disorder has had a recent change in medication. What data would the nurse collect to evaluate the effectiveness of the new drug? -Evaluate laboratory drug level-Assess for adverse effects-Assess for change in seizure activity
A patient is brought into the emergency room by ambulance in status epilepticus, What drug may be used for this patient? Fosphenytoin
The patient has serum drug levels of an antiepileptic drug ordered. The patient asks the nurse why drug levels are measured. What is the nurse’s best response? To evaluate whether the therapeutic range is reached.
A nursing instructor is discussing absence seizures and how to treat them in children. A student asks the difference between ethosuximide and methsuximide, the drugs used to control absence seizures. What is the instructor’s best response? Methsuximide has more severe adverse effects than ethosuximide.
A patient, newly diagnosed with a seizure disorder, has been prescribed valproic acid. What is the adverse effect of valproic acid that the nurse should include in the medication teaching plan? Liver toxicity
While writing a care plan for a patient newly diagnosed with generalized seizures, the nurse might appropriately choose what nursing diagnosis? Disturbed thought processes related to central nervous system effects.
A patient, newly diagnosed with epilepsy, asks the nurse to explain the meaning of the diagnosis. What is the nurse’s best response? Epilepsy is a convulsive disorder caused by electrical discharge in the muscle.
The nurse is providing patient teaching with a patient who is newly diagnosed with epilepsy. The patient asks, can I still drive to work? What is the nurse’s best response? Not until your seizures are controlled by medication.
The nurse is caring for an 84-year-old patient in the acute care facility who was newly diagnosed with a seizure disorder. Before starting the patient on an antiepileptic medication that will be continued after discharge, what laboratory studies would the nurse want to assess? Liver funciton studiesRenal function studies
The patient has a seizure that causes rhythmic twitching of the left hand for 90 seconds with no loss of consciousness and then stops. The nurse notes this same action repeated many times throughout the day and documents this is what type of seizure? Simple partial seizure
What antiepileptic classification of drugs works by stabilizing nerve membranes by influencing ionic channels in the cell membrane, thereby decreasing excitability and hyperexcitability to stimulation? Hydantoins
A group of patients are being screened to see which patients would be the best candidate for a psychotherapeutic drug trial that helps people concentrate longer on activities. Which patient would be best suited for the trial? A 32-year-old hyperactive nursing student who cannot focus long enough to take a test.
What nursing intervention is appropriate for a 70-year-old female patient receiving lithium? Monitor fluid and sodium intake
A nurse is caring for a patient who is taking lithium for mania. The nurse’s assessment includes a notation of a lithium serum level of 2.4 mEq/L. The nurse anticipates seeing what? Clonic movements
A nurse administers chlorpromazine intramuscularly to the preoperative patient who is extremely anxious about surgery in the morning. What priority teaching point with the nurse provide this patient? Remain recumbent for at least 30 minutes after the injection.
The nurse is presenting an Inservice at a children’s unit on hyperactivity. The nurse is told that a 6-year-old on the unit is being treated with methylphenidate (Ritalin). The presenting nurse talks about discharge teaching for this patient and the importance of monitoring what? Weight and complete blood count
The nursing instructor asks the student nurse what causes the respiratory obstruction that can occur with many of the depolarizing neuromuscular junction (NMJ) blockers. What is the student’s most accurate response? Histamine release
The nurse is assisting the nurse practitioner who is preparing to intubate the patient. The nurse practitioner has ordered atracurium and midazolam (Versed), a short-acting benzodiazepine used to sedate the patient. In what order will the nurse administer the meds? Give the midazolam first and then atracurium a few moments later
The nurse is caring for a patient taking an oral neuroleptic medication. What is the nurse’s priority assessment to monitor for? Tardive dyskinesia
A psychotic patient is admitted through the emergency department. The physician has ordered chlorpromazine (Thorazine) 25mg intramuscularly. After administration of the medication, what is the nurse’s priority to evaluate? A decrease in psychotic symptoms
A patient diagnosed with bipolar disorder is to be discharged home in 48 hours. The nurse has completed patient teaching regarding the use of lithium. What statement by the patient indicates an understanding of their responsibility? I will increase my fluid intake
A patient has just been prescribed a phenothiazine. During patient teaching about this drug, what would be important for the nurse to tell the patient? The urine can turn pink or reddish
A patient, in the manic phase of bipolar disorder, is being discharged home on an antimanic drug. What antimanic drug is used for long-term maintenance of bipolar disorders? Lamotrigine (Lamictal)
A 16-year-old youth has just been diagnosed with schizophrenia. The parents ask the nurse what causes schizophrenia. What would be the nurse’s best response? Schizophrenia is thought to reflect a fundamental biochemical abnormality
A patient on chlorpromazine is feeling better and decides they no longer need their medication. The nurse teaches the patient that abrupt withdrawal of a typical antipsychotic medication can result in what? Insomnia
A patient’s medication has been changed to clozapine (Clozaril). The nurse evaluates this patient for which life-threatening adverse event? Neuroleptic malignant syndrome
The nurse is caring for an adolescent patient who began taking an antipsychotic drug last month to treat newly diagnosed schizophrenia. The drug has not been effective and the mother asks the nurse if this means the adolescent’s symptoms cannot be controlled by drugs. What is the nurse’s best response> Patients commonly have to try different drugs until the most effective drug is identified.
