Lispro insulin needs to be given

at least 15 minutes before the meal

Patients taking levothyroxine (Synthroid) may become concerned it isn't working, you know

it may take several weeks before a therapeutic effect occurs

Benzonatate (Tessalon Perles) work by

anesthetizing the cough receptors

H2 receptors antagonists act by

blocking the receptors of acid producing parietal cells

Patient teaching for a patient prescribed a scopolamine patch would include:

change the patch every 72 hours

What is not part of the correct squence for administering eyedrops?

place drops directly onto cornea

In general, before administering IV antibiotics, the nurse should

obtain labs for culture and sensitivity

Appropriate administration of IV phenytoin (Dilantin) includes all of the following, except:

give IV at no more than 200 mg/min

Your patient is taking a beta2 adrenergic agonist. You know that this is prescribed

for relief of respiratory issues

Earwax emulsifiers should not be used...

when there is drainage from the ear

You are giving an antibiotic, and the patient shows signs of a reaction, you should (in order)

stop the med, take vitals, call the provider, give benadryl

When a patient starts synthroid (levothyroxine), you would expect

the initial dose will be small, then tapered up

Drug interactions with sulfonamides include all of the following except

they reduce the effectiveness of acetaminophen

Enhanced blood flow to the fetus during the third trimester

makes drug transfer from mother to fetus more likely

When administering Amphotericin B, appropriate nursing actions include all except:

giving the infusion over 15 minutes

Which of the following would not be considered in evaluating a patients learning needs?

knowledge level of family members

When teaching a client how to administer a nasal spray, instruct the patient to:

Sit upright, and inhale while squeezing the bottle

Questions regarding medication orders should be resolved by

speaking directly with the prescriber

Examples of methods used in providing pt education to an elderly pt, include all except:

speaking softly, with minimal pauses

Amphotericin B is often given in a lipid formulation because

of fewer adverse effects than older forms

Long-term laxative use

can result in a loss of bowel tone, and lead to dependency

Older adults have increased sensitivity to CNS depressants because of

reduced integrity of the blood/brain barrier

One of the disadvantages of diphenoxylate with atropine (Lomotil) is

It can cause physical dependence with chronic use

act to decrease serum uric acid levels

Pt teaching for a patient taking an antihistamine should include

avoid hazardous activities because of possible drowsiness

A patient is taking Metformin and needs a radiological procedure. What is appropriate teaching

stop taking the medication the day of the test

When a patient is having an asthma attack, the class of medication needed is

short acting beta2 adrenergic agonists

Which of the following is true about Ribavirin (Virazole)

it is used to treat RSV in children

Cyclobenzaprine (Flexeril), a centrally-acting skeletal muscle relaxant

has the common adverse effect of sedation

Why are corticosteroids added to some ear drops?

