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pharmacology nursing final

pharmacology nursing final

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Published by robinkirven

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Published by: robinkirven on Apr 13, 2012
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11/06/2014

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1.
 
Anticholinergics used in Parkinson’s disease control symptoms by
a.
 
blocking cholinergic receptors
2.
 
Contraindications to carbadiazipine (Tegretol) therapy isa.
 
preexisting hematologic abnormalities
 3.
 
Nurse caring for 80 year old with throat surgery which causes concern about urinary retentionafter morphine therapy?a.
 
Tricyclic antidepressants
 4.
 
Persistent pain should be managed bya.
 
every 4 hours around the clock
 5.
 
Major indication for intraspinal and IV opiods:
a.
 
pain that cannot be controlled with pain medicine by mouth
6.
 
Triptan therapy for migraines complains of heavy sensation in arms and chest; nurse should tellhim:
a.
 
About half the patients experience similar symptoms and symptoms should go away
7.
 
Dantrolene for spasticity:
a.
 
Monitor liver enzymes
8.
 
Valproic acid (as opposed to lithium) has a
a.
 
greater therapeutic index
9.
 
Carbadiazipines (Tegretol ): lab value---
a.
 
complete blood count
10.
 
Benzodiazipines have
a.
 
built in limit to the depth of CNS depression they can produce
11.
 
Benzodiazipines (as a group) differ from one another in terms of 
a.
 
onset and duration of action
12.
 
Preparing for wound closure with use of local anesthetic; which statement is most accurate?
a.
 
Local anesthetics block conduction in motor nerves as well as sensory nerves
13.
 
Lidocaine as an Axillary block for a surgical procedure, a nurse checks pulse rate 5 minutes afterand pulse is slightly irregular and slow; the nurse understands that the
a.
 
Pt has absorbed lidocaine and may have cardiac toxicity
14.
 
Teaching session on opiates (potency of morphine and phetynol)
a.
 
Fetynal is more potent than morphine sulfate
15.
 
Chronic pain taking morphine sulfate for 4 months; expect which effect?
a.
 
Tolerance
16.
 
Prozac- decreased sexual interest/ orders a drug holiday; which is?
a.
 
Don’t take the drug on Friday and Saturday
 
17.
 
Local anesthetic administered; w/in minutes-- vital signs are pulse 55/min, respirations 18/minand BP 90/42, the nurse should monitor the
a.
 
for further signs of heart block
18.
 
Pt in labor, local anesthetic, nurse monitors Fetus via a maternal fetal monitor, anticipate
a.
 
Fetal bradycardia
19.
 
Good symptom control with levadopa, however he reports symptoms begin to return beforenext dose; remedy for the wearing off phenomenon is to:
 
a.
 
Switch to the long-acting form of the drug such as Sintamate CR
20.
 
Important contraindication for valproic acid (Depakote) use is
a.
 
Preexisting liver disease
21.
 
Patient at risk for respiratory depression; how long after the nurse administers the dose of IVmorphine should the respiratory depressant effects last?
a.
 
4
 –
5 hours
22.
 
History of migraines asks for preventative medication; which would the paitent be given?
a.
 
Propanolol (inderal)
23.
 
MS pt admitted for acute exacerbation and given inferon Beta 1 a (Avonex); what should thenurse include in the assessment?
a.
 
Do you have headaches, chills, or muscle aches?
24.
 
Reviewing lab findings: lithium level 2.2 drawn yesterday; 300 mg of lithium a day
a.
 
Hold next dose and notify prescriber
25.
 
Always takes 4 medications with bacon and eggs; can he take levodopa at the same time?a.
 
You should take levodopa at least one hour before breakfast
 26.
 
Mild to moderate alzheimer’s disease; recommend
 
a.
 
Cholinesterase inhibitors
27.
 
How does cholinesterase inhibitory drugs work?
a.
 
Helps healthier nerve cells transmit impulses better
28.
 
Dilantin works by
a.
 
Inhibiting sodium entry into hyperactive neurons
29.
 
Valproic acid; drinks 6 pack of beer daily & on the weekends
a.
 
Liver function tests
30.
 
Tegretol
a.
 
Monitor for blood sodium content
31.
 
26 year old; head injury at 19; seizure free; wants to discontinue
a.
 
Dose must be gradually reduced as to not initiate status epilepticus
32.
 
Which class of drug should be avoided with opiods for fear of respiratory depression?
a.
 
Barbiturates
33.
 
Suspected of having opioid overdose ; prepare to administer what if pt becomes comatose ordevelops respiratory depression?
a.
 
Narcan
34.
 
Preferred route of opioid administration with mild pain is?
a.
 
Oral
35.
 
Ergotamine for headaches reports fingers getting cold and numb; instruct pt to
a.
 
Come for evaluation; this could be a sign of ergotoxicity
36.
 
Aspirin and requests another med when headache first begins, which would be most suitable?
a.
 
Ergotamine
37.
 
Prozac; begins to take st john’s wart; the nurse should explain the
 
a.
 
Risk of serotonin syndrome and discourage the use of herbal preparations
38.
 
Taking MAOI which of the following would indicate need for additional teaching?
a.
 
Cheese omelet

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