Haloperidol is a typical antipsychotic drug. What adverse effect is associated with this drug? Extrapyramidal effects
A plan of care formulated by an OR nurse includes four nursing diagnoses. Which diagnoses will the nurse include that is directly related to safety? Risk for injury related to central nervous system (CNS) depressive effects of drugs.
The nurse is developing a plan of care for the patient undergoing general anesthesia. What is a priority of care for this patient? Maintain regular repositioning
During what stage of anesthesia would the nurse see the patient’s skeletal muscles relax and return of regular respirations? Stage 3: Surgical Anesthesia Stage
To decrease sympathetic stimulation in balanced anesthesia what type of agent would be used? Sedative hypnotics
Which drug properties are problematic for older patients? Drugs with anticholinergic effectDrugs that are highly protein-boundDrugs with a narrow therapeutic range
The nurse is preparing an 80-year-old patient for discharge home from the hospital. The patient will receive several new medications. The patient lives alone but has several family members who stop by every day. What suggestions will the nurse make for this family? Ask the pharmacy for non-childproof medication bottlesPlace the pills in an organizer containerPut water bottles near pills for convenience
The nurse is caring for a 78-year-old patient who lives independently. The patient will begin a new drug regimen that requires taking multiple drugs at various times per day. Which intervention is appropriate for the nurse to implement with this patient? Develop a log to record the times each drug will be taken.
An older patient takes ibuprofen for arthritis pain. The patient tells the nurse that the ibuprofen causes GI upset. Which action will the nurse take with this patient? Explore options to help decrease the drug side effects.
the nurse is performing an admission assessment on an 80-year-old patient who has frequent hospital admissions. The patient appears more disoriented and confused than usual. Which action by the nurse is correct? Asking about medication doses
A 75-year-old patient is readmitted to the hospital to treat recurrent pneumonia. The patient has been discharged home with a prescription for antibiotics 5 days prior. The nurse admitting this patient will take which initial action? Ask the patient how many doses of the antibiotic have been taken
A 75-year-old patient will be discharged home with a prescription for an opioid analgesic. To help the patient minimize adverse effects, what will the nurse recommend for this patient? Using a stool softener
An 80-year-old patient is being tested for an infection. An order for which type of antibiotic would cause concern for the nurse caring for this patient? Aminoglycoside
When a normal muscle functions, several actions take place. In what order do these actions occur? 1. Ach is released by the motor nerve.2. Ach crosses the synaptic cleft.3. Ach interacts with the nicotinic cholinergic receptors.4. The muscle membrane is depolarized.5. Acetylcholine (Ach) is broken down by acetylcholinesterase.6. The muscle membrane is repolarized.
The patient has been mechanically ventilated for the past week and is receiving a neuromuscular (NMJ) blocker, an analgesic, and a sedative. The goal is to extubate the patient. What medication will the nurse stop administering first? NMJ blocker
The student asks the physiology instructor where the motor neuron communicates with a skeletal muscle fiber. What would the instructor respond? Neuromuscular junction
What drug will the nurse administer to reverse the actions of neuromuscular junction (NMJ) blocker? Cholinesterase inhibitor
How can the nurse assess the degree of neuromuscular blockage the patient is experiencing? Peripheral nerve stimulator
The pharmacology instructor is explaining to their class the difference between the typical and the atypical groups of antipsychotic drugs. What medication would the instructor explain to the students has fewer extrapyramidal effects and greater effectiveness than older antipsychotic drugs in relieving negative symptoms of schizophrenia? Clozapine (Clozaril)
The nurse, providing teaching about a typical antipsychotic newly prescribed for the patient, cautions against use of alcohol with the drug by explaining it will have what effect? Increased CNS depression
The nurse is caring for four patients. Which patient would the nurse know that clozapine is contraindicated for? 45-year-old with bone marrow depression
The physician has ordered olanzapine (Zyprexa) for a new patient. What laboratory test should be done before administration of olanzapine? Blood glucose
Parents bring a 15-year-old boy into the clinic. The parents tell the nurse that there is a family history of schizophrenia and they fear their son has developed the disease. What symptoms, if described by the family, would support their conclusion? Hear hears and interacts with voices no one else can hear.
A patient taking an antipsychotic drug asks the nurse how long he will continue to feel the effects of the drug after stopping the medication. What is the nurse’s best response? 6 months
The nurse works on an inpatient mental health unit. When administering antipsychotic medications, what patient would the nurse expect to require a standard dosage? Caucasian young white diagnosed with bipolar disorder
Psychosis is a severe mental illness characterized by what? Disordered thought
The nurse is caring for a patient newly diagnosed with schizophrenia. His parents say they have heard the term before but do not really understand exactly what schizophrenia means. How would the nurse describe the disorder? Thought disorderDifficulty functioning in societyHallucinations can be auditory, visual, or sensoryCan be cured with the correct medications
A 7-year-old boy is admitted to the pediatric behavioral health unit with a diagnosis of an acute psychotic episode. Aripiprazole has been ordered. Before administering the medication, what is the nurses first priority? Call the physician
The nurse admits a newly diagnosed patient with schizophrenia to the inpatient mental health unit. What is the priority reason for why the nurse includes the family when collecting the nursing history? The patient may not be able to provide a coherent history.
