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