What action is the nurse correctly administering penicillin V?

1 hr before and 2 hr after meals

When does a patient need to see PCP after taking NSAID?

The R Arm looks worse with swollen, pain, red, warm

What is the opioid antagonist's action?

quickly binds to opioid receptors and helps to eliminate opioids

Which medications cause diarrhea?

milk of magnesia, citrus of magnesia

What is the action of stool softener?

promote water retention in fecal mass

What are the symptoms of salicylism?

dizziness, tinnitus, mental confusion

Some of the opioids can be used before surgery for?

lessen anxiety and sedate patient

Which of the following is the most important nursing intervention when administering gentamicin?

Monitor for signs of hearing loss or tinnitus.

When should a nurse give an antiacid who is taking other medications?

2 hours before or after other drugs

Which of the following is step 1 of the WHO pain ladder?

naproxen 200mg daily and Acetaminophen 325mg HS

The nurse should educate the patient that loperamide works by:

Reducing the motility of the intestines.

Which of the following should the nurse instruct the timing of the medication sucralfate ?

Take the medication on an empty stomach, 1 hour before meals.

A patient is rolled to the side after surgery to prevent?

prevent aspiration during recovery

Select all that describe parasympathetic drugs :

parasympathomimetic, parasympatholytic, Cholinergic

A patient who is receiving penicillin develops a red, itchy rash. The nurse should take which of the following actions?

Withhold the medication and notify the healthcare provider.

A patient receiving penicillin for a bacterial infection. Which of the following is the reason for resistance?

Inadequate dosage or incomplete course of therapy.

Each time a patient request opioid medication, the nurse has to?

determine exact location and intensity of pain

Which of the following patient statements is concerning that the patient did not understand medication?

I will take an antiacid with meal

The patient’s renal function is impaired. The nurse should anticipate:

A decrease in the dose of penicillin.

when asked about photosensitivity which describes below ?

tearing the eye on exposure to bight light

What teaching is needed when a patient is on laxative?

drink more fluids and high fiber

A patient with a history of penicillin allergy is prescribed a cephalosporin antibiotic. The nurse should:

Administer the with caution, there is a cross-sensitivity risk

A patient is prescribed ciprofloxacin (Cipro) for a urinary tract infection. The nurse should instruct the patient to:

Avoid taking the medication with antacids or dairy products

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NU150 practice pharm exam III

