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primecare)pharm midterm quiz ½ correct solutions graded A+.docx, Exams of Nursing

primecare)pharm midterm quiz ½ correct solutions graded A+.docx

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2024/2025

Available from 07/11/2025

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(Prime care) pharm midterm quiz ½
correct solutions graded A+
An order states that a drug should be administered on an empty stomach. This
generally means that the nurse should give the drug when? - correct answer One hour
before or 2 hours after a meal
The drug allergy reaction that produces a life-threatening reaction that can lead to
bronchospasm, laryngeal edema, respiratory distress and a drop in blood pressure is: -
correct answer Anaphylactic reaction that is treated with Epinephrine
The nurse should expect cholinergic drugs, such as Bethanecol (Urecholine) to: -
correct answer mimic the actions of the parasympathetic nervous system
Patients who are administered a new drug should be asked about the use of alternative
therapies, such as herbal supplements because: - correct answer many drug-alternative
therapy interactions can cause serious problems and should be avoided
The nurse plans to administer atropine to a patient on multiple medications. Which
agent would be safe to administer with atropine? - correct answer Narcotic analgesics
If a patient develops muscarinic antagonist toxicity from ingestion of a chemical, the
nurse should be prepared to: - correct answer administer physostigmine
A patient is being evaluated in the emergency department with a diagnosis of
anticholinergic poisoning (with an overdose of Atropine) versus psychosis. Which sign
or symptom would the nurse expect to find if the patient is experiencing poisoning? -
correct answer Dry mouth
An adult patient arrives at the emergency room after an overdose of cholinergic drugs.
The nurse anticipates administering what drug intravenously? - correct answer atropine
A patient brought into the emergency room is experiencing hypotension. Blood pressure
reads 86/48. What class/classes of drug is indicated for treatment? - correct answer
Alpha and Beta adrenergic agonists
Which body systems are most affected by epinephrine therapy? - correct answer
respiratory and cardiovascular
Many over-the-counter cold and allergy preparations contain phenylephrine, an alpha
agonist. Because this drug stimulates the effects of the alpha receptors, patients who
should be advised to avoid these drugs include patients with: - correct answer
hypertension
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(Prime care) pharm midterm quiz ½

correct solutions graded A+

An order states that a drug should be administered on an empty stomach. This generally means that the nurse should give the drug when? - correct answer One hour before or 2 hours after a meal The drug allergy reaction that produces a life-threatening reaction that can lead to bronchospasm, laryngeal edema, respiratory distress and a drop in blood pressure is: - correct answer Anaphylactic reaction that is treated with Epinephrine The nurse should expect cholinergic drugs, such as Bethanecol (Urecholine) to: - correct answer mimic the actions of the parasympathetic nervous system Patients who are administered a new drug should be asked about the use of alternative therapies, such as herbal supplements because: - correct answer many drug-alternative therapy interactions can cause serious problems and should be avoided The nurse plans to administer atropine to a patient on multiple medications. Which agent would be safe to administer with atropine? - correct answer Narcotic analgesics If a patient develops muscarinic antagonist toxicity from ingestion of a chemical, the nurse should be prepared to: - correct answer administer physostigmine A patient is being evaluated in the emergency department with a diagnosis of anticholinergic poisoning (with an overdose of Atropine) versus psychosis. Which sign or symptom would the nurse expect to find if the patient is experiencing poisoning? - correct answer Dry mouth An adult patient arrives at the emergency room after an overdose of cholinergic drugs. The nurse anticipates administering what drug intravenously? - correct answer atropine A patient brought into the emergency room is experiencing hypotension. Blood pressure reads 86/48. What class/classes of drug is indicated for treatment? - correct answer Alpha and Beta adrenergic agonists Which body systems are most affected by epinephrine therapy? - correct answer respiratory and cardiovascular Many over-the-counter cold and allergy preparations contain phenylephrine, an alpha agonist. Because this drug stimulates the effects of the alpha receptors, patients who should be advised to avoid these drugs include patients with: - correct answer hypertension