The nurse is teaching the soon-to-be discharged patient, diagnosed with schizophrenia, about his medications. What is a priority teaching point for this patient? Alcohol consumption should be avoided
What antiplatelet medication might the nurse administer to treat bipolar disorder? Lamotrigine (Lamictal)
A patient, who is 77 years old, is admitted with a diagnosis of dementia. Haloperidol (Haldol) has been ordered for this patient. What nursing considerations would govern the nurse’s actions? A lowered dosage is indicated for older adults. It should not be used to control behavior with dementia.
Which drug does not have a recommended pediatric dose? Lithium salts (Lithotabs)
The mother of a child diagnosed with attention deficit syndrome receives a prescription for a CNS stimulant to treat her child. The mother asks the nurse, I don’t understand why we’re giving a stimulant to calm him down? What is the nurse’s best response? It helps the reticular activating system (RAS), a part of the brain, to be more selective in response to incoming stimuli.
The nurse is teaching the mother of a child diagnosed with attention-deficit hyperactivity disorder how to administer methylphenidate (Ritalin). When would the nurse instruct the mother to administer this drug? Administer at breakfast every day.
A child was diagnosed with attention deficit hyperactivity disorder and methylphenidate was prescribed for treatment to be taken once a day in a sustained release form. On future visits, what is a priority nursing assessment for this child? Weight and height
The nurse is preparing to administer methylphenidate to the child admitted to the pediatric unit after breaking a leg when jumping off the garage roof at home. Where will the nurse find the medication? In the controlled substance cabinet
The nurse is caring for a child receiving a CNS stimulant who was admitted to the pediatric intensive care unit following repeated seizures after a closed head injury. The physician orders phenytoin to control seizures and lorazepam to be administered every time the child has a seizure. What is the nurse’s priority action? Call the doctor and question the administration of phenytoin
How can the nurse assess the degree of neuromuscular blockage the patient is experiencing? Peripheral nerve stimulator
Why will the nurse administer a small dose of nondepolarizing neuromuscular junction (NMJ) blocker before administering succinylcholine? To reduce discomfort of depolarization of muscles
The nurse administers a sedative followed by a neuromuscular junction (NMJ) blocker after which the neonatologist attempts to intubate the patient without success. While waiting for the anesthesiologist to come to the unit to establish an artificial airway, what is the nurse’s priority of care? Use a bag-valve mask to ventilate the patient
The nurse is caring for the ICU patient who is mechanically ventilated and receiving a NMJ blocker, a sedative, and an analgesic. What are priorities of nursing care for the patient? Reposition patient frequentlyEnsure care of the patient’s eyesMonitor temperature
The nurse is caring for an older patient who is receiving multiple medications. When monitoring this patient for potential drug toxicity, the nurse should review which lab values closely? Serum creatinine and liver function test
An older patient who reports to a 2-to3- year history of upper GI symptoms will begin taking ranitidine (Zantac) to treat this disorder. The patient has completed a health history form. The nurse notes that the patient answered no when asked if any medications were being taken. What action will the nurse take next? Ask whether the patient uses over-the-counter medications.
To assist an older, confused patient to adhere to a multidrug regimen, the nurse will provide which recommendation? Bring all medications to each clinic visit
The nurse is caring for an older patient who is taking 25mg per day of hydrochlorothiazide. The nurse will closely monitor which lab value in this patient? Serum potassium
The nurse is caring for an 82-year old patient who takes digoxin to treat chronic a-fib. When caring for this patient, to monitor for drug side effects, what will the nurse carefully assess? Heart rate
The nurse is caring for an 80-year-old patient who is taking warfarin (coumadin). Which action does the nurse understand is important when caring for this patient? Initiating a fall risk protocol
The nurse is caring for a patient in the emergency department with a 2-inch laceration to the left arm caused by broken glass. The nurse suspects a local anesthetic will be administered by what method? Infiltration
What nursing interventions would help minimize the risk of a headache in a patient recovering from spinal anesthesia? Maintain patient in recumbent position.
An extremely anxious patient is beginning to awaken in the post anesthesia care unit. He states that his arms and legs feel like tree trunks and that they are hard to move. He also complains that his head feels fuzzy and that the right words will not come. What is the priority nursing intervention for this patient? Stay with the patient as much as possible and provide reassurance.
