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