NCLEX Review Questions-Pharmacology

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32 terms Kee Following administration of phenylephrine (Neo- Synephrine), the nurse would assess for which of the following adverse drug effects?a-Insomnia, nervousness, and hypertension b-Nausea, vomiting, and hypotension c-Dry mouth, drowsiness, and dyspnea d-Increased bronchial secretions, hypotension, and bradycardia a-Insomnia, nervousness, and hypertension Anticholinergics may be ordered for which of the following conditions? (Select all that apply.) a-Peptic ulcer disease b-Bradycardia c-Decreased sexual function d-Irritable bowel syndrome e-Urine retention a-Peptic ulcer disease b-Bradycardia d-Irritable bowel syndrome Propranolol (Inderal) has been ordered for a client with hypertension. Because of adverse effects related to this drug, the nurse would carefully monitor for which adverse effect?a-Bronchodilation b-Tachycardia c-Edema d-Bradycardia d-Bradycardia

Older adult clients taking bethanechol (Urecholine) need to be assessed more frequently because of which of the following adverse effects?a-Tachycardia b-Hypertension c-Dizziness d-Urinary retention c-Dizziness The client taking benztropine (Cogentin) should be provided education on methods to manage which common adverse effect?a-Heartburn b-Constipation c-Hypothermia d-Increased gastric motility b-Constipation The client or family of a client taking tacrine (Cognex) should be taught to be observant for which of the following adverse effects that may signal that a possible overdose has occurred?a-Excessive sweating, salivation, and drooling b-Extreme constipation c-Hypertension and tachycardia d-Excessively dry eyes and reddened sclera a-Excessive sweating, salivation, and drooling The nurse should assess a client who is taking lorazepam (Ativan) for the development of which of these adverse effects?a-Tachypnea b-Astigmatism c-Ataxia d-Euphoria c-Ataxia A client is receiving temazepam (Restoril). Which of these responses should a nurse expect the client to have if the medication is achieving the desired effect?a-The client sleeps in 3-hour intervals, awakens for a short time, and then falls back to sleep.b-The client reports feeling less anxiety during activities of daily living.c-The client reports having fewer episodes of panic attacks when stressed.d-The client reports sleeping 7 hours without awakening.d-The client reports sleeping 7 hours without awakening.

A 32-year-old female client has been taking lorazepam (Ativan) for her anxiety and is brought into the emergency department after taking 30 days' worth at one time. What antagonist for benzodiazepines may be used in this case?a-Epinephrine b-Atropine c-Flumazenil d-Naloxone c-Flumazenil A 17-year-old client has been prescribed escitalopram (Lexapro) for increasing anxiety uncontrolled by other treatment measures. Because of this client's age, the nurse will ensure that the client and parents are taught what important information?a-Cigarette smoking will counteract the effects of the drug.b-Signs of increasing depression or thoughts of suicide should be reported immediately.c-The drug causes dizziness and alternative schooling arrangements may be needed for the first two months of use.d-Anxiety and excitability may increase during the first two weeks of use but then will have significant improvement.b-Signs of increasing depression or thoughts of suicide should be reported immediately.Zolpidem (Ambien) has been ordered for a client for the treatment of insomnia. What information will the nurse provide for this client? (Select all that apply.) a-Be cautious when performing morning activities because it may cause a significant "hangover" effect with drowsiness and dizziness.b-Take the drug with food; this enhances the absorption for quicker effects.c-Take the drug immediately before going to bed; it has a quick onset of action.d-If the insomnia is long-lasting, this drug may safely be used for up to one year.e-Alcohol and other drugs that cause CNS depression (e.g., antihistamines) should be avoided while taking this drug.c-Take the drug immediately before going to bed; it has a quick onset of action.e-Alcohol and other drugs that cause CNS depression (e.g., antihistamines) should be avoided while taking this drug.

Education given to clients about the use of all drugs to treat insomnia should include an emphasis on what important issue?a-They will be required long-term to achieve lasting effects.b-They require frequent blood counts to avoid adverse effects.c-They are among the safest drugs available and have few adverse effects.d-Long-term use may increase the risk of adverse effects, create a "sleep debt," and cause rebound insomnia when stopped.d-Long-term use may increase the risk of adverse effects, create a "sleep debt," and cause rebound insomnia when stopped.An 8-year-old boy is evaluated and diagnosed with absence seizures. He is started on ethosuximide (Zarontin). Which information should the nurse provide the parents?a-After-school sports activities will need to be stopped because they will increase the risk of seizures.b-Monitor height and weight to assess that growth is progressing normally.c-Fractures may occur, so increase the amount of vitamin D and calcium-rich foods in the diet.d-Avoid dehydration with activities and increase fluid intake.b-Monitor height and weight to assess that growth is progressing normally.The nurse is providing education for a 12-year-old client with partial seizures currently prescribed valproic acid (Depakene). The nurse will teach the client and the parents to immediately report which symptom?a-Increasing or severe abdominal pain b-Decreased or foul taste in the mouth c-Pruritus and dry skin d-Bone and joint pain a-Increasing or severe abdominal pain The nurse is caring for a 72-year-old client taking gabapentin (Neurontin) for a seizure disorder. Because of this client's age, the nurse would establish which nursing diagnosis related to the drug's common adverse effects?a-Risk for Deficient Fluid Volume b-Risk for Impaired Verbal Communication c-Risk for Constipation d-Risk for Falls d-Risk for Falls