they reduce inflammation and itching

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FINAL EXAM REVIEW

46 termsStudBud Administration463 plays

IMPORTANT THINGS TO KNOW FOR THE FINAL

Flashcards46 cardsFPractice quizPHost liveL

Questions 46

Answers

1
Before giving a opioid analgesic, your priority assessment should be assessment
for constipation
for pain
for respiratory function
for blood pressure
2
Lispro insulin needs to be given
once or twice daily
IV
30 minutes before the meal
at least 15 minutes before the meal
3
Patients taking levothyroxine (Synthroid) may become concerned it isn't working, you know
it may take several weeks before a therapeutic effect occurs
this drug doesn't work for everyone
an anti-thyroid medication may need to be added
the dose should be increased every 3 days until effective
4
Pseudomembranous colitis is an adverse effect of all of the following except:
albendazole
antibiotic therapy
clindamycin therapy
5
Benzonatate (Tessalon Perles) work by
vasoconstriction of blood vessels in the nasal sinus
aiding in expectoration of excessive mucous
anesthetizing the cough receptors
suppressing the cough center
6
H2 receptors antagonists act by
stimulating the receptors of acid producing parietal cells
blocking the hydrogen-potassium-ATPase pump directly
decreasing up to 99% of acid secretion
blocking the receptors of acid producing parietal cells
7
Patient teaching for a patient prescribed a scopolamine patch would include:
Apply immediately when symptoms of motion sickness occur
change the patch every 24 hours
change the patch every 72 hours
apply the patch to an irritated area of skin
8
What is not part of the correct squence for administering eyedrops?
place drops directly onto cornea
close eye gently, remove excess medication from around eye
Clean debris from eyes, have patient tilt his head back.
place drops in conjunctival sac
9
In general, before administering IV antibiotics, the nurse should
obtain labs for a complete metabolic profile
obtain labs for culture and sensitivity
obtain a baseline trough for the antibiotic ordered
Take the patient's temperature
10
Appropriate administration of IV phenytoin (Dilantin) includes all of the following, except:
give IV at no more than 200 mg/min
administer through a large vein if possible
give slowly over 2-3 minutes
if diluted, it must be diluted in 0.9 NS
11
Which of the following is not one of the types of dehydration?
hypertonic
hypotonic
isotonic
hyperosmolar
12
Your patient is taking a beta2 adrenergic agonist. You know that this is prescribed
for relief of respiratory issues
to treat hypertension
to reduce the patient's heart rate
to promote cardiac vasodilation
13
Earwax emulsifiers should not be used...
when there is drainage from the ear
if cerumen is present
when the client reports a decrease in hearing
if a cotton-tipped applicator is available for wax removal
14
You are giving an antibiotic, and the patient shows signs of a reaction, you should (in order)
stop the med, take vitals, call the provider, give benadryl
Call the provider, take vitals, stop the med, give benadryl
Take vitals, stop the med, give benadryl, call the provider
give Benedryl, call the provider, take vitals, stop the med
15
When a patient starts synthroid (levothyroxine), you would expect
the patient will take his daily dose at bedtime.
the initial dose will be high for maximum effectiveness
the initial dose will be small, then tapered up
the patient will see results in 2-3 days
16
Drug interactions with sulfonamides include all of the following except
potentiate the anticoagulant effects of warfarin
they reduce the effectiveness of acetaminophen
increase the toxic effects of phenytoin
they reduce the effectiveness of oral contraceptives
17
A poorly functioning liver may impair
absorption of injected medications
effectiveness of beta2 adrenergics
metabolism of medications
the effectiveness of acetaminophen
18
Enhanced blood flow to the fetus during the third trimester
results in increased filtration, minimizing drug transfer
decreases hemodynamic stress on the mother
does not affect drug transfer from mother to fetus
makes drug transfer from mother to fetus more likely
19
When administering Amphotericin B, appropriate nursing actions include all except:
frequently assess the IV site
discontinue the drug if there are signs of a reaction
premedicate the client for fever and nausea
giving the infusion over 15 minutes
20
Accepted for medical use with a moderate to low risk of physical dependency describes
a C-IV controlled substance
a C-II controlled substance
a C-I controlled substance
a C-III controlled substance
21
Which of the following would not be considered in evaluating a patients learning needs?
readiness to learn
knowledge level of family members
barriers to learning
language, and level of education
22
When teaching a client how to administer a nasal spray, instruct the patient to:
Tilt the head back, and exhale while squeezing the bottle
Sit upright, and inhale while squeezing the bottle
exhale through his nose to enhance absorption
refrigerate the medication until it is needed
23
Questions regarding medication orders should be resolved by
speaking directly with the prescriber
consulting an authoritative drug reference
checking directly with the charge nurse
using your best judgement
24
Examples of methods used in providing pt education to an elderly pt, include all except:
making sure to allow sufficient time
using clear examples
slowing the pace at which information is given
speaking softly, with minimal pauses
25
Ear drops suitable for a bacterial otis externa infection include:
erythromycin ophthalmic
floxin Otic, and Cipro HC Otic
26
Amphotericin B is often given in a lipid formulation because
of fewer adverse effects than older forms
of its reduced effectiveness in sensitive patients
it is most effective when used for bladder irrigation
lipid formulations are less expensive
27
Inhaled medications
should be given 10 minutes apart
exert their effects locally
frequently have severe systemic effects
are always refrigerated until just before use
28
Long-term laxative use
can result in a loss of bowel tone, and lead to dependency
is sometimes necessary to achieve a daily bowel movement
can produce a metabolic acidosis
is often essential for bowel health
29
Which of these drugs might be used for anesthesia during ocular surgery?
Cipro opthalmic
IV acetaminophen
epinephrine
proparacaine
30
Older adults have increased sensitivity to CNS depressants because of
reduced integrity of the blood/brain barrier
increased ability to metabolize drugs affecting the CNS
decreased BMI
increased liver function
31
One of the disadvantages of diphenoxylate with atropine (Lomotil) is
excessive salivation
excessive GI motility and excessive GI propulsion
it's delayed onset of action of 2-3 hours
It can cause physical dependence with chronic use
32
Kidney stones can be caused by all of the following except:
prolonged high doses of vitamin D
Calcium products
High intake of sodium
Increased fluid intake
33
Antigout medications
act to decrease serum uric acid levels
Are first line medications for patients with gout
are given for episodes of acute gout attacks
are usually ordered PRN
34
Barbiturates can cause
hyperventilation
hypotension
extreme anxiety
tachycardia
35
Pt teaching for a patient taking an antihistamine should include
avoid hazardous activities because of possible drowsiness
double up on the dose if it is ineffective as ordered
doses may be skipped at the patient's discretion
It can safely be taken with alcohol or narcotics
36
Medications which interact with ACE Inhibitors include all of the following except:
acetaminophen
lithium
ibuprofen (Motrin)
potassium sparing diuretics
37
Adverse effects of phenytoin (Dilantin) will include all of the following except:
acne
hypertrophy of subcutaneous facial tissue
restlessness
gingival hyperplasia
38
A patient is taking Metformin and needs a radiological procedure. What is appropriate teaching
continue the medication as usual
stop taking the medication the day of the test
stop taking the medication 30 days before the test
take a benadryl the morning of the exam with the metformin
39
Drugs which inhibit the activation of T-lymphocyte cells include
tacrolimus (Prograf)
sirolimus (Rapamune)
cyclosporine (sandimmune)
moromonab-CD3 (Orthoclone OKT3)
40
Your unresponsive client's glucose is 30mg/dL and he has no IV. Your drug of choice is
glucagon IM
oral glucose
dextrose IM
insulin IV
41
A common adverse effect of opioid agonists is . . .
tachypnea
anxiety
constipation
diarrhea
42
When a patient is having an asthma attack, the class of medication needed is
short acting beta2 adrenergic agonists
anticholinergics
inhaled corticosteroids
long acting beta2 agonists
43
Which of the following is true about Ribavirin (Virazole)
it is a protease inhibitor
it is used to treat RSV in children
it is used to treat Herpes simplex types 1&2
it can be used safely by pregnant clients
44
Your patient has been diagnosed with Herpes Simplex Virus type 2. You anticipate an order for:
ganciclovir
penicillin
benadryl
acyclovir
45
Cyclobenzaprine (Flexeril), a centrally-acting skeletal muscle relaxant
has the common adverse effect of sedation
acts directly on skeletal muscles
has the common adverse effect of restlessness
is also given for anxiety attacks
46
Why are corticosteroids added to some ear drops?
they reduce inflammation and itching
the loosen the cerumen from the ear canal
to reduce nausea and vomiting
they reduce swelling and fight infection

FINAL EXAM REVIEW Flashcards | StudBud