The patient appears awake but is unconscious and has no response to painful stimuli. What medication does the nurse suspect this patient has received? Ketamine (Ketalar)
Which nonbarbiturate anesthetic when used with halothane (Fluothane) can cause severe cardiac depression? Ketamine (Ketalar)
The operating room nurse is developing the care plan for a 10-year-old child with asthma who is scheduled for a tonsillectomy and who will receive halothane as the anesthetic agent. Why is this an appropriate drug for this patient? Halothane dilates the bronchi
The nurse should recognize what drug is classified as an amide local anesthetic? Lidocaine (Xylocaine)
A 21-year-old patient is positioned on the operating table in preparation for knee surgery. After the anesthesiologist induces the patient, what is the next phase of anesthesia? Medullary paralysis
The nurse is collecting a nursing history from a preoperative patient who is to receive local anesthesia. While taking the admission history, the patient says she is allergic to lidocaine. What is the nurse’s priority action? Notify the anesthesiologist
The nurse is caring for a patient in stage 2 of general anesthesia. What is the case priority for this patient? Monitor vital signs
The patient received Midazolam in combination with an inhaled anesthetic and a narcotic during surgery. The post anesthesia care unit (PACU) nurse anticipates this combination of drugs will have what impacts on the patient’s stay in the unit? Extended time needed in the unit
The nurse is caring for a patient who will receive an epidural block. What procedure is this patient likely to be having? Inguinal hernia repair
A nurse is caring for a patient who received thiopental as an anesthetic agent during surgery. What adverse effects would the nurse attribute to the medication? Headache
The operating room nurse is taking the patient into the operating room when the patient says his grandmother almost died from a high fever in surgery 15 years ago. The nurse shares this information with the surgical team, recognizing this information indicates the patient is at risk for what? Malignant hyperthermia
The circulating nurse in the day surgery center is caring for a patient who is to receive a local anesthetic. What potential complications will the nurse monitor for? -Blurred vision-Peripheral vasodilation-Nausea
What nursing diagnosis would a circulating nurse use on his or her intraoperative patients who receive general anesthesia? -Disturbed sensory perception-Risk for latex allergy response-Anxiety
The patient receives lidocaine as a local anesthetic before insertion of a chest tube. After the procedure the patient tells the nurse, the area is still numb. How long will this last? What is the nurse’s best reponse? 2 hours
The pharmacology instructor is explaining balanced anesthesia to the students. What agents would the instructor say are involved in balanced anesthetic? -Neuromuscular junction blockers-NarcoticsAnticholinergics
The nurse is caring for a patient who received halothane as an anesthetic agent. The patient will require additional surgery. When can halothane be used again without risk of halothanes recovery syndrome? 3 weeks
A 54-year-old patient with COPD is admitted for emergency surgery. What anesthetic agent would be dangerous to use on this patient? Desflurane
The nurse is admitting a 35-year-old patient to the preoperative unit in preparation for an elective inguinal hernia procedure to be performed under general anesthesia. What is the nurse’s initial priority nursing assessment? Weigh the patient
A very anxious patient asks the nurse what type of anesthetic they will have for a scheduled tooth extraction. The nurse would describe what type of local anesthetic in layman’s terms? Field block
The nurse receives a patient into the PACU who has had surgery using the anesthetic agent methohexital. The nurse anticipates the patient’s need for what in the postoperativde period? Analgesic control the patient’s pain.
The emergency room nurse is teaching a class for newly hired graduate nurses in the different types of local anesthetic agents. How would the nurse differentiate lidocaine and procaine as a local anesthetic agent? Lidocaine is an amide that is broken down slowly and this can lead to toxicity.
A nursing student in a pharmacology class asks the instructor why nitrous oxide is used for dental surgery. What is the instructor’s most accurate response? Nitrous oxide does cause muscle relaxation.
The nurse is admitting a patient to the PACU who received halothane and ketamine as anesthesia. What is the nurse’s priority assessment? Blood pressure and pulse
The nurse is assisting while the physician is suturing a wound in the urgent care clinic. The physician asks for lidocaine with epinephrine. The nurse identifies the primary reason for adding epinephrine to the lidocaine is what effect? Local effect is increased.
The nurse is caring for a patient scheduled for surgery who is to receive a barbiturate as part of the planned balanced anesthesia. What drugs, if taken by the patient, could result in a clinically drug-drug interaction with the barbiturate? -Oral contraceptive-Theophylline-Anticoagulant
The nurse is caring for a patient who will undergo cardioversion in the patient’s room this morning. The patient will receive propofol as anesthetic during the procedure. What are the benefits of using propfol for this procedure? -It has very rapid clearance.-It produces less of a hangover effect.-It allows for quick recovery from anesthesia.
The nurse applies a topical anesthetic to reduce sensation at the site while starting an IV. What age group is at greatest risk for systemic absorption of hte topical anesthetic? Infant
The nurse is teaching a class on muscular coordination and explains it is the movement of what electrolyte that contributes to the process of muscle contraction and relaxation? Calcium
A mother brings her 9-year-old son to the clinic for a routine checkup. The 0-year-old boy has cerebral palsy and is very spastic. The mother asks the nurse what causes the spasticity in her son. What is the nurse’s best answer? Your son’s spasticity is caused by damaged motor neurons.
