What nursing teaching is important for patients taking Venlafaxine and Duloxetine?

c) May take 4-6 weeks before it takes effect

Which adverse effects are associated with Benztropine?

c) Anticholinergic and antihistamine side effects

Which adverse effects are associated with Tricyclic antidepressants?

a) Cardiotoxicity and anticholinergic effects

Which statement accurately describes the pathophysiology of Type 2 diabetes?

B) Insulin resis leads 2 hyperglycemia & pancreas cant make enough insulin

Why does polydipsia occur in hyperglycemia?

D) As a compensatory mechanism for polyuria

What adverse effects are associated with myasthenic crisis, which is often indicative of an underdose of medication?

b) Muscle weakness, respiratory distress, dysphagia, ptosis

What are the contraindications for Mitoxantrone?

a) Pregnancy during the first trimester and breastfeeding

Which adverse effects are associated with Citalopram?

a) Weight gain and sexual dysfunction Serotonin syndrome

What adverse effects are associated with cholinergic crisis, often indicative of an overdose of medication?

a) Muscle fasciculation, sweating, inc salivation, constric pupils, hypoten

What is the therapeutic indication for Benztropine?

d) Treats only tremor and rigidity

In addition to med management, what lifestyle modification is important for achieving optimal A1C levels in pt with dm?

C) Regular exercise and healthy eating habits

Which of the following are common signs and symptoms of Parkinson’s Disease?

c) Resting tremor, cogwheel rigidity, postural instability, bradykinesia

Which nursing interventions is appropriate for managing hyperglycemia in a pt experiencing the triad of symptoms?

D) Administering insulin to lower blood sugar levels

Polyuria in hyperglycemia is primarily due to:

B) Increased glucose excretion in the urine

the reason that carbidopa/levodopa are taken together in the same pill

carbipoda prevents levodopa from being broken down

Which adverse effects are associated with Levodopa/Carbidopa?

c) Dyskinesias and orthostatic hypotension

Which statement describes a contraindication common to Lorazepam, Alprazolam, Midazolam, and Diazepam?

a) High addiction potential and cannot stop abruptly

What is the primary cause of Type 2 diabetes?

B) Insulin resistance and impaired insulin secretion

Which statement accurately describes the pathophysiology of Type 1 diabetes?

B) Insulin production is insufficient due to pancreatic dysfunction

Which adverse effect is associated with Lithium?

c) Renal toxicity,characterized by polyuria

Which triad of symptoms is commonly associated with hyperglycemia?

B) Polyphagia, polydipsia, polyuria

Which should be included in the nurse's teaching plan for a pt with a high A1C level (9.9) due to diabetes?

D) Strategies for carbohydrate counting and meal planning

Which adverse effects are associated with Glatiramer?

a) Lipoatrophy at the injection site and fluid retention

Which symptom should prompt a patient with diabetes to seek immediate medical attention during illness?

C) Persistent vomiting or inability to keep fluids down

What nursing consideration is important for patients taking Lorazepam, Alprazolam, Midazolam, and Diazepam

Antidote: Flumazenil; B careful driving/ operating machinery; no drinking

What nursing consideration is important for patients taking Clozapine?

