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