Pharm Test 4 student created guide

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Yep. Number 4
Brian Dabbs
Quiz by Brian Dabbs, updated more than 1 year ago
Brian Dabbs
Created by Brian Dabbs over 8 years ago
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Resource summary

Question 1

Question
The nurse is preparing to give medications. Which is the most appropriate nursing action for intravenous (IV) phenytonin?
Answer
  • Give IV doses via rapid IV push.
  • Administer in normal saline solutions.
  • Administer in dextrose solution.
  • Ensure continuous infusion of the drug.

Question 2

Question
The 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?
Answer
  • digoxin
  • acetaminophen
  • diazepam
  • warfarin

Question 3

Question
Which response would the nurse expect to find in a patient with a phenytoin level of 35 mcg/ml?
Answer
  • Ataxia
  • Hypertension
  • Seizures
  • No unusual response; this level is therapeutic.

Question 4

Question
The 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?
Answer
  • Valproic Acid
  • Neurontin
  • carbamazepine
  • diazepam

Question 5

Question
The nurse is administering an antiepileptic drug and will follow which guidelines?
Answer
  • Monitor the patient for drowsiness.
  • Medications may be stopped if seizures disappear.
  • Give the medication at the same time every day.
  • Give the medication on an empty stomach.
  • Notify the prescriber if the patient is unable to take the medication.

Question 6

Question
A patient is taking entacapone as part of a therapy for Parkinson's disease. Which intervention by the nurse is appropriate at this time.
Answer
  • Notify the patient that this drug causes discoloration of the urine.
  • Limit' the patient's intake of tyramine-containing food.
  • Monitor results of renal studies because this drug can seriously affect renal function.
  • Force fluid to prevent dehydration.

Question 7

Question
During a patient teaching session about antiparkinson drugs, the nurse will include which statement?
Answer
  • "The drug will be stopped when tremors and weakness are relieved."
  • "If a dose is missed, take two doses to avoid significant decreases in blood levels."
  • "Be sure to notify your physician if your urine turns brownish-orange in color."
  • "Take care to change positions slowly to prevent falling due to a drop in blood pressure."

Question 8

Question
A 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:
Answer
  • The entacapone can reduce on-off effects.
  • The levodopa may be stopped in a few days.
  • There is less GI upset with entacapone.
  • It does not cause the cheese effect.

Question 9

Question
The nurse is assessing a patient after major bowel surgery. The nurse anticipates administering which type of nutrition for this patient?
Answer
  • Enteral feedings through a percutaneous endoscopic gastronomy (PEG) tube
  • Peripheral parenteral nutrition
  • Total parenteral nutrition
  • A high-residue diet

Question 10

Question
The 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?
Answer
  • Vitamin K
  • Vitamin B1
  • Zinc
  • Calcium

Question 11

Question
When assessing a patient who is about to receive an albumin infusion, the nurse knows that a contraindication for albumin would be:
Answer
  • Acute Liver Failure
  • Heart failure
  • Severe burns
  • Flude volume deficit

Question 12

Question
(EDIT ANSWERS)A patient is taking isoniazid for tuberculosis. The nurse anticipates supplementation with which vitamin for prevention of drug induced neuritis
Answer
  • C
  • B6
  • K
  • E

Question 13

Question
The 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?
Answer
  • Packed red blood cells
  • Whole Blood
  • Cryoprecipitate
  • Fresh Frozen Plasma

Question 14

Question
A 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?
Answer
  • IV Push
  • No more than 10 mEq/hr
  • No more than 20 mEq/hr
  • 40 mEq/hr

Question 15

Question
The patient with a serum K+ of 6.0 mEq/L is ordered polystyrene sulfonate via the NG. When administering the medication the nurse should
Answer
  • administer the drug with sorbitol
  • administer the drug with water
  • administer the drug with an antacid
  • administer the drug with a laxative

Question 16

Question
New patient with alcoholism, which vitamin is given?
Answer
  • B1
  • B6
  • C
  • A

Question 17

Question
PRB's are given with what?
Answer
  • Lactase Ring
  • 0.9% Sodium Chloride
  • D5W
  • 1.7% Sodium Chloride

Question 18

Question
When administering vitamin and mineral supplements, the nurse implements which appropriate interventions?
Answer
  • Not administering oral calcium tablets along with oral tertracyclines
  • Administering IV calcium via a rapid IV push infusion
  • Monitoring the heart rhythm ECG of a patient receiving an IV magnesium infusion
  • Giving oral niacin with milk or food to decrease GI upset
  • Monitoring for the formation of renal stones in patients taking large doses of vitamin C

Question 19

Question
Why is calcium given on a renal unit?
Answer
  • High phosphorus
  • Osteoperosis
  • Calcium is never given on a renal unit
  • Calcium deficiency

Question 20

Question
H2 Receptor blockers are normally given for GERD. What health factors may decrease the effectiveness of this drug class?
Answer
  • Heart Failure
  • Smoking
  • Pulmonary Edema
  • Myocardial Infarcation

Question 21

Question
Which is a potential adverse effect of Valproic Acid?
Answer
  • Hepatoxicity
  • Coughing
  • Abnormal Bleeding
  • Hyperthermia

Question 22

Question
A 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?
Answer
  • Loss of appetite
  • Jaundice
  • Weight Loss
  • Suicidal thoughts or behavior

Question 23

Question
What is the rationale for administering a PPI to a client diagnosed with GERD?
Answer
  • PPI meds neutralize the gastric secretions.
  • PPI meds block H2 receptors on the parietal cells.
  • PPI meds inhibit the enzyme that generates gastric acid.
  • PPI meds form a protective barrier against acid and pepsin
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