Severe hypertension, headache, and hyperpyrexia can occur if alpha agonists, such as epinephrine or phenylephrine are combined with: - correct answer monoamine oxidase inhibitors (MAOIs) A patient with an obvious allergy is stung by a bee, shortness of breath & a feeling of choking ensues to accompany a very large local inflammatory reaction. The catecholamine of choice for treating this would be: - correct answer epinephrine One of the effects of sympathetic stimulation is relaxation of the uterus. An adrenergic agonist that is used specifically to manage preterm labor by relaxing the uterus is: - correct answer terbutaline An adrenergic drug that is used most frequently to treat shock & very low blood pressure is: - correct answer dopamine A patient is being treated for shock. In treating the patient, one goal is to stimulate increase renal blood flow. The drug of choice would be: - correct answer dopamine in low doses Beta2-specific adrenergic agonists are used frequently to treat: - correct answer asthma and bronchospasm A patient is receiving an adrenergic agonist in the catecholamine family. The nurse caring for this patient would not: - correct answer be given this drug orally Three major neurotransmitters of the Nervous System include: - correct answer acetylcholine, epinephrine, & norepinephrine A patient who is stabilized on a beta blocker is prescribed prazosin (Minipress) to increase blood pressure control. The nurse teaching this patient should stress that: - correct answer the patient should change position slowly because of postural hypotension A patient has been receiving dopamine by intravenous injection to try to maintain blood pressure. The nurse who is checking the infusion notices that it has infiltrated and the medication has leaked into the tissues. The nurse should: - correct answer restart the IV in another site and inject phentolamine (Regitine) directly into the area of extravasation as this is the antidote for catecholamine infiltration Nursing care of a patient who is receiving an adrenergic blocker would include: - correct answer headache medication to alleviate discomfort A patient taking a beta-blocker for hypertension should be cautioned to report: - correct answer difficulty breathing

increasing gastric secretions The RN has just administerd Atropine 0.5mg IM along with Versed 5 mg as a pre- operative medication. 40 minutes after the injection the patient states, "It feels like my heart is racing". The patient's apical pulse is 136. The RN would: - correct answer recognize this could be an adverse reaction to the atropine, check a B/P and call the MD for further orders 85 year old, Mary Fairy is admitted to the ER with the inability to void. She is very uncomfortable, and something must be done soon since she has not urinated in 14 hours. A stat IVP and flat plate of the abdomen reveal no evidence of urinary obstruction. The nurse would expect the following actions to be performed: - correct answer A straight cath, followed by Urecholine 50mg po and further evaluation Flora deBora is a 67 year old client with a long standing history of depression, treated with tricyclic antidepressants, during a recent hospitalization, the following drugs were orderd for Flora: Atropine Sulfate, Morphine Sulfate, Ditropan (Oxybutinin), and aspirin. On the 2nd day of her hospitalization, Flora complained of blurred vision and sensitivity to light. What would the RN suspect? - correct answer That this is an adverse reaction of either Ditropan or Atropine 12 year old Johnny Moore has muscular dystrophy. His condition leaves him with very tense muscles that could easily become contractures. The RN knows that Johnny could be given which drug to treat the spasticity in his muscles: - correct answer Dantrolene GCCC graduate, Nancy Nurse, is dressing to go and take her NCLEX exam. Only one problem, her irritable bowel syndrome (IBS) has flared, she has horrible abdominal cramps, and she can't stay out of the bathroom. Of the drugs we have studied so far, which class might give Ms. Nurse the most immediate relief: - correct answer an anticholinergic Lucy Goosey, a 44-year old housewife is grocery shopping at Wal-Mart. Suddenly, Lucy falls to the floor and begins to jerk uncontrollably. She does not seem alert, and her entire body is convulsing. After about 30 seconds of this, she loses control of her bladder. As an RN, you know that: - correct answer Lucy is experiencing a tonic-clonic seizure which can be treated with Ativan, Dilantin, and/or Phenobarbital The body's mechanism for protecting the CNS from toxic substances is called the: - correct answer blood-brain barrier Beta-1 receptors affect the ____________, and beta-2 the __________. - correct answer heart; lungs catecholamine - correct answer ephinephrine (adrenaline) cholinergic - correct answer urecholine (bethanecol)