A nurse is providing discharge teaching for patient who will be going home on cyclobenzaprine (Flexeril) prescribed for his acute musculoskeletal pain. The nurse will stress that the patient should avoid what? Drinking alcohol
The nurse provides patient teaching about chlorzoxazone (Paraflex) in preparation for the patients to discharge home. The nurse evaluates the patient understands potential adverse effects when the patient makes what statement? My urine may change orange to purple red while taking this drug.
The nurse admits a child with tetanus. What medication will the nurse expect to administer? Methocarbamol (Robaxin)
A 20-year-old female patient has been diagnosed with multiple sclerosis. What drug will most likely be prescribed? Baclofen (Lioresal)
The nurse is caring for four patients. Which patient would have the highest risk for hepatotoxicity from Dantrolene (Dantrium)? A 65-year-old woman who is on hormone replacement therapy.
A patient is admitted to the unit with central spasticity after a terrible motor accident. The doctor places an intrathecal delivery pump. What medication can be administered via this route to treat the central spasticity? Baclofen (Lioresal)
What muscle relaxant was found to be embryotoxic in animal studies? Dantrolene (Dantrium)
The nurse admits a child with tetanus. What medication will the nurse expect to administer? Methocarbamol (Robaxin)
A nurse is providing discharge instructions to a patient who will be going home on cyclobenzaprine (Flexeril) prescribed for his acute musculoskeletal pain. The nurse will stress that the patient should avoid what? Drinking alcohol
A mother brings her 9-year-old son to the clinic for a routine checkup. The 9-year-old boy has cerebral palsy and is very spastic. The mother asks the nurse what causes the spasticity in her son. What is the nurse’s best response? Your son’s spasticity is caused by damaged motor nerves.
The nurse is teaching a class on muscular coordination and explains it is the movement of what electrolyte that contributes to the process of muscle contraction and relaxation? Calcium
The nurse applies a topical anesthetic to reduce sensation at the site while starting an IV. What age group is at greatest risk for systemic absorption of the topical anesthetic? Infant
The nurse is caring for a patient who will undergo cardioversion in the patient’s room in the morning. The patient will receive propofol as anesthetic during the procedure. What are the benefits of using propofol for this procedure. -It has very rapid clearance-It produces less of a hangover-It allows for quick recovery from anesthesia
A 20-year-old female patient has been diagnosed with multiple sclerosis. What drug will most likely be prescribed? Baclofen (Lioresal)
The nurse is caring for four patients. Which patient would have the highest risk for hepatotoxicity from Dantrolene (Dantrium)? A 65-year-old woman who is on hormone replacement therapy.
The nurse alerts the patient to what adverse effect of tizanidine (Zanaflex) that could cause injuryu? Hypotension
A young woman attends a Botox party and is injected with botulinum toxin type A to decrease frown lines between her eyebrows. Later that evening, the patient is admitted to the emergency department and is hysterical, because she cannot move her eyebrow. The nurse explains that the toxin causes what? The toxin causes muscle paralysis, preventing movement and releasing wrinkles.
A patient has stepped on a rusty nail and is exhibiting signs of muscle rigidity and contractions. The patient’s wife called the emergency department (ED) and the triage nurse told her to bring him in. the ED nurse will have which drug available for administration when the patient arrives? Methocarbamol (Robaxin)
The nurse assesses a newly admitted patient and find the muscle tone in his left leg has sustained muscle contraction. How will the nurse document this finding? Spastic
A patient comes to the clinic to receive a Botox injection in her forehead. The patient has adult acne across her forehead. What is the nurse’s priority action? Hold the injection and consult the healthcare provider.
The patient presents to the emergency department with muscle spasms in the back. What types of injury would the nurse recognize can result in muscle spasm? -Overstretching a muscle-Wrenching a joint-Tearing a tendon or ligament
The nurse is giving discharge instructions to a patient who just had Botox A injections around her eyes. Which adverse effects would the nurse include in her discharge instructions? -Respiratory infections-Flu-like syndrome-Droopy eyelids
A patient with severe spasticity sees his physician. The physician orders Dantrolene, In what circumstances is the drug Dantrolene contraindicated? Spasticity that contributes to upright position.
The patient is taking Midodrine (Proamatine). What is the most important nursing action to include in the plan of care for this patient? Monitor blood pressure
The nurse is planning discharge for a patient who is taking clonidine (catapres). What would be the most important for the nurse to include when teaching about adverse effects? Strange dreams
What drug would the nurse expect to administer if beta-specific adrenergic agonist effects are desired to prevent bronchospasm during anesthesia? Isoproterenol (Isuprel)
The nurse is preparing discharge teaching for four patients. Which patient should be advised by the nurse that over-the-counter cold and allergy preparations contain phenylephrine and should be avoided? A 47-year-old woman with hypertension
A nurse is writing a plan of care for a patient receiving an alpha-specific adrenergic agonist. What should this plan of care include? Monitoring blood pressure and heart rate every 2 to 4 hours
A nurse receives an order for clonidine (catapres) for a 25-year-old pregnant woman. What is the nurse’s priority action? Consult with the physician about the order.
