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