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ATI PHARMACOLOGY PROCTORED 250 QUESTIONS AND CORRECT DETAILED ANSWERS AGRADE (RASMUSSEN COLLEGE)
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ATI PHARMACOLOGY PROCTORED 250 QUESTIONS AND CORRECT DETAILED ANSWERS AGRADE (RASMUSSEN COLLEGE)
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ATI PHARMACOLOGY PROCTORED 250 QUESTIONS AND CORRECT DETAILED ANSWERS AGRADE (RASMUSSEN COLLEGE) The nurse is monitoring a patient taking an antipsychotic medication for extrapyramidal symptoms. Which clinical finding indicates the patient is having an adverse effect from this drug? Dry mouth and constipation Blood pressure of 80/50 mm Hg Presence of myoglobin in the blood Muscle cramps of the head and neck - ANSWER>> Muscle cramps of the head and neck What atypical antipsychotic medication would the nurse anticipate the health care provider prescribing for treatment of refractory schizophrenia? Phenelzine Trazodone Amoxapine Risperidone - ANSWER>> Risperidone -Risperidone is effective for schizophrenia, including negative symptoms. The other medications listed are antidepressants While obtaining a medication history from a patient, the nurse notes that the patient is currently prescribed naltrexone. The nurse would question the patient about a previous history of which substance abuse? Opioid Cannabis Barbiturate Amphetamine - ANSWER>> Opioid -Naltrexone works by blocking the opioid receptors so that use of opioid drugs does not produce euphoria A patient reports severe back pain and asks the nurse for medication "to take the pain away." Assessment findings on the physical examination include mydriasis, rhinorrhea, diaphoresis, lacrimation, blood pressure of 160/84 mm Hg, heart rate of 116 beats/m in, and respiratory rate of 24 breaths/min. Which condition would the nurse suspect is responsible for the reported pain? Opioid withdrawal Ethanol intoxication Barbiturate overdose Amphetamine overdose - ANSWER>> Opioid withdrawal An unresponsive young adult is taken to the emergency department by friends. The friends tell the nurse, "We were too scared to call 911 because we were at a party popping roofies." Which medication would the nurse expect to administer to this patient? Naloxone Naltrexone Flumazenil Chlordiazepoxide - ANSWER>> Flumazenil -Flumazenil can be used to acutely reverse the sedative effects of benzodiazepines. Naloxone is used to treat - ANSWER>> opiate overdosage Naltrexone is used to treat - ANSWER>> opioid abuse chlordiazepoxide is used to treat - ANSWER>> ethanol withdrawal. What potential long term vitamin deficiency can potentially lead to Wernicke's encephalopathy? Vitamin A Vitamin E Magnesium Vitamin B1 - ANSWER>> Vitamin B1 -Long -term excessive ingestion of ethanol is directly associated with serious neurologic and mental disorders. Common symptoms and signs of alcohol withdrawal include - ANSWER>> increased blood pressure, pulse, tremors, and agitation. Epinephrine, as an adrenergic (sympathomimetic) drug, produces which therapeutic effect? Urinary retention Bronchial constriction Decreased intestinal motility Increased heart rate and contractility - ANSWER>> Increased heart rate and contractility -the other effects listed are parasympathomimetic in nature. The health care provider has prescribed dopamine to treat the patient's hypovolemic shock secondary to severe blood loss. The nurse prepares what additional treatment to be completed with this medication administration? Temporary pacing Fluid replacement Induced hypothermia Beta-stimulating drugs - ANSWER>> Fluid replacement -Dopamine increases blood pressure secondary to vasoconstriction, which has a limited effect if there is not enough volume within the circulatory system When assessing for cardiovascular effects of an adrenergic (sympathomimetic) drug, the nurse understands that these drugs produce which effect on the heart? Positive inotropic, positive chronotropic, and positive dromotropic effect Negative inotropic, positive chronotropic, and positive dromotropic effect Positive inotropic, negative chronotropic, and negative dromotropic effect Negative inotropic, negative chronotropic, and negative dromotropic effect - ANSWER>> Positive inotropic, positive chronotropic, and positive dromotropic effect A hypertensive crisis may occur if adrenergic (sympathomimetic) drugs are given along with which of the following drug classes? Beta blockers Alpha1 blockers Direct renin inhibitors Monoamine oxidase inhibitors (MAOIs) - ANSWER>> Monoamine oxidase inhibitors (MAOIs) The nurse assesses the patient's IV site, and it has infiltrated during the infusion of dopamine. The nurse will prepare which medication to treat this infiltration? Naloxone Lidocaine Nitroprusside Phentolamine - ANSWER>> Phentolamine -Phentolamine an alpha blocker that causes vasodilation is often used for the treatment of infiltration, thus counteracting the vasoconstrictive effects of the infiltrated dopamine.The benefits of buying summaries with Stuvia:
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