The nursing students are studying sympathomimetic drugs. How do these drugs act on the body? Stimulate both alpha and beta-receptors
How does ephedrine act on the body? Stimulates the release of norepinephrine
When spinal reflexes involve synapses with interneurons within the spinal cord, what physiological adjustments are made? Coordinate movement and position
What are the simplest nerve pathways in the body? Spinal reflexes
The anatomy and physiology instructor is discussing reflex systems with the prenursing class. What system would the instructor say causes a muscle fiber contraction that relieves the stretch? Spindle gamma loop system
A 3-year-old with a diagnosis of spasticity caused by cerebral palsy has been admitted to the unit. The physician has ordered dantrolene to see if it relieves the spasticity in teh child’s arms and hands. The nurse would schedule this child for what routine screenings? Central nervous system and gastrointestinal (GI) functioning.
Baclofen is a prototype drug for hte centrally acting skeletal muscle relaxants. What adverse effects do drugs in this class have? HypotensionUrinary frequencyDizziness
When caring for a patient taking Dantrolene, what adverse effects would the nurse monitor for? HepatitisFatigueRash
The nurse is caring for a patient who is having a pump placed to deliver intrathecal baclofen and another patient who will receive dantrolene as a muscle relaxant. What nursing diagnosis will be appropriate for both care plans? Acute pain related to GI effects of drugRisk for injury related to central nervous system effectsDisturbed thought process related to CNS effects.
The nurse is caring for a patient who is being discharged from home from the rehabilitation unit. Baclofen will be discontinued, and the patient will begin taking carisoprodol as an outpatient. What is the nurse’s primary consideration about discontinuing administration of baclofen? Taper drug slowly over 1 to 2 weeks to prevent psychoses and hallucinations.
The nurse is caring for a patient receiving intrathecal baclofen in a pump while participating in rigorous rehabilitation therapy. What is the nurse’s priority to monitor related to the adverse effects of this drug? Respiratory status
A 62-year-old patient came to the primary care provider’s office with a minor skin infection. The infection was cultured, and the patient was started on a PO broad-spectrum antibiotic. A few days later, culture results reveal the pathogen for which a specific antibiotic is available. Select the most appropriate type of antibiotic therapy considering culture results. -Targeted therapy-Narrow-spectrum-PO-Bacteriostatic
An otherwise healthy, 35-year-old is seen in the urgent care with pain and burning on urination. The urine dipstick indicates a urinary tract infection A urine sample has been sent to the laboratory for a culture. Select the most appropriate type of antibiotic therapy. -Broad spectrum-Empiric therapy-Bactericidal-PO
A critically ill, 55-year-old, hospitalized, neutropenic patient has a severe infection. The first set of blood cultures have been drawn. Select the most appropriate type of antibiotic therapy to initiate before blood cultures are received. -Broad spectrum-IV-Empiric therapy-Bactericidal
A patient with HIV contracts herpes simplex virus (HSV), and the prescriber orders acyclovir 400mg PO twice daily for 10 days. After 7 days of therapy, the patient reports having an increased number of lesions. What is the best cause of action? Order IV foscarnet every 8 hours for 2-3 weeks.
Phentolamine -Drug of choice in hypertensive crisis with pheochromocytoma.-Short acting: Response is maximal in two to three minutes after a bolus and lasts 10-15 minutes.
Phenoxybenzamine (Dibenzyline) Preoperative management to control blood pressure and arrhythmia irreversible; long-acting.
Mineralocorticoids Fludrocortisone (Florinef) PO once daily
Glucocorticoids Cortisone or Hydrocortisone PO in divided doses
What medication is the antithyroid medication of choice in pregnant patients? Propylthiouracil or PTU
A patient with colon cancer presents with Hgb 8.4%, fatigue, and dyspnea and is treated with __________________. Erythropoietin alfa (Epoetin)
A patient with prostate cancer presents with joint pain and inflammation is prescribed _____________. Allopurinol
A patient with breast cancer is experiencing severe nausea and vomiting is given ________________-. Ondansetron (Zofran)
A patient with leukemia has a fever of 102.1 and a low neutrophil count is prescribed _________. Imipenem (Primaxin)
A patient with lung cancer complains of new, severe back pain and is treated with ___________. Dexamethasone
A client is admitted with hypoxia, low hemoglobin, increased MCV, a low B12 level and is treated with administration of ______________-. IM Cyanocobalamin
A client is admitted with hypoxia, low hemoglobin, increased TIBC, decreased MCV, and a history of ulcerative colitis is treated with ________________. IV ferrous sulfate
A client is admitted with hypoxia, low hemoglobin, increased TIBC, decreased MCV, and a history of heavy menstrual periods is treated with ___. PO ferrous sulfate
A client is admitted with neutropenia secondary to cancer and chemotherapy and receives _________________________. Subcutaneous filgrastim (Zarxio)
A patient is admitted with hypoxia, low hemoglobin, normal TIBC and B12, and a history of CKD. They should receive ___________. Epoetin alfa
What would be the teaching priority for a diabetic patient being treated with a nonselective beta blocker? To understand signs and symptoms of hypo- or hyperglycemic reaction
Bisoprolol (Zebeta) would be the drug of choice for which patient with a diagnosis of hypertension? A 69-year-old patient
