PHARMACOLOGY - Bronco Bucket and Clicker questions

The nurse is caring for a patient who is taking phenytoin (Dilantin). Which medication, if ordered by the physician, should the nurse question?

Most anticonvulsant medications have a narrow therapeutic range and require serum levels to be monitored?

Most anticonvulsant medications are Cytochrome P450 Enzyme "Inducers"?

Most Anticonvulsant medications will increase the effectiveness of birth control pills, thus making pregnancy difficult while taking them.

Patients can be instructed to take the anticonvulsant medications on a PRN schedule. When they feel an aura, they should take the medications.

Phenytoin (Dilantin) is approved by the FDA in the treatment of Absence Seizures.

Phenytoin (Dilantin) can be used to treat certain cardiac dysrhythmias.

A recommended serum phenytoin (Dilantin) level is [blank_start]10-20[blank_end] mcg/mL.

Phenytoin (Dilantin) is considered...

[blank_start]Fosphenytoin[blank_end] is a parenteral medication which is a prodrug and is converted to [blank_start]phenytoin[blank_end] when metabolized.

Carbamazepine (Tegretol) is effective against which of the following types of seizures? Select all that apply.

A 28 year old female patient is newly prescribed Carbamazepine (Tegretol). Which of the following are important to include when teaching her about the medication? Select all that apply.

This adverse effect may most likely be seen with which one of the following antiepileptic agents?

[blank_start]Phenobarbital[blank_end] is the oldest antiseizure drug, but with significant adverse effects. [blank_start]Gabapentin (Neurontin)[blank_end] is commonly prescribed for uses other than seizures, including neuropathic pain and fibromyalgia. [blank_start]Lorazepam (Ativan)[blank_end] is administered via IV for the treatment of status epilepticus. There is a risk of hyponatremia with [blank_start]Oxcarbazepine (Trileptal)[blank_end] if administered along with any other drug that wastes sodium. [blank_start]Ethosuximide (Zarontin)[blank_end] is approved to treat absence seizures only.

A 15-year-old male hits his finger while hammering a nail. Which of the following best describes the type of pain he would feel?

A patient has morphine prescribed for post-op pain. Which of the following assessments is the PRIORITY assessment prior to administration of this medication?

What is the mechanism that may lead to increased ICP while a patient receives opioids?

In which case might the nurse avoid a pain medication with combined opioid and acetaminophen? (i.e. vicodin)

Which of the following patient populations would be more sensitive to morphine-induced respiratory depression? Select all that apply.

A patient will begin to use a non-selective COX inhibitor; what information will the nurse provide in medication education?

A patient wants to know how a COX inhibitor has anything to do with prevention of a heart attack. What is the nurse's best response?

A 64 year old patient has a second alcohol-related fall within six months and now has shoulder and knee pain. He reports 3-6 drinks/day. With the patient's alcohol consumption, can he use acetaminophen to treat his pain related to the fall?

Which of the following patients might be at risk for acetaminophen toxicity?

A post-op patient reports pain of 7 on 0-10 scale, but explains that morphine makes him feel "loopy" and would rather not have it. What NSAID might you recommend with the same effectiveness of morphine?

Which of the following clotting factors are Vitamin K dependent for synthesis?

Once there is no need for clot, what final substance degrades the fibrin mesh?

A patient is placed on heparin for DVT prophylaxis after open reduction and internal fixation (ORIF) of a tibia fracture. Which S/S would be of greatest concern to the nurse after beginning his therapy?

A patient has been on long-term high dose heparin therapy and will continue to use at home. What would the nurse include in discharge education to prevent common adverse effects of this drug?

A nurse is caring for a patient admitted through the ED after a MVC. The patient is scheduled for orthopedic internal fixation late tomorrow evening. What would be the priority to report to the provider if the patient is prescribed enoxaparin (Lovenox)?

Which patient does the nurse identify as most likely needing an increased dose of warfarin (Coumadin) to have the same anticoagulant effect?

What is the antidote for heparin?

During administration of alteplase (Activase), the patient's IV site starts to ooze blood around the catheter. Which action by the nurse is most appropriate?

Monoamine Oxidase (MAO)...