d) Report any palpitations or chest pain

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exam 4 part 2

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Answers

1
What laboratory test should be monitored for patients taking Mitoxantrone?
d) Serum electrolytes
c) Electrocardiogram (EKG)
b) Liver function tests (LFTs)
a) Complete blood count (CBC)
2
What range of Valproic Acid levels is considered therapeutic?
c) 50-125 units
b) 30-60 units
a) 10-30 units
d) 125-200 units
3
What nursing teaching is important for patients taking Venlafaxine and Duloxetine?
d) Avoid alcohol consumption while taking the medication
c) May take 4-6 weeks before it takes effect
b) Avoid exposure to sunlight
a) Take the medication with food to reduce gastrointestinal upset
4
Which adverse effects are associated with Benztropine?
d) Diarrhea and abdominal pain
c) Anticholinergic and antihistamine side effects
b) Hypertension and tachycardia
a) Insomnia and headache
5
Which adverse effects are associated with Tricyclic antidepressants?
a) Cardiotoxicity and anticholinergic effects
b) Renal toxicity and gastrointestinal upset
c) Neurotoxicity and hepatotoxicity
d) Respiratory depression and sedation
6
What is a contraindication for the use of Atypical Bupropion?
b) Hypertension
c) Seizure disorder
d) Asthma
a) Depression
7
Which statement accurately describes the pathophysiology of Type 2 diabetes?
C) Insulin sensitivity increases, leading to hypoglycemia
A) The pancreas does not produce any insulin
B) Insulin resis leads 2 hyperglycemia & pancreas cant make enough insulin
D) Glucose uptake by cells is enhanced due to excess insulin production
8
Which med is for the tx of diarrhea and metabolic alkalosis, but should not be administered in cases of hard, rigid
Diphenhydramine
Aluminum Hydroxide
Ibuprofen
Acetaminophen
9
What is a contraindication for the use of Venlafaxine and Duloxetine?
a) Liver impairment
d) Diabetes mellitus
b) Renal failure
c) Cardiac dysfunction
10
Which set of signs and symptoms is commonly associated with hypoglycemia?
C) Dry skin, lethargy, decreased appetite
D) Hot skin, red, hungry
B) Cool skin, pale, sweaty
A) Warm skin, flushed, thirsty
11
Which drug is known for its neuroprotective effects?
a) Selegiline
b) Prednisone
d) Metoprolol
c) Ibuprofen
12
Why does polydipsia occur in hyperglycemia?
D) As a compensatory mechanism for polyuria
B) Due to increased glucose levels in the bloodstream
A) Due to decreased blood volume
C) As a result of decreased thirst sensation
13
What adverse effects are associated with myasthenic crisis, which is often indicative of an underdose of medication?
d) Muscle weakness, dry mouth, constipation, blurred vision
a) Muscle weakness, incontinence, fatigue, hypertension
b) Muscle weakness, respiratory distress, dysphagia, ptosis
c) Muscle weakness, hypotension, bradycardia, dizziness
14
What are the contraindications for Mitoxantrone?
b) Allergy to peanuts and tree nuts
d) Hepatic impairment and renal failure
c) Hypertension and diabetes
a) Pregnancy during the first trimester and breastfeeding
15
Which adverse effects are associated with Citalopram?
c) Hypertension and insomnia
b) Hair loss and dry mouth
a) Weight gain and sexual dysfunction Serotonin syndrome
d) gastrointestinal upset
16
What adverse effects are associated with cholinergic crisis, often indicative of an overdose of medication?
d) Muscle weakness, dry mouth, constipation,
) Muscle weakness, respiratory distress, dysphagia, ptosis
a) Muscle fasciculation, sweating, inc salivation, constric pupils, hypoten
c) Muscle weakness, incontinence, fatigue, hypertension
17
What is the therapeutic indication for Benztropine?
d) Treats only tremor and rigidity
anxiety c) Treats hypertension and tachycardia
b) Treats insomnia and anxiety
a) Treats tremor, rigidity, and bradykinesia
18
In addition to med management, what lifestyle modification is important for achieving optimal A1C levels in pt with dm?
D) Smoking cessation
C) Regular exercise and healthy eating habits
A) Decreased physical activity
B) High-calorie diet
19
Which of the following are common signs and symptoms of Parkinson’s Disease?
b) Slurred speech and visual disturbances
d) Muscle weakness and atrophy
a) Rapid, uncontrolled movements and hyperreflexia
c) Resting tremor, cogwheel rigidity, postural instability, bradykinesia
20
Which nursing interventions is appropriate for managing hyperglycemia in a pt experiencing the triad of symptoms?
