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