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BSN315 Week 6 Pharm II Questions With Complete Solutions
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BSN315 Week 6 Pharm II Questions With Complete Solutions
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BSN315 Week 6 Pharm II Questions With CompleteSolutions
Black Box Warning
Midazolam may cause severe respiratory depression, respiratory
arrest, and apnea. Initial doses in older adults should be
conservative. Do not administer by rapid IV injection in
neonates as it may cause severe hypotension or seizures.
Patient Teaching for Cyclobenzaprine:
-The patient should be told that they may experience retrograde
amnesia.
-Teach the patient not to get up without assistance as they may
experience weakness and lightheadness.
-Advise the patient not to drive or operate heavy machinery until
the medication has worn off. If used for surgery or a procedure
the patient must have someone to drive them to their residence
-Patients taking monoamine oxidase inhibitors (MAOIs).
-Children and in individuals with spinal cord injuries, cerebral
palsy, or paralytic ileus.
-Caution should be used in individuals with seizure disorders,
glaucoma, prostatic hypertrophy, urinary retention, or hepa
Correct Answer
CNS Depressant and Skeletal Muscle Relaxant Therapy:
CNS depressants used for moderate sedation include: Diazepam,
Lorazepam
Midazolam.
*The most frequently used drug for moderate sedation is
midazolam, a short-acting benzodiazepine. This drug is
commonly used for preoperative sedation, procedural sedation,
and severe agitation.
,*Cyclobenzaprine is the most commonly used centrally acting
skeletal muscle relaxant and is often prescribed to reduce
spasms caused by musculoskeletal injuries. It is not effective
against muscle spasms caused by CNS disorders Correct
Answer
Drug Therapy for Rheumatoid Arthritis:
A drug class that is recommended for use to delay disease
progression in RA is known as disease-modifying antirheumatic
drugs (DMARDs).
nonbiologic DMARDs :Methotrexate, leflunomide, and
tofacitinib
biologic DMARDs: Etanercept and abatacept Correct Answer
Patient teaching: about compliance, administration, side effects,
and adverse effects must be performed to ensure the safety of
patients taking DMARDs.
-Given that DMARDs have immunosuppressive effects, educate
the patient about signs and symptoms of an infection (e.g., fever
of 100.5°F [38.1°C] or higher, nausea, vomiting, diarrhea, sore
throat) and the importance of reporting this immediately to the
health care provider.
-Pregnant women should not receive therapy with methotrexate
and leflunomide. Educate female patients of childbearing age
about methods of contraception and the need to use
contraception for extended periods after discontinuation of
therapy (depending on drug choice). Educate male patients
about the risks of pregnancy in female partners that may occur
up to 3 months after methotrexate discontinuation.
-Educate patients receiving methotrexate and leflunomide about
the importance of reporting to the Correct Answer
, Question 1 of 13
Which disease-modifying antirheumatic drug (DMARD) is
beneficial in rheumatoid arthritis (RA) by inhibiting the enzyme
Janus kinase?
Abatacept
Etanercept
Methotrexate
Tofacitinib Correct Answer Tofacitinib
Tofacitinib is a Janus kinase inhibitor that works to modulate
inflammation in RA.
Question 1 of 20
The nurse would monitor which laboratory values for a patient
taking cyclobenzaprine?
Liver function tests
Creatine kinase
Serum amylase and lipase
Arterial blood gases Correct Answer Liver function tests
Cyclobenzaprine is metabolized in the liver; therefore liver
function tests should be monitored. If liver function is impaired,
the medication may accumulate to toxic levels.
Question 1 of 3
Centrally-acting muscle relaxants relieve muscle spasms and
pain through which mechanism?
Increase neuron activity in the spinal cord or brain, or decrease
neuronal inhibition on the skeletal muscles.
Sedate the patient so the spasms and spasticity are decreased.
Depress neuron activity in the spinal cord or brain or enhance
neuronal inhibition on the skeletal muscles.
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