Exam (elaborations)

NURS 133 MEDS FINAL EXAM QUESTIONS AND CORRECT ANSWERS 2024/2025

0 purchase

Course
NURS 133

Institution
NURS 133

[Show more]

Preview 4 out of 52 pages

View example

Uploaded on October 21, 2024
Number of pages 52
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

nurs 133 meds final exam questions and correct
nurs 133 meds final exam questions and correct an

Institution NURS 133
Course NURS 133

osorebrilliant Member since 1 year 414 documents sold

$15.99

Add to cart

Add to wishlist

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

NURS 133 MEDS FINAL EXAM
QUESTIONS AND CORRECT ANSWERS
2024/2025

A 72-year-old patient presents at the emergency department with respiratory
depression and excessive sedation. The family tells the nurse that the patient has
been taking medication throughout the evening. The nurse suspects
benzodiazepine overdose and would expect what drug to be ordered?
A) Valium
B) Phenergan
C) Hydroxyzine
D) Flumazenil - ANSWERS D ~ Toxic effects of benzodiazepines include excessive
sedation, respiratory depression, and coma. Flumazenil is an antidote for the
benzodiazepines. Hydroxyzine is an antihistamine with anticholinergic effects and
would not be appropriate for this patient. Valium would enhance the effects of
benzodiazepines. Phenergan is not indicated for this patient; it is similar in actions
to hydroxyzine.

A 75-year-old patient is brought to the emergency department by his family. The
family relates that the patient is complaining of confusion, seizures, and abnormal
perception of movement. The nurse reviews all of the medication bottles found in
the house and suspects the patient overdosed on what medication?
A) Benzodiazepine
B) Antihypertensive
C) Sedative

,D) Analgesic - ANSWERS A ~ Common manifestations of benzodiazepine toxicity
include increased anxiety, psychomotor agitation, insomnia, irritability, headache,
tremor, and palpitations. Less common but more serious manifestations include
confusion, abnormal perception of movement, depersonalization, psychosis, and
seizures. These symptoms are not found in association with options B, C, or D.

A client admitted to the hospital gives the nurse a bottle of clomipramine
(anafranil) . The nurse notes that the medication has not been taken by the client
in 2 months. Which behavior observed in the client would validate noncompliance
with this medication? - ANSWERS OCD rituals

A client arrives at the health care clinic and tells the nurse that they have been
doubling their daily dosage of bupropion hydrochloride to help them get better
faster. The nurse understands that the client is now at risk for which problem? -
ANSWERS Seizure activity

A client diagnosed with chronic schizophrenia presents in an emergency
department (ED) with uncontrollable tongue movements, stiff neck, and difficulty
swallowing. The nurse would expect the physician to recognize which condition
and implement which treatment?
A. Neuroleptic malignant syndrome and treat by discontinuing antipsychotic
medications
B. Agranulocytosis and treat by administration of clozapine (Clozaril)
C. Extrapyramidal symptoms and treat by administration of benztropine
(Cogentin)
D. Tardive dyskinesia and treat by discontinuing antipsychotic medications
ANS: DThe nurse should expect that an ED physician would diagnose the client
with tardive dyskinesia and discontinue antipsychotic medications. Tardive
dyskinesia is a condition of abnormal involuntary movements of the mouth,

,tongue, trunk, and extremities that can be an irreversible side effect of typical
antipsychotic medications. - ANSWERS ANS: D
The nurse should expect that an ED physician would diagnose the client with
tardive dyskinesia and discontinue antipsychotic medications. Tardive dyskinesia
is a condition of abnormal involuntary movements of the mouth, tongue, trunk,
and extremities that can be an irreversible side effect of typical antipsychotic
medications.

A client diagnosed with generalized anxiety disorder is placed on clonazepam
(Klonopin) and buspirone (BuSpar). Which client statement indicates teaching has
been effective?
1. The client verbalizes that the clonazepam (Klonopin) is to be used for long-
termtherapy in conjunction with buspirone (BuSpar).
2. The client verbalizes that buspirone (BuSpar) can cause sedation and should
betaken at night.
3. The client verbalizes that clonazepam (Klonopin) is to be used short-term until
thebuspirone (BuSpar) takes full effect.
4. The client verbalizes that tolerance can result with long-term use of
buspirone(BuSpar). - ANSWERS 3. Clonazepam would be used for shortterm
treatment while waiting for the buspirone to take full effect, which can take 4 to 6
weeks.
TEST-TAKING HINT: To answer this question correctly, the test taker must note
appropriate teaching needs for clients prescribed different classifications of
antianxiety medications.

A client diagnosed with schizophrenia is prescribed clozapine (Clozaril). Which
client symptoms related to the side effects of this medication should prompt a
nurse to intervene immediately?
A. Sore throat, fever, and malaise
B. Akathisia and hypersalivation

, C. Akinesia and insomnia
D. Dry mouth and urinary retention - ANSWERS ANS: A
The nurse should intervene immediately if the client experiences a sore throat,
fever, and malaise when taking the atypical antipsychotic drug clozapine
(Clozaril). Clozapine can have a serious side effect of agranulocytosis, in which a
potentially fatal drop in white blood cells can occur. Symptoms of infectious
processes would alert the nurse to this potential.

A client diagnosed with schizophrenia is slow to respond and appears to be
listening to unseen others. Which medication should a nurse expect a physician to
order to address this type of symptom?
A. Haloperidol (Haldol) to address the negative symptom
B. Clonazepam (Klonopin) to address the positive symptom
C. Risperidone (Risperdal) to address the positive symptom
D. Clozapine (Clozaril) to address the negative symptom - ANSWERS ANS: CT
The nurse should expect the physician to order risperidone (Risperdal) to address
the positive symptoms of schizophrenia. Risperidone (Risperdal) is an atypical
antipsychotic used to reduce positive symptoms, including disturbances in
content of thought (delusions), form of thought (neologisms), or sensory
perception (hallucinations).

A client is brought to the emergency department unconscious. The clients spouse
tells the nurse that the client was found in bed with an empty pill bottle nearby.
The clients spouse believes that there were 20 to 25 diazepam (Valium) pills in the
bottle. What represents an appropriate nursing priority?
a. Administer an emetic agent followed by activated charcoal.
b. Lavage the stomach using a nasogastric tube.
c. Prepare the client for emergency surgery.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller osorebrilliant. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Exam (elaborations)

NURS 133 MEDS FINAL EXAM QUESTIONS AND CORRECT ANSWERS 2024/2025

Document information

Subjects

Written for

Seller

Reviews received

Content preview