Exam (elaborations)
Pharmacology Exam 3.
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- Gpstc Criminal Law.
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- Gpstc Criminal Law.
Pharmacology Exam 3.
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Pharmacology Exam 3The nurse is preparing to give medications. Which is the most appropriate nursing action for
intravenous (IV) phenytoin (Dilantin)
A. give IV dose via rapid IV push
B. Administer in normal saline solutions
C. Administer in dextrose solutions
D. Ensure continuous infusion of a drug - correct answer-B
The nurse is reviewing the drugs currently taken by a patient who will be starting drug
therapy with carbamazepine (Tegretol), Which drug may raise a concern for interactions?
A. digoxin (Lanoxin)
B. acetaminophen (Tylenol)
C. diazepam (Valium)
D. warfarin (Coumadin) - correct answer-B
Which response would the nurse expect to find in a patient with a phenytoin (Dilantin) level
of 35mcg/mL?
A. ataxia
B. Hypertension
C. Seizures
D. no unusual response; this level is therapeutic - correct answer-A
Patient is taking pregabalin (Lyrica) but does not have a history of seizures. The nurse
recognizes that this drug is also indicated for
A. postherpetic neuralgia
B. viral infections
C. Parkinson's disease
D. depression - correct answer-A
The nurse is assessing a newly admitted patient who has a history of seizures. During the
assessment, the patient has a generalized seizure that does not stop for several minutes.
The nurse expects that which drug will be ordered for this condition?
A. valproic acid (Depakote)
B. neurontin (Gabapentin)
C. carbamazepine ( Tegretol)
D. diazepam (Valium) - correct answer-D
The nurse is administering an antiepileptic drug and will follow which guidelines? (select all
that apply)
A. monitor the patient for drowsiness
B. Medications may be stopped if the seizure activity disappears
C. Give the medication at the same time everyday
D. give the medication on an empty stomach
E. Notify the prescriber if the patient is unable to take the medication - correct answer-A, C,
E
, Which condition will alert the nurse to a potential caution or contraindication regarding the
use of dopaminergic drug for treatment of mild Parkinson's disease?
A. diarrhea
B. Tremors
C. Angle-closure glaucoma
D. Unstable gait - correct answer-C
A patient is taking entacapone (Comtan) as part of the therapy for Parkinson's disease.
Which intervention by the nurse is appropriate at this time?
A. notify the patient that this drug causes discoloration of the urine
B. limit the patient's intake of tyramine containing foods
C. monitor the results of renal studies because this drug can seriously affect renal function
D. Force fluid to prevent dehydraion - correct answer-A
During a patient teaching session about antiparkinson drugs, the nurse will include which
statement?
A. "the drug will be stopped when tremors are weakness are relieved"
B. " if a dose is missed, take two doses to avoid significant decrease in blood levels"
C. " be sure to notify your physician if your urine turns a brownish-orange color"
D. "take care to change positions slowly to prevent falling due to a drop in blood pressure" -
correct answer-D
A patient will be taking selegine (Eldepryl), 10 mg daily, in addition to dopamine replacement
therapy for Parkinson's disease. The nurse will implement which precautions regarding
selegiline?
A. teach the patient to avoid foods containing tyramine
B. monitor for dizziness
C. inform the patient that this drug may caue urine discoloration
D. monitor for palpitations and tachycardia - correct answer-B
A patient with Parkinson's disease will start taking entcapone (Comtan) along with the
carbidopa-levodopa (Sinemet) he ahs been taking for a few years. The nurse recognizes
that the advantage of taking encapone is that
A. the entacapone can reduce the on-off effect
B. the levodopa may be stopped in a few days
C. there is less GI upset with entacapone
D. it does not cause the cheese effect - correct answer-A
The nurse is assessing a patient who has begun therapy with amantadine (Symmetrel) for
Parkinson's disease. The nurse will look for which possible adverse effects (select all that
apply)
A. nausea
B. palpitations
C. dizziness
D. insomnia
E. edema - correct answer-A, C, D
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