Ph Final Test 1

Front 1

dependence

Back 1

results in withdrawal symptoms

Front 2

a drug that is an MAOI would...

Back 2

increase the affects of catecholamines by inhibiting their breakdown

Front 3

A pt is receiving and anticonvulsant that has no history of seizures, the nurse understands that this drug is used for what other condition

Back 3

pain with peripheral neuropathy

Front 4

Hangover

Back 4

residual drowsiness

Front 5

Rem rebound

Back 5

vivid nightmares and dreams

Front 6

Dependence

Back 6

results in withdrawal symptoms

Front 7

Tolerance

Back 7

need to increase dose to get desired effect

Front 8

A drug that is a MAO inhibitor would

Back 8

increase the effects of catecholamine’s by inhibiting their breakdown

Front 9

The Nurse is preparing to administer an opioid analgesic. Which factors should be assessed before the dose is given (select all that apply)-

Back 9

level of pain rated on a scale, prior analgesic use (time, type, amount), allergies

Front 10

The most common inhibitory neurotransmitter in the CNS is

Back 10

GABA

Front 11

The advantage of balanced anesthesia is (select all that apply

Back 11

took out of test- slow induction of anesthesia, reduction of the drug dose to maintain desired state of anesthesia

Front 12

Parkinson’s disease occurs then there has been a degeneration of the axons containing

Back 12

dopamine

Front 13

The opioid antagonist used to treat an OD of a morphine like substance is

Back 13

naloxone (narcane)

Front 14

A Pt is being prepared for an oral endoscopy, and the nurse anesthetist reminds him that he will be awake during the procedure but probably will not remember it

Back 14

moderate sedation

Front 15

During the immediate postop period, the Post anesthesia care unit is assessing a Pt who had hip surgery. The Pt is experiencing tachycardia, tachypnea, and muscle ridigity, and temp is 103. Prepare? -

Back 15

dantrolene injection, a skeletal muscle relaxant

Front 16

Muscle relaxants are not part of balanced anesthesia

Back 16

false

Front 17

Acetylcholine acts as an excitory neurotransmitter of the heart

Back 17

false

Front 18

The first pass effect describes the metabolism of a drug and its passage from the kidneys into the circulation

Back 18

false

Front 19

Levodopa is the drug of choice to increase dopamine in Parkinson’s’ disease related to function of the blood brain barrier

Back 19

true

Front 20

Carbidopa prevents peripheral breakdown of dopamine

Back 20

false

Front 21

Most drugs considered to be effectively removed from the body after about 3 half-lives

Back 21

false

Front 22

Malignant hyperthermia is a genetically linked major adverse reaction to general anesthesia

Back 22

true

Front 23

While assisting with a procedure in the ER, the nurse prepares lidocaine (xylocaine) for use with which type of anesthesia

Back 23

local

Front 24

The nurse is monitoring a Pt after surgery keeps in mind that the primary concern with use of a Neuromuscular blocking drug is which adverse effect

Back 24

respiratory arrest

Front 25

Prozac is an antidepressant drug classified as an SSRI. This type of drug work by inhibiting the uptake of

Back 25

serotonin

Front 26

A Pt has been taking phenobarbital for 2 weeks as part of his therapy for epilepsy. He says that the feels tense and that ‘the least little thing” bothers him now. The nurse should explain to him which of the following

Back 26

this drug causes deprivation of REM sleep and may cause the inability to deal with normal stress

Front 27

A Pt is recovering from a minor automobile accident that occurred 1 week ago. He is taking cyclobenzaprine (flexeril) for muscular pain and goes to PT three times a week. NU diagnosis

Back 27

risk for falls rt decreased sensorium

Front 28

A Pt is taking flurazepam (dalmane) 3-4 nights a week for sleeplessness. She is concerned that she can’t get to sleep w/o taking the medication. Which nonpharmacologic measures should the nurse suggest to promote sleep for this Pt

Back 28

trying to establish regular sleep patterns

Front 29

The nu notes in the pt’s med history that the Pt is taking cycylbenzapirine (flexeril). Based on this finding the nu interprets that the pt has which disorder

Back 29

a musculoskeletal injury

Front 30

The nu notes is preparing to administer a barbiturate. Which conditions/disorders would be a contraindication to the use of these drugs (select all)

Back 30

pregnancy, severe COPD, peripheral vascular disease

Front 31

When receiving the action of drugs, the nu notes that a hypnotic performs which action

Back 31

stops seizures

Front 32

A Pt has been taking a benzodiazepine for 5 weeks has been instructed to stop the med. Which instruction will the nu provide to the Pt on how to discontinue the med

Back 32

plan a gradual reduction in dosage?

