QUESTION 1
creatinine clearance | ||
potassium levels | ||
sodium levels | ||
urinalysis |
0.5 points
QUESTION 2
Tolerance is a state where people become used to pain, and therefore need less pain medicine. | ||
In tolerance, larger doses are needed to achieve prior effects because a body learns to push back. | ||
Tolerance occurs in slow metabolizers. Slow metabolism leads to prolonged sedation. | ||
Tolerance occurs in fast metabolizers. Faster metabolism leads to faster sedation. |
0.5 points
QUESTION 3
“It can protect the brain from potentially toxic substance injuries.” | ||
“It can be a significant obstacle to entry of therapeutic agents.” | ||
“It is not fully developed at birth.” | ||
“It lets in therapeutic agents in but filters out everything else.” |
0.5 points
QUESTION 4
Call the prescriber and have them change the seizure medication. | ||
Give an antihistamine under house protocol to stop the allergic response. | ||
Seek a plasma drug level order from the client’s prescriber. | ||
Set up oxygen and obtain an order for activated charcoal. |
0.5 points
QUESTION 5
Pulse oximetry saturation of 88% | ||
Blood pressure of 130/86 | ||
Respiratory rate of 28 | ||
Irregular heart rate of 122 |
0.5 points
QUESTION 6
Rise slowly from lying to standing to avoid dizziness and a possible fall. | ||
Void before taking the medication to avoid urine retention | ||
Take a daily laxative to avoid constipation | ||
Avoid drinking more than 600 mls of fluid per day while taking this medication |
0.5 points
QUESTION 7
A client with urinary retention | ||
A client who suffers from diarrhea | ||
A hypertensive client with a heart rate of 104 | ||
A client who suffers from asthma |
0.5 points
QUESTION 8
It stimulates salivation by blocking nicotinic receptors | ||
It stimulates salivation by stimulating muscarinic receptors | ||
It stimulates salivation by stimulating alpha receptors in the brain | ||
It stimulates salivation by redirecting fluid from the optic nerve |
0.5 points
QUESTION 9
Numbness and tingling in the extremities | ||
Hypertension, tachycardia, and palpations | ||
Diarrhea, urgency and possible bradycardia | ||
Tinnitus and hearing loss |
0.5 points
QUESTION 10
Ondasteron (Zofran) | ||
Magnesium sulfate | ||
Flumazanil (Romazicon) | ||
Protamine sulfate |
0.5 points
QUESTION 11
Explain to the client that this medication is intended for short-term use only. | ||
Tell the client to expect rigidity as a side effect | ||
Tell the client to avoid foods that are high in vitamin K | ||
Instruct the client to take the medication before driving to avoid transit anxiety |
0.5 points
QUESTION 12
The nurse should contact the prescriber to suggest a dose increase. | ||
This drug level is in the therapeutic range, so the nurse can give the medicine as ordered. | ||
Suspect that another drug is preventing Phenytoin metabolism, and hold the causative medication. | ||
This drug level is too high; the nurse should contact the prescriber about reducing the dose. |
0.5 points
QUESTION 13
Obtain a lab order to assess his current level of valproic acid. | ||
Tell the client his alcoholism is causing his nerve pain, so medicine won’t help. | ||
Seek an order for liver function labs to see if Depakote would be safe for him | ||
Reassure the client that beer and Depakote are compatible |
0.5 points
QUESTION 14
Epigastric distress | ||
Tachycardia | ||
Dry mouth | ||
Frequent loose stools | ||
Blurred vision |
0.5 points
QUESTION 15
Urine retention | ||
Blurred vision | ||
Dry mouth | ||
Diarrhea | ||
Wheezes |
0.5 points
QUESTION 16
“I just gave you my medication list the last time I was here. Nothing’s changed! Look it up!” | ||
“I’m taking an herbal supplements to help me sleep, but nothing else is changed.” | ||
“I’m taking over-the-counter substitutes for the medicines I can’t afford.” | ||
“I get my medicines over the internet, so I never run out of medicine. It’s cheaper” | ||
“I wish I didn’t have to bother the doctor every time I need a medication refill. | ||
“My cardiologist never orders anything. He just tells my regular doctor what to order.” |
0.5 points
QUESTION 17
Drooling | ||
Insomnia | ||
Confusion | ||
Hyperventilation | ||
Unsteady gate |
0.5 points
QUESTION 18
Sleep facilitation | ||
Relief of general anxiety | ||
Suppression of seizures and/or seizure activity | ||
Reversal of Parkinsonism | ||
Improvement of muscle coordination |
0.5 points
QUESTION 19
Insomnia is a risk. Give the medication in the morning | ||
It should always be given before the meal | ||
It is cheaper (wisest), to order the medication via the internet. | ||
It is a C2 substance. Automatic refills are not allowed. | ||
It is a gateway drug to other stimulants. Teens seek it to lose weight. Keep control of it. | ||
There is no need to worry about addiction in these medications in well-adjusted children. |
0.5 points
QUESTION 20
Recommend that he start cutting his pills in half, and see how it goes | ||
Affirm his plan to stop taking it, but tell him to restart it if tremors occur | ||
Recommend that he develop a withdrawal plan with his prescriber | ||
Educate the client that suddenly stopping the drug could precipitate seizures. | ||
Tell the client that once a medication for seizures is started it can never be stopped. |