D) Administering insulin to lower blood sugar levels
C) Restricting water intake to prevent further polyuria
A) Administering a high-carbohydrate meal
B) Encouraging increased fluid intake
21
Polyuria in hyperglycemia is primarily due to:
D) Normal renal function
B) Increased glucose excretion in the urine
A) Decreased urine production by the kidneys
C) Reduced fluid intake by the patient
22
the reason that carbidopa/levodopa are taken together in the same pill
Carbidopa enhances the effects of levodopa
carbipoda prevents levodopa from being broken down
Levodopa counteracts the side effects of carbidopa
oodstream c)
23
Which lab is typically used as a screening tool for dm & requires the pt to fast for at least 8 hours prior to test
C) Capillary blood sugar
B) Oral glucose tolerance test
A) Hemoglobin A1C
D) Fasting glucose
24
these medication are used to treat an acute seizure
Phenytoin, Lorazepam
Carbamazepine
Lorazepam
Diazepam
25
Which adverse effects are associated with Levodopa/Carbidopa?
b) Rash and itching
d) Constipation and diarrhea
a) Nausea and vomiting
c) Dyskinesias and orthostatic hypotension
26
What is the significance of a Valproic Acid level below 50 units?
a) Therapeutic
c) Toxic
d) Supertherapeutic
b) Subtherapeutic
27
Which statement describes a contraindication common to Lorazepam, Alprazolam, Midazolam, and Diazepam?
c) Safe for use during pregnancy
d) Suitable for long-term use without monitoring
b) Low risk of addiction and can be stopped abruptly
a) High addiction potential and cannot stop abruptly
28
What is the primary cause of Type 2 diabetes?
D) Sedentary lifestyle without any genetic component
C) Excessive insulin production by the pancreas
A) Genetic predisposition & autoimmune destruction of pancreatic beta cells
B) Insulin resistance and impaired insulin secretion
29
Which statement accurately describes the pathophysiology of Type 1 diabetes?
C) Insulin resistance leads to hyperglycemia
1. D) Glucose production by the liver is impaired
B) Insulin production is insufficient due to pancreatic dysfunction
A) The body produces insulin, but cells do not respond to it effectively
30
Which adverse effect is associated with Lithium?
b) Hepatotoxicity
d) Respiratory depression
a) Cardiotoxicity
c) Renal toxicity,characterized by polyuria
31
clients prescribed phenytoin should be taught
all the above
maintain good oral hygiene
report bleeding/ briusing/rash
do not drink alcohol, report s/s of infection,
32
Which triad of symptoms is commonly associated with hyperglycemia?
C) Hypoglycemia, polydipsia, polyuria
D) Bradycardia, polyphagia, polyuria
A) Polyuria, polyphagia, hypertension
B) Polyphagia, polydipsia, polyuria
33
What is the primary cause of seizures?
Genetic disorder
Bacterial infection
Liver dysfunction
Abnormal firing in the brain
34
Which should be included in the nurse's teaching plan for a pt with a high A1C level (9.9) due to diabetes?
A) The importance of skipping meals to avoid hyperglycemia
D) Strategies for carbohydrate counting and meal planning
C) Techniques for smoking cessation
B) Proper administration of insulin injections
35
Which adverse effects are associated with Glatiramer?
a) Lipoatrophy at the injection site and fluid retention
d) Tachycardia and hyperglycemia
c) Hepatotoxicity and gastrointestinal bleeding
b) Hypertension and bradycardia
36
Which of the following laboratory tests is used to assess long-term blood sugar control in patients with diabetes?
A) Fasting blood glucose
D) Hemoglobin A1C
C) Random blood glucose
B) Oral glucose tolerance test
37
Which symptom should prompt a patient with diabetes to seek immediate medical attention during illness?
B) Slight increase in thirst
D) Mild fatigue
A) Mild headache
C) Persistent vomiting or inability to keep fluids down
38
What nursing consideration is important for patients taking Lorazepam, Alprazolam, Midazolam, and Diazepam
b) Encourage alcohol consumption for relaxation
c) Administer naloxone as an antidote
Antidote: Flumazenil; B careful driving/ operating machinery; no drinking
a) Monitor liver function tests regularly
39
Which adverse effects are associated with Venlafaxine and Duloxetine?
b) Arrhythmia
c) Stevens-Johnson syndrome
d) All of the above
a) Extrapyramidal symptoms (EPS)
40
What is a contraindication for the use of Citalopram?
b) Liver impairment
d) Hypothyroidism