anticholinergic for overactive bladder - correct answer ditropan anti-epileptic - correct answer dilantin non-catecholamine adrenergic agonist - correct answer ephendrine anti-Parkinson's drug - correct answer levodopa/carbidopa beta blocker - correct answer metoprolol anti-cholinergic emergency drug - correct answer Atropine Dobutamine is useful in the treatment of: - correct answer severe hypotension asthma; delay of pre-term labor - correct answer terbutaline in low doses to increase urine output, in higher doses for shock - correct answer dopamine anti-anxiety; muscle spasms; status epilepticus - correct answer diazepam (valium) allergic reactions; anaphylactic shock; cardiac arrest - correct answer epinephrine unobstructed urinary retention - correct answer bethanecol (urecholine) seizures - correct answer phenytoin (dilantin) pre-op med to dry gastric and respiratory secretions; also used to increase heart rate in heart blocks and cardiac arrest - correct answer atropine overactive bladder - correct answer oxybutinin (ditropan) muscle spasms - correct answer baclofen less potent catecholamine to treat hypotension - correct answer dobutamine Mrs. J. presents to the Emergency Room with an apparent fracture of the right ankle and severe pain. She has a medical history of diabetes mellitus; CHF; and elevated liver enzymes. Dr. Kay is considering the therapeutic objective in treating Mrs. J.'s pain, whis is to: - correct answer provide maximal benefit with minimal harm. The nurse is caring for a patient with kidney disease. The nurse needs to make more focused assessments when administering medications to this patient because the patient may experience problems with the process of: - correct answer excretion and/or metabolism.

medication history, that she is experiencing withdrawal symptoms secondary to: - correct answer drug dependence The drug allergy reaction that produces a life threatening reaction that can lead to bronchospasm, laryngeal edema, respiratory distress and a drop in blood pressure is: - correct answer Anaphylactic reaction The six rights that a nurse should consider before administering a drug include all the following: - correct answer the right time the right drug the right patient A drug that stimulates the action of a receptor is known as an: - correct answer agonist A drug that prevents or impedes the actions of a receptor is an: - correct answer antagonist Buster Buttkin is receiving Digoxin to slow and strengthen his heart rate. He begins to complain of everything looking yellow. The RN knows it may be time to assess: - correct answer plasma drug levels of Digoxin for toxicity The RN is the: - correct answer the patient's last line of defense against medication errors When the RN administers a drug that is classified in the drug literature as nephrotoxic, he/she should assess the patient's: - correct answer renal function Mr. Booger Noaze is an 88 year old man prescribed an antihistamine for a sinus infection. While taking this drug he notices that he is very sleepy all the time. This is an example of a/an: - correct answer side effect How the body effects a drug: - correct answer Pharmacokinetics The effects of a drug on the body: - correct answer Pharmacodynamics Lab values obtained for certain drugs to ensure dose is therapeutic - correct answer plasma drug level The most important property a drug can have - correct answer effectiveness Green leafy vegetables (high in Vitamin K) may decrease anticoagulation from Coumadin - correct answer food-drug interactions The property of a drug that elicits ONLY the response for which it is given - correct answer selectivity

"Acetaminophen" - correct answer generic name "N-acetyl-para-aminophenol - correct answer chemical drug name Theophylline interferes with Coumadin levels. - correct answer drug-drug interaction "Tylenol" - correct answer trade name Liver failure produced by Tylenol overdose - correct answer latrogenic disease or effect Drug fits here at the cellular level like a lock & key - correct answer drug receptor