A priority nursing assessment for a patient who is to receive an alpha- or beta-adrenergic blocking agent would be what? Assessing heart rate
A nurse is working with a patient who is taking an adrenergic blocking agent. While assessing the patient’s medical history, the nurse discovers that the patient takes several alternative therapies. what herb is the nurse concerned may interact with the adrenergic blocking agent and affect the patient’s blood glucose level? Di huang
What medication, if ordered for an 8-year-old patient, should the nurse question? -Amiodarone 400mg orally per 24 hours-Labetalol 100mg orally bid-Carvedilol 6.25 mg orally bid
The nurse administers an adrenergic blocking agent in order to prevent release of what neurotransmitter? Norepinephrine
The nurse is serving a breakfast tray to the patient receiving an alpha- and beta-adrenergic agonist medication. The nurse notifies dietary of the error with teh patient’s diet when finding what on the tray? Coffee
When transcribing new orders for sympathomimetic medications prescribed for a geriatric patient, the nurse expects the dosage will be what? The least possible effective dosage
A student nurse is administering an ophthalmic adrenergic agonist. What action would reflect the need for further education about how to administer a medication ophthalmically? Rest the top of the dropper against the lower eyelid
The nurse calculates the infusion rate for administering dopamine to a premature infant in the NICU who is in cardiogenic shock secondary to a cardiac anomaly. What is the nurse’s next priority action? Ask another nurse to perform independent calculation
The nurse receives an order to begin a dopamine (Inotropin) infusion at 5 mcg/kg/min. The patient weighs 50 kg. Each milliliter of solution contains 3 mg of dopamine. How many mL/hr will the nurse set the pump to deliver? 5 mL/h(5×50=250 mcg/min x 6 (mg/hr) = 15,00015,000/1,000 = 15 mg/hr3 mg per 1 ml = 15mg/x ml –> (3x=15mg) = 5
The nurse is caring for a male patient who is taking a monoamine oxidase inhibitor (MAOI). The patient complains of seasonal rhinitis and the intern for his service orders phenylephrine nasal spray. What is the nurse’s priority action? Question the order with the prescriber
A 4-year-old girl is prescribed an albuterol (Proventil) inhaler for her asthma. What is the recommended safe dosage for this patient? 1.25 to 2.5 mg bid
The nurse needs to be aware, before administering, that what drug has a duration of action of only 1 to 2 minutes? Isoproterenol
The clinic nurse is teaching a patient about transdermal clonidine (Catapres). What information would be included in the nurse’s teaching plan? -Rotate the site where the patch is placed.-Monitor blood pressure daily.-Keep the physician informed of any new diagnoses or medications. –
A provider is caring for a client who has undergone organ transplantation. Because the major histocompatibility complex (MHC) molecules of the donor are different from those of the client, the provider will prescribe a drug from which drug class? Immunusuppressants
A provider prescribing vaccines to a client with rheumatoid arthritis treated with Adalimumab (Humira) should aovid ordering which of the following vaccinations? Varicella Virus Vaccine
The provider orders a tuberculin skin test and a chest x-ray before starting a client on etanercept. Test results indicate a positive tuberculin skin test with a negative chest radiograph. What action will the provider take? Prescribe treatment for tuberculosis before beginning etanercept treatment.
A 47-year-old patient post STEMI is in _ shock and requires ____. -Cardiogenic-Dobutamine
A 17-year-old with difficulty breathing after a bee sting is in _ shock and requires __. -Anaphylactic-Epinephrine
The CT scan of a 32-year-old with shortness of breath indicates pulmonary embolus. This patient is in ________– and requires _______. -Obstructive shock-Thrombolytics
A 29-year-old in the emergency department with massive bleeding after a motorcycle crash is in _______ shock and requires _____. -hypovolemic-fluids
An 83-year old with a fever of 103.3 and 50ml of urine output in the last 2 hours is in ______ shock and requires ______. -septic-norepinephrine
When is PCA used? In patients who are alert and able to follow directions.Postoperatively.Acute pain such as pancreatitis or sickle cell crisis.
Commonly used PCA medications MorphineFentanylHydromorphone
PCA dosing options Demand doseBasal rateMaximum cumulativeLockout interval in minutes to prevent overdose
A nurse is providing discharge teaching for a patient who will be going home on cyclobenzaprine (Flexeril) prescribed for his acute musculoskeletal pain. The nurse will stress that the patient should avoid what? Drinking alcohol
A mother brings her 9-year-old son to the clinic for a routine checkup. The 9-year-old boy has cerebral palsy and is very spastic. The mother asks the nurse what causes the spasticity in her son. What is the nurse’s best response? Your son’s spasticity is caused by damaged motor nerves.
The nurse is teaching a class on muscular coordination and explains it is the movement of what electrolyte that contributes to the process of muscle contraction and relaxation? Calcium
The nurse applies a topical anesthetic to reduce sensation at the site while starting an IV. What age group is at greatest risk for systemic absorption of the topical anesthetic? Infant
The nurse is caring for a patient who will undergo cardioversion in the patient’s room this morning. The patient will receive propofol as anesthetic during the procedure. What are the benefits of using propofol for this procedure? It has a very rapid clearance.It produces less of a hangover effect.It allows for quick recovery from anesthesia.