c) Cardiac dysfunction
a) Diabetes mellitus
41
A patient with diabetes has an A1C level of 8.5%. What does this indicate about their blood sugar control?
B) Good control
D) Moderate control
A) Poor control
C) Optimal control
42
Which of the following interventions is appropriate for managing hypoglycemia in a conscious patient?
B) Encouraging increased fluid intake
A) give pt a snack
C) Administering glucagon injection
D) Administering insulin to lower blood sugar levels
43
Which population is commonly affected by Type 2 diabetes?
A) Children and adolescents
D) Middle-aged individuals
C) Young adults
B) Older adults
44
What nursing consideration is important for patients taking Clozapine?
c) It may take 6 weeks to take effect
b) Administer with food to reduce gastrointestinal upset
d) Report any palpitations or chest pain
a) Monitor blood glucose levels regularly
45
Which lab involves ingesting a specific amount of glucose solution followed by blood sugar measurements
B) Oral glucose tolerance test
D) Fasting glucose
A) Hemoglobin A1C
C) Capillary blood sugar
46
Which med causes constipation, abd cramping, dehydration, intestinal obstruction, & hypophosphatemia,
Acetaminophen
Calcium Carbonate
Warfarin
Metformin
47
this may occur with IV administration of phenytoin
Stevens-Johnson syndrome
Neuroleptic malignant syndrome
purple glove syndrome
Torsades de pointes
48
Which adverse effect is associated with Fingolimod?
d) Myelosuppression
c) Neurotoxicity
a) Cardiotoxicity
b) Renal failure
49
Which laboratory test is most suitable for diagnosing gestational diabetes during pregnancy?
B) Fasting glucose
A) Capillary blood sugar
C) Hemoglobin A1C
1Oral glucose tolerance test
50
. What is the antidote for Tricyclic antidepressant overdose?
a) Naloxone
c) Physostigmine
d) Atropine
b) Flumazenil
51
Which lab is used to measure blood sugar levels at a specific moment in time and is commonly performed by pts at home?
A) Hemoglobin A1C
B) Fasting glucose
C) Oral glucose tolerance test
D) Capillary blood sugar
52
normal serum phenytoin
135-145
0.5-5.0
50-120
10-20
53
Which of the following statements is true regarding the risk factors for Type 2 diabetes?
B) Sedentary lifestyle & poor dietary have no impact on developing TSDM
D) Obesity, sedentary lifestyle, & family hx increase the risk of T2DM
A) Genetics play no role in the development of Type 2 diabetes
C) Type 2 diabetes cannot be prevented through lifestyle modifications
54
Polyphagia in hyperglycemia refers to
A) Increased thirst
B) Increased appetite
D) Decreased appetite
C) Increased urination
55
What nursing teaching should be provided to patients taking Donepezil?
d) Continue taking meds even when symp improve, as improvement is the goal
) Discontinue the medication if symptoms improve
c) Reduce the dosage if side effects occur
b) Take the medication only when symptoms worsen
56
Which laboratory test provides information about long-term blood sugar control over the past 2-3 months?
A) Fasting glucose
D) Hemoglobin A1C
B) Oral glucose tolerance test
C) Capillary blood sugar
57
What nursing consideration is important for patients receiving Fingolimod?
a) Encourage intake of high-fiber foods
d) Advise the patient not to receive live attenuated vaccines
b) Administer the medication with grapefruit juice
c) Monitor for signs of peripheral neuropathy
58
Which medication class is commonly used to lower A1C levels in patients with type 2 diabetes?
B) Antidepressants
A) Nonsteroidal anti-inflammatory drugs -NSAID
D) Antihypertensive medications
C) Oral hypoglycemic agents -metformin
59
Which of the following are signs or symptoms commonly associated with hypothyroidism?
Intolerance to cold,Facial and eye edema, Hair loss, Bradycardia
Generalized edema, Anorexia, Constipation
all the above
Weight gain, Brittle nails, Dry skin, Muscle aches/weakness
60
which adverse effects are associated with Interferon?
b) Myelosuppression and hepatotoxicity
a) Suicidal ideation and thyroid dysfunction
c) Neurotoxicity and thyroid dysfunction
d) Myelosuppression and suicidal ideation
61
Which adverse effects are associated with Carbamazepine?
b) Gastrointestinal upset and diarrhea
d) Insomnia and headache
a) Hypertension and tachycardia
c) Blood dyscrasias and Stevens-Johnson Syndrome (SJS)
62
Which statement accurately describes the pharmacokinetics of Levodopa/Carbidopa
Carbidopa b) Carbidopa is converted to dopamine in the brain
