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