Pharm Test 5

Front 1

1. You should avoid rapid IV infusion of cimetidine (Tagamet) because it can cause:

Back 1

a. confusion

Front 2

2. Side effects related to cimetidine therapy include:

Back 2

a. abdominal pain and diarrhea

Front 3

3. Mr. S, who receives aluminum hydroxide (Amphojel) via nasogastric tube every 4 hours, should be observed for:

Back 3

a. constipation

Front 4

4. The following is a contraindication for the use of metoclopramide (Reglan):

Back 4

a. Parkinson’s Disease

Front 5

5. Your client, with peptic ulcer disease, is started on scralfate (Carafate). A potential nursing diagnosis related to this medication is:

Back 5

a. alteration I bowel elimination: constipation

Front 6

6. For the best effectiveness, you should administer scralfate (Carafate) at the following time:

Back 6

a. 1 hour before meals

Front 7

7. Your client will receive ranitidine (Zantac) 150 mg PO at bedtime. Prior to administration, you should inform the client that common side effects related to this medication are:

Back 7

a. headache

Front 8

8. Ranitidine (Zantac) should be cautiously administered to individuals with evidence of:

Back 8

a. renal disease

Front 9

10. A client who is taking a senna preparation (Senokot) calls you because she has noticed that her urine is a deep red and she thinks she is bleeding. Your best response would be:

Back 9

a. “The medication you are taking can color the urine different shades of red”

Front 10

12. An adverse effect of administration of stimulant cathartic is:

Back 10

a. diarrhea

Front 11

13. Long-term administration of mineral oil can decrease the absorption of:

Back 11

a. vitamin D and fat soluble vitamins

Front 12

14. Administering castor oil the following way would make it more palatable:

Back 12

a. chill it

Front 13

15. The safest and most effective way to treat constipation in children is with:

Back 13

a. glycerin suppositories

Front 14

16. An alcoholic with chronic liver failure could use the following laxative to lower his serum ammonia levels:

Back 14

a. lactulose (Chronulac)

Front 15

17. After surgery for a peptic ulcer, your client is receiving morphine sulfate 2 mg q4h, tetracycline 250 mg q6h, cimetidine (Tagamet) 300 mg q6h, and acetaminophen (Tylenol) 600 mg q4h. Which of the medications above is most likely to cause constipation?

Back 15

a. morphine sulfate

Front 16

18. Psyllium hydrophilic mucilloid (Metamucil) should be avoided if Mrs. V has:

Back 16

a. diabetes mellitus

Front 17

19. An expected outcome of the administration of psyllium hydrophilic mucilloid (Metamucil) is a regular bowel movement:

Back 17

a. within 1 to 3 days

Front 18

20. Evidence of the following indicates that a client taking pancrelipase (Cotazym) needs to have his medication altered:

Back 18

a. steatorrhea

Front 19

21. A client receiving diphenoxylate (Lomotil) should be altered to the following side effect related to this medication:

Back 19

a. drowsiness

Front 20

22. The following medication is used to treat the diarrhead associated with bacillary dysentery caused by Shigella organisms:

Back 20

a. ampicillin (Omnipen)

Front 21

23. An over the counter medication used to treat nausea is:

Back 21

a. Emetrol

Front 22

24. The following symptom may be related to the use of dronabinol (Marinol):

Back 22

a. anxiety

Front 23

25. Persons taking phenothiazines need to be assessed for extrapyramidal symptoms, which include:

Back 23

a. dyskinesia, dystonia, and akathisia

Front 24

26. Your client is to receive Reglan for nausea. The following statement by your client lead you to believe that she has understood the teaching that you have done:

Back 24

a. “I may by drowsy as a result of taking this medication”

Front 25

27. Before administering an antiemetic to a patient experiencing nausea and vomiting, the nurse should assess:

Back 25

a. bowel sounds or blood pressure

Front 26

28. Prochlorperazine (Compazine) is contraindicated in:

Back 26

a. pregnant women

Front 27

29. Which of the following anitememtics is the drug of choice for use with children?

Back 27

a. promethazine (Phenergan)

Front 28

30. Mr. P is going on an ocean cruse and asks his physician for an antiemetic. Which of the following medications would be most effective for motion sickness?

Back 28

a. Anitvert

Front 29

31. A scopolamine (Transderm Scop) patch is ordered for a terminal care patient experiencing nausea and vomiting. The following statement made by your patient leads you to believe that he or she understands how to use the patch:

Back 29

a. “I will place the patch behind my ear and replace it every 3 days”

Front 30

32. When administering hydroxyzine (Vistaril), you need to assess the client for anticholinergic effects, which include:

Back 30

a. dry mouth and urinary retention

Front 31

33. The ideal time to take antacid is:

Back 31

a. 1 hour before or after other drugs

Front 32

34. Mrs. H a 79 year old woman with peptic ulcer disease, is taking cimetidine (Tagamet). When you enter her room, you find that she is confused. You should:

Back 32

a. hold the medication and contact her physician

Front 33

35. Mr. J is to receive polyethylene glycol-electrolyte solution (GoLYTLEY) for bowel cleansing before an endoscopic procedure. Which instructions should you give M.J?

Back 33

a. “Take 8 ounces every 10 minutes until the 4 liters are gone”

Front 34

36. An adverse effect of administration of bulk forming laxatives is:

Back 34

a. impaction

Front 35

37. Administration of mineral oil can decrease the absorption of fat soluble vitamins if continued for longer than:

Back 35

a. 2 weeks

Front 36

38. Before taking laxatives for constipation, Mrs. C should:

Back 36

a. drink 2000 to 3000 ml of fluid for several days

Front 37

39. Your neighbor calls you because she has been having diarrhea for 2 days. What advice should you give her?

Back 37

a. “Drink plenty of fluids that contain calories and electrolytes”

Front 38

40. Antiemetics are usually contraindicated in clients with:

Back 38

a. pregnancy

Front 39

41. Which of the following statements by your client leads you to believe that she needs additional instruction regarding antiemetics?

Back 39

a. “If I become drowsy, I will stop taking the medication.”

Front 40

42. Mrs. P becomes nauseated the night before her chemotherapy treatment. Her physician believes that she is experiencing anticipatory nausea. Which of the following medications would be most effective for Mrs. P’s nausea?

Back 40

a. Ativan