The nurse alerts the patient to what adverse effect of tizanidine (zanaflex) that could cause injury? Hypotension
“A young woman attends a “”Botox Party”” and is injected with botulinum toxin type A to decrease “”frown lines”” between her eyebrows. Later that evening the patient is admitted to the emergency department and is hysterical, because she cannot move her eyebrows. The nurse explains that that toxin causes what?” The toxin causes muscle paralysis, preventing movement and relieving wrinkles.
A patient has stepped on a rusty nail and is exhibiting signs of muscle rigidity and contractions. The patient’s wife called the emergency department (ED) and the triage nurse told her to bring him in. the ED nurse will have which drug available for administration when the patient arrives? Methocarbamol (Robaxin)
The nurse assesses a newly admitted patient and finds the muscle tone in his left leg has sustained muscle contraction. How will the nurse document this finding? Spastic
A patient comes to the clinic to receive a Botox injection in her forehead. The patient has adult acne across her forehead. What is the nurse’s priority action? Hold the injection and consult the health care provider.
The nurse is giving discharge instructions to a patient who just had Botox A injections around her eyes. what adverse effects would the nurse include in her discharge instructions? -Respiratory infections-Flu-like syndrome-Droopy eyelids
A patient with severe spasticity sees his physician. The physician orders dantrolene. In what circumstances is the drug dantrolene contraindicated? Spasticity that contributes to upright position.
The pharmacology instructor is discussing adrenergic agonists with the nursing class. Which drugs would the instructor tell the nursing students are generally indicated for the treatment of shock, bronchospasm, and some types of asthma. Sympathomimetic drugs
When studying for a pharmacology exam, a student asks his peers which agents affect both alpha- and beta- receptor sites. What would be an appropriate response to this student? -Dobutamine (Dobutrex)-Epinephrine (Adrenaline, Suys-phrine)-Dopamine (Inotropin)
The nurse is admitting a mental health patient and collects the medication history. The patient says he takes haldol, midodrine, hydrochlorothiazide, acetamionophen, and cymbalta. The nurse will call the provider to discuss what dangerous drug combination? Haldol and midodrine
A 4-year-old is admitted to the emergency department in shock after a motor vehicle accident. The patient weighs 12.5 kg. What would be the minimum safe dose of adrenaline if the pediatric dose is 0.005 to 0.01 ng/kg IV? 0.0625 mg
When giving beta-specific adrenergic agonists, at what age is an adult dose given? 12 years
The home health nurse is caring for a 77-year-old male patient who has just been discharged from the hospital.. the patient is receiving an infusion of dobutamine (Dobutrex) to treat congestive herart failure. What is the priority nursing assessment? Capillary refill time and vital signs
What is the nurse’s rationale for administering clonidine to treat hypertension? Clonidine stimulates alpha-2 receptors
Isoproterenol is reserved for use in emergency situations. What is the rationale for this? Its adverse effects
A nurse is preparing to give isoproterenol parenterally. Before starting to administer the drug, what dose the nurse ensure is on hand in case a severe reaction occurs? A beta-adrenergic blocker
The nursing instructor is quizzing a student who is preparing to administer an alpha-specific adrenergic agonist to a patient. The instructor asks the student what the student will assess in this patient after administering the drug. What is the student’s best response? Blood pressure
When assessing a patient who has been prescribed midodrine, what would the nurse assess for? Renal failure
A patient is admitted to the unit with central spasticity after a terrible motor vehicle accident. The doctor places an intrathecal delivery pump. What medication can be administered via this route to treat the central spasticity? Baclofen (Lioresal)
The patient is taking midodrine (Proamatine). What is the most important nursing action to include in the plan of care for this patient? Monitor blood pressure
A 62-year-old patient came to the primary care provider’s office with a minor skin infection. the infection was cultured, and the patient was started on a PO broad-spectrum antibiotic. A few days later, culture results reveal the pathogen for which a specific antibiotic is available. Select the most appropriate type of antibiotic therapy considering culture results. -Targeted therapy-Narrow-spectrum-PO-Bacteriostatic
An otherwise healthy 35-year-old is seen in the urgent care with pain an burning on urination. The urine dipstick indicates a urinary tract infection. A urine sample has been sent to the laboratory for a culture. Select the most appropriate type of antibiotic therapy. Broad spectrumEmpiric therapyBactericidalPO
A critically ill 55-year-old hospitalized neutropenic patient has a severe infection. The first set of blood cultures have been drawn. Select the most appropriate type of antibiotic therapy to initiate before blood cultures are received. Broad spectrumIVEmpiric therapyBactericidal
A patient with BPH has been prescribed prazosin (minipress) and asks the nurse what this is going to do for him. The nurse’s response will include what action to explain the purpose of taking this medication? Relaxing the bladder and prostate and improving urine flow.