Quiz
Pharmacology chapters 7, 24, 25
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Perguntas do quiz (27)
1When caring for a patient recovering from an episode of opioid toxicity, the nurse determines that the patient has opioid use disorder based on which findings?
- AWithdrawal symptoms
- BA history of daily use
- CCraving that results in drug-seeking behaviors
- DIntravenous, rather than oral, use of the drug
2A patient hospitalized with a fractured femur following an automobile accident develops nausea and vomiting, abdominal cramps, and restlessness. The nurse suspects that the patient is experiencing which reaction?
- AOpioid withdrawal
- BAlcohol toxicity
- CFlashbacks from LSD use
- DNicotine withdrawal
3Which treatments will the nurse anticipate administering to a patient who has been admitted with alcohol toxicity? (Select all that apply)
- ANaloxone
- BThiamine
- CIntravenous fluids
- DNaltrexone
- EIntravenous glucose solution
- FFlumazenil
4A nurse observes another nurse taking oral opioids from the medication room at the hospital. Which is the best action for the nurse who observes drug diversion to take?
- AReport the finding to the nursing supervisor to enable the nurse's participation in a nondisciplinary program
- BIgnore the situation to protect the nurse from dismissal and possible loss of licensure.
- CConfront the nurse and demand that the drugs be returned before someone notices their absence.
- DAsk the nurse to request pain medications from a physician rather than stealing them from the the hospital.
5A patient is to start disulfiram to help with alcohol use disorder. The nurse providing medication education about the drug will include which topics in the education plan? (select all that apply)
- AImportance of taking the medication every day
- BThat better results are experienced when a support group helps with treatment adherence
- CCommon food and hygiene products that contain alcohol
- DThat disulfiram treatment should be stopped 1 day before alcohol consumption.
- EThat disulfiram works by disrupting the metabolism of alcohol
- FThat use of alcohol with disulfiram may cause nausea and vomiting and may even be fatal.
6A patient is taking ibuprofen. The nurse understands that COX-1 and COX-2 inhibitors are different in that ibuprofen is more likely than celecoxib to cause which adverse effect?
- AFever
- BConstipation
- CPeptic ulcer disease
- DMetallic taste when eating
7When teaching a patient who is receiving allopurinol, what should the nurse encourage the patient to do?
- AEat more meat
- BIncrease vitamin C intake
- CHave annual eye examinations
- DTake medication 2 hours before meals
8A patient is admitted to the hospital with an acute gout attack. The nurse expects that which medication will be ordered to treat acute gout?
- AColchicine
- BAllopurinol
- CProbenecid
- DSulfinpyrazone
9A patient is taking aspirin for arthritis. Which adverse reaction should the nurse teach the patient to report to the health care provider?
- ATinnitus
- BSeizures
- CSinusitis
- DPalpations
10The nurse is teaching a patient about taking aspiring. Which are important points to include? (Select all that apply)
- AAdvise the patient to avoid alcohol while taking aspirin.
- BInstruct the patient to take aspirin before meals on an empty stomach.
- CInstruct the patient to inform the dentist of the aspirin dosage before having dental work
- DInstruct the patient to inform the surgeon of the aspirin dosage before having surgery.
- ESuggest that aspirin may be given to children for flu symptoms
11A patient is taking infliximab and asks the nurse what side effects/adverse reactions to expect from this drug. The nurse lists which side effects? (Select all that apply)
- AFatigue
- BHeadache
- CChest pain
- DRenal damage
- ESevere infections
12A patient requires a non opioid medication. The nurse knows that which medication will cause the least gastrointestinal distress?
- AAspirin
- BKetorolac
- CCelecoxib
- DIbuprofen
13A patient states during a medical history that he takes several acetaminophen tablets throughout the day for acute pain. The nurse teaches the patient that the dosage should not exceed which amount?
- A1g/day
- B3g/day
- C4g/day
- D6g/day
14For the patient receiving periodic morphine via intravenous push, which of the following findings would be of utmost concern to the nurse?