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Questions 81

Answers

1
What action is the nurse correctly administering penicillin V?
with meals to prevent GI upset
1 hr before and 2 hr after meals
without regard to meals
every 3 hours around the clock
2
When does a patient need to see PCP after taking NSAID?
The R Arm looks worse with swollen, pain, red, warm
My wife had pain and a fever so I gave it
I only have 3 pills left and weekend is coming soon
I am able to walk without a cane
3
what is the maximum acetaminophen per day you can take?
2.9gm
less than 1gm
less than 20gm
less than 4gm
4
What is the opioid antagonist's action?
speed ip cardiovascular system
cause respiratory center to stop
quickly binds to opioid receptors and helps to eliminate opioids
It works when someone is not on opioids
5
Which medication can be taken with food?
penicillin
erythromycin
nitrofurantoin
doxycycline
6
What are the two basic elements of pain?
time and intensity
site and time
location and intensity
duration and location
7
Which medications cause diarrhea?
Lomotil
milk of magnesia
Amphogel
citrus of magnesia
tums
Imodium
8
A nurse is caring for a patient receiving amoxicillin for a bacterial infection. The nurse knows that amoxicillin is?
Tetracycline
Cephalosporin
Penicillin
Macrolide
9
What medications-cause constipation?
citrus of magnesia
tums
Amphojel
milk of magnesia
10
What is a transmitter for the parasympathetic branch?
Acetylcholine
serotonin
dopamine
norepinephrine
11
What is the action of stool softener?
promote water retention in fecal mass
promote retention of sodium in fecal matter
lubricating intestinal wall
stimulate wall of intestine
12
The nurse instructs the patient to drink 2000ml who is on sulfa drug. How should a nurse assess the condition?
cardiac
neurologic
respiratory
genitourinary
13
What should the nurse watch for a client on anticholinergic drugs?
heartburn
diarrhea
constipation
esophageal unlcer
14
What are the symptoms of salicylism?
diarrhea, nausea, weight gain
weight gain, hyperglycemia, urinary frequency
dizziness, tinnitus, mental confusion
constipation, anorexia, rash
15
Some of the opioids can be used before surgery for?
increase intestinal motility
enhance action of muscle relaxant
facilitate passage of endotracheal tube
lessen anxiety and sedate patient
16
What is the type of anesthesia for small cuts or wound sutures?
regional
toical
conduction block
local
17
What chemical in our body is inhibited by the action of NSAIDs?
nerve fibers
prostaglandins
DNA synthesis
cardiac muscles
18
Which of the following is the most important nursing intervention when administering gentamicin?
Monitor the patient’s blood pressure frequently.
Monitor for signs of hypokalemia.
Monitor for signs of hyperglycemia.
Monitor for signs of hearing loss or tinnitus.
19
When should a nurse give an antiacid who is taking other medications?
In early am and bed time
with other drugs
2 hours before or after other drugs
30minutes before or after other drugs
20
What duration is definitive chronic pain ?
6 months
less than 3 months
1 month
2weeks
21
Which of the following is step 1 of the WHO pain ladder?
meperidine 20mg with Phenergan IM
morphine sulfate Q4h PRN
Hydrocodone 5mg and acetaminophen 500mg
naproxen 200mg daily and Acetaminophen 325mg HS
22
The nurse should monitor the patient for which of the following potential side effects of famotidine?
Headache
Hyperkalemia
Constipation
Weight loss
23
The nurse should educate the patient that loperamide works by:
Increasing the absorption of water from the stool.
Softening the stool for easier passage.
Stimulating bowel movement.
Reducing the motility of the intestines.
24
Which of the following should the nurse instruct the timing of the medication sucralfate ?
Take the medication with meals.
Take the medication just before bedtime.
Take the medication with a large glass of water.
Take the medication on an empty stomach, 1 hour before meals.
25
A client taking penicillin has a black furry tongue with bright red oral mucosa , the nurse can suspect?
a superinfection
poor oral hygiene
vitamin C deficiency
an allergic reaction
26
How does a patient take salicylates and select the best option?
with food or milk
between meals
dissolved in juice
with a carbonated beverage
27
Cholinergic blocker is contraindicated for what condition?
glaucoma
bradycardia
gout
Diabetes Mellitus
28
Which of the following is the antidote to opioid overdose?
Fluticasone
Vitamin K
Naloxone (Narcan)
Acetylcysteine
29
Which group is particularly at higher risk from anesthetic drugs?
adolescents /teens
infants
older adults
obese individual
30
A patient is rolled to the side after surgery to prevent?
prevent aspiration during recovery
assess vital sign better
prevent endotracheal tube being swallowed
assess resp status
31
Select all that describe parasympathetic drugs :
adrenergic
