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Pharm Test 4 student created guide
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Perguntas do quiz (23)
1The nurse is preparing to give medications. Which is the most appropriate nursing action for intravenous (IV) phenytonin?
- AGive IV doses via rapid IV push.
- BAdminister in normal saline solutions.
- CAdminister in dextrose solution.
- DEnsure continuous infusion of the drug.
2The nurse is reviewing drugs currently taken by a patient who will be starting drug therapy with carbemazepine. What drug may raise cause for concern due to interactions?
- Adigoxin
- Bacetaminophen
- Cdiazepam
- Dwarfarin
3Which response would the nurse expect to find in a patient with a phenytoin level of 35 mcg/ml?
- AAtaxia
- BHypertension
- CSeizures
- DNo unusual response; this level is therapeutic.
4The nurse is assessing a newly admitted patient who has a history of seizures. During the assessment, the patient has a generalized seizure that does not stop for several minutes. The nurse expects that which drug will be ordered for the condition?
- AValproic Acid
- BNeurontin
- Ccarbamazepine
- Ddiazepam
5The nurse is administering an antiepileptic drug and will follow which guidelines?
- AMonitor the patient for drowsiness.
- BMedications may be stopped if seizures disappear.
- CGive the medication at the same time every day.
- DGive the medication on an empty stomach.
- ENotify the prescriber if the patient is unable to take the medication.
6A patient is taking entacapone as part of a therapy for Parkinson's disease. Which intervention by the nurse is appropriate at this time.
- ANotify the patient that this drug causes discoloration of the urine.
- BLimit' the patient's intake of tyramine-containing food.
- CMonitor results of renal studies because this drug can seriously affect renal function.
- DForce fluid to prevent dehydration.
7During a patient teaching session about antiparkinson drugs, the nurse will include which statement?
- A"The drug will be stopped when tremors and weakness are relieved."
- B"If a dose is missed, take two doses to avoid significant decreases in blood levels."
- C"Be sure to notify your physician if your urine turns brownish-orange in color."
- D"Take care to change positions slowly to prevent falling due to a drop in blood pressure."
8A patient with Parkinson's disease will start taking entacapone alone with the carbidopa-levodopa he has been taking for a few years. The nurse recognizes that the advantage of taking entacapone is that:
- AThe entacapone can reduce on-off effects.
- BThe levodopa may be stopped in a few days.
- CThere is less GI upset with entacapone.
- DIt does not cause the cheese effect.
9The nurse is assessing a patient after major bowel surgery. The nurse anticipates administering which type of nutrition for this patient?
- AEnteral feedings through a percutaneous endoscopic gastronomy (PEG) tube
- BPeripheral parenteral nutrition
- CTotal parenteral nutrition
- DA high-residue diet
10The nurse is providing wound care for a patient with a stage IV pressure ulcer and expects the patient to receive which supplement to assist in wound healing?
- AVitamin K
- BVitamin B1
- CZinc
- DCalcium
11When assessing a patient who is about to receive an albumin infusion, the nurse knows that a contraindication for albumin would be:
- AAcute Liver Failure
- BHeart failure
- CSevere burns
- DFlude volume deficit
12(EDIT ANSWERS)A patient is taking isoniazid for tuberculosis. The nurse anticipates supplementation with which vitamin for prevention of drug induced neuritis
- AC
- BB6
- CK
- DE
13The patient is taken to the trauma unit after a motorcycle accident. It is estimated that he has lost 30% of his blood volume and he is in hypovolemic shock. The nurse anticipates a transfusion with which blood product?
- APacked red blood cells
- BWhole Blood
- CCryoprecipitate
- DFresh Frozen Plasma
14A patient is hypokalemic and will be receiving IV K+. The patient is not on a heart monitor. How should the nurse administer the K+ replacement?
- AIV Push
- BNo more than 10 mEq/hr
- CNo more than 20 mEq/hr
- D40 mEq/hr
15The patient with a serum K+ of 6.0 mEq/L is ordered polystyrene sulfonate via the NG. When administering the medication the nurse should
- Aadminister the drug with sorbitol
- Badminister the drug with water
- Cadminister the drug with an antacid
- Dadminister the drug with a laxative
16New patient with alcoholism, which vitamin is given?
- AB1
- BB6
- CC
- DA
17PRB's are given with what?
- ALactase Ring
- B0.9% Sodium Chloride
- CD5W
- D1.7% Sodium Chloride
18When administering vitamin and mineral supplements, the nurse implements which appropriate interventions?
- ANot administering oral calcium tablets along with oral tertracyclines
- BAdministering IV calcium via a rapid IV push infusion
- CMonitoring the heart rhythm ECG of a patient receiving an IV magnesium infusion
- DGiving oral niacin with milk or food to decrease GI upset
- EMonitoring for the formation of renal stones in patients taking large doses of vitamin C
19Why is calcium given on a renal unit?
- AHigh phosphorus
- BOsteoperosis
- CCalcium is never given on a renal unit
- DCalcium deficiency
20H2 Receptor blockers are normally given for GERD. What health factors may decrease the effectiveness of this drug class?
- AHeart Failure
- BSmoking
- CPulmonary Edema
- DMyocardial Infarcation
21Which is a potential adverse effect of Valproic Acid?
- AHepatoxicity
- BCoughing
- CAbnormal Bleeding
- DHyperthermia
22A patient has been taking antiepileptic drugs for a year. The nurse is reviewing his recent history and will monitor for which condition that may develop during this time?
- ALoss of appetite
- BJaundice
- CWeight Loss
- DSuicidal thoughts or behavior
23What is the rationale for administering a PPI to a client diagnosed with GERD?
- APPI meds neutralize the gastric secretions.
- BPPI meds block H2 receptors on the parietal cells.
- CPPI meds inhibit the enzyme that generates gastric acid.
- DPPI meds form a protective barrier against acid and pepsin
Informações
- Descrição
- Yep. Number 4
- Autor
- Brian Dabbs
- Idioma
- English
- Visualizações
- 42
- Etiquetas
- Avaliação
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