Front 33

EK has been taking phenytoin (Dilantin) for 20 years. He has not reported any seizure activity while taking the maitence dose. You would assess the client for which common side effect of the drug

Back 33

gingival hyperplasia

Front 34

The phys orders orlistat (xenical). The nu recognizes that this treats

Back 34

obesity

Front 35

A Pt is receiving instructions regarding dietary sources of caffeine. The nu shares that caffeine should be used with caution if has

Back 35

a history of peptic ulcers

Front 36

The nu should monitor the Pt who is taking a muscle relaxant for which adverse effect

Back 36

CNS depression

Front 37

A 10 yo will be started on methylphenidate hydrochloride (Ritalin) therapy. The nu will perform which essential baseline assessment before this drug is started

Back 37

height and weight

Front 38

When teaching a Pt about taking a newly prescribed AED at home, the nu should include which instruction

Back 38

regular, consistent dosing is important for successful treatment

Front 39

A Pt has a 9 year history of a seizure disorder that has been managed well with oral phenytoin (dilatin) therapy. He is to be NPO (consume nothing by mouth for surgery in the AM. What will the nurse do about his morning dose of dilating?

Back 39

contact the prescriber for another dosage form of the medication

Front 40

The nu is giving an IV dose of phenytoin (dilatin). Which action will the nu perform to administer the drug

Back 40

mix with NS and give it IV piggyback

Front 41

Which statement about AED therapy are true( select all)

Back 41

AED therapy is lifelong, consistent dosing is key to controlling seizures, AED therapy should never be abruptly discontinued because doing so may precipate rebound seizures activity

Front 42

The nu is developing a care plan for a Pt who is taking an anticholinergic drug. Which nu diagnosis would likely be appropriate for this Pt

Back 42

urinary retention

Front 43

A Pt has a new order for a CMOT inhibitor as a part of treatment for Parkinson’s disease. The nu recognizes that an advantage of this drug class is that it

Back 43

is associated with fewer wearing-off effects and has prolonged therapeutic benefits

Front 44

While a Pt is receiving drug therapy for Parkinson’s disease, the nu monitors for dyskinesia, which is manifested by

Back 44

difficulty in performing voluntary movements

Front 45

Which drug may be used early in the treatment of Parkinson’s disease but eventually loses effectiveness and must be replaced by another drug

Back 45

amandtadine (symmetrel)

Front 46

A Pt has been taking haloperidol (Haldol) for 3 months for a psychotic disorder, and the nu is concerned about the development of extrapyramidal symptoms. The nu will monitor the Pt closely for which effects

Back 46

tremors and muscle twitching

Front 47

A 22 yo Pt has been taking lithium for 6 months. She comes in for blood work every month, and the nu assesses her for signs of toxicity. Which are indications?

Back 47

Serum lithium level of 1.5 meg/l and cardiac dysrhythmias

Front 48

A Pt with the dx of schizophrenia is hospitalized and is taking a phenothiazine drug. He has shown marked improvement. Which statement by this Pt indicated that he is experiencing a common adverse effect of phenothiazines

Back 48

my mouth has been so dry lately

Front 49

While monitoring a depressed pt who has just started SSRI antidepressant therapy, the nu knows to observe for which problem during the early time frame of this therapy

Back 49

self-injury or suicidal tendencies

Front 50

A pt has been admitted to the ER with a suspected OD of a tricyclic antidepressant. The nu will assess for what immediate concern

Back 50

cardiac dysrhythmias

Front 51

Which of the following statements are true about SSRI (select all)