parasympathomimetic
parasympatholytic
Cholinergic
32
What is the action of salicylates as an anti-inflammatory?
vasodilation of blood vessels
decrease endorphins
decrease prothrombin time
inhibition of prostaglandin
33
When acetylcholine is blocked what happens ?
salivary gland secrete less
pupil constrict
heart rate decrease
GI system become active
34
When explaining transdermal scopolamine, the nurse tell the patient apply to?
upper back
behind ear
the forearm
non hairy chest
35
General anesthesia stage 1. resp paralysis 2. moving/mumbling 3. conscious loss 4.muscle becomes rigid
1-2-3-4
2-3-4-1
4--3-2-1
3-2-4-1
36
A patient who is receiving penicillin develops a red, itchy rash. The nurse should take which of the following actions?
Continue to administer the medication as prescribed.
Recommend applying hydrocortisone cream to the affected area.
Withhold the medication and notify the healthcare provider.
Administer an antihistamine to relieve the rash.
37
A patient receiving penicillin for a bacterial infection. Which of the following is the reason for resistance?
Inadequate dosage or incomplete course of therapy.
The patient is also taking oral contraceptives.
Use of penicillin with antacids.
Short-term use of the antibiotic.
38
Each time a patient request opioid medication, the nurse has to?
administer drug with food for GI upset
determine exact location and intensity of pain
check patient's diagnosis
talk to patient to see if he is awake
39
Which of the following side effects should the nurse include in the education of erythromycin?
Hyperkalemia
Gastrointestinal upset
Hearing loss
Tachycardia
40
Which of the following patient statements is concerning that the patient did not understand medication?
I will take an antiacid with meal
Eating high protein makes me feel better
I will take the feel when nauseated
I should avoid drinking alcohol
41
When acetylcholine is activated what happens?
digestion is stimulated
Blood pressure raises
Heart rate incraeses
pupil dilate
42
The patient’s renal function is impaired. The nurse should anticipate:
The need to switch to a different antibiotic
No change in the dose of penicillin.
An increase in the dose of penicillin.
A decrease in the dose of penicillin.
43
What should the nurse watch when a patient takes naproxen or NSAID?
anorexia, tinnitus
stomatitis, confusion
blurred vision, constipation
headache , dyspepsia
44
What should a nurse monitor when a patient receives NSAID?
GI symptoms
urinary retention
agitation
decreased whc
45
when asked about photosensitivity which describes below ?
exaggerated sunburn
sensitivity to products
tearing the eye on exposure to bight light
aversion to bright light
46
The patient who is on opioids complains of abdominal pain, what is the nurse's response?
When was your last BM?
Can you rate your pain?
Lets see when you had last medication
Show me where your tummy it hurts
47
which medication will make urine or secretion orange color All that apply?
none
phenazopyridine
fluoroquinolone
macrolides
sulonamides
penicillin
48
What teaching is needed when a patient is on laxative?
abdominal pain is gas build up
drink more fluids and high fiber
using daily to promote good bowel health
used for weight loss
49
What is most common adverse reaction of antiemetic ?
occipital headache
drowsiness
nausea
edema
50
A patient with a history of penicillin allergy is prescribed a cephalosporin antibiotic. The nurse should:
Administer the with caution, there is a cross-sensitivity risk
Administer an antihistamine before giving the cephalosporin to prevent
Contact the healthcare provider to discuss the penicillin allergy
Administer the as prescribed because there is no cross-sensitivity
51
A patient is prescribed ciprofloxacin (Cipro) for a urinary tract infection. The nurse should instruct the patient to:
Lie down for 30 minutes after taking the medication to avoid nausea.
Take the medication with milk to reduce stomach irritation.
Increase their intake of calcium-rich foods while on the medication.
Avoid taking the medication with antacids or dairy products
52
When is pre-anesthetic medication is given before surgery?
40minutes
60minutes
30minutes
10minutes
53
The nurse should monitor the patient for which of the following adverse effects from vancomycin?
Ototoxicity
Hypoglycemia
Hepatotoxicity
Respiratory depression
54
Anticholinergic drugs block which of the following transmitter?
dopamine
norepinephrine
acetylcholine
serotonin
55
Which of the following actions should the nurse take when administering an opioid?
Administer the medication on an empty stomach to enhance absorption.
Encourage the patient to increase fluid intake to prevent dehydration.
Monitor for respiratory depression.
Monitor the patient for signs of hypoglycemia.
56
Select the term block parasympathetic nerve branch at ANS :
parasympatholytic
parasympathomimetic
antiadrenergic
anticholinergic
57
Which of the following is the primary side effect of opioid medications like morphine?
Constipation
Increased appetite
Increased urination
Diarrhea
58
A patient is prescribed sulfamethoxazole/trimethoprim (Bactrim) for a urinary tract infection. The nurse should educate:
Discontinue the medication if a rash develops.
Drinking plenty of fluids to prevent crystalluria.
Taking the medication with a glass of milk.
Avoiding sun exposure to prevent photosensitivity.
59
When a patient is taking an H2 antagonist what should the nurse watch?
dry mouth , urinary retension
headache , somnolence
constipation, anorexia
edema , tachycardia
60
Which of the following should the nurse include in the teaching for penicillin?
"You may have increased urination while on this medication."
"You should expect to gain weight while on this medication."
"Penicillin can cause hair loss in some people."
"You may experience nausea or vomiting with this medication."
61
Bacterial cells are different from human cells because they have :
have a cell wall
contain a beta lactam ring
contain proteins
synthesize DNA/RNA
62
Which of the following is a common side effect of clindamycin?
Hemorrhage
Diarrhea
Constipation
Nephrotoxicity
63
Which of the following is a nursing instruction for a client taking NSAIDs?
it can cause extreme confusion
avoid aspirin or other NSAIDS
take an empty stomach
relief from pain and inflammation occurs within 30minutes
64
Which of the following is an important nursing consideration when administering doxycycline?
Give the medication with a full glass of milk.
Discontinue the medication if a rash develops.
Avoid sun exposure as doxycycline can cause photosensitivity.
Administer the medication with antacids to reduce stomach irritation.
65
What GI tract absorb water ?
stomach
pancreas
small intestine
large intestine
66
The nurse knows that the primary action of proton pump inhibitors is to:
Protect the stomach lining from acid.
Reduce the production of gastric acid.
Neutralize stomach acid.
Increase the production of gastric acid.
67
when giving macrolide antibiotics what is the most common side effects?
related to GI tract
sores in mouth and hypertension
skin rash and urinary retention
related to nervous system
68
When is the time for the nurse to administer antidiarrheal drugs? :
hourly until diarrhea stops
3/day
with food
after each loos BM
69
What is toxicity symptom when a client is taking acetaminophen?
skin lesion
visual disturbance
hypertension
liver tenderness
70
What is expected after administering atropine for surgery?
increase gastric motility
prolonged action of pre op opioids
Enhance action of anesthesia
reduce the secretion of upper resp tract
71
When administering opioids for older adults, the nurse should watch what?
increased heart rate
confusion
euphoria
a synergistic reaction
72
A patient calls a nurse that medication smells like vinegar ?
flush to a toilet
bring medication to clinic
take it and lets us know
dispose where children and animal can not get it
73
What is likely given to a child with a fever?
fenoprofen
acetaminophen
fluconazole
baby aspirin
74
Which of the following instructions should the nurse give to the patient regarding the administration of the antacid?
"Take the antacid at bedtime to relieve nighttime symptoms."
"Take the antacid immediately after meals."
Take the antacid with a glass of milk to reduce side effects."
"Take the antacid 1 hour before meals."
75
The use of skeletal muscle relaxants before general anesthesia is to?
prevent movement during surgery
allow for deeper anesthesia
produce additional anesthesia
facilitate insertion of endotracheal tube
76
Which receptors in the brain produce euphoric and analgesic effects? multi apply
alpha
mu
kappa
delta
all
77
Which of the following requires the nurse to call PCP immediately?
resp 20/min
Complains of breakthrough pain
Pulse 80 /min
systolic BP 140mmhg
78
The best measurement of pain is which option from below?
family observation
patient self report
blood pressure
medical plasma levels
79
Which of the following patient education points is most important for PPI ?
"Do not crush or chew the medication."
"You could drink alcohol while taking this medication."
This medication is not effective if taken with antacids."
"You should take this medication with food."
80
The nurse should educate the patient to complete the full course of antibiotics even if they feel better because:
Antibiotics may work more effectively if taken longer than prescribed.
The patient may experience less severe side effects by finishing meds. .
Stopping antibiotics early can lead to antibiotic resistance.
The patient's infection will be cured more quickly if completed.
81
The patient is taking sulfonamide , the blood glucose level will be
the same
unreadable of because of medication
lower
higher

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