- AIncreased temperature
- BDecreased bowel sounds
- CDecreased respirations
- DIncreased red blood cell count
15A patient is admitted to the emergency department with signs of respiratory depression following self-injection with hydromorphone. The admitting nurse knows that which drug will reverse respiratory depression cause by opioid overdose?
- AFentanyl
- BNaloxone
- CButorphanol
- DSufenta
16Assessing a patient following intravenous morphine administration, the nurse notes cold, clammy skin; a pulse of 40 beats/min; respirations of 10 breaths/min; and constricted pupils. Which medication with the patient likely need next?
- ANaloxone
- BMeloxicam
- CPentazocine
- DPropoxyphene
17For the patient who is taking acetaminophen, what should the nurse do? (select all that apply)
- AMonitor routine liver enzyme tests
- BEncourage the patient to check package labels of OTC drugs to avoid overdosing
- CReport side effects immediately, as toxicity can cause severe hepatic damage.
- DTeach the female patient that oral contraceptives can increase the effect of acetaminophen
- ETeach the patient that caffeine decreases the effects of acetaminophen
18For the patient who is taking nalbuphine, what should the nurse do? (Select all that apply)
- AMonitor any changes in respirations
- BInstruct the patient to report bradycardia
- CAdminister intravenous nalbuphine undiluted
- DExplain to the patient to expect an excessive amount of urine output
- EInstruct the patient to avoid alcohol when taking nalbuphine to avoid respiratory depression
19A patient is having a migraine attack. The nurse should know that which drugs are used to treat migraine attacks?
- ATriptans
- BAnticonvulsants
- CTricyclic antidepressants
- DBeta-adrenergic blockers
20A patient has been advised to take ibuprofen. When teaching the patient about ibuprofen, which instruction should the nurse include? (Select all that apply.)
- AAvoid taking aspirin with ibuprofen.
- BTake with food to reduce GI upset.
- CMonitor for bleeding gums, nosebleeds, black tarry stools
- DTake herbs, ginkgo and garlic, with ibuprofen.
- ETake NSAIDs 2 days before menstruation to decrease discomfort.
21A 65-year-old man has been diagnosed with chronic gout. The nurse anticipates that the patient will be treated with
- Aallopurinol.
- Bcolchicine.
- Cadalimumab.
- Dinfliximab.
22What occurs during the vascular phase of inflammation?
- ALeukocyte and protein infiltration into inflamed tissue
- BVasoconstriction with leukocyte infiltration into inflamed tissue
- CVasoconstriction and fluid influx into the interstitial space
- DVasodilation with increased capillary permeability
23Ibuprofen is a frequently prescribed anti-inflammatory, analgesic, and antipyretic. What is a positive aspect of this drug in relation to other NSAIDs?
- AIt tends to cause less GI irritation
- BIt may be taken between me
- CIt has a long half-life of 20-30 hours
- DIt has no drug-drug interactions
24When discontinuing steroid therapy, how long of a period should the dosage be tapered?
- ANo tapering is necessary
- B1-4 days
- C5-10 days
- DMore than 10 days
25A patient with a known opioid addiction is to have surgery. In planning the patient’s postoperative pain management, the nurse will
- Awithhold opioid medications.
- Btreat the addiction before managing pain.
- Cprovide pain management as needed.
- Danticipate that the patient will experience less pain.
26The nurse performing an assessment on a patient identifies the manifestations of cocaine use, which include
- Afatigue and hallucinations.
- Bcardiac dysrhythmias and violent behavior.
- Cshock and hypotension.
- Dshallow respirations and pallor.
27A patient who smoked 1 pack of cigarettes a day for 2 years abruptly stopped smoking 2 days ago. The nurse performing an assessment on the patient identifies manifestations of nicotine withdrawal as including
- Aincreased appetite and blood pressure.
- Brestlessness and increased blood pressure.
- Cdepression and decreased blood pressure.
- Dnausea, confusion, and seizures.
Informações
- Descrição
- These questions are taken directly from the pharmacology book and whatever questions the professor gives us on power points. Chapter 7 opioids Chapter 24 antiinflammatories Chapter 25 analgesics
- Autor
- Amber B
- Idioma
- English
- Visualizações
- 2
- Etiquetas
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