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NR567 Advanced Pharmacology exam questions and answer
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NR567 Advanced Pharmacology exam questions and answer
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NR567 Advanced Pharmacologyexam questions and answers
A patient is taking aminophylline for their COPD.
The patient is about to undergo emergency
surgery and will receive a neuromuscular junction
(NMJ) blocker as part of the procedure. It is
important for the nurse to take what action?
Monitor the patient very closely for sign of early
arousal and return of muscle function.
The nurse is caring for a patient who is being
maintained on a mechanical ventilator. Atracurium
is administered to limit the resistance to
mechanical ventilation. What is the nurse's priority
assessment?
Bradycardia
The nurse is preparing a patient for surgery who
will receive a neuromuscular junction blocker
during the procedure. It is important for the nurse
to review the patient's medication history for
concurrent use of what?
Calcium channel blockers
An elderly patient has received a neuromuscular
junction blocker during surgery, What would be an
appropriate nursing diagnosis for this patient?
Risk for impaired skin integrity
,What are the primary uses of neuromuscular
junction blockers (NMJ blockers)?
To facilitate endotracheal intubation
To prevent injury during electroconvulsive therapy
To facilitate mechanical ventilation
The pharmacology instructor is discussing
nondepolarizing neuromuscular junction blockers
(NMJ blockers) with the nursing class. How would
the instructor explain the action on
nondepolarizing NMJ blockers?
Acts like Ach then prevents repolarization
According to the sliding filament theory, what is
the initial action in a muscle contraction?
Actin and myosin molecules react with each other
sliding along the filament and making it shorter.
We have an expert-written solution to this
problem!
A patient is to have surgery and it is planned that
atracurium (Tracrium) is to be used as an adjunct
to general anesthesia. How will the atracurium
work?
Acts as an antagonist to acetylcholine
The nurse is caring for a patient who is receiving
pancuronium (Pavulon) to facilitate mechanical
ventilation. The patient is also receiving a
,barbiturate. How will the nurse administer these
two medications?
If given together, a precipitate may form.
The nurse is caring for a patient who is scheduled
for abdominal surgery in the morning and is
scheduled to receive rocuronium (Zemuron). The
patient asks the nurse to describe the adverse
effects of rocuronium. What would the nurse
describe for the patient?
This drug is associated with pulmonary
hypertension
The PACU nurse is caring for a patient that had
succinylcholine (Anectine) as an adjunct to
anesthesia. What is the nurse's priority
assessment while caring for this patient?
Temperature
The nurse is caring for a patient scheduled for
abdominal surgery in the morning. The patient
confides that they watched a movie last week
about someone who had surgery and the
anesthetic did not work but no one knew because
that patient could not move, What nursing
diagnosis will the nurse include in this patient's
plan of care?
Fear related to paralysis
The nurse is caring for a patient in the intensive
care unit who has been receiving neuromuscular
junction (NMJ) blockers, sedatives, and analgesics
for the past 2 weeks. The NMJ blocker therapy has
, been discontinued and the other medications have
been reduced gradually. The patient is now alert
and awake, communicating with family by using
paper and pencil. The family asks why the patient
cannot sustain normal respirations. What is the
nurse's best response?
-The patient's muscles need to get their strength
back again.
-This is a common occurrence in situations like this.
-He is likely to breathe better each day.
-He will not be takne off the mechanical ventilator
until he is ready.
The nurse is caring for a very anxious 33-year-old
female patient scheduled for abdominal surgery
today. The patient said the anesthesiologist said
she would receive succinylcholine (anactine)
during surgery and asks the nurse how long it will
take before the medication starts to work. What is
the nurse's best response?
30 to 60 seconds
The patient returns from surgery complaining
about muscle pain after receiving succinylcholine
during the procedure After reviewing the
postoperative orders, which of these ordered
analgesics will the nurse administer to treat this
pain?
Aspirin
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