Back 51

therapeutic effects may not been seen for 4-6 weeks after med is stared, if the pt has been on a MAOI there should be 2-5 week or longer span of time before begin a SSRI medication

Front 52

Adrenergic drugs produce effects similar to those of the ______ nervous system

Back 52

sympathetic

Front 53

When an adrenergic drug stimulates beta 1 adrenergic receptors, the result is an increased force of contraction, which is known as a positive____ effect

Back 53

inotrophic

Front 54

When a pt is taking an adrenergic drug, the nu should expect to observe which effect

Back 54

increased heart rate

Front 55

An adrenergic agonist is ordered for a Pt in shock. The nu will note that this drug has had its primary intended effect if which assessment finding is observed

Back 55

increased BP

Front 56

A Pt is experiencing a severe anaphylactic reaction to an antibiotic. Which drug will the nu expect to use to treat this condition

Back 56

epinephrine (think bee sting and epi pen)

Front 57

The nu is reviewing sympathic nervous system agonists. Adrenergic drugs that cause relaxation of the bronchi and bronchodilation stimulate______ receptors

Back 57

beta 2 adrenergic

Front 58

Caffeine is used to tx newborns with (select all)

Back 58

apnea, respiratory distress

Front 59

General anesthesia depressed the ___ system, alleviates____ and cause a loss of_____.

Back 59

CNS, pain, consciousness

Front 60

The nu is reviewing the mechanism of action of cholinergic drugs. The desired effects of cholinergic drugs come from the stimulation of which receptors

Back 60

muscarinic

Front 61

A cholinergic drug is prescribed for a pt. the nurse checks the Pt medical history, knowing that the drug is contraindicated in which disorders (select all)

Back 61

GI obstruction, Bradycardia, hypotension, COPD

Front 62

The nu notes in the Pt med history that the Pt is taking a cholinergic blocking durg. Based on this finding, the nurse interprets that the Pt has?

Back 62

IBS

Front 63

When diving an anticholinergic drug, the nurse should monitor for which adverse effect from this drug

Back 63

dry mouth

Front 64

Atropine would be appropriate for which Pt (select all)

Back 64

suddenly developed symptomatic bradycardia with HR of 32, Pt preop to reduce salivary and GI sections, Pt with severe diarrhea

Front 65

A 62 yo woman has started taking donepezil for early stage Alzheimer’s. Her daughter expressed relief that “finally a cure to cure Alzheimer’s disease” response of nurse?

Back 65

This drug may help improve symptoms, but is not intended as a cure

Front 66

The neurotransmitter responsible for transmission of nerve impulses to effector cells in the PSNS is called

Back 66

acetylcholine

Front 67

To evaluate the effectiveness of levodopa-carbidopa (sinemet), a nurse would watch for which of the following results

Back 67

lessened rigidity and tremor

Front 68

An anti convulsant has been ordered as part of a Pt pain management program. The nurse explains to the Pt that the purpose of the anticonvulsant is to

Back 68

relieve neuropathic pain

Front 69

The nurse is providing care for a Pt who has accidentally taken an OD of benzodiazepines. What drug to treat

Back 69

Flumazenil

Front 70

A Pt is brought to the ER with an atropine OD. Which drug will the nurse administer

Back 70

physostigmine

Front 71

A 72 year old man has a new prescription of an anticholinergic drug. He is an active man and enjoys outdoor activities, such as hiking, golfing, and doing yard work. What should nurse emphasize to him during the teaching session about his drug therapy

Back 71

he should take measures to reduce the occurrence of heat stroke during the activities

Front 72

The nurse is reviewing SNS agonists. Adrenergic drugs that cause the relaxation of the bronchi and bronchiodilation stimulate ____ receptors.

Back 72

Beta 2 adrenergic

Front 73

A Pt has a new order for CMOT inhibitor as part of treatment for Parkinson’s disease. The nurse recognizes that advantage to this drug is that it

Back 73

is associated with fewer earing off effects and has prolonged therapeutic benefits

Front 74

Phenytolin (dilatin) has a narrow therapeutic index. The nurse recognizes that this characteristic means that

Back 74

the safe and toxic plasma levels of the drug are very close to each other.