問題一覧
1
When it 12 year old Child is prescribed methylphenidate, which is most important for the nurse to monitor?
Height and weight
2
Several children are admitted for diagnosis with possible attention deficit hyperactivity disorder. Which is the most important for the nurse to observe?
A boy with an inability to complete tasks
3
The nurse monitoring a patient for mental methyphenidate Withdrawal should observe the patient for which condition?
Weakness
4
The nurse is teaching a patient to Self administer medication. The nurse knows that which drug is used to treat narcolepsy?
Modafinil
5
A newborn patient is in respiratory distress. The nurse anticipates preparation for which medication to be given?
Theophylline
6
It is important for the nurse teaching the patient regarding secobarbital to include information about the drug?
It is a short-acting drug that may cause one to awaken early in the morning.
7
A patient taking lorazepam ask the nurse how this drug works. The nurse should respond by stating that it is benzodiazepine That by which mechanism?
Increasing the action of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) to GABA receptors.
8
A patient is taking ramelteon For insomnia. The Nurse prepare a care plan that includes monitoring of the patient for side effects/ adverse reaction of this drug. Which is side effect of ramelteon?
Bradycardia
9
Patient receives spinal anesthesia. Which is most Important for the nurse to monitor?
Hypertension and headaches
10
A nurse is teaching a patient about Zolpidem. Which is important for the nurse to include in the teaching of the drug?
It is used for short term – term treatment less than 10 days.
11
Patient is taking Triazolam. Which instructions about this dragon important for the nurse to include?
Avoid alcohol and smoking while taking this drug
12
The nurse witnesses a patient seizure involving generalized contradiction of the body followed by jerkiness of the arms and necks. The nurse reports this as which type of seizure?
Tonic-clonic
13
Phenytoin Has been prescribe for a patient with seizures. The nurse should include with appropriate nursing intervention in the plan of care?
Monitor compete blood count levels for early detection of blood dysplasia.
14
The nurse should monitor the patient receiving penytoin for which adverse effect?
Nosebleeds
15
A nurse administering valproic acid to a patient check the laboratory values and finds serum range for valproic acid of 150 mcg/mL. What should the nurse do?
Hold the medication and notify the healthcare provider.
16
When administering phenytoin, The nurse realizes more teaching is needed if the patient makes which statement?
“I should take phenytoin one hour before meals”
17
Patient is receiving carbidopa-levodopa For Parkinson’s disease. Which is most important for the nurse know about this drug?
Dopaminergics are contraindicated in glaucoma.
18
The nurse has initiated teaching for a family member of a Patient with Alzheimer disease. The nursery realizes more teaching is needed if the family member makes which statement?
It may take several medication overtime to cure the disease
19
A patient is taking rivastigmine. The nurse should teach the patient and family which information about rivastigmine?
Gastrointestinal distress is a common side effect.
20
Which nursing intervention for patient taking carbidopa-levodopa for Parkinson’s disease?
Inform the patient that perspiration may be dark and may stain clothing.
21
When the nurse explains the pathophysiology of myasthenia gravis to a patient, which is the best explanation?
A decreased amount of acetylcholine to cholinergic receptors produces weak muscles and reduced nerve impulses.
22
The nurse is teaching a patient recently diagnosed with multiple sclerosis about the disease. Which statement is not correct concerning multiple sclerosis?The nurse is teaching a patient recently diagnosed with multiple sclerosis about the disease. Which statement is not correct concerning multiple sclerosis?
Goals of treatment are to decrease the inflammation in the nervous system.
23
A patient with multiple sclerosis is having muscle spasticity. The nurse anticipates which drug will be prescribed to treat the patient's spasticity?
Cyclobenzaprine
24
The nurse anticipates that the health care provider will prescribe which medication to treat a patient with relapsing remitting multiple sclerosis?
Glatiramer acetate
25
The nurse is providing medication instructions to a patient with acute musce spasms who has been prescribed cyclobenzaprine. Which statement indicates to the nurse that the patient understands the instructions?
I plan to take this medication with glass of milk.
26
The nurse is reviewing a patient's medication history for a patient who has just been prescribed cyclobenzaprine for treatment of back spasms. The nurse plans to contact the health care provider if the patient is taking which of these?
Valerian
27
The nurse suspects that a patient who is experiencing facial grimacing, involuntary upward eye movement, and muscle spasms of the tongue and face may have which condition?
Acute dystonia
28
A patient asks the nurse to explain how antipsychotic drugs work to make him feel better. The nurse understands that antipsychotics act in which way?
Blocking actions of dopamine
29
An antipsychotic agent, fluphenazine, is ordered for a patient with psychosis. The nurse understands that this agent can lead to symptoms of extrapyramidal syndrome (EPS). What are the symptoms of EPS?
Tremors, rigidity, and shuffling gait
30
A patient is admitted with bipolar affective disorder. The nurse acknowledges which medication as one used to treat this disorder for some patients in place of lithium?
Divalproex
31
A selective serotonin reuptake inhibitor is prescribed for a patient. The nurse knows that which drug is a selective serotonin reuptake inhibitor?
Paroxetine
32
A patient is taking tranylcypromine sulfate for depression. What advice should the nurse include in the teaching plan for this medication?
Instruct the patient to avoid beer and chedda Cheese.
33
Which statement is true concerning lithium?
Concurrent nonsteroidal anti-inflammatory drugs (NSAIDs) may increase lithium levels.
34
A 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?
Peptic ulcer disease
35
When teaching a patient who is receiving allopurinol, what should the nurse encourage the patient to do?
Have annual eye examinations.
36
patient is admitted to the hospital with an acute gout attack. The nurse expects that which medication will be ordered to treat acute gout?
Colchicine
37
A patient is taking aspirin for arthritis. Which adverse reaction should the nurse teach the patient to report to the health care provider?
Tinnitus
38
A patient requires a nonopioid medication. The nurse knows that which medication will cause the least gastrointestinal distress?
Celecoxib
39
A 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?
3 g/day
40
For the patient receiving periodic morphine via intravenous push, which of the following findings would be of utmost concern to the nurse?
Decreased respirations
41
A patient is admitted to the emergency department with signs of respiratory depression after self injection with hydromorphone. The admitting nurse knows that which drug will reverse respiratory depression caused by opioid overdose?
Naloxone
42
Assessing a patient after 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 will the patient likely need next?
Naloxone
43
A patient is having a migraine attack. The nurse should know that which drugs are used to treat migraine attacks?
Triptans