Exam (elaborations)
3550 NURSING TEST WITH COMPLETE SOLUTIONS
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3550 NURSING TEST WITH COMPLETE SOLUTIONS
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3550 NURSING TESTWITH COMPLETE
SOLUTIONS
A bpatient bis breceiving bdigoxin btwice bdaily. bWhen bassessing bthe bpatient bbefore
bgiving ba bdose, bthe bnurse bcounts ba bpulse bof b60 bbeats bper bminute band blearns
bthat bthe bpatient bis bexperiencing
nausea. bThe bnurse bconsults ba bdrug bmanual band bverifies bthat bthe bordered bdose
bis bcorrect. bWhat bshould
the bnurse bdo?
a.
Contact bthe bprescriber bto breport bthe bsymptoms.
b.
Delay bthe bdose bso bthe bdrug bcan bclear bfrom breceptor bsites.
c.
Give bthe bmedication bas bordered, bbecause bthe bdose bis bcorrect.
d.
Request ban bantinausea bmedication bfrom bthe bprescriber. b- bcorrect banswer-a
A bpatient breports bbecoming b"immune" bto ba bmedication bbecause bit bno blonger
bworks bto balleviate bsymptoms. bThe bnurse brecognizes bthat bthis bdecreased
beffectiveness bis blikely bcaused bby:
a.
,antagonists bproduced bby bthe bbody bthat bcompete bwith bthe bdrug bfor breceptor
bsites.
b.
decreased bselectivity bof breceptor bsites, bresulting bin ba bvariety bof beffects.
c.
desensitization bof breceptor bsites bby bcontinual bexposure bto bthe bdrug.
d.
synthesis bof bmore breceptor bsites bin bresponse bto bthe bmedication. b- bcorrect
banswer-C
A bpatient bhas bbeen breceiving ban bantibiotic bwith ba bsmall btherapeutic bindex bfor
b10 bdays. bUpon bassessment, bthe bnurse bnotes ban bincrease bin bthe bdrug's bside
beffects. bWhat bwould bbe bthe bnurse's bpriority baction?
a.
Call bthe bprescriber band bhave bthe bantibiotic bchanged.
b.
Suspect ban ballergic breaction band badminister ba bPRN bantihistamine.
c.
Ask bthe bprescriber bto border ba bplasma bdrug blevel btest.
d.
Set bup boxygen band bobtain ban border bfor ban bantagonist. b- bcorrect banswer-C
A bpatient bwho bis btaking bmorphine bfor bpain basks bthe bnurse bhow ba bpain
bmedication bcan balso bcause bconstipation. bWhat bdoes bthe bnurse bknow babout
bmorphine?
a.
It bbinds bto bdifferent btypes bof breceptors bin bthe bbody.
b.
It bcan bcause bconstipation bin btoxic bdoses.
c.
It bcauses bonly bone btype bof bresponse, band bthe bconstipation bis bcoincidental.
d.
It bis bselective bto breceptors bthat bregulate bmore bthan bone bbody bprocess. b-
bcorrect banswer-d
What boccurs bwhen ba bdrug bbinds bto ba breceptor bin bthe bbody?
a.
It balters bthe breceptor bto bbecome bnonresponsive bto bits busual bendogenous
bmolecules.
b.
It bincreases bor bdecreases bthe bactivity bof bthat breceptor.
c.
It bgives bthe breceptor ba bnew bfunction.
d.
It bprevents bthe baction bof bthe breceptor bby baltering bits bresponse bto bchemical
bmediators. b- bcorrect banswer-B
The bnurse badministers bnaloxone b[Narcan] bto ba bpatient bwho bhas breceived ba
btoxic bdose bof bmorphine bsulfate. bThe bnurse bunderstands bthat bthe bnaloxone bis
beffective bbecause bof bwhich baction?
,a.
Countering bthe beffects bof bmorphine bsulfate bby bagonist bactions
b.
Increasing bthe bexcretion bof bmorphine bsulfate bby baltering bserum bpH
c.
Preventing bactivation bof bopioid breceptors bthrough bantagonist bactions
d.