c) Levodopa converts 2 dopamine, Carbidopa prevents brkdwn in gut & tissue
d) Carbidopa reduces central nervous system (CNS) effects of Levodopa
a) Levodopa works in the gut to prevent breakdown of Carbidopa
63
What is necessary before starting MAOIs (Monoamine Oxidase Inhibitors)?
a) Immediate cessation of all other medications
d) Concurrent use with other antidepressants
c) A 14-day washout from other antidepressants
b) A 7-day washout from other antidepressants
64
Why does sweating occur in hypoglycemia?
B) As a response to dehydration
C) As a compensatory mechanism to cool the body
A) Due to increased blood sugar levels
D) Due to decreased sympathetic nervous system activity
65
What is a contraindication for the use of Lithium?
a) Diabetes mellitus
c) Renal impairment and dehydration
b) Hypothyroidism
d) Liver cirrhosis
66
What is one of the adverse effects associated with Mitoxantrone?
c) Gastrointestinal upset
d) A&B
b) Cardiotoxicity
a) Hypotension
67
Which strategy can help prevent diabetic complications in patients with poorly controlled diabetes (e.g., high A1C)?
B) Following a high-fat diet to stabilize blood sugar levels
1. D) Reducing water intake to prevent frequent urination
C) Regular monitoring of blood pressure and cholesterol levels
A) Skipping insulin doses to prevent hypoglycemia
68
Why is it important for patients with diabetes to monitor their blood sugar more frequently during illness?
D) Blood sugar levels remain stable during illness & dnt require monitoring
C) Monitoring blood sugar levels helps diagnose the cause of the illness
B) Illness often leads to decreased appetite, resulting low sugar levels
A) Illness can cause blood sugar levels to increase unpredictably
69
Which adverse effect is associated with Atypical Bupropion?
c) Diarrhea
b) Hypotension
d) Blurred vision
a) Dry mouth
70
What nursing teaching is important for patients taking Citalopram?
d) All of the above
b) It is usually taken at night
a) It may take 4-6 weeks before it takes effect
c) It may increase suicidal ideation
71
labs for phenytoin
phenytoin level
ALL the above
AST/ALT
CBC
72
What nursing teaching is important for patients taking Tricyclic antidepressants?
b) Increase intake of tyramine-rich foods
c) Can be taken concurrently with other antidepressants
a) access CV status, daily wt
d) No specific dietary restrictions
73
a client taking phenytoin must be watched for these adverse effects
sedation, visual changes
all the above
hypotension, SJS
gingival hyperplasia, dysrhymias
74
What nursing teaching is important for patients taking Atypical Bupropion?
c) It may take 1-3 weeks before it takes effect
a) Watch for signs of suicidal ideation
b) Stop taking the medication abruptly if side effects occur
d) All of the above
75
Which of the following are signs or symptoms commonly associated with hyperthyroidism?
Goiter, Diarrhea, Localized edema
a) increase blood pressure and heart rate, heat intolerance, wt loss
all the above
Bulging eyes, Fine brittle hair, Dyspnea, Irritability,
76
Which statement describes a contraindication for Levodopa/Carbidopa?
b) Administration with meals high in protein
c) Use in patients with hypertension
a) Concurrent use with monoamine oxidase inhibitors (MAOIs
d) Use in patients with a history of asthma
77
Which med may cause blackening of the tongue and black, tarry stool, and should be taken 3- 4X a day a
Ibuprofen
Bismuth subsalicylate
Metformin
Diphenhydramine
78
Which of the following statements is true regarding the hereditary component of Type 1 diabetes?
B) Environmental factors play no role in the development of t1dm
A) Type 1 diabetes is solely caused by genetic factors
D) Type 1 diabetes cannot be passed from one generation to another
C) family hx of T1DM increases the risk of developing the condition
79
What nursing teaching is important for patients taking Mitoxantrone?
a) Avoiding sunlight exposure
c) Performing regular exercise
b) Increasing fluid intake
d) Monitoring heart rate
80
Which nursing consideration is important for patients receiving Interferon?
b) Perform neurological assessments every shift
c) Administer the med with meals to reduce gastrointestinal side effects
a) Monitor blood glucose levels daily
d) Perform daily weights to monitor weight loss
81
Why is regular physical activity important for managing blood sugar levels in patients with diabetes?
D) It has no effect on blood sugar levels