Regulating bthe bsensitivity bof bopioid breceptors bby bneurochemical balterations b-
bcorrect banswer-C
A byoung badult bpostoperative bpatient bis breceiving bmorphine b2 bto b4 bmg bIV bevery
b2 bhours bPRN bpain. bThe blast bdose bwas b3 bmg bgiven b2 bhours bago. bThe bpatient
bis basleep, band bthe bnurse bnotes ba bheart brate bof b86 bbeats bper bminute band ba
brespiratory brate bof b8 bbreaths bper bminute. bWhich bPRN bmedication bwill bthe
bnurse bgive bthis bpatient?
a.
Diphenhydramine b[Benadryl] bto bcounter bmorphine bside beffects
b.
Morphine b4 bmg bfor bincreased bpain, bas bindicated bby btachycardia
c.
Naloxone b[Narcan] bto bblock bthe beffects bof bthe bmorphine
d.
Nothing bat bthis btime, bbecause bthe bpatient bis bresting bcomfortably b- bcorrect
banswer-C
In ba bdiscussion bof bdrug-drug binteractions, bwhich bwould bbe bthe bbest bexample bof
ba bbeneficial binhibitory binteraction?
a.
Naloxone b[Narcan] bblocking bmorphine bsulfate's bactions
b.
Antacids bblocking bthe baction bof btetracycline b[Sumycin]
c.
Propanolol b[Inderal] bblocking bthe beffects bof balbuterol
d.
Cholestyramine bblocking bthe bactions bof bantihypertensive bdrugs b- bcorrect
banswer-A
Which bstatement babout bfood band bdrug binteractions bis btrue?
a.
Foods balter bdrug babsorption band bmetabolism bbut bnot bdrug baction.
b.
Medications bare bbest babsorbed bon ban bempty bstomach.
c.
Patient bdiscomfort bis bthe bfood band bdrug binteraction bof bmost bconcern.
d.
Some bfoods bcan binhibit bCYP bisoenzymes band balter bdrug bmetabolism. b- bcorrect
banswer-D
A bnurse bis bteaching ba bpatient babout ba bdrug bthat binduces bP-glycoprotein. bThe
bnurse bwill bexplain bthat bthis bdrug bmay bcause bwhich beffect bon bother bdrugs?
, a.
Decreased babsorption bin bthe bintestines
b.
Decreased belimination bthrough bthe bkidneys
c.
Increased bbrain bexposure
d.
Increased bfetal babsorption b- bcorrect banswer-B
A bnurse bis bcaring bfor ba bpatient bwho bis btaking bmultiple bmedications. bTo bhelp
bensure bthat badverse bdrug breactions bare bprevented bor bminimized, bthe bnurse
bwill bdo bwhich bof bthe bfollowing? b(Select ball bthat bapply.)
a.
Ask bthe bpatient babout bover-the-counter bmedications bused.
b.
Contact bthe bprescriber bto brequest bcytochrome bP450 blevels.
c.
Limit bthe bpatient's bcalcium bintake.
d.
Obtain ba bthorough bdiet bhistory.
e.
Request borders bfor bPRN bmedications bto btreat bany banticipated bsymptoms bof
bdrug binteractions. b- bcorrect banswer-a,b,d
A bnurse bis bconcerned babout brenal bfunction bin ban b84-year-old bpatient bwho bis
btaking bseveral bmedications. bWhat bwill bthe bnurse bassess?
a.
Creatinine bclearance
b.
Sodium blevels
c.
Potassium blevels
d.
Serum bcreatinine b- bcorrect banswer-a
A bpatient breceives bmorphine band bshows bsigns bof btoxicity. bThe bprescriber
borders bnaloxone b[Narcan] bto breverse bthe beffects bof bthe bmorphine. bThe bnurse
bunderstands bthat bthe bnaloxone breverses bmorphine btoxicity bby bwhich baction bon
bmorphine breceptor bsites?
a.
Blocking btransmitter breuptake
b.
Inhibiting btransmitter brelease
c.
Interfering bwith btransmitter bstorage
d.
Preventing bactivation bof breceptors b- bcorrect banswer-d
A bnurse bis bpreparing bto badminister ba bmedication band blearns bthat bit bis ba
bnonselective bagonist bdrug. bWhat bdoes bthe bnurse bunderstand babout bthis bdrug?
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