B) It promotes weight gain, which helps control blood sugar levels
A) It increases insulin resistance
C) It enhances insulin sensitivity and helps lower blood sugar levels
82
Which adverse effects are associated with Lorazepam, Alprazolam, Midazolam, and Diazepam?
a) Weight gain and hypertension
c) Insomnia and agitation
d) Nausea and vomiting
b) Dependency and respiratory depression
83
What is the primary goal of patient education for a patient with a high A1C level (9.9) due to diabetes?
B) To achieve immediate blood sugar control
C) To promote self-management skills and lifestyle modifications
1. D) To encourage frequent blood sugar monitoring only
A) To increase medication dosage
84
What nursing teaching is important for patients taking Glatiramer?
c) Perform daily weights
Monitor blood glucose levels regularly
b) Avoid sunlight exposure
d) Increase dietary intake of vitamin C
85
Which condition is characterized by the destruction of acetylcholine receptors?
b) Myasthenia Gravis
d) Multiple sclerosis
c) Alzheimer's disease
a) Parkinson's disease
86
Which symptom is indicative of neuroglycopenia and warrants immediate treatment for hypoglycemia?
B) Increased thirst
C) Confusion
D) Nausea
A) Increased appetite
87
What is the role of insulin therapy in the management of Type 1 diabetes?
D) To promote weight loss
sensitivity B) To stimulate the pancreas to produce more insulin
A) To decrease insulin sensitivity
C) To replace the insulin that the body is unable to produce
88
Which symptom is characteristic of hypoglycemia and indicates an urgent need for intervention?
A) Increased thirst
B) Increased appetite
C) Increased urination
D) Confusion
89
What is the role of lifestyle modifications in the management of Type 2 diabetes?
B) Lifestyle mod help improve insulin resistance and promote weight loss
D) Lifestyle modifications primarily focus on increasing carbs intake
A) Lifestyle modifications have no impact on blood sugar N Type 2 diabetes
C) Lifestyle modifications are only effective in T1DM management
90
Which medication is commonly used to treat constipation and requires monitoring of AST/ALT and creatinine levels?
Lisinopril
Acetaminophen
Magnesium Hydroxide
Simvastatin
91
Which population is commonly affected by Type 1 diabetes?
B) Adolescents and young adults
D) Elderly individuals
C) Middle-aged individuals
A) Older adults
92
Which statement indicates understanding of the teaching about managing blood sugar for a pt with dm & a high A1C level?
B) "I will aim to have consistent carbohydrate intake throughout the day."
D) "I don't need to worry about my blood sugar levels between meals."
A) "I can continue to consume sugary drinks in moderation."
C) "I should avoid fruits and vegetables as they contain natural sugars."
93
Which laboratory values should be monitored in patients receiving Calcium Carbonate?
Serum sodium levels
Serum potassium levels
Serum glucose levels
AST/ALT (liver function tests) & CR
94
What nursing teaching is important for patients taking Levodopa/Carbidopa?
a) Monitor blood pressure daily
c) Take the medication with meals to enhance absorption
b) Stop the medication abruptly if side effects occur
Monitor 4 wearing off phenomena, dnt stop abruptly, take 30-60 min b4 meds
95
What is the normal reference range for Thyroid Stimulating Hormone (TSH)?
10.0-20.0
0.1-3.0
0.5-5.0
5.0-10.0
96
Which adverse effect is associated with Chlorpromazine, Loxapine, and Haloperidol (Haldol)?
b) Tardive dyskinesia, dystonia
c) Neuroleptic Malignant Syndrome
a) Akathisia , EPS
d) all
97
reasons clients should not abruptly stop seizure meds
Hyperglycemia
rebound seizures( status epilepticus)
Bradycardia
Hypertension
98
1. What is the target A1C level for patients with diabetes to indicate effective medication management?
D) 9 and below
A) 6 and below
C) 8 and below
B) 7 and below
99
What is the primary cause of Type 1 diabetes?
D) Excessive carbohydrate intake
A) Obesity and sedentary lifestyle
C) Insulin resistance and metabolic syndrome
B) Genetic predisposition & autoimune destruction of pancreatic beta cells
100
What is a common practice for children taking Methylphenidate and Dextroamphetamine?
c) Tak a drug holiday when not in school 2 promote growth & get sleep
b) Increasing the dosage during school breaks
d) Reducing the dosage during weekends
a